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.
Answ “Many psychiatric illnesses involve several dys-functioning
er: 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 out of 1 0
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
Answe (Lithobid)
r:
• Question
3 out of 1 1
points
Mr. Gordon is a middle-aged client who was started on
antidepressant monotherapy for depression. After
1
, beginning
Select this
A. medication, the PMHNP noticed that this
client
ed seemed to client
This swingmay
into have
a hypomanic episode.
Bipolar III disorderWhat
can
Answethe PMHNP infer from this behavior change?
r:
• 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
Answe
r:
2
, 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?
Select B.
ed Those that are potent D2 antagonists with
Answe 5HT2A antagonism properties
r:
• 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
Answe the
r: 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
Answe
r:
3
, • 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
Answe changes in behavior.
r:
• 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
4
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