NURS 6630 MIDTERM EXAM TEST BANK
QUESTIONS ANDA ANSWERS GRADED ARATED 5
STAR
Question 1
1 out of 1 points
A noncompliant patient states, “Why do you want me to put this poison in my body?”
Identify the best response made by the psychiatric-mental health nurse practitioner
(PMHNP).
Answer: C. “Most medications that work in the brain will result in restoring an
imbalance of one or more neurotransmitters that your body already produces
helping to alleviate your symptoms .”
Question 2
1 out of 1 points
Ms. Hill is currently being treated for schizophrenia but has stopped taking her
medications due to some side effects she claims she was experiencing. She presents to
the clinic today with worsening symptoms. She is experiencing anhedonia, agitation,
attentional impairment, and affective blunting. Which one of the symptoms mentioned
is considered a positive symptom of schizophrenia?
Answer: B. Agitation
Question 3
0 out of 1 points
Which statement about neurotransmitters and medications is true?
Answer: D. An imbalance of serotonin has been directly linked to depression.
Following the discovery of this neurotransmitter, pharmacologists were
able to develop a well-known drug- Prozac as the first medication used to
restore the balance of serotonin.
,Question 4
1 out of 1 points
When an unstable patient asks why it is necessary to add medications to his current
regimen, the PMHNP’s best response would be:
Answer: C. “Many psychiatric illnesses involve several dys-functioning
neurotransmitter systems in the brain. Often, a single medication may only
effect one or two of the dys-functioning systems. The addition of another
medication can work with the current medication in stabilizing multiple
neurotransmitter systems and help to alleviate your symptoms.”
Question 5
1 out of 1 points
During gene expression, what must occur prior to a gene being expressed?
Answers: A. Transcription factor must bind to the regulatory region within the cell’s
nucleus.
Question 6
1 out of 1 points
While genes have potential to modify behavior, behavior can also modify genes. How do
genes impact this process?
Answer: B. Changes made to proteins lead to changes in behavior.
Question 7
1 out of 1 points
Though medications have the ability to target neurotransmitter release into the synapse
by the presynaptic neuron it is not always necessary. The PMHNP understands that this
is because:
Answer: C. Neurotransmitters can spread by diffusion.
,Question 8
1 out of 1 points
Why is the cytochrome P450 enzyme system of significance to the PMHNP?
Answer: B. The bioavailability of the medication after it passes through the stomach
and liver can be altered.
Question 9
1 out of 1 points
It is important for the PMHNP to recognize differences in pharmacokinetics to safely
prescribe and monitor medications. Which of the following statements does the
competent PMHNP identify as true?
Answer: A. About 1 out of 5 Asians requires lower-than-normal doses of some
antidepressants and antipsychotics.
Question 10
1 out of 1 points
As it relates to G-protein linked receptors, what does the PMHNP understand about
medications that are used in practice?
Answer: A. Most medications that act on G-protein linked receptors have
antagonistic traits.
Question 11
1 out of 1 points
The PMHNP is considering prescribing a 49-year-old male clozapine (Clozaril) to treat
his schizophrenia and suicidal ideations. The PMHNP is aware that which factor may
impact the dose needed to effectively treat his condition:
Answer: A. The patient smokes cigarettes.
, Question 12
0 out of 1 points
A patient is diagnosed with bipolar disorder and is currently taking carbamazepine
(Tegretol), aripiprazole (Abilify), and melatonin. The PMHNP has just written an order
to discontinue the carbamazepine (Tegretol) for drug-induced thrombocytopenia. The
PMHNP is aware that his next best action is to:
Answer: B. Write an order for a different mood stabilizer
Question 13
1 out of 1 points
A patient recently transferred following a suicide attempt has a history of
schizophrenia, depression, and fibromyalgia. He is currently taking Amitriptyline
(Elavil), Lisinopril, aspirin, and fluoxetine (Prozac). When assessing the psychiatric
medications and the reason for admission, what would be the best course of action for
the PMHNP with this client?
Answer: A. Review Amitriptyline (Elavil) level
Question 14
0 out of 1 points
A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT
and neurotransmitter serotonin. What is the rationale for prescribing a medication such
as this?
Answer: D. To help decrease the amount of serotonin and dopamine
Question 15
1 out of 1 points
The PMHNP is caring for four patients. Which patient statement indicates that
benzodiazepines would be beneficial?
QUESTIONS ANDA ANSWERS GRADED ARATED 5
STAR
Question 1
1 out of 1 points
A noncompliant patient states, “Why do you want me to put this poison in my body?”
Identify the best response made by the psychiatric-mental health nurse practitioner
(PMHNP).
Answer: C. “Most medications that work in the brain will result in restoring an
imbalance of one or more neurotransmitters that your body already produces
helping to alleviate your symptoms .”
Question 2
1 out of 1 points
Ms. Hill is currently being treated for schizophrenia but has stopped taking her
medications due to some side effects she claims she was experiencing. She presents to
the clinic today with worsening symptoms. She is experiencing anhedonia, agitation,
attentional impairment, and affective blunting. Which one of the symptoms mentioned
is considered a positive symptom of schizophrenia?
Answer: B. Agitation
Question 3
0 out of 1 points
Which statement about neurotransmitters and medications is true?
Answer: D. An imbalance of serotonin has been directly linked to depression.
Following the discovery of this neurotransmitter, pharmacologists were
able to develop a well-known drug- Prozac as the first medication used to
restore the balance of serotonin.
,Question 4
1 out of 1 points
When an unstable patient asks why it is necessary to add medications to his current
regimen, the PMHNP’s best response would be:
Answer: C. “Many psychiatric illnesses involve several dys-functioning
neurotransmitter systems in the brain. Often, a single medication may only
effect one or two of the dys-functioning systems. The addition of another
medication can work with the current medication in stabilizing multiple
neurotransmitter systems and help to alleviate your symptoms.”
Question 5
1 out of 1 points
During gene expression, what must occur prior to a gene being expressed?
Answers: A. Transcription factor must bind to the regulatory region within the cell’s
nucleus.
Question 6
1 out of 1 points
While genes have potential to modify behavior, behavior can also modify genes. How do
genes impact this process?
Answer: B. Changes made to proteins lead to changes in behavior.
Question 7
1 out of 1 points
Though medications have the ability to target neurotransmitter release into the synapse
by the presynaptic neuron it is not always necessary. The PMHNP understands that this
is because:
Answer: C. Neurotransmitters can spread by diffusion.
,Question 8
1 out of 1 points
Why is the cytochrome P450 enzyme system of significance to the PMHNP?
Answer: B. The bioavailability of the medication after it passes through the stomach
and liver can be altered.
Question 9
1 out of 1 points
It is important for the PMHNP to recognize differences in pharmacokinetics to safely
prescribe and monitor medications. Which of the following statements does the
competent PMHNP identify as true?
Answer: A. About 1 out of 5 Asians requires lower-than-normal doses of some
antidepressants and antipsychotics.
Question 10
1 out of 1 points
As it relates to G-protein linked receptors, what does the PMHNP understand about
medications that are used in practice?
Answer: A. Most medications that act on G-protein linked receptors have
antagonistic traits.
Question 11
1 out of 1 points
The PMHNP is considering prescribing a 49-year-old male clozapine (Clozaril) to treat
his schizophrenia and suicidal ideations. The PMHNP is aware that which factor may
impact the dose needed to effectively treat his condition:
Answer: A. The patient smokes cigarettes.
, Question 12
0 out of 1 points
A patient is diagnosed with bipolar disorder and is currently taking carbamazepine
(Tegretol), aripiprazole (Abilify), and melatonin. The PMHNP has just written an order
to discontinue the carbamazepine (Tegretol) for drug-induced thrombocytopenia. The
PMHNP is aware that his next best action is to:
Answer: B. Write an order for a different mood stabilizer
Question 13
1 out of 1 points
A patient recently transferred following a suicide attempt has a history of
schizophrenia, depression, and fibromyalgia. He is currently taking Amitriptyline
(Elavil), Lisinopril, aspirin, and fluoxetine (Prozac). When assessing the psychiatric
medications and the reason for admission, what would be the best course of action for
the PMHNP with this client?
Answer: A. Review Amitriptyline (Elavil) level
Question 14
0 out of 1 points
A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT
and neurotransmitter serotonin. What is the rationale for prescribing a medication such
as this?
Answer: D. To help decrease the amount of serotonin and dopamine
Question 15
1 out of 1 points
The PMHNP is caring for four patients. Which patient statement indicates that
benzodiazepines would be beneficial?
