Week 3 Midterm Exam: NR546 / NR-
546 (Latest 2025 / 2026) Advanced Pharmacology Psychopharmacology for the PMHNP | Questions and Answers | 100% Correct | Grade A - Chamberlain
Question:
How does serotonin levels change as we age
Answer:
it decreases normally with age
Question:
What section of the brain is effected if a client cannot copy a written word or drawing
Answer:
parietal lobe
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Question:
Define neuroplasticity
Answer:
The brain's ability to reorganize itself by forming new neural connections and pathways to fully benefit from the altered neurotransmitter levels
Question:
Cause of positive symptoms in schizophrenia
Answer:
hyperactivity of dopamine in the mesolimbic pathway
Question:
cause of negative symptoms of schizophrenia
Answer:
hypoactivity of dopamine in the mesocortical prefrontal cortex and nucleus accumbens
Question:
Which patients are twice as likely to develop TD with chronic use of Conventional ATP
Answer:
those who develop EPS early in treatment 2 / 4
Question:
Why do you begin with monotherapy for antipsychotics
Answer:
because the use of multiple antipsychotics can increase the risk of QT prolongation
Question:
Special considerations for pregnancy with antipsychotic
Answer:
- risk of w/d symptom in the newborn (EPS may be present at delivery)
- atypical atp more harmful than typical atp due to increased risk of
gestational metabolic complication, increased gestational age weight, and increased birth weight. Avoid clozapine, ziprasidone, olanzapine, risperidone and quetiapine in pregnancy especially third trimester
Question:
Breast feeding instruction with ATP
Answer:
all atp are assumed to be secreted in breast milk, it is recommended that either the drug is discontinued or the infant bottle feeds
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Question:
What atp should be avoided in elderly and why
Answer:
Avoid the use of haloperidol, ziprasidone, and olanzapine due to an increased risk of cerebrovascular accident (CVA), cognitive decline, and death in persons with dementia and with dementia-related psychosis.
Question:
Black box warnings Aripiprazole in children
Answer:
Increased risk of suicide in children.
Question:
What substances can mimic positive symptoms of paranoid schizophrenia
Answer:
High and repeated doses of amphetamines or cocaine
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