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NURS 6630 MIDTERM EXAM TEST BANK (WALDEN UNIVERSITY)
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NURS 6630 MIDTERM EXAM TESTBANK (WALDEN UNIVERSITY)
Question 1
1 out of 1 points
A noncompliant client 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).
Answer: C. “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?
Answer: B. Agitation
Question 3
0 out of 1 points
Which statement about neurotransmitters and
medications is true?
Answer: D. An imbalance of serotonin has been
directly linked to depression. Following
, the discovery of this neurotransmitter,
pharmacologists were able to develop a
well-known drug- Prozac as the first
medication used to restore the balance
of serotonin.
Question 4
1 out of 1 points
When an unstable client asks why it is necessary to
add medications to his current regimen, the
PMHNP’s best response would be:
Answer: C. “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 5
1 out of 1 points
During gene expression, what must occur prior to
a gene being expressed?
Answers: A. 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?
Answer: B. 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:
Answer: C. Neurotransmitters can spread by
diffusion.
Question 8
1 out of 1 points
Why is the cytochrome P450 enzyme system of
significance to the PMHNP?
Answer: B. 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?
Answer: A. 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?
Answer: A. Most medications that act on G-
protein linked receptors have
antagonistic traits.
Question 11
1 out of 1 points
The PMHNP is considering prescribing a 49-
year-old male clozapine (Clozaril) to treat his
schizophrenia and suicidal ideations. The
PMHNP is aware that which factor may impact
the dose needed to effectively treat his condition:
Answer: A. The client smokes cigarettes.
Question 12
0 out of 1 points
A client is diagnosed with bipolar disorder and is
currently taking carbamazepine (Tegretol),
aripiprazole (Abilify), and melatonin. The
PMHNP has just written an order to discontinue
the carbamazepine (Tegretol) for drug-induced
thrombocytopenia. The PMHNP is aware that his
next best action is to:
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