NR 546 MIDTERM 2024 QUESTIONS WITH COMPLETE ANSWERS GRADED A+

1. Which of the following data is most accurate in determining a treatment plan for a patient who presents with depression?: The patient states that they are experiencing feelings of sadness, insomnia, and lack of appetite 2. Informed Consent: clients have the right to receive enough information to make decisions about their treatment. They must also be informed about the potential risks associated with medication. Clients have the right to refuse treatment and cannot be forcibly medicated in non-emergencies. 3. Which lobe is responsible for movement and intelligence and can result in personality changes if damaged?: Frontal Lobe 4. The PMHNP wants to prescribe olanzipine for a client with depression. However, the client currently takes amiodarone for chronic atrial fibrillation. What does the PMHNP need to do to establish efficiency of this medication?- : Decrease the dosage of olanzipine Amiodarone is a CYP450 inhibitor which means it will stop/slow down the olanzapine from metabolizing in the body. Therefore, the olanzapine is at risk for building up in the client's system rather than being metabolized and secreted. 5. What NTM is responsible for a patient's diagnosis of Parkinson's?: - Dopamine dopamine affects balance and coordination, low levels are found in Parkinson's. 6. A surgical patient is post-op after a hernia repair. The patient is given opioids in the OR and now has a shallow respiratory rate, pinpoint pupils, and is unresponsive to verbal stimulation. The PMHNP prescribed naloxone to reverse the effects of the opioids. Where does Naloxone fall on the agonist spectrum?: Antagonist 7. Medications for schizophrenia target which main neurotransmitter?: - Dopamine dopamine causes negative and positive symptoms of schizophrenia, medication block dopamine to reduce these symptoms 8. first generation antipsychotics improve symptoms, and there is a higher risk of developing .: positive, hyperprolactinemia 9. Which medication is a good option for a patient with schizophrenia who also suffers from insomnia?: Olanzapine Olanzapine is the best tolerated antipsychotic 10. What brain region is responsible for speech comprehension?: Wernicke's Area 11. Which neurotransmitter may be responsible for a client's symptoms of depression? SATA a. increased level of ACH b. decreased levels of NE c. increased levels of 5HT d. decreased levels of histamine e. increased levels of glutamate: a. increased levels of ACH b. decreased levels of NE d. decreased levels of histamine 12. Which pathway is associated with hyperprolactemia?: Tuberoinfundibular 13. True or False: Sulfonamides are an example of CYP450 inducer.: False, they are inhibitors 14. GABA: chief inhibitory neurotransmitter and targeted by BZOs 15. norepinephrine: NTM responsible for fight, flight, or freight 16. Dopamine NTM that affects balance and coordination. Low levels may be found in patient with Parkinson's disease.: NTM that affects balance and coordination. Low levels may be found in patient with Parkinson's disease. 17. Acetylcholine: NTM that affects arousal, motivation, attention, learning, and REM sleep 18. "happy hormone": 5HT (serotonin) 19. Main excitatory NTM: Glutamine 20. True or False: The mesolimbic pathway is responsible