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NURS 6650 Week 6 Midterm Exam (Spring QTR) CA$52.64
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NURS 6650 Week 6 Midterm Exam (Spring QTR)
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1. Question: Ms. Hill is currently being treated for schizophrenia but has stopped taking her medications due to some side effects she claims she was experiencing. She presents to the clinic today with worsening symptoms. She is experiencing anhedonia, agitation, attentional impairment, and affecti...

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  • May 2, 2022
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  • 2021/2022
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1. Ms. Hill is currently being treated for schizophrenia but has stopped
taking her medications due to some side effects she claims she was
experiencing. She presents to the clinic today with worsening symptoms.
She is experiencing anhedonia, agitation, attentional impairment, and
affective blunting. Which one of the symptoms mentioned is considered a
positive symptom of schizophrenia?

A Anhedonia
.
B Agitation
.
C Attentional Impairment
.
D Affective
.
Blunting
2. Mrs. Schwartzman is a 52-year-old patient 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 When meeting with the PMHNP, she presents with apathy and withdrawn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. What does the PMHNP
infer from this encounter with the patient?

A An underlying depressive disorder
.
B The recent change of a 2nd generation antipsychotic to a conventional
one
.
C The recent change of a 1st generation antipsychotic to a 2nd generation
antipsychotic
.
D All of the above
.
3. A patient presents with frequent episodes of mania. Which statement describes an
appropriate treatment approach for this patient?

A “The patient needs to have an inverse agonist.”
.
B “The patient could benefit from an anticonvulsant.”
.
C “The patient’s calcium, sodium, chloride, and potassium levels must
be regulated.”
.
D “The patient should have a drug that acts on ligand-gated ion
channels.”
.
4. The PMHNP recognizes that which patient would be contraindicated for antidepressant
monotherapy?

A Patient with a bipolar I
.

, designation

B Patient with a bipolar II
designation
.
C Patient with a bipolar III
designation
.
D None of the above
.
5. A patient is seeking pharmacological treatment for smoking cessation. Which drug class
does the PMHNP prescribe to the patient?

A Benzodiazepine
.
B Mirtazapine
(Remeron)
.
C Ketamine
.
D Varenicline
(Chantix)
.
6. 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?
A The client has been misdiagnosed with schizophrenia
.
B The client is not compliant with this new medication
.
C The new medication is blocking D2 receptors in the mesolimbic
. system
D The dose of this new antipsychotic medication is too low
.
7. The PMHNP understands that which mechanism contributes to a worse tolerability profile
for patients taking tricyclic antidepressants (TCAs)?

A Histamine H1 receptor blockade can cause
insomnia.
.
B Muscarinic M1 receptor blockade causes blurred
vision.
.
C Alpha 1 adrenergic receptor blockade causes
weight gain.
.
D Muscarinic M3 receptor blockade causes
sedation.
.

, Question 9
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.
.
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.
.
10.A nurse overhears that a client has failed monotherapy with an SSRI and an SNRI.
She also learns that the client has failed dual SSRI + SNRI therapy. The nurse
approaches the PMHNP and asks what treatment options should be considered in this
treatment resistant client. The PMHNP tells the nurse that she will treat the client with
the following regimen.
A SSRI + SNRI
.
B SSRI + NDRI
.
C SSRI + MAOI
.
D SSRI + Mood stabilizer
.

11.A 45 year old female client with allergic rhinitis and normal blood pressure has had
no reduction in depressive symptoms after trying bupropion, paroxetine, and
venlafaxine. What precautions are needed when considering phenelzine in treating her
depression?
A The client should be counseled to avoid all antihistamines for allergic rhinitis while taking an
. MAOI
B The client will need to minimize dietary intake of foods that are high in tyramine.
.
C The client must avoid dental work that require an anesthetic while on an MAOI.
.
D All non-opioids and opioid analgesics must be avoided when taking an MAOI.
.
12. What characteristics do the nicotinic, cholinergic, serotonin 3, and glycine receptors all have in
common?
A Ligand-gated ion channels with a pentameric
structure
.
B Ligand-gated ion channels with a tetrameric

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