NURS 6630
NURS 6630 Midterm Exam
Question1 1
out of 1 points
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.
Answe “Many psychiatric illnesses involve several dys-
r: 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
bipolar depression; she is breastfeeding her 2-month
old daughter. The PMHNP recognizes that which of the
following medications is contraindicated for this
patient?
Select C.
ed Lithium
Answer (Lithobi
: d)
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
Selectseemed
A. to swing into a hypomanic episode. What
can
ed the PMHNP
This infer
clientfrom
maythis
havebehavior
Bipolarchange?
III disorder
Answer
:
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?
Select B.
ed “The patient could benefit from an
Answer
:
, anticonvulsan
t.”
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?
Select B.
ed Those that are potent D2 antagonists with 5HT2A
Answer antagonism properties
:
Question 6
1 out of 1
points
After ordering flumazenil (Rumazicon) the PMHNP
cautions the staff to monitor for which possible effect?
Select D.
ed All of
Answer 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?
Select A.
ed dopamine and serotonin
Answer
:
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?
Select B.
ed Changes made to proteins lead to
Answer 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
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