advanced psychopharmacology midterm
The nurse knows that a change in grey matter may represent
A. alzheimers
B. Social anxiety disorder
C. OCD
D. Hoarding - ANSWER...-A. alzheimers, schizo, MDD
A nurse is prescribing a medication to a patient. The NP informs the client about
potential risks and their right to refuse. Which legal and ethical consideration is being
utilized?
A. compliance
B. off label prescribing
C. informed consent
D. Court appointed guardian - ANSWER...-C.
What is the prioriity data used to determine a clients treatment plan for their mental
health disorder?
A. The clients objective physical assessment data
B. The clients most recent lab results
C. The clients history of medication and drug use
D. The clients symptoms - ANSWER...-D
Which of the following brain region effects behavior and cognition and may be related to
the development of autism and vascular dementia?
A. Grey matter
B. White matter
C. Frontal Lobe
D. Temporal lobe - ANSWER...-B: transit system
A= learning
C= movement, intelligence, abstract thinking
D= short term memory, speech, auditory, smells
which brain lobe is responsible for somatic senses, spatial relationships, pain
perception, and may lead to asatrogenesis if damaged?
A. Frontal lobe
B. Parietal lobe
, C. Temporal lobe
D. Occipital lobe - ANSWER...-B
frontal lobe= movement, intelligence, abstract thinking, emotion, personality
temporal lobe= short term memory, speech, auditory, smell
occiipiital= visual processsing
Which part of the brain, if damaged, will activate the fight or flight response and
increase cortisol levels?
A. Hippocampus
B. Thalamus
C. Basal Gaglia
D. Amygdala - ANSWER...-D
A= anxiety and memory
B= all sensory symptoms except for olfactory
C= voluntary movements, congition, and emotion
Which of the following is a CYP450 Inhibitor?
A. Carbamazepine
B. Rifampin
C. Valproate
D. Alcohol - ANSWER...-V- VISAA QC GQ
valproate, isoniazid, sulfonamines, amio, chloramphenicol, ketaconazole, grapefruit,
quinidne
Which of the following nursing considerations is correct?
A. The max dose of Citalopram is 30mg because of the risk of QT prolongation
B. The max dose of Cortioxetine for a poor 2D6 metabolizer is 20 mg
C. The max dose is aripiprazole is 1/4 the dose if prescribed with a CYP 3A4 inhibitor
D. AA client has a lower peak concentration to Atomoxetine if they are a 2D6 poor
metabolizer - ANSWER...-C
a= 20mg
B= 10mg
D= hiigher peak
After doing genetic testing the NP realizes the patient is an intermediate metabolizer of
CYP450. What should the nurse do?
A. Increase the dose
B. Keep the dose the same as the recommended drug dose for the patient's age group
C. Decrease the dose
D. Change the patient to a different medication - ANSWER...-C
If a patient is an ultra rapid metabolizer, what are they at risk for?
A. Elevated drug levels
B. elevated enzyme levels
C. drug- drug interactions
D. More side effects - ANSWER...-B- they will have less in system
The nurse knows that a change in grey matter may represent
A. alzheimers
B. Social anxiety disorder
C. OCD
D. Hoarding - ANSWER...-A. alzheimers, schizo, MDD
A nurse is prescribing a medication to a patient. The NP informs the client about
potential risks and their right to refuse. Which legal and ethical consideration is being
utilized?
A. compliance
B. off label prescribing
C. informed consent
D. Court appointed guardian - ANSWER...-C.
What is the prioriity data used to determine a clients treatment plan for their mental
health disorder?
A. The clients objective physical assessment data
B. The clients most recent lab results
C. The clients history of medication and drug use
D. The clients symptoms - ANSWER...-D
Which of the following brain region effects behavior and cognition and may be related to
the development of autism and vascular dementia?
A. Grey matter
B. White matter
C. Frontal Lobe
D. Temporal lobe - ANSWER...-B: transit system
A= learning
C= movement, intelligence, abstract thinking
D= short term memory, speech, auditory, smells
which brain lobe is responsible for somatic senses, spatial relationships, pain
perception, and may lead to asatrogenesis if damaged?
A. Frontal lobe
B. Parietal lobe
, C. Temporal lobe
D. Occipital lobe - ANSWER...-B
frontal lobe= movement, intelligence, abstract thinking, emotion, personality
temporal lobe= short term memory, speech, auditory, smell
occiipiital= visual processsing
Which part of the brain, if damaged, will activate the fight or flight response and
increase cortisol levels?
A. Hippocampus
B. Thalamus
C. Basal Gaglia
D. Amygdala - ANSWER...-D
A= anxiety and memory
B= all sensory symptoms except for olfactory
C= voluntary movements, congition, and emotion
Which of the following is a CYP450 Inhibitor?
A. Carbamazepine
B. Rifampin
C. Valproate
D. Alcohol - ANSWER...-V- VISAA QC GQ
valproate, isoniazid, sulfonamines, amio, chloramphenicol, ketaconazole, grapefruit,
quinidne
Which of the following nursing considerations is correct?
A. The max dose of Citalopram is 30mg because of the risk of QT prolongation
B. The max dose of Cortioxetine for a poor 2D6 metabolizer is 20 mg
C. The max dose is aripiprazole is 1/4 the dose if prescribed with a CYP 3A4 inhibitor
D. AA client has a lower peak concentration to Atomoxetine if they are a 2D6 poor
metabolizer - ANSWER...-C
a= 20mg
B= 10mg
D= hiigher peak
After doing genetic testing the NP realizes the patient is an intermediate metabolizer of
CYP450. What should the nurse do?
A. Increase the dose
B. Keep the dose the same as the recommended drug dose for the patient's age group
C. Decrease the dose
D. Change the patient to a different medication - ANSWER...-C
If a patient is an ultra rapid metabolizer, what are they at risk for?
A. Elevated drug levels
B. elevated enzyme levels
C. drug- drug interactions
D. More side effects - ANSWER...-B- they will have less in system
