NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Midterm Exam

NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Midterm Exam

QUESTION 1

  1. 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).

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"Why do you believe that your medication is poison?"

1 points  

QUESTION 2

  1. Which statement about neurotransmitters and medications is true?

A.

Natural neurotransmitters such as endorphins have been discovered after the development of medications.

NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Midterm Exam

The neurotransmitter serotonin is directly linked to depression. Following this discovery, the antidepressant Prozac was developed.

1 points  

QUESTION 3

  1. When an unstable patient asks why it is necessary to add medications to his current regimen, the PMHNP's best response would be:

NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Midterm Exam

"I understand your concern. We can discontinue your current medication and switch to a different one that may better manage your symptoms."

1 points  

QUESTION 4

  1. During gene expression, what must occur prior to a gene being expressed?

A.

Transcription factor must bind to the regulatory region within the cell's nucleus.

RNA polymerase must inhibit the process of changing RNA to mRNA.

1 points  

QUESTION 5

  1. While genes have potential to modify behavior, behavior can also modify genes. How do genes impact this process?

NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Midterm Exam

1 points  

QUESTION 6

  1. Though medications have the ability to target neurotransmitters in the synapse, it is not always necessary. The PMHNP understands that this is because:

NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Midterm Exam

D.

The postsynaptic neuron can release the neurotransmitter.

1 points  

QUESTION 7

  1. Why is the cytochrome P450 enzyme system of significance to the PMHNP?

 

1 points  

QUESTION 8

  1. 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?

A.

About 1 out of 5 Asians requires lower-than-normal doses of some antidepressants and antipsychotics.

NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Midterm Exam

1 points  

QUESTION 9

  1. As it relates to G-protein linked receptors, what does the PMHNP understand about medications that are used in practice?

NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Midterm Exam

1 points  

QUESTION 10

  1. 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:

A.

The patient smokes cigarettes.

The patient has chronic kidney disease, stage 2.

D.

NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Midterm Exam