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NURS 663Midterm Exam Question1 When an unstable patient asks why it is necessary to add medications to his current regimen, the PMHNP’s best response would be: R207,40
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NURS 663Midterm Exam Question1 When an unstable patient asks why it is necessary to add medications to his current regimen, the PMHNP’s best response would be:

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Question1 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 medicatio...

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  • December 7, 2022
  • 18
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

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  • nurs 663midterm exam

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  • NURS 663mid
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NURS 663Midterm Exam

Question

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

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?


Selected C.
Answer: Lithium
(Lithobid)
Question 3

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

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

, anticonvulsant.”
Question 5

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

After ordering flumazenil (Rumazicon) the PMHNP cautions the staff to monitor
for which possible effect?
Selected D.
Answer: All of the
above
Question 7

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
Question 8

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

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

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?
Selected B.
Answer: Gabapentin
(Neurontin)
Question 11

As it relates to G-protein linked receptors, what does the PMHNP
understand about medications that are used in practice?
Selected A.
Answer: Most medications that act on G-protein linked
receptors have antagonistic traits.
Question 12

A patient is seeking pharmacological treatment for smoking
cessation. Which drug class does the PMHNP prescribe to the
patient?
Selected D.
Answer: Varenicline
(Chantix)
Question 13

The PMHNP is caring for a patient with schizophrenia and is considering a
variety of treatment approaches. The PHMNP selects a viable treatment
that is consistent with the “dopamine hypothesis of schizophrenia.” What
action does the PMHNP anticipate this treatment having on the patient?


Selected B.
Answer:

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