NURS 6630 Midterm Exam 2019: Walden University – With Answers

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).

1.2 Which statement about neurotransmitters and medications is true? My correct answer was several psychiatric meds were developed after discovery of endogenous neurotransmitters. (The answer wording is different.

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

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

1.5 While genes have potential to modify behavior, behavior can also modify genes.

How do genes impact this process?

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

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

1.8 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?

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

2. 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:

2.1. A patient is diagnosed with bipolar disorder and is currently taking carbamazepine (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:

2.2. A 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). Which is the best action for the PMHNP to take for this patient? 1. A 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?

 2.3 The PMHNP is caring for four patients. Which patient statement indicates that benzodiazepines would be beneficial?

2.4 Ms. Harlow is a 42-year-old patient who is prescribed a drug that acts on ionotropic receptors. She is curious about the effects of the drug and how it will act on her symptoms. Which statement made by the PMHNP demonstrates proper understanding of Ms. Harlow’s prescription?

2.5 A patient is seeking pharmacological treatment for smoking cessation. Which drug class does the PMHNP prescribe to the patient?

2.6 The PMHNP is caring for a new patient who has been transferred from another office. When meeting with the new patient, the patient reports, “I feel like I am improving with the stabilizers.” The PMHNP immediately recognizes that the patient is describing which kind of drug?

2.7 A patient presents with frequent episodes of mania. Which statement describes an appropriate treatment approach for this patient?

2.8 The PMHNP is caring for a patient who would benefit from nicotine cholinergic, serotonin 3, or glycine receptors. What kind of agent does the PMHNP want to prescribe for this patient?

2.9 Which statement made by the patient suggests the patient will need to be treated with antipsychotics that target paranoid psychosis?

3.1 A patient has been treated with a number of novel psychotropic drugs. How is it theoretically possible to identify cognitive improvement in the patient using neuropsychological assessment batteries after the pharmacologic therapy

3.2 Mr. McCullin is 64 years old with Parkinson’s disease. The PMHNP caring for Mr.McCullin wants to start him on a dopamine agonist to help manage and treat his condition. The PMHNP selects this agent because of which action it has on patients like Me. McCullin?

3.3 Mrs. Trevor is a 44-year-old patient who does not have a diagnosis of schizophrenia but occasionally reports symptoms of psychosis, followed by severe fatigue. Mrs. Trevor inquires about the use of amphetamines to help with her energy levels. Which response made by the PMHNP is most appropriate?

3.4 The PMHNP is caring for a patient with schizophrenia and is considering a variety of treatment approaches. The PMHNP selects a viable treatment that is consistent with the “dopamine hypothesis of schizophrenia.” What action does the PMHNP anticipate this treatment having on the patient?

3.5 A patient is diagnosed with schizophrenia. What increases the patient’s potential to mediate the cognitive symptoms of the disease?

3.6 The PMNHP is assessing a 29-year-old patient who takes antipsychotics that block D2 receptors. What patient teaching should the PMHNP include related to the possible side effects of this type of drug?

3.7 The PMHNP is caring for a patient who is taking antipsychotics. The psychiatrist told the patient that the patient would be placed on a different antipsychotic agent. Which of the following requires the longest transition time for therapeutic benefit

3.8 The PMHNP is assessing a patient who has cirrhosis of the liver and anticipates that the patient will be prescribed an antipsychotic. Which medication does the PMHNP suspect will be ordered for this patient?

3.9 Which statement made by the PMHNP exemplifies correct teaching of physiological effects in the body?

QUESTION 30 1.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 she reports a loss of joy from enjoyable activities. What does the PMHNP infer from this encounter with the patient?

QUESTION 31.1The PMHNP is taking a history on a patient who has been on antipsychotics for many years. Which risk factors are most likely to contribute to a person developing tardive dyskinesia (TD)? Not on my test

A. Long-term use of antipsychotics B. Genetic disposition C. Age D. A and C E. All of the above 1 points

QUESTION 32 1.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?

