WALDEN NURS 6630
PSYCHOPHARMACOOGY NEWEST
FINAL EXAM ACTUAL EXAM
QUESTIONS AND DETAILED CORRECT
ANSWERS 2025 | A+ GRADE
Sharon is a 56-year-old female that presents to the clinic
with pain after suffering a back injury several years ago.
The patient states she feels a tingling sensation in her
legs. What type of pain is Sharon likely experiencing?
Correct Answer ANS: c.
Neuropathic pain
A 43-year-old male patient is seeking clarification about
treating attention deficit hyperactivity disorder (ADHD) in
adults and how it differs from treating children, since his
son is on medication to treat ADHD. The PMHNP conveys
a major difference is which of the following? Correct
Answer ANS: b.
Comorbidities are more common in adults, impacting the
prescription of additional agents.
A patient with irritable bowel syndrome reports chronic
stomach pain. The PMHNP wants to prescribe the patient
an agent that will cause irrelevant nociceptive inputs from
the pain to be ignored and no longer perceived as painful.
,Which drug will the PMHNP prescribe? Correct Answer
ANS: c.
Duloxetine (Cymbalta)
A patient calls the clinic to ask about an over-the-counter
sleep aid. What is the best response? Correct Answer
ANS: b.
"You can purchase a second-generation antihistamine to
help you sleep."
The PMHNP is treating a patient for fibromyalgia and is
considering prescribing milnacipran (Savella). When
prescribing this medication, which action is the PMHNP
likely to choose? Correct Answer ANS: c.
Split the daily dose into two doses after the first day.
A nursing students asks the PMHNP the difference
between impulsivity and compulsivity. Which of the
following responses is correct? Correct Answer ANS: b.
Impulsivity is defined as acting with excessive forethought
and compulsivity is defined as actions that are considered
appropriate but persistent.
The PMHNP is working with the student to care for a
patient with diabetic peripheral neuropathic pain. The
student asks the PMHNP why SSRIs are not consistently
useful in treating this particular patient's pain. What is the
best response by the PMHNP? Correct Answer ANS: a.
"SSRIs only increase serotonin levels."
,An adult patient presents with a history of alcohol
addiction and attention deficit hyperactivity disorder
(ADHD). Given these comorbidities, the PMHNP
determines which of the following medications may be the
best treatment option? Correct Answer ANS: b.
Atomoxetine (Strattera)
Heather is admitted for opioid withdrawals and
detoxification. The PMHNP decides to prescribe an alpha-
2 adrenergic agonist to reduce the symptoms of
autonomic hyperactivity during withdrawal and aid in the
detoxification process. Which medication did the PMHNP
prescribe? Correct Answer ANS: c.
Clonidine
The PMHNP is caring for a patient with chronic insomnia
who is worried about
pharmacological treatment because the patient does not
want to experience dependence. Which pharmacological
treatment approach will the PMHNP likely select for this
patient for a limited duration, while searching and
correcting the underlying pathology associated with the
insomnia? Correct Answer ANS: a.
Non-benzodiazepine hypnotics
The PMHNP is selecting a medication treatment option for
a patient who is exhibiting psychotic behaviors with poor
impulse control and aggression. Of the available
treatments, which can help temper some of the adverse
effects or symptoms that are normally caused by D2
antagonism? Correct Answer ANS: b.
, Second-generation, atypical antipsychotics
Insomnia is caused by excessive nighttime arousal. The
PMHNP is likely to prescribe which of the following to treat
insomnia? Correct Answer ANS: d.
A positive allosteric modulator of GABA-A receptors
Which neurotransmitter is secreted by the pineal gland
that acts on the suprachiasmatic nucleus to regulate
circadian rhythms? Correct Answer ANS: a.
Melatonin
A patient recovering from shingles presents with
tenderness and sensitivity to the upper back. He states it
is bothersome to put a shirt on most days. This patient has
end stage renal disease (ESRD) and is scheduled to have
hemodialysis tomorrow but states that he does not know
how he can lie in a recliner for 3 hours feeling this
uncomfortable. What will be the PMHNP's priority? Correct
Answer ANS: b.
Prescribe lidocaine 5%
The PMHNP is assessing a female patient who has been
taking lamotrigine (Lamictal) for migraine prophylaxis.
After discovering that the patient has reached the
maximum dose of this medication, the PMHNP decides to
change the patient's medication to zonisamide (Zonegran).
In addition to evaluating this patient's day-to-day activities,
what should the PMHNP ensure that this patient
understands? Correct Answer ANS: a.
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