NURS EXAM NRNP 6635 MIDTERM QUESTION BANK QUESTIONS WITH 100% ACCURATE ANSWERS | Exams Public Health

NURS EXAM NRNP 6635 MIDTERM QUESTION

BANK QUESTIONS WITH 100% ACCURATE

ANSWERS

A patient recently treated following a SA and has a history of schizophrenia, depression, and

fibromyalgia. He is currently taking amitriptyline, lisinopril, aspirin, and fluoxetine. Assessing these

medications and reason for admission, what is the best cause of action? - Accurate answers Review

Amitriptyline level

A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT and the

neurotransmitter serotonin. What is the rational? - Accurate answers To decrease Serotonin

A PMHNP is caring for a patient with schizophrenia and is considering a variety of treatment approaches.

Selects a viable treatment with the "dopamine hypothesis of schizophrenia". What action does the

PMHNP anticipate this treatment is having on the patient? - Accurate answers Hyperactivity in the

mesolimbic dopamine pathways mediate the positive symptoms of schizophrenia.

A patient is diagnosed with schizophrenia. What increases the potential to mediate the cognitive

symptoms of schizophrenia? - Accurate answers Achieving underactivity of the mesocorticol

projections to the ventromedial prefrontal cortex.

What is accurate about the clinical description of psychosis? - Accurate answers It is a syndrome

that can be associated with a number of psychiatric disorders.

A PMHNP is assessing a 29 year old patient who takes antipsychotics that block D2 receptors. The

patient develops a common side effect of the medication. What is the side effect? - Accurate answers

Tardive dyskinesia

The PMHNP evaluates the patient for "fear conditioning" when he asks: - Accurate answers "Have

you ever experienced any type of trauma?"

A patient diagnosed with PTSD is prescribed propranolol and the PMHNP understands that he was

described this medication for what purpose? - Accurate answers Beta-blockers are linked to

reconsolidation.

Which statement about neurotransmitters is true? - Accurate answers Several psychotropic

medications have been developed after the discovery of endogenous neurotransmitters and defining

their functions.

During gene expression, what must occur prior to a gene being expressed? - Accurate answers

Transcription factor must bind to the regulatory region within the cells nucleus.

What characteristics do the nicotinic, cholinergic, serotonin 3, & glycine receptors all have in common? -

Accurate answers Ligand-gated ion channels with pentameric structure

Partial preview of the text

Download NURS EXAM NRNP 6635 MIDTERM QUESTION BANK QUESTIONS WITH 100% ACCURATE ANSWERS and more Exams Public Health in PDF only on Docsity!

NURS EXAM NRNP 6635 MIDTERM QUESTION

BANK QUESTIONS WITH 100% ACCURATE

ANSWERS

A patient recently treated following a SA and has a history of schizophrenia, depression, and fibromyalgia. He is currently taking amitriptyline, lisinopril, aspirin, and fluoxetine. Assessing these medications and reason for admission, what is the best cause of action? - Accurate answers Review Amitriptyline level A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT and the neurotransmitter serotonin. What is the rational? - Accurate answers To decrease Serotonin A PMHNP is caring for a patient with schizophrenia and is considering a variety of treatment approaches. Selects a viable treatment with the "dopamine hypothesis of schizophrenia". What action does the PMHNP anticipate this treatment is having on the patient? - Accurate answers Hyperactivity in the mesolimbic dopamine pathways mediate the positive symptoms of schizophrenia. A patient is diagnosed with schizophrenia. What increases the potential to mediate the cognitive symptoms of schizophrenia? - Accurate answers Achieving underactivity of the mesocorticol projections to the ventromedial prefrontal cortex. What is accurate about the clinical description of psychosis? - Accurate answers It is a syndrome that can be associated with a number of psychiatric disorders. A PMHNP is assessing a 29 year old patient who takes antipsychotics that block D2 receptors. The patient develops a common side effect of the medication. What is the side effect? - Accurate answers Tardive dyskinesia The PMHNP evaluates the patient for "fear conditioning" when he asks: - Accurate answers "Have you ever experienced any type of trauma?" A patient diagnosed with PTSD is prescribed propranolol and the PMHNP understands that he was described this medication for what purpose? - Accurate answers Beta-blockers are linked to reconsolidation. Which statement about neurotransmitters is true? - Accurate answers Several psychotropic medications have been developed after the discovery of endogenous neurotransmitters and defining their functions. During gene expression, what must occur prior to a gene being expressed? - Accurate answers Transcription factor must bind to the regulatory region within the cells nucleus. What characteristics do the nicotinic, cholinergic, serotonin 3, & glycine receptors all have in common? - Accurate answers Ligand-gated ion channels with pentameric structure