A. Those that are potent D2 antagonists

B. Those that are potent D2 antagonists with 5HT2A antagonism properties

C. D2 receptors that are blocked in the nigrostriatal pathway

D. Potent D2 antagonists that block the muscarinic anti-M1 cholinergic receptors 1 points

QUESTION 33 1.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? A. 5HT2 antagonism B. D2 antagonism This was wrong 0/1 C. Alpha-2 antagonist D. D2 partial agonist 1 points

QUESTION 34 1.A patient who was recently admitted to the psychiatric nursing unit is being treated for bipolar disorder. Which neurotransmitter is the PMHNP most likely to target with pharmaceuticals? A. Norepinephrine B. Dopamine C. Serotonin D. A and C

E. All of the above 1 points

 QUESTION 35 1.Ms. Ryerson is a 28-year-old patient with a mood disorder. She recently requested to transfer to a new PMHNP, after not getting along well with her previous provider. The new PMHNP is reviewing My. Ryerson’s medical chart prior to their first appointment. Upon review, the PMHNP sees that the former provider last documented “patient had rapid poop out.” What does the PMHNP infer about the patient’s prescription based on this documentation? A. The patient has an unsustained response to antidepressants. B. The patient has antidepressant-induced hypomania. C. The patient has a depletion of monoamine neurotransmitters. D. The patient has an adverse effect to atypical antipsychotics. 1 points

QUESTION 36 1.The PMHNP recognizes that which patient would be contraindicated for antidepressant monotherapy? A. Patient with a bipolar I designation I don’t know why but this was marked 0/1 for me B. Patient with a bipolar II designation C. Patient with a bipolar III designation D. None of the above 1 points

QUESTION 37 1.Why does the PMHNP avoid treating a patient with cyclothymia, and has major depressive episodes, with antidepressant monotherapy? Not on my test A.

The patient may experience paranoid avoidant behavior. B. The patient may experience severe depression. C. The patient may experience auditory hallucinations. D. The patient may experience increased mood cycling. 1 points

QUESTION 38 1.The PMHNP is caring for a patient with the s genotype of SERT. What does the PMHNP understand regarding this patient’s response to selective serotonin reuptake inhibitor (SSRI)/SNRI treatment? A. The patient has a higher chance of tolerating SSRI/SNRI treatment. B. The patient will have a positive response to SSRI/SNRI treatment. C. The patient will develop severe mood cycling in response to

treatment. D. The patient may be less responsive or tolerant to the treatment. 1 point QUESTION 39 1.Ms. Boeckh is a 42-year-old patient with major depression. The

PMHNP understands that which action of norepinephrine will affect Ms. Boeckh’s serotonin levels? A. Norepinephrine potentiates 5HT release through a2 postsynaptic receptors. B. Norepinephrine inhibits 5HT release through a2 receptors. C.

Norepinephrine inhibits α2 receptors on axon terminals. D. Norepinephrine potentiates 5HT release through a1 and a2 receptors. 1 points

QUESTION 40 1.Which statement made by the PMHNP correctly describes the relationship between NE neurons and pharmaceutical treatment? A. “Drugs inhibit the release of NE.” B. “Drugs can mimic the natural functioning of the NE neuron.” C. “Drugs are unable to simulate the effects of NE neurons.” D. “Drugs prevent the natural functioning of the NE neuron by stopping the presynaptic a2 neuron.” 1 points QUESTION 41 1.

The PMHNP is assessing a patient in the psychiatric emergency room. The patient tells the PMHNP that he does not understand why his depression has not lifted after being on four different antidepressants over the course of a year. Which of the following symptoms can be residual symptoms for patients who do not achieve remission with major depressive disorder? A. Insomnia B. Suicidal ideation C. Problems concentrating D. A and C 1 points

QUESTION 42 1.Fluoxetine (Prozac) has been prescribed for a patient. Which of the following statements is true regarding the action of this medication? A. Neuronal firing rates are not dysregulated in depression. B. Blocking the presynaptic SERT will immediately lead to a great deal of serotonin in many synapses. C. Upon the acute administration of a SSRI, 5HT decreases. D. The action at the somatodendritic end of the serotonin neuron may best explain the therapeutic action of SSRIs. Correct 1 points 

QUESTION 43 1.The nurse educator knows that teaching was effective when one of the students compares fluvoxamine to sertraline and notes which of the following similarities? I had different answer choices. The correct answer was Both have actions at sigma receptors that contribute to both anxiolytic and antipsychotic effects A. Both have a sedative-like, calming effect. B. Both contribute to antipsychotic actions. C. Both demonstrate favorable findings in treating depression in the elderly. D. Both are known for causing severe withdrawal symptoms such as dizziness, restlessness, and akathisia. 1 points

QUESTION 44 1.A 45-year-old female patient with allergic rhinitis and normal blood pressure has had no reduction in depressive symptoms after trying bupropion,paroxetine, and venlafaxine. What precautions are needed in considering monoamine oxidase inhibitors (MAOI) in treating her depression? A. Since all MAOIs require dietary restrictions, the patient will need to avoid all cheeses and aged, smoked, or fermented meats. B.

 The patient cannot take any antihistamines. C. The patient cannot have two wisdom teeth extracted while on a MAnOI. D. The patient will need to minimize dietary intake of foods such as tap and unpasteurized beer, aged cheeses, and soy products/tofu. 1 points

QUESTION 45 1.After sitting in on an interdisciplinary treatment team meeting, the student nurse asks the instructor to explain a system-based approach to the treatment of depression. What is the appropriate response? A. Symptoms help create a diagnosis, then symptoms are deconstructed into a list of specific symptoms experienced by a patient. B. Symptoms are matched first with the brain circuits that hypothetically mediate them and then with the known neuropharmacological regulation of these circuits by neurotransmitters. C. Treatment options that target neuropharmacological mechanisms are selected to eliminate symptoms one by one. D. All of the above. 1


QUESTION 46 1. 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? A. First onset in puberty or early adulthood B. Late onset of menses C. Premenstrual syndrome D. A and C 1 points

QUESTION 47 1.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 without adequate symptom control. She approaches the PMHNP and asks what the next treatment option could be in this seemingly treatment-resistant patient. The PMHNP tells the nurse she will treat the patient with the following regimen: A. MAOI plus SNRI B. SSRI/SNRI plus NDRI C. NDRI/SSRI plus mirtazapine D. NDRI plus modafinil 1 points

*Q/UESTION 48 1. Mrs. Radcliff is a 42-year-old patient who is considering stopping paroxetine. Why does her PMHNP advise against this abrupt discontinuation of the medicine? A. She may experience withdrawal symptoms. B. She may experience increased trauma. C. Effects of abrupt cessation are unknown. D. It can lead to difficulties with concentration. 1 points

QUESTION 49 1.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? A. Weight gain can be problematic. B. Sedation is very common. C. Induction of mania is rare. D. Seizures are not unusual. 1 point QUESTION 50 1. The PMHNP is caring for a patient with anxiety who develops mild to moderate hepatic impairment. Which action does the PMHNP take regarding the use of venlafaxine? A. Stop the venlafaxine B. Lower the dose of venlafaxine by 50% C.

Lower the dose of venlafaxine by 25-40% D. Increase the dose of venlafaxine by 50% 1 points

QUESTION 51 1.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 taking this medication? A. It can affect her menstruation. B. Suicidality can be common among young adults. C. Sedation may be problematic. D. Weight gain is unusual. 1


QUESTION 52 1.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? A. He has fibromyalgia. B. He has arrhythmia. C. He uses alcohol. D. He is overweight. 1 point QUESTION 53 1. A patient is prescribed sertraline to treat panic disorder. Knowing that sertraline can initially cause anxiety or insomnia, what should the PMHNP do? A.

Prescribe long-acting benzodiazepine for 2 weeks, then increase the dose. B. Prescribe short-acting benzodiazepine for 2 weeks, then discontinue. C. Prescribe long-acting benzodiazepine for 2 weeks, then discontinue. D. Prescribe short-acting benzodiazepine for 2 weeks, then increase the dose. 1 point QUESTION 54 1. A patient is prescribed 50 mg of desvenlafaxine to take every other day for major depressive disorder. What does the PMHNP understand about this patient? A. The patient has hepatic impairment.

B. The patient has moderate renal impairment. C. The patient has severe renal impairment. D. The patient has cardiac impairment. 1 points

QUESTION 55 1.The PMHNP understands that which mechanism contributes to a worse tolerability profile for patients taking tricyclic antidepressants (TCAs)? A. Histamine H1 receptor blockade can cause insomnia. B. Muscarinic M1 receptor blockade causes blurred vision. C. Alpha 1 adrenergic receptor blockade causes weight gain. D. Muscarinic M3 receptor blockade causes sedation. 1 points

QUESTION 56 1.A patient who was prescribed an MAO inhibitor is learning about dietary modifications. Which statement made by the PMHNP demonstrates proper teaching of the food-drug interactions for MAO inhibitors? A. “You must avoid soy products, such as tofu.” B. “You should not consume processed meats.” C. “You may consume fermented foods, like sauerkraut.” D. “You may continue to drink beers on tap.” 1 points

QUESTION 57 1.A patient who is prescribed MAO inhibitors asks about whether he can continue taking pseudoephedrine to relieve his congestion. Which response by the PMHNP indicates proper understanding of drug-drug interactions? A. “Decongestants are fine to continue taking with MAO inhibitors.” B. “Decongestants are okay to take with MAO inhibitors in moderation.” C. “Decongestants should be avoided due to risk of serotonin syndrome.” D. “Decongestants should be avoided due to risk of hypertensive crisis.” Correct 1 points

QUESTION 58 1.Ms. Skidmore presents for a follow-up appointment after being prescribed phenelzine (Nardil), and reports “I take my 45 mg pill, three times a day, just like I’m supposed to.” What does the PMHNP understand about this patient? A. Ms. Skidmore is taking the correct dose of phenelzine (Nardil). This was marked 0/1 for me

B. Ms. Skidmore is not taking enough of the phenelzine (Nardil); she should be taking

 three times that amount. C. Ms. Skidmore is taking too much of the phenelzine (Nardil); she should be taking the 45 mg in three doses. This is probably the right answer D. Ms. Skidmore is taking too much of the phenelzine (Nardil); she is supposed to take 45 mg every 24 hours. 1 points

QUESTION 59 1.The PMHNP is caring for several patients who present with various symptoms and health issues. For which patient does the PMHNP prescribe pregabalin(Lyrica)? A. Patient with PTSD B. Patient with partial seizures C. Patient with galactose intolerance D. Patient with Lapp lactase deficiency 1 points

QUESTION 60 1.Mr. Gutier is 72 years old with anxiety and depressive symptoms.

His PMHNP prescribed lorazepam (Ativan). What does the PMHNP understand regarding this prescription? A. The PMHNP will prescribe less than 2-6 mg for Mr. Gutier to take daily. B. The PMHNP will require Mr. Gutier to take 2-4 doses of lorazepam (Ativan) per day. C. The PMHNP will prescribe more than 2-6 mg for Mr. Gutier to take daily. D. The PMHNP will have Mr. Gutier takes 6 mg of lorazepam (Ativan) as a PRN. 1 points QUESTION 61 1.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? A. mirtazapine (Remeron) B. doxepin (Silenor) C. alprazolam (Xanax) D. trazodone (Oleptro) 1 points

