NRNP 6675 FINAL EXAM
PMHNP Care Across the Lifespan II - Walden University
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
❖ Guarantee passing score
❖ 100 Questions and Answers
❖ format set of multiple-choice
❖ Expert-Verified Explanation
,───────────────────────────────────────────────────────
─────────────────
1. Concerns when treating geriatric patients with psychotherapeutic drugs?
(Select all true statements)
A. Elderly people can be more susceptible to adverse effects of drugs
B. Elderly persons may metabolize drugs more slowly
C. Elderly persons may metabolize drugs more rapidly
D. Elderly people may excrete psychotherapeutic drugs more slowly
Answer: A, B, D
Rationale: Geriatric populations often have decreased hepatic metabolism
and reduced renal clearance, prolonging drug half-lives and increasing toxicity
risk. They are more susceptible to side effects (A), metabolize drugs more
slowly (B), and excrete them more slowly (D). They typically do not metabolize
drugs more rapidly (C).
───────────────────────────────────────────────────────
─────────────────
2. Three major neurotransmitters associated with anxiety, based on animal
studies and drug responses, include:
A. Dopamine, acetylcholine, and substance P
B. GABA, norepinephrine, and serotonin
C. Glycine, dopamine, and histamine
D. Endorphins, glutamate, and epinephrine
Answer: B) GABA, norepinephrine, and serotonin
Rationale: Anxiety has been most consistently linked to decreased inhibitory
effects of GABA, dysregulation of the stress/fight-or-flight neurotransmitter
norepinephrine, and alterations in serotonin. Medications targeting these
systems (e.g., benzodiazepines enhancing GABA, SSRIs/SNRIs regulating
serotonin/norepinephrine) are mainstays of anxiety treatment.
───────────────────────────────────────────────────────
─────────────────
3. Which neurotransmitter is most commonly associated with increased libido?
A. Acetylcholine
B. GABA
C. Serotonin
, D. Dopamine
Answer: D) Dopamine
Rationale: Dopamine in the mesolimbic reward pathway is closely linked to
motivation, pleasure, and sexual desire. Heightened dopaminergic activity can
increase libido. In contrast, elevated serotonin tends to inhibit sexual desire.
───────────────────────────────────────────────────────
─────────────────
4. Concerns when treating geriatric patients with psychotherapeutic drugs
include all of the following EXCEPT:
A. Increased sensitivity to adverse effects
B. Lower renal excretion
C. Elderly persons may metabolize psychotherapeutic drugs more rapidly
D. Comorbid health conditions affecting drug choice
Answer: C) Elderly persons may metabolize psychotherapeutic drugs more
rapidly
Rationale: In most older adults, hepatic metabolism and renal excretion slow
down, fostering greater vulnerability to adverse effects. Option C is the
exception, as they typically do not metabolize drugs more rapidly; rather,
metabolism is usually reduced.
───────────────────────────────────────────────────────
─────────────────
5. Persons who subordinate their own needs to others, let others assume
responsibility for major life areas, lack self-confidence, and experience intense
discomfort alone are demonstrating characteristics of which personality
disorder (PD)?
A. Avoidant PD
B. Borderline PD
C. Dependent PD
D. Narcissistic PD
Answer: C) Dependent PD
Rationale: Dependent Personality Disorder is marked by pervasive
dependence on others for decisions and support, fear of being alone, and
, submissive behaviors. These individuals are highly reliant on reassurance from
others.
───────────────────────────────────────────────────────
─────────────────
6. According to Harry Stack Sullivan, which statement is most consistent with a
mentor–mentee relationship?
A. Mentors are strictly assigned
B. Mentor relationships are always short-term
C. Goals for the mentoring relationship are set mutually
D. A and B only
Answer: C) Goals for the mentoring relationship are set mutually
Rationale: Sullivan’s interpersonal theory suggests growth through significant
relationships. Effective mentorship involves collaboration in goal-setting to
meet the mentee’s educational or professional needs.
───────────────────────────────────────────────────────
─────────────────
7. The need for Nurse Practitioners (NPs) to practice to the full extent of their
education and training is necessary. Select the best Answer:
A. True, because it optimizes patient care
B. False, because NPs should always work under maximum restriction
C. True, but only if practicing in a hospital
D. All of the above
Answer: D) All of the above (per the original item’s framing)
Rationale: Numerous professional organizations emphasize removing
unnecessary restrictions so NPs can provide high-quality care. Practicing to the
full extent of their licensure and scope maximizes patient outcomes and closes
healthcare gaps.
───────────────────────────────────────────────────────
─────────────────
8. When an ARNP is assessing lifestyle as a social determinant of health, which
question is most pertinent?
A. Diet
B. High-tech device usage
PMHNP Care Across the Lifespan II - Walden University
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
❖ Guarantee passing score
❖ 100 Questions and Answers
❖ format set of multiple-choice
❖ Expert-Verified Explanation
,───────────────────────────────────────────────────────
─────────────────
1. Concerns when treating geriatric patients with psychotherapeutic drugs?
(Select all true statements)
A. Elderly people can be more susceptible to adverse effects of drugs
B. Elderly persons may metabolize drugs more slowly
C. Elderly persons may metabolize drugs more rapidly
D. Elderly people may excrete psychotherapeutic drugs more slowly
Answer: A, B, D
Rationale: Geriatric populations often have decreased hepatic metabolism
and reduced renal clearance, prolonging drug half-lives and increasing toxicity
risk. They are more susceptible to side effects (A), metabolize drugs more
slowly (B), and excrete them more slowly (D). They typically do not metabolize
drugs more rapidly (C).
───────────────────────────────────────────────────────
─────────────────
2. Three major neurotransmitters associated with anxiety, based on animal
studies and drug responses, include:
A. Dopamine, acetylcholine, and substance P
B. GABA, norepinephrine, and serotonin
C. Glycine, dopamine, and histamine
D. Endorphins, glutamate, and epinephrine
Answer: B) GABA, norepinephrine, and serotonin
Rationale: Anxiety has been most consistently linked to decreased inhibitory
effects of GABA, dysregulation of the stress/fight-or-flight neurotransmitter
norepinephrine, and alterations in serotonin. Medications targeting these
systems (e.g., benzodiazepines enhancing GABA, SSRIs/SNRIs regulating
serotonin/norepinephrine) are mainstays of anxiety treatment.
───────────────────────────────────────────────────────
─────────────────
3. Which neurotransmitter is most commonly associated with increased libido?
A. Acetylcholine
B. GABA
C. Serotonin
, D. Dopamine
Answer: D) Dopamine
Rationale: Dopamine in the mesolimbic reward pathway is closely linked to
motivation, pleasure, and sexual desire. Heightened dopaminergic activity can
increase libido. In contrast, elevated serotonin tends to inhibit sexual desire.
───────────────────────────────────────────────────────
─────────────────
4. Concerns when treating geriatric patients with psychotherapeutic drugs
include all of the following EXCEPT:
A. Increased sensitivity to adverse effects
B. Lower renal excretion
C. Elderly persons may metabolize psychotherapeutic drugs more rapidly
D. Comorbid health conditions affecting drug choice
Answer: C) Elderly persons may metabolize psychotherapeutic drugs more
rapidly
Rationale: In most older adults, hepatic metabolism and renal excretion slow
down, fostering greater vulnerability to adverse effects. Option C is the
exception, as they typically do not metabolize drugs more rapidly; rather,
metabolism is usually reduced.
───────────────────────────────────────────────────────
─────────────────
5. Persons who subordinate their own needs to others, let others assume
responsibility for major life areas, lack self-confidence, and experience intense
discomfort alone are demonstrating characteristics of which personality
disorder (PD)?
A. Avoidant PD
B. Borderline PD
C. Dependent PD
D. Narcissistic PD
Answer: C) Dependent PD
Rationale: Dependent Personality Disorder is marked by pervasive
dependence on others for decisions and support, fear of being alone, and
, submissive behaviors. These individuals are highly reliant on reassurance from
others.
───────────────────────────────────────────────────────
─────────────────
6. According to Harry Stack Sullivan, which statement is most consistent with a
mentor–mentee relationship?
A. Mentors are strictly assigned
B. Mentor relationships are always short-term
C. Goals for the mentoring relationship are set mutually
D. A and B only
Answer: C) Goals for the mentoring relationship are set mutually
Rationale: Sullivan’s interpersonal theory suggests growth through significant
relationships. Effective mentorship involves collaboration in goal-setting to
meet the mentee’s educational or professional needs.
───────────────────────────────────────────────────────
─────────────────
7. The need for Nurse Practitioners (NPs) to practice to the full extent of their
education and training is necessary. Select the best Answer:
A. True, because it optimizes patient care
B. False, because NPs should always work under maximum restriction
C. True, but only if practicing in a hospital
D. All of the above
Answer: D) All of the above (per the original item’s framing)
Rationale: Numerous professional organizations emphasize removing
unnecessary restrictions so NPs can provide high-quality care. Practicing to the
full extent of their licensure and scope maximizes patient outcomes and closes
healthcare gaps.
───────────────────────────────────────────────────────
─────────────────
8. When an ARNP is assessing lifestyle as a social determinant of health, which
question is most pertinent?
A. Diet
B. High-tech device usage
