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1. 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: A. The patient smokes cigarettes. B. The patient has hypertension. C. The patient has chronic kidney disease, stage 2. D. […]

1. As it relates to G-protein linked receptors, what does the PMHNP understand about medications that are used in practice? A. Most medications that act on G-protein linked receptors have antagonistic traits. B. The majority of medications used in practice are full agonists and are used to stimulate the body’s natural neurotransmitters. C. Most medications

1. 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? A. About 1 out of 5 Asians requires lower-than-normal doses of some antidepressants and antipsychotics. B. The term polymorphic refers to the body’s ability to

1. Why is the cytochrome P450 enzyme system of significance to the PMHNP? A. The kidneys play a role with excretion of the medication, and if a patient has kidney damage, the dose must be increased to be effective. B. The bioavailability of the medication after it passes through the stomach and liver can be

1. Though medications have the ability to target neurotransmitters in the synapse, it is not always necessary. The PMHNP understands that this is because: A. Neurotransmission that occurs via the axon allows for transport of a neurotransmitter. B. Active transport is a different type of energy that allows the transport of certain neurotransmitters. C. Neurotransmitters

1. While genes have potential to modify behavior, behavior can also modify genes. How do genes impact this process? A. Genes impact neuron functioning directly. B. Changes made to proteins lead to changes in behavior. C. Neurons are able to impact protein synthesis. D. Genes impact the DNA of a cell, leading to changes in

1. During gene expression, what must occur prior to a gene being expressed? A. Transcription factor must bind to the regulatory region within the cell’s nucleus. B. RNA must be converted to mRNA. C. The coding region must separate from the regulatory region. This is wrong D. RNA polymerase must inhibit the process of changing

1. When an unstable patient asks why it is necessary to add medications to his current regimen, the PMHNP’s best response would be: A. “In an extreme case such as yours, more than one medication is often needed.” B. “Due to the ineffectiveness of your current medication, we need to try something else that can

1. Which statement about neurotransmitters and medications is true? A. Natural neurotransmitters such as endorphins have been discovered after the development of medications. B. Some medications were developed after the discovery and known action of the neurotransmitters in the brain. C. Neurotransmitters receive messages from most medications. D. The neurotransmitter serotonin is directly linked to

NURS 6630 Midterm Exam (2018): Walden University QUESTION 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). A. “You have to take your medication to become stable.” B. “Most medications will increase the number