When an unstable patient asks why it is necessary to add medications to his current
regimen, the PMHNP’s best response would be:
Selected C.
Answer: “Many psychiatric illnesses involve several dys-functioning neurotransmitter systems in
the brain. Often, a single medication may only effect one or two of the dys-
functioning systems. The addition of another medication can work with the
current medication in stabilizing multiple neurotransmitter systems and help to
alleviate your symptoms.”
• Question 2
0 out of 1 points The
PMHNP is meeting with a new mother who would like to begin taking medication again to treat her
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bipolar depression; she is breastfeeding her 2-month old daughter. The PMHNP recognizes that which
of the following medications is contraindicated for this patient?
Selected C.
Answer: Lithium
(Lithobid)
• Question 3
1 out of 1 points
Mr. Gordon is a middle-aged client who was started on antidepressant monotherapy for depression.
After beginning this medication, the PMHNP noticed that this client seemed to swing into a
hypomanic episode. What can the PMHNP infer from this behavior change?
Selected A.
Answer: This client may have Bipolar III disorder
• Question 4
1 out of 1 points
A patient presents with frequent episodes of mania. Which statement describes an
appropriate treatment approach for this patient?
Selected B.
Answer: “The patient could benefit from an
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anticonvulsant.”
• Question 5
1 out of 1 points
The student inquires about antipsychotic medications. Which response by the PMHNP
describes the factors that contribute to reduced risk of extrapyramidal symptoms (EPS) for
patients who take antipsychotics?
Selected B.
Answer: Those that are potent D2 antagonists with 5HT2A antagonism properties
• Question 6
1 out of 1 points
After ordering flumazenil (Rumazicon) the PMHNP cautions the staff to monitor for which possible
effect?
Selected D.
Answer: All of the above
• Question 7
1 out of 1 points
The PMHNP is caring for a patient who is taking antipsychotics heard the psychiatrist tell
the patient that the patient would be placed on a different antipsychotic agent called an
atypical antipsychotic. What neurotransmitters will this new medication work on?
Selected A.
Answer: dopamine and serotonin
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• Question 8
1 out of 1 points
While genes have potential to modify behavior, behavior can also modify genes. How do genes impact
this process?
Selected B.
Answer: Changes made to proteins lead to changes in behavior.
• Question 9
1 out of 1 points
Mrs. Schwartzman is a 52-year-old client with schizophrenia and no established history of
depression. When meeting with the PMHNP, she presents with apathy and withdrawn social
behavior, and she reports a loss of joy from enjoyable activities since starting her new
medication. What does the PMHNP infer from this encounter with the client?
Selected C.
Answer: The new medication is blocking D2 receptors in the mesolimbic system
• Question 10
1 out of 1 points
A nursing student is seeking clarification on the use of anticonvulsants to treat depression and
is unclear about most effective outcomes. Which of the following agents does the PMHNP
convey as having uncertain outcomes?
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