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NURS 6630 final exam Questions And Answers
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NURS 6630 final examWhat is the strongest established risk factor for bipolar disorder? - VERIFIED ANSWER Family history
which of the following medications are known as selective serotonin re-uptake inibitors (SSRIs)? -
VERIFIED ANSWER Nortriptyline
Citalopram
Duloxetine
fluoxetine
venlafaxine
Which disease state o a non-adherent patient is at greater risk for substance use violence, and
victimization as well as worse overall quality of life? - VERIFIED ANSWER Schizophrenia
Patient is a 72 year old male with a past medical history significant for the atrial fibrillation and COPD
with a new diagnosis of major depression disorder. Based on his comorbid conditions, what
antidepressant would you recommend as first-line? - VERIFIED ANSWER not TCA due to fib and age, not
ADHD med
which of the following is an appropriate strategy for managing treatment resistant depression -
VERIFIED ANSWER SSRI and SNRI
which of the following medications is best to AVOID in maintenance treatment of bipolar disorder and
why - VERIFIED ANSWER antidepressants might contribute to an increase in mood episode freq1uency
An 8-year-old patient presents with severe hyperactivity, described as "ants in his pants." Based on self-
report from the patient, his parents, and his teacher; attention deficit hyperactivity disorder (ADHD) is
suspected. What medication is the PMNHP most likely to prescribe? - VERIFIED ANSWER VERIFIED
ANSWER: b.
,Methylphenidate (Ritalin, Concerta)
Kevin is an adolescent who has been diagnosed with kleptomania. His parents are interested in seeking
pharmacological treatment. What does the PMHNP tell the parents regarding his treatment options? -
VERIFIED ANSWER VERIFIED ANSWER: d.
"Naltrexone may be an appropriate option to discuss."
Which of the following substances has the highest probability of becoming dependent after a single use?
- VERIFIED ANSWER VERIFIED ANSWER: c.
Nicotine
The nursing staff asks the PMHNP for additional education regarding the treatment of agitation in
dementia patients. Which of the following is correct? - VERIFIED ANSWER VERIFIED ANSWER: c.
The nurse should attempt to determine how the patient's environment may be impacting the patient's
mood.
A patient on chronic opioids is currently on oxycodone ER (OxyContin). The PMHNP is consulted to treat
underlying depression. Under which circumstance should the PMHNP order naloxone (NARCAN)? -
VERIFIED ANSWER VERIFIED ANSWER: c.
The patient is somnolent and has 7 respirations per minute.
A patient with chronic insomnia asks the PMHNP if they can first try an over the-counter (OTC)
medication before one that needs to be prescribed to help the patient sleep. Which is the best response
by the PMHNP? - VERIFIED ANSWER VERIFIED ANSWER: a.
"You can get melatonin over the counter, which will help with sleep onset."
The PMHNP is caring for a patient who experiences too much overstimulation and anxiety during
daytime hours. The patient agrees to a pharmacological treatment but states, "I don't want to feel
sedated or drowsy from the medicine." Which decision made by the PMHNP demonstrates proper
knowledge of this patient's symptoms and appropriate treatment options? - VERIFIED ANSWER
VERIFIED ANSWER: b.
,Avoiding prescribing the patient a drug that blocks H1 receptors
Which of these statements is correct? - VERIFIED ANSWER VERIFIED ANSWER: d.
Sedation is unusual with aripiprazole (ABILIFY)
The PMHNP is caring for a patient who openly admitted to drinking a quart of vodka daily. Prior to
prescribing this patient disulfiram (Antabuse), it is important for the PMHNP to: - VERIFIED ANSWER
VERIFIED ANSWER: d.
Evaluate the patient's willingness to abstain from alcohol
Mr. Peterson is meeting with the PMHNP to discuss healthier dietary habits. With a BMI of 33, Mr.
Peterson is obese and needs to modify his food intake. "Sometimes I think I'm addicted to food the way
some people are addicted to drugs," he says. Which statement best describes the neurobiological
parallels between food and drug addiction? - VERIFIED ANSWER VERIFIED ANSWER: d.
There is decreased activation of the prefrontal cortex.
An 18-year-old female with a history of frequent headaches and a mood disorder is prescribed
topiramate (Topamax), 25 mg by mouth daily. The PMHNP understands that this medication is effective
in treating which condition(s) in this patient?` - VERIFIED ANSWER VERIFIED ANSWER: c.
Migraines
A patient you have been evaluating was admitted to the hospital with some abnormal lab work.
Hematology/oncology was consulted and diagnoses the patient with aplastic anemia and
agranulocytosis. Which medication was likely the culprit? - VERIFIED ANSWER VERIFIED ANSWER: d.
Carbamazepine
Antipsychotics are doses at a level that blocks % of D2 receptors. - VERIFIED ANSWER VERIFIED
ANSWER: a.
50-70
, The PMHNP is teaching a patient with a sleep disorder about taking diphenhydramine (Benadryl). The
patient is concerned about the side effects of the drug. What can the PMHNP teach the patient about
this treatment approach? - VERIFIED ANSWER VERIFIED ANSWER: b
"It can cause blurred vision
A 9-year-old female patient presents with symptoms of both attention deficit hyperactivity disorder
(ADHD) and oppositional defiant disorder. In evaluating her symptoms, the PMHNP determines that
which of the following medications may be beneficial in augmenting stimulant medication? - VERIFIED
ANSWER VERIFIED ANSWER: b.
Guanfacine ER (Intuniv)
The PMHNP is assessing a patient who will be receiving phentermine (Adