A noncompliant patient states, “Why do you want me to put this poison in my body?”
Identify the best response made by the psychiatric-mental health nurse practitioner
(PMHNP).
Selected C.
Answer: “Most medications that work in the brain will result in restoring an imbalance of one
or more neurotransmitters that your body already produces helping to alleviate your
symptoms .”
• Question 2
1 out of 1 points
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?
Selected B.
Answer: Agitation
• Question 3
1 out of 1 points
Which statement about neurotransmitters and medications is true?
, Selected B.
Answer: Several psychiatric medications have been developed after discoveries of
endogenous neurotransmitters and defining their function in the brain.
• Question 4
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:
Selecte C.
d “Many psychiatric illnesses involve several dys-functioning neurotransmitter systems in
Answer: 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 5
1 out of 1 points
During gene expression, what must occur prior to a gene being expressed?
, Selected A.
Answers: Transcription factor must bind to the regulatory region within
the cell’s nucleus.
• Question 6
1 out of 1 points
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 7
1 out of 1 points
Though medications have the ability to target neurotransmitter release into the synapse by the
presynaptic neuron it is not always necessary. The PMHNP understands that this is because:
Selected C.
Answer: Neurotransmitters can spread by
diffusion.
• Question 8
1 out of 1 points
Why is the cytochrome P450 enzyme system of significance to the PMHNP?
Selected B.
Answer: The bioavailability of the medication after it passes through the
stomach and liver can be altered.
• Question 9
1 out of 1 points
It is important for the PMHNP to recognize differences in pharmacokinetics to safely
prescribe and monitor medications. Which of the following statements does the
competent PMHNP identify as true?
Selected A.
Answer: About 1 out of 5 Asians requires lower-than-normal doses of some
antidepressants and antipsychotics.
• Question 10
1 out of 1 points
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 11
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