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NURS 6630 Midterm Exam : Latest complete
Solutions, A+ Work.
Question : 11 out of 1 pointsA 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).
CORRECT 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 : 21 out of 1 pointsMs. 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?
CORRECT ANSWER : B. Agitation
Question : 30 out of 1 pointsWhich statement about
neurotransmitters and medications is true?
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CORRECT 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
- out of 1 pointsWhen an unstable patient asks why it is
necessary to add medications to his current regimen,the
PMHNP’s best response would be:
CORRECT ANSWER : C. “Many psychiatric illnesses involve
several dys-functioning neurotransmittersystems 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 helpto alleviate your symptoms.”
Question : 51 out of 1 pointsDuring gene expression, what must
occur prior to a gene being expressed?
CORRECT ANSWER : A. Transcription factor must bind to
the regulatory region within the cell’s nucleus.
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Question : 61 out of 1 pointsWhile genes have potential to
modify behavior, behavior can also modify genes. How do genes impact this process?
CORRECT ANSWER : B. Changes made to proteins lead to
changes in behavior.
Question : 71 out of 1 pointsThough 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:
CORRECT ANSWER : C. Neurotransmitters can spread by
diffusion.
Question : 81 out of 1 points
(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:
CORRECT ANSWER : B. Write an order for a different mood
stabilizer
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Question : 131 out of 1 pointsA patient recently transferred
following a suicide attempt has a history of schizophrenia, depression, and fibromyalgia. He is currently taking Amitriptyline (Elavil), Lisinopril, aspirin, and fluoxetine (Prozac). When assessing the psychiatric medications and the reason for admission, what would be the best course of action for the PMHNP with this client?
CORRECT ANSWER : A. Review Amitriptyline (Elavil) level
Question : 140 out of 1 pointsA patient with schizophrenia is
given an inverse agonist that acts on the receptor 5HT and neurotransmitter serotonin. What is the rationale for prescribing a medication such as this?
CORRECT ANSWER : D. To help decrease the amount of
serotonin and dopamine
Question : 151 out of 1 pointsThe PMHNP is caring for four
patients. Which patient statement indicates that benzodiazepines would be beneficial?
CORRECT ANSWER : D. “I feel nervous to go outside and be
in large crowds.”