NURS 2050 EXAM QUESTIONS AND ANSWERS A GRADE
A noncompliant patient states, "Why do you want me to put this poison in my body?" Identify the best response made by the psychiatric- mental health nurse practitioner (PMHNP).
A.
"You have to take your medication to become stable." B.
"Most medicati...
it is important for the pmhnp to recognize differences in pharmacokinetics to safely prescribe and monitor m
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Chamberlain College Of Nursing
NURS 2050 EXAM QUESTIONS AND ANSWERS A GRADE
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NURS 2050 EXAM QUESTIONS AND ANSWERS A GRADE
QUESTION 1
1. A noncompliant patient states, "Why do you want me to put this
poison in my body?" Identify the best response made by the psychiatric-
mental health nurse practitioner (PMHNP).
A.
"You have to take your medication to become
stable." B.
"Most medications will increase the number of neurotransmitters that you
already have in the brain."
C.
"Most medications used in treatment are either increasing or decreasing
neurotransmitters that your body already has."
D.
"Why do you believe that your medication is poison?" I received 0/1 for
this answer??
1 points
QUESTION 2
1. Which statement about neurotransmitters and medications is true? My
correct answer was several psychiatric meds were developed after discovery
of endogenous neurotransmitters. (The answer wording is different.
A.
Natural neurotransmitters such as endorphins have been discovered after the
development of medications.
B.
Some medications were developed after the discovery and known action of the
neurotransmitters in the brain.
C.
Neurotransmitters receive messages from most
medications. D.
The neurotransmitter serotonin is directly linked to depression. Following this
discovery, the antidepressant Prozac was developed.
1 points
QUESTION 3
1. When an unstable patient asks why it is necessary to add
medications to his current regimen, the PMHNP's best response would be:
,NURS 2050 EXAM QUESTIONS AND ANSWERS A GRADE
A.
"In an extreme case such as yours, more than one medication is often
needed." B.
"Due to the ineffectiveness of your current medication, we need to try
something else that can possibly potentiate its effects.
C.
"Medications are often specific to the neurotransmitter(s) they are affecting and,
due to more than one neurotransmitter involvement, it is often necessary to use
more than one medication to improve symptoms."
D.
"I understand your concern. We can discontinue your current medication and
switch to a different one that may better manage your symptoms."
1 points
QUESTION 4 ?
1. During gene expression, what must occur prior to a gene being
expressed? A.
Transcription factor must bind to the regulatory region within the cell's
nucleus. B.
RNA must be converted to
mRNA. C.
The coding region must separate from the regulatory region. This is
wrong D.
RNA polymerase must inhibit the process of changing RNA to mRNA.
1 points
QUESTION 5
1. While genes have potential to modify behavior, behavior can also
modify genes. How do genes impact this process?
A.
Genes impact neuron functioning
directly. B.
Changes made to proteins lead to changes in
behavior. C.
Neurons are able to impact protein
synthesis. D.
Genes impact the DNA of a cell, leading to changes in behavior.
1 points
,NURS 2050 EXAM QUESTIONS AND ANSWERS A GRADE
QUESTION 6
1. Though medications have the ability to target neurotransmitters in the
synapse, it is not always necessary. The PMHNP understands that this is
because:
A.
Neurotransmission that occurs via the axon allows for transport of a
neurotransmitter. B.
Active transport is a different type of energy that allows the transport of
certain neurotransmitters.
C.
Neurotransmitters can spread by
diffusion. D.
The postsynaptic neuron can release the neurotransmitter.
1 points
QUESTION 7
1. Why is the cytochrome P450 enzyme system of significance to the
PMHNP? A.
The kidneys play a role with excretion of the medication, and if a patient has
kidney damage, the dose must be increased to be effective.
B.
The bioavailability of the medication after it passes through the stomach and
liver can be altered. Correct answer
C.
The medication's chemical composition changes when it comes in contact with
the acid in the stomach.
D.
The CYP enzyme system is a steady and predictable process that prescribers
must understand to treat conditions effectively.
1 points
QUESTION 8
1. It is important for the PMHNP to recognize differences in
pharmacokinetics to safely prescribe and monitor medications. Which of the
following statements does the competent PMHNP identify as true?
A.
About 1 out of 5 Asians requires lower-than-normal doses of some
antidepressants and antipsychotics.
B.
, NURS 2050 EXAM QUESTIONS AND ANSWERS A GRADE
The term polymorphic refers to the body's ability to break a medication down
several ways, and this patient may require higher doses of certain
antidepressants and antipsychotics.
C.
About 1 out of 30 Caucasians requires lower doses of some antidepressants
and antipsychotics.
D.
Most enzyme pathways do not have interactions between the newer
medications.
1 points
QUESTION 9
1. As it relates to G-protein linked receptors, what does the PMHNP
understand about medications that are used in practice?
A.
Most medications that act on G-protein linked receptors have
antagonistic traits. B.
The majority of medications used in practice are full agonists and are used to
stimulate the body's natural neurotransmitters.
C.
Most medications act as partial agonists because they allow the body to use
only what is needed.
D.
Medications used in practice may act as inverse agonists if the dosage is too
high.
1 points
QUESTION 10
1. The PMHNP is considering prescribing a 49-year-old male clozapine
(Clozaril) to treat his schizophrenia and suicidal ideations. The PMHNP is
aware that which factor may impact the dose needed to effectively treat his
condition:
A.
The patient smokes cigarettes. This is
correct! B.
The patient has
hypertension. C.
The patient has chronic kidney disease,
stage 2. D.
The patient drinks a cup of coffee a day.
1 points
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