Medication Management in Psychiatry
6. A patient who has been stable on quetiapine (Seroquel XR) for 3 months has decided
to start to drink grapefruit juice twice daily because she has heard it helps with
weight loss. She calls to report that since her new diet she has been feeling fatigue
and difficulty waking up in the morning. What is the best response by the
PMHNP?
Medication Management in Psychiatry
A. “I will put in a new prescription for a lower dose of your medication.”
B. “Stop drinking the grapefruit juice, and schedule an appointment to discuss the
matter further.”
C. “I will prescribe you a stimulant, and see you in 2 weeks.”
D. “You should make an appointment with your primary care provider for
evaluation.”
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
Medication Management in Psychiatry
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
9. A patient has had a pharmacogenomic test, which reveals he is an extensive
metabolizer on CYP450, 1A2, 2D6, and 3A4. The PMHNP should prescribe:
A. A lower than usual dose
B. The usual dose
C. A higher than usual dose
D. A different medication APA
