2026) Advanced Pharmacology:
Psychopharmacology for the Psychiatric-
Mental Health Nurse Practitioner
Questions & Answers100% Correct
[Grade A] – Chamberlain
Treatment -correct answer The PMHNP must ascertain what substance the client is
using, how much and how often the substance is used, and when the substance was last
ingested to determine the most appropriate course of treatment.
Treatment is different when a client is actively using vs during withdrawal, following
detoxification, and abstinence.
Tolerance and dependence impact treatment decisions, sometimes necessitating
increased medication dosing.
Medication Assisted Therapy (MAT) -correct answer clients use prescription
medications as part of a treatment plan for SUD. Substitutes the drug of abuse for the
prescribed medication that targets the same receptor as the preferred substance.
Can reduce cravings, improve relapse rates, reduce mortality from overdose, and
increase the likelihood of abstinence either alone or in combination with with
psychosocial interventions. Most prescribed for opioid use disorder but may also be
used for clients with alcohol or tobacco use disorder.
Goals of MAT -correct answer Improved Survival
Improved treatment retention
Decreased illegal activity
Increased Quality of Life
Improved birth outcomes in people who use substance while pregnant
Reduced HIV and Hep B&C infections
, NR 546 week 6 (Latest Update 2025 /
2026) Advanced Pharmacology:
Psychopharmacology for the Psychiatric-
Mental Health Nurse Practitioner
Questions & Answers100% Correct
[Grade A] – Chamberlain
Impulsive/Compulsive Disorders -correct answer Other mental health disorders shar
similar neurobiological characteristics with substance use disorders.
Pharmacological management for Obesity -correct answer Phentermine or
phentermine/topiramate
Bupropion or bupropion/naltrexone
lorcaserin
zonisamide
Pharmacological management for Anorexia Nervosa -correct answer Olanzapine may
lead to modest weight gain
Pharmacological management for Bulimia Nervosa -correct answer High dose
fluoxetine
Pharmacological Management for Binges Eating Disorders -correct answer
Lisdexamfetamine
Topiramate
Bupropion
, NR 546 week 6 (Latest Update 2025 /
2026) Advanced Pharmacology:
Psychopharmacology for the Psychiatric-
Mental Health Nurse Practitioner
Questions & Answers100% Correct
[Grade A] – Chamberlain
What medication do you avoid in individuals with anorexia nervosa and bulimia nervosa
and why? -correct answer Avoid bupropion as it lowers the seizure threshold in these
patients putting them at risk for new onset seizures.
Opioid Use Disorder -correct answer Chronic Use of opioids that causes clinically
significant distress or impairment
How do clients present with opioid use disorder? -correct answer They experience
overwhelming cravings to use the drugs, dependence, increased tolerance, and
withdrawal symptoms when stopped abruptly.
Bernita is a 64-year-old who has been using heroin for 6 years. She is currently
unemployed and lives with her daughter in the city center. She does not have health
insurance.
prescribe the proper medication:
Methadone
Buprenorphine
Buprenorphine plus naloxone (Suboxone)
Naltrexone -correct answer Methadone
Methadone -correct answer a full u-receptor agonist with a long half life, which can
prevent withdrawal symptoms for 24 hours and provide a steady control of cravings
throughout the day. It is only administered in methadone federally regulated opioid
treatment programs (OTP).