Mr. McCullin is a 64 year old with Parkinson's disease. the PMHNP caring for him wants to start him on a dopamine agonist to help manage and treat this condition. The PMHNP selects this agent because of which action? - Accurate answers D2 receptors are the primary binding site for dopamine agonists. As it relates to G-protein linked receptors, what does the PMHNP understand about the medications used in practice? - Accurate answers Most medications that act on G-protein linked receptors have antagonistic traits. The PMHNP is considering prescribing a 49 year old male clozapine to treat schizophrenia and SI. Which factor may impact the dose needed to effectively treat this condition? - Accurate answers The patient smokes cigarettes. A patient seeking pharmacological treatment for smoking cessation. What drug does the PMHNP prescribe? - Accurate answers varenicline (Chantix) A noncompliant patient states "Why do you want me to put this poison in my body?" Identify the best response made by the PMHNP. - Accurate answers "Most medications that work in the brain will result in restoring an imbalance of one or more neurotransmitters that your body already produces, helping alleviate symptoms." The PMHNP is caring for a patient who is taking antipsychotics heard the psychiatrist tell the patient that the patient would be placed on a different antipsychotic agent called an atypical antipsychotic. What neurotransmitters will this new medication work on? - Accurate answers Dopamine and serotonin Mrs. Schwartzman is a 52 year old patient with schizophrenia and no established history of depression, When meeting with the PMHNP, she presents with apathy and withdrawn social behavior, and reports a loss of joy from enjoyable activities. What does the PMHNP infer from this encounter with the patient? - Accurate answers The recent change from a 2nd generation antipsychotic to a conventional one. Mrs. Schwartzman is a 52 year old patient with schizophrenia and no established history of depression, When meeting with the PMHNP, she presents with apathy and withdrawn social behavior, and reports a loss of joy from enjoyable activities. What does the PMHNP infer from this encounter with the patient? (2) - Accurate answers The new medication is blocking D2 receptors in the mesolimbic system. The student inquires about antipsychotic medications. Which response by the PMHNP describes the factors that contribute to reduced risk of extrapyramidal symptoms (EPS) for patients who take antipsychotics? - Accurate answers D2 receptors that are blocked in the nigrostriatal pathway. Mr. Gordon is a middle-aged patient who is taking antipsychotics. When meeting with the PMHNP, he reports positive responses to the medication, stating, "I really feel as though the effects of my depression are going away." Which receptor action in antipsychotic medications is believed to be the most beneficial in producing the effects described by Mr. Gordon? - Accurate answers 5HT antagonist Though 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: - Accurate answers Neurotransmitters can spread by diffusion

A 45 year old client with allergic rhinitis and normal blood pressure has no reduction in depressive symptoms after trying bupropion, paroxetine, and venlafaxine. What precautions are needed when considering phenelzine in treating her depression? - Accurate answers The client will need to minimize her dietary intake of food that are high in tyramine. A 51 year old female patient presents with symptoms of depression, including lack of motivation and difficulty sleeping. What risk factors would increase her vulnerability for a diagnosis of depression? - Accurate answers A) First onset in puberty or early adulthood AND C) PMS A nurse overhears that a patient has failed single therapy with an SSRI and SNRI. She also learns that the patient has been on dual SSRI/SNRI therapy with adequate symptoms control. She approaches the PMHNP and asks what the next treatment could be in this seemingly treatment-resistant patient. The PMHNP tells the nurse she will treat the patient with: - Accurate answers SSRI/SNRI plus NDRI A nurse overhears that a patient has failed monotherapy with an SSRI and SNRI. She also learns that the patient has failed dual SSRI/SNRI therapy. She approaches the PMHNP and asks what the next treatment could be in this seemingly treatment-resistant patient. The PMHNP tells the nurse she will treat the patient with: - Accurate answers SSRI+NDRI A patient is prescribed fluoxetine but is concerned about the side effects. Which statement demonstrates accurate patient teaching when discussing the side effects associated with fluoxetine? - Accurate answers Induction of mania is rare. A patient is prescribed fluoxetine but is concerned about the side effects. Which statement demonstrates accurate client teaching when discussing the side effects associated with fluoxetine? - Accurate answers Weight gain is common. A 25 year old female patient is being prescribed milnacipran to treat fibromyalgia, and expresses concern regarding "how she will feel and look" from taking the medicine. Which statement correctly describes the side effects as a result of this medication? - Accurate answers Weight gain is unusual. Mr. Ruby is a 33 year old single father who is requesting pharmacological intervention to treat his fibromyalgia. The PMHNP sees in the medical chart that he has a recent diagnosis of arrhythmia and a BMI of 29. During his assessment, the PMHNP learns that Mr. Ruby works 40-50 hours a week as a contractor and "manages his stress" by smoking 3-4 cigarettes a day and having 8-10 drinks of alcohol each week. Why would duloxetine be contraindicated for Mr. Ruby? - Accurate answers He uses alcohol. A patient is prescribed sertraline to treat panic disorder. Knowing that sertraline can initially cause anxiety or insomnia, what should the PMHNP do? - Accurate answers Prescribe short-acting benzos for 2 weeks, then discontinue. A patient is prescribed 50mg of desvenlafaxine to take every other day for major depressive disorder. What does the PMHNP understand about this patient? - Accurate answers The patient has severe renal impairment.

The PMHNP understands that which mechanism contributes to a worse tolerability profile for patients taking tricyclic antidepressants (TCAs)? - Accurate answers Muscarinic M1 receptor blockade causes blurred vision. A patient who is prescribed an MAOI is learning about dietary modifications. Which statement made by the PMHNP demonstrates proper teaching of the food-drug interactions for MAOIs? - Accurate answers "You must avoid soy products, such as tofu." A patient who was prescribed MAOIs asks about whether he can continue taking pseudoephedrine to relieve his congestion. Which response by the PMHNP indicates proper understanding of drug-drug interactions? - Accurate answers "Decongestants should be avoided due to risk of hypertensive crisis." Ms. Skidmore presents for a follow-up appointment after being prescribed phenelzine (Nardil) and reports "I take my 45mg three times a day, just like I'm supposed to." What does the PMHNP understand about this patient? - Accurate answers Ms. Skidmore is taking too much of the medication; She should be taking the 45mg in three doses. The PMHNP is caring for several patients who present with various symptoms and health issues. For which patient does she prescribe pregabalin (Lyrica)? - Accurate answers The patient with partial seizures. Mr. Gutier is 72 years old with anxiety and depressive symptoms. His PMHNP is prescribing lorazepam (Ativan). What does the PMHNP understand regarding this prescription? - Accurate answers The PMHNP will prescribe less then 2-6 mg for him to take daily. A patient is being prescribed a sedating antidepressant, but is concerned about weight gain, Which medication is most likely to be prescribed to address the patient's concerns? - Accurate answers trazadone A patient who was diagnosed with bipolar disorder without mania, asks the PMHNP why he is being prescribed a mood stabilizer. What is the appropriate response? - Accurate answers Mood stabilizers can target mania and mania relapse and also reduce symptoms of bipolar depression and the relapse of bipolar depression symptoms, but no drug has been proven to target all four therapeutic actions. The PMHNP is assessing a client in the emergency room. the client shares that she has been on lithium for many years. What blood tests does the PMHNP order? - Accurate answers Thyroid Stimulating Hormone A nursing student is seeking clarification on the use of anticonvulsants to treat depression and is unclear about most effective outcomes. Which of the following agents does the PMHNP convey as having uncertain outcomes? - Accurate answers gabapentin (Neurontin) A nursing student is seeking clarification on the use of anticonvulsants to treat bipolar depression and is unclear about most effective outcomes. Which of the following anticonvulsants is NOT used for treating bipolar depression? - Accurate answers gabapentin (Neurontin)

NURS EXAM NRNP 6635 MIDTERM QUESTION BANK QUESTIONS WITH 100% ACCURATE ANSWERS, Exams of Public Health

Partial preview of the text

Download NURS EXAM NRNP 6635 MIDTERM QUESTION BANK QUESTIONS WITH 100% ACCURATE ANSWERS and more Exams Public Health in PDF only on Docsity!

NURS EXAM NRNP 6635 MIDTERM QUESTION

BANK QUESTIONS WITH 100% ACCURATE

ANSWERS