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NR 546 MIDTERM QUESTIONS
WITH COMPLETE ANSWERS
GRADED A+
Question 1: The PMHNP has prescribed chlorpromazine
hydrochloride (Thorazine) for a patient with psychosis, and the patient is to continue on the oral medication after discharge from the psychiatric unit. As part of educating the patient about the medication, the PMHNP should
advise him or her to avoid:
CORRECT ANSWER : Sun exposure
Question 2: What problems with peers could you come
across from having a child with ADHD?
CORRECT ANSWER : Annoying, socially insensitive,
loud, inappropriate, and socially aggressive behaviors.Display little of the "give and take" attitude that you find in other children
Question 3: Tardive dyskinesia after long-term
antipsychotic administration is thought to be due to:
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CORRECT ANSWER : Up-regulation of striatal
dopamine receptors
Question 4: Which neuroleptic agents are less likely to
produce tardive dyskinesia?
CORRECT ANSWER: quetiapine, clozapine,
respiradone
Question 5: The following statements regarding
neurotransmission are true
CORRECT ANSWER : Retrograde neurotransmission
occurs when the post synaptic neuron "talks back" with the presynaptic neuron
Question 6: Neuroimaging data show that neuronal
activity in the amygdala of depressed patients is:
CORRECT ANSWER : Overreactive to induced sadness
Question 7: A patient with obsessive-compulsive disorder
(OCD) will begin medication to control symptoms. An
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FDA-approved drug for OCD that the PMHNP may
prescribe is:
CORRECT ANSWER : fluoxetine (Prozac).
Question 8: The complete effect of the chemical
neurotransmission happens within an hour and there are no long lasting effects
CORRECT ANSWER : false
Question 9: Which of the following statements regarding
mood disorders is false?
CORRECT ANSWER : Manic forms of mood disorders
predominate in men.
Question 10: Drugs can produce a therapeutic response
when they are:
CORRECT ANSWER : unbound to plasma proteins
Question 11: A 36-year-old man with depression has had
- therapeutic trials of serotonin reuptake inhibitors (SRIs)
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without notable improvement. His clinician is now considering switching the patient's SRI to a monoamine oxidase inhibitor (MAOI). Which of the following is an appropriate switching strategy in this situation?
CORRECT ANSWER : Discontinue SRI, then wait 5
half-lives before initiating MAOI
Question 12: Depression and mania share which of the
following symptoms?
CORRECT ANSWER : irritability
Question 13: The amygdala has the capacity to register,
perceive, and analyze sensory data in a crude manner, based on pattern recognition. Although this adaptive system can help with survival, wrong interpretations (a piece of rope being mistaken for a snake) can cause "false alarms" and trigger anxiety