PSYCHOPHARMACOLOGIC APPROACHES TO TREATMENT
OF PSYCHOPATHOLOGY Nurs6630 Week 6 Midterm
Exam Nurs-6630n Midterm Exam (Walden University
Verified Answers )
A patient recently treated following a SA and has a history of
schizophrenia, depression, and fibromyalgia. He is currently taking
amitriptyline, lisinopril, aspirin, and fluoxetine. Assessing these
medications and reason for admission, what is the best cause of action?
- ANSWER>> Review Amitriptyline level
A patient with schizophrenia is given an inverse agonist that acts on the
receptor 5HT and the neurotransmitter serotonin. What is the rational?
- ANSWER>> To decrease Serotonin
A PMHNP is caring for a patient with schizophrenia and is considering a
variety of treatment approaches. Selects a viable treatment with the
"dopamine hypothesis of schizophrenia". What action does the PMHNP
anticipate this treatment is having on the patient? - ANSWER>>
Hyperactivity in the mesolimbic dopamine pathways mediate the
positive symptoms of schizophrenia.
A patient is diagnosed with schizophrenia. What increases the potential
to mediate the cognitive symptoms of schizophrenia? - ANSWER>>
Achieving underactivity of the mesocorticol projections to the
ventromedial prefrontal cortex.
What is accurate about the clinical description of psychosis? -
ANSWER>> It is a syndrome that can be associated with a number of
psychiatric disorders.
, A PMHNP is assessing a 29 year old patient who takes antipsychotics
that block D2 receptors. The patient develops a common side effect of
the medication. What is the side effect? - ANSWER>> Tardive dyskinesia
The PMHNP evaluates the patient for "fear conditioning" when he asks:
- ANSWER>> "Have you ever experienced any type of trauma?"
A patient diagnosed with PTSD is prescribed propranolol and the
PMHNP understands that he was described this medication for what
purpose? - ANSWER>> Beta-blockers are linked to reconsolidation.
Which statement about neurotransmitters is true? - ANSWER>> Several
psychotropic medications have been developed after the discovery of
endogenous neurotransmitters and defining their functions.
During gene expression, what must occur prior to a gene being
expressed? - ANSWER>> Transcription factor must bind to the
regulatory region within the cells nucleus.
What characteristics do the nicotinic, cholinergic, serotonin 3, & glycine
receptors all have in common? - ANSWER>> Ligand-gated ion channels
with pentameric structure
Mr. McCullin is a 64 year old with Parkinson's disease. the PMHNP
caring for him wants to start him on a dopamine agonist to help
manage and treat this condition. The PMHNP selects this agent because
of which action? - ANSWER>> D2 receptors are the primary binding site
for dopamine agonists.
As it relates to G-protein linked receptors, what does the PMHNP
understand about the medications used in practice? - ANSWER>> Most