NURS 6630 Midterm Exam 2025 with Correct A nswers.

NURS 6630 Midterm Exam 2023 with Correct A
m m m m m m m



nswers.



Question1 1
out of 1 points
m m m


When an unstable patient asks why it is necessary to add
m m m m m m m m m m m


medications to his current regimen, the PMHNP’s best re
m m m m m m m m


sponsewould be: m m




Selected C. m


Answ “Many psychiatric illnesses involve several dys-
m m m m m


er: functioning neurotransmitter systems in the brain. Often, a sin
m m m m m m m m


gle medication may only effect one or two of the dys-
m m m m m m m m m m


functioning systems. The addition of another medication can
m m m m m m m m


work with the current medication in stabilizing multiple neuro
m m m m m m m m


transmitter systems and help to alleviate your symptoms.” m m m m m m m



• Question m


2 0 out of 1 poi m m m


nts
The PMHNP is meeting with a new mother who would like
m m m m m m m m m m


to begintaking medication again to treat her bipolar dep
m m m m m m m m m m


ression; she is breastfeeding her 2-
m m m m m


month old daughter. The PMHNP recognizes that which o
m m m m m m m m


f the following medications is contraindicated for this pa
m m m m m m m m


tient?

Select C.
ed Ans m Lithium (Lit m


wer: hobid)

• Question m
3
1

,1 out of 1 points
m m m


Mr. Gordon is a middle-
m m m m


aged client who was started on antidepressant monotherapy for
m m m m m m m m m


depression. After beginning this medication, the PMHNP noticed
m m m m m m m


that this client seemed to swing into a hypomanic episode. What
m m m m m m m m m m m


can the PMHNP infer from this behavior change?
m m m m m m m m



Select A.
ed Ans m This client may have Bipolar III disorder m m m m m m


wer:

• Question m


4 1 out of 1 po m m m m


ints
A patient presents with frequent episodes of mania. Whic
m m m m m m m m


h statement describes an appropriate treatment approac
m m m m m m


h for thispatient?
m m m




Select B.
ed Ans m
“The patient could benefit from an
m m m m m



wer:




2

, anticonvulsant.”
• Question 5 m


1 out of 1 points m m m m


The student inquires about antipsychotic medications. W
m m m m m m


hich response by the PMHNP describes the factors that co
m m m m m m m m m


ntribute to reduced risk of extrapyramidal symptoms (EP
m m m m m m m


S) for patients whotake antipsychotics?
m m m m m




Select B.
ed Ans
m Those that are potent D2 antagonists with 5HT2A
m m m m m m m m


wer: antagonism properties m




• Question m


6 1 out of 1 po m m m m


ints
After ordering flumazenil (Rumazicon) the PMHNP cautions the
m m m m m m m m


staff to monitor for which possible effect?
m m m m m m



Select D.
ed Ans m
All of t m m



wer: heabov m


e
• Question m


7 1 out of 1 po m m m m


ints
The PMHNP is caring for a patient who is taking antipsych
m m m m m m m m m m


otics heard the psychiatrist tell the patient that the pati
m m m m m m m m m


ent would beplaced on a different antipsychotic agent cal
m m m m m m m m m


led an atypical antipsychotic. What neurotransmitters will this n
m m m m m m m m


ew medication work on?
m m m



Select A.
ed Ans m dopamine and serotonin m m


wer:

• Question m
8
3

, 1 out of 1 points
m m m m


While genes have potential to modify behavior, behavior can
m m m m m m m m


alsomodify genes. How do genes impact this process?
m m m m m m m m m




Select B.
ed Ans m
Changes made to proteins lead to chan
m m m m m m



wer: ges inbehavior.
m m




• Question m


9 1 out of 1 po
m m m m


ints
Mrs. Schwartzman is a 52-year-
m m m m


old client with schizophrenia and no established history of depre
m m m m m m m m m


ssion. When meeting with the PMHNP, she presents with apathy
m m m m m m m m m


mand withdrawn social behavior, and she reports a loss of joy fro
m m m m m m m m m m m


m enjoyable activities since starting her new medication. What d
m m m m m m m m m


oes




4