Psychiatric Medication Management Challenges
7. A 79-year-old female with no past psychiatric history is admitted with new onset
auditory hallucinations., The patient states her most bothersome symptom is the
voices, which have kept her from sleeping through the night for the last 3 weeks,
and as a result, she is tired and irritable. Which medication should the PMHNP
order for bedtime for sleep?
A. Olanzapine 2.5 mg PO
B. Lorazepam 1 mg PO
C. Chlorpromazine 50 mg PO
D. Sertraline 50 mg PO
8. A 16-year-old male with a history of smoking cigarettes and marijuana is being
evaluated at the request of the school and parents. The child states that the reason
he smokes is it “helps calm me down” as he is anxious all the time. Which of the
following medications would be the best choice?
A. Fluoxetine 20 mg PO daily
B. Clonazepam 0.5 mg PO daily
C. Vortioxetine 20 mg daily
D. Citalopram 5 mg PO daily
Psychiatric Medication Management Challenges
- A patient has undergone a pharmacogenomic test, which reveals that he is an extensive metabolizer for CYP450, 1A2, 2D6, and 3A4. Therefore, the PMHNP should consider prescribing:
A. A lower than usual dose
B. The usual dose
C. A higher than usual dose
D. A different medication
- A woman, currently in her 20th week of pregnancy, has resumed taking lithium for bipolar disorder. In this case, the PMHNP understands that the patient may become subtherapeutic, despite taking the medication as prescribed, primarily due to:
A. Increased blood volume
B. Increased fetal metabolism
C. Reduced muscle mass
D. Reduced blood volume
- The PMHNP recognizes that the relationship between drug concentration and its effects on the body is referred to as:
A. Pharmacology
B. Pharmacokinetics
C. Pharmacodynamics
D. Physiology
- A patient who had previously reported feeling significantly better on her antidepressant suddenly states that the “drug seems to have stopped working.” This phenomenon is known as:
A. Tolerance
B. Tachyphylaxis
C. Side effect
D. Adverse effect APA