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).
An opioid-naive patient is taking MS Contin (morphine sulfate) to treat his pain that is secondary to cancer. Under what circumstances would the PMHNP order naloxone (Narcan) IM/SQ?
October 12, 2019As it relates to G-protein linked receptors, what does the PMHNP understand about medications that are used in practice?
October 12, 2019A 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).
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 of neurotransmitters that you already have in the brain.”
C.
“Most medications used in treatment are either increasing or decreasing neurotransmitters that your body already has.”
D.
“Why do you believe that your medication is poison?”
QUESTION 2
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 depression. Following this discovery, the antidepressant Prozac was developed.
1 points
QUESTION 3
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 possibly potentiate its effects.
C.
“Medications are often specific to the neurotransmitter(s) they are affecting and, due to more than one neurotransmitter involvement, it is often necessary to use more than one medication to improve symptoms.”
D.
“I understand your concern. We can discontinue your current medication and switch to a different one that may better manage your symptoms.”
1 points
QUESTION 4 ?
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 RNA to mRNA.
1 points
QUESTION 5
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 behavior.
1 points
QUESTION 6
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 can spread by diffusion.
D.
The postsynaptic neuron can release the neurotransmitter.
1 points
QUESTION 7
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 altered. Correct answer
C.
The medication’s chemical composition changes when it comes in contact with the acid in the stomach.
D.
The CYP enzyme system is a steady and predictable process that prescribers must understand to treat conditions effectively.
1 points
QUESTION 8
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 break a medication down several ways, and this patient may require higher doses of certain antidepressants and antipsychotics.
C.
About 1 out of 30 Caucasians requires lower doses of some antidepressants and antipsychotics.
D.
Most enzyme pathways do not have interactions between the newer medications.
1 points
