NR 546 FINAL EXAM QUESTIONS Advanced Pharmacology:

1

NR 546 FINAL EXAM QUESTIONS Advanced Pharmacology:

Psychopharmacology for Psychiatric Mental Health Nurse Practitioner questions and answers

• A 14-year-old patient has nonspecific complaints about pain in his or her

legs. The physical examination is unremarkable. Laboratory results are within normal limits except for a markedly elevated alkaline phosphatase level. The psychiatric-mental health nurse practitioner

ANS interprets the findings as normally occurring during a rapid adolescent growth spurt

• Laboratory findings for a patient with an alcohol use disorder indicate

increased liver function values and

ANS increased MCV and elevated triglyceride levels.

• A new patient arrives at the office for treatment for depression. The

patient reports taking simvastatin (Zocor) and lisinopril (Zestril). When selecting an antidepressant, the psychiatric-mental health nurse practitioner eliminates fluoxetine (Prozac), based on the knowledge that the

2 combination can lead to increased plasma levels of the statin, resulting in an increased risk of muscle damage and rhabdomyolysis. The nurse practitioner's reason is that

ANS one medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.

• A 28-year-old patient who is psychotic arrives at the clinic with family

members but refuses to meet if the family members are present. The psychi- atric-mental health nurse practitioner

ANS asks the family members to leave for the appointment.

• The psychiatric-mental health nurse practitioner is responsible for

initiat- ing quality improvement at a community mental health clinic. The effective strategy for evaluating the clinic's services is to

ANS use a survey to elicit patient satisfaction responses.

• The psychiatric-mental health nurse practitioner evaluates a new adult

patient via telemedicine. The patient has questions about a new

3 medication that he or she recently started. The nurse practitioner decides to provide psychoeducation and to

ANS e-mail drug information and resources

• Any court of law that evaluates the standards of care provided by a psy-

chiatric-mental health nurse practitioner ANS considers what a reasonably prudent health care provider would do.

• The psychiatric-mental health nurse practitioner and a team of local

mental health professionals are asked to provide crisis counseling service, after a gunman recently took a class hostage at a local elementary school, wounded several students, and then shot himself. In preparing for this assignment, the nurse practitioner recognizes that

ANS a child's developmental stage will influence his or her response to catastrophic stress

• Which community-based program is a tertiary level intervention?

4

ANS Partial hospitalization program that provides intensive group therapy for rehabilitation.

• A 32-year-old female patient informs the psychiatric-mental health

nurse practitioner that she is three months pregnant. She has been stable on flu- oxetine (Prozac) for the last two years. The patient asks whether she may safely continue this medication during her pregnancy. The nurse practitioner responds

ANS "Let's review the risks and benefits of continuing or discontinuing Prozac for you and your baby."

• Established clinical guidelines suggest that suicidality is decreased

by treating patients who have borderline personality disorder with

ANS dialectical behavioral therapy.

• A six-year-old patient with autistic spectrum disorder has not

responded to six months of psychosocial interventions and continues to