QUESTION 62 1.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? A. Mood stabilizers are only prescribed to treat manic phases of bipolar depression B. Mood stabilizers can consistently treat both mania and bipolar depression C. Mood stabilizers can target mania and mania relapse and also reduce symptoms of bipolar depression and relapse of bipolar depression symptoms but no drug has been proven to target all four therapeutic actions D. Certain mood stabilizers, such as lithium, are able to consistently target mania and bipolar depression 1 point QUESTION 63 1.The PMHNP is assessing a patient in the emergency room. The patient shares that he has been on lithium (Lithobid) for many years. What blood tests does the PMHNP order? A. Thyroid Stimulating Hormone (TSH) B. Complete Blood Count (CBC) C. Erythrocyte Sedimentation Rate D. Platelet Count 1 points

QUESTION 64 1.A 39-year old female patient presently on lithium would like to try a new medication to treat her bipolar disorder. She has had concerns about side effects from lithium and wants to learn more about Lamotrigine (Lamictal) as a treatment option. The PMHNP conveys some of the unique aspects of this agent, including which of the following? I don’t think I had this question A. 

There is some indication lamotrigine can prevent progression from mild cognitive impairment to Alzheimer’s disease B.Lamotrigine may cause rashes, including the life-threatening Stevens-Johnson syndrome C. It was one of the first anticonvulsants approved by the FDA to treat bipolar depression D. There is a risk for amenorrhea and polycystic ovarian disease in women of childbearing age 1 points

QUESTION 65 1.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?

A. Carbamazepine (Tegretol) B. Gabapentin (Neurontin) C. Valproic Acid (Depakene) D. All of the above 1 points

QUESTION 66 1.   A 46-year old male patient mentions several alternative treatments to Carbamazepine (Tegretol) as a way to manage symptoms of his bipolar depression. Which of the following does the PMHNP indicate would not be an agent to treat bipolar depression? didn’t have this question I A. Omega-3-fatty-acids B. Soybean lecithin C.

Inositol D. L-methylfolate 1 points

QUESTION 67 1.The PMHNP is meeting with a new mother who would like to begin taking medication again to treat her bipolar depression; she is breastfeeding her 2-month old daughter. The PMHNP recognizes that which of the following medications is contraindicated for this patient? A. Valproic Acid (Depakene) B. Carbamazepine(Tegretol) C. Lithium (Lithobid) This question is repeated and on one I got 1/1 and the other I got 0/1 for this same exact question. D. Lamotrigine (Lamictal) 1 points QUESTION 68 1.

The PMHNP assesses a 10-year old male child in the ER and suspects mania. Which of the following symptoms and recommendations for follow-up evaluation are appropriate? A. Irritability, euphoria, anger; the child should be evaluated further for conduct disorder. B. Irritability, violent outbursts, hyperactivity; the child should also be evaluated further for ADHD C. Irritability, lethargy, anger; the child should be evaluated further for ADHD. D. Irritability, acute mania, hyperactivity; the child should be evaluated further for conduct disorder. 1 points

QUESTION 69 1.A patient was diagnosed with GAD 4 weeks ago and was placed on Clonazepam (klonopin) twice a day and citalopram (citalopram (celexa)) once daily.

When he asks the PMHNP why it is necessary to wean him off of the Clonazepam(klonopin) the best response is: A. Clonazepam (klonopin) may interfere with citalopram (celexa)s targeted areas in the brain B. Clonazepam (klonopin) is not recommended for long term use due to possible sedation C. Clonazepam (klonopin) was used as an aid to treat your condition while you were adjusting to citalopram (celexa) D. Clonazepam(klonopin) and citalopram (celexa) target the same area in the brain and after long-term use they will begin to compete making one more or less effective than the other 1 points

QUESTION 70 1.During assessment a patient states “Why are you asking me about my heart, I am here for my head”, the PMHNP’s best response is: A. “Some medications can cause heart issues so it is necessary to rule those out before you begin medication.” I got 0/1 for this answer. I don’t know why?? B. “This is a part of our routine admission and it is important that you give me truthful answers.” C. “Chronic conditions such as Lupus can cause an area in your brain to malfunction, specifically your hippocampus.” D. “Anxiety can cause cortisol levels to increase and when this happens frequently it puts you at risk for comorbidities such as type 2 diabetes.” 1 points QUESTION 71 1. The PMHNP understands that the potential of alcohol abuse in the anxious patient is higher for the following reason: The answers are phrased differently.. 

The correct answer is that alcohol works on the GABA A receptor A. Alcohol is legal and is a common way that most people deal with their problems. B. Alcohol works similar to benzodiazepines C. Up to 30% of people with anxiety use alcohol to self-medicate D. Alcohol increases serotonin at the synapse and the patient may temporarily feel happy 1 points

QUESTION 72 1.After ordering flumazenil (Romazicon) the PMHNP cautions the staff to monitor for which possible effect? a. Respiratory depression b. Sedation and restlessness c. Sweating and nausea (This question was marked wrong but I think the answers are different too) d. Bradycardia and tachypnea 1 points

QUESTION 73 1.A patient is prescribed escitalopram (Lexapro) for his anxiety. When he asks why he was given an antidepressant the PMHNP’s best response is: I didn’t have this question A. “SSRIs are used to treat anxiety because serotonin has been proven to help with feelings of fear and worry.” B. “Even though you were diagnosed with anxiety there is a very high chance that you also have depression due to the similarities of both diseases.” C. “Antidepressants are prescribed prophylactically to prevent symptoms of depression.” D. “Escitalopram (Lexapro) is very effective with treating the panic attacks that can occur with anxiety.” 1 points

QUESTION 74 ? 1.The PMHNP evaluates the patient for “fear conditioning” when he asks: A. Have you ever experienced any type of trauma? B. What do you do when you feel fear? C. Does your mother or father have a history of fear and/or worrying? D. What makes your fear better? 1 points

QUESTION 75 1.A patient diagnosed with PTSD is prescribed propranolol (Inderal) and the PMHNP understands that he was prescribed this medication for what purpose:

A. He has uncontrolled high blood pressure and this must be treated before focusing on his PTSD. B. Beta blockers are linked to reconsolidation. C. This medication will allow the patient to sleep throughout the night. D. This medication is linked to the increase of serotonin in the brain. 1 point Click Save and Submit to save and submit.

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 Here are some parts of other questions I had that I jotted down enough of ? so you know what It’s about and my answers and if they were right or wrong: What is an accurate description of psychosis? It’s a syndrome associated with a number of psychiatric disorders (Correct) Mrs. Schwalzman 52 has schizophrenia and has no history of depression. She has apathy and no joy in life.

What can the PMHNP infer? Her new medication is blocking D2 receptors in the mesolimbic system. All of the following are signs of mania except: Low self esteem Which of the following statements about Prozac is true? Fluoxitine inhibits serotonin transporter (SERT) The patient has failed monotherapy with both SSRI and SNRI and then failed treatment with SNRI/SSRI both. What is the next treatment? SSRI Mood stabilizer is incorrect A nursing student seeks clarification of the use of anticonvulsants in bipolar disorder.

Which of the following anticonvulsants is not used to treat bipolar disorder? Neurontin Dear Bridgette, Thanks for this great study aide!!! I’d have been lost without it! I hope it helps you. The PMHNP is selecting a medication treatment option for a patient who is exhibiting psychotic behaviors with poor impulse control and aggression. Of the available treatments, which can help temper some of the adverse effects or symptoms that are normally caused by O2 antagonism? The PMHNP is discussing dopamine D2 receptor occupancy and its association with aggressive behaviors in patients with the student. Why does the PMHNP prescribe