Biology

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 […]

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 Place Your Order Here!

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

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

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? 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

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

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

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

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

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