(Answer Guide) NURS6630 MIDTERM Exam 2024

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NURS6630 MIDTERM Exam 2024. When interviewing a patient with likely post-traumatic stress disorder (PTSD), all of the following must be asked to assess the patient’s current mental health, EXCEPT?

    1. A. Sleeping difficulties
    2. B. Signs of isolation and occupational gatherings
    3. C. Feelings of detachment/estrangement
    4. D. Past medical illness
    5. E. Flashbacks and intrusive recollection
  2. For which of the following reasons might a tricyclic antidepressant (TCA) be prescribed to be taken at bedtime?
    1. A. To lessen daytime sedation
    2. B. To reduce the risk of cardiac arrhythmias
    3. C. To improve appetite control
    4. D. To enhance its antidepressant effect
    5. E. To increase the risk of falls
  1. For a patient with panic disorder, besides severe anxiety, how many additional symptoms must be present during a panic attack for a diagnosis?
    1. A. At least 1
    2. B. At least 2
    3. C. At least 4
    4. D. At least 6
    5. E. At least 8
  2. What type of receptor binds a neurotransmitter and causes the channel to open, allowing cation flow?
    1. A. Ionotropic
    2. B. Synaptic
    3. C. Metabotropic
    4. D. Chemical
  3. Which statement about the pharmacodynamic phase is correct?
    1. A. Pharmacodynamic phase is concerned with drug absorption.
    2. B. Pharmacodynamic phase studies the amount of drug that is excreted into breast milk.
    3. C. Pharmacodynamic phase is related to the drug-receptor interaction and its biological effect.
    4. D. Optimization of the pharmacodynamic phase improves drug bioavailability.
    5. E. Pharmacodynamic phase is concerned with the amount of drug that is metabolized by the liver.
  4. A father of a 13-year-old male patient with major depressive disorder would like to discuss current recommendations for treatment in adolescents prior to beginning any treatment. You review the following guideline recommendations for this patient include all of the following except:
    1. A. Fluoxetine (Prozac)
    2. B. CBT (cognitive behavioral therapy)
    3. C. Nefazodone (Zerzone)
    4. D. ITP-A (individual therapy for adolescents)
    5. E. Escitalopram (Lexapro)
  5. What change occurs in the G-protein when a hormone binds to a G-protein coupled receptor (GPCR)?
    1. A. GDP is replaced by GTP in the α subunit
    2. B. GTP is replaced by GDP in the β subunit
    3. C. GDP is replaced by GTP in the γ subunit
    4. D. GTP is replaced by GDP in the α subunit
    5. E. The β and γ subunits dissociate without any nucleotide exchange
  6. Which of the following mechanisms of action are associated with tricyclic antidepressants (TCAs)?
    1. A. Inhibits reuptake of serotonin only at the presynaptic cleft
    2. B. Nonselectively inhibits monoamine oxidase
    3. C. Stimulates release of norepinephrine and dopamine in the presynaptic cleft
    4. D. Inhibits reuptake of serotonin and norepinephrine at the presynaptic cleft
    5. E. Acts as an antagonist at dopamine and serotonin receptors
  7. An adult patient with major depressive disorder is being considered for antidepressant therapy. Which medication is a serotonin-norepinephrine reuptake inhibitor (SNRI) and can be used in both depression and neuropathic pain?
    1. A. Sertraline
    2. B. Trazodone
    3. C. Duloxetine
    4. D. Fluoxetine
    5. E. Escitalopram
  8. Which of the following is NOT an indication for monoamine oxidase inhibitor (MAOI) therapy?
    1. A. Bulimia nervosa
    2. B. Depression
    3. C. Obsessive-compulsive disorder
    4. D. Psychosis
    5. E. Panic attacks
  9. A patient currently takes drug (A), which is metabolized by CYP450. How would you change the prescription for drug (A) once the patient tells you that they are now taking St. John’s Wort?
    1. A. Increase the dose of the drug (A) since St. John’s Wort is a CYP450 suicide inhibitor.
    2. B. Increase the dose of the drug (A) since St. John’s Wort is a CYP450 inducer.
    3. C. No need to change the dose of the drug (A) since St. John’s Wort is a CYP450 inhibitor.
    4. D. Decrease the dose of the drug (A) since St. John’s Wort is a CYP450 suicide inhibitor.
    5. E. Decrease the dose of the drug (A) since St. John’s Wort is a CYP450 inducer.More..
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Answer Guide: NURS6630 MIDTERM Exam 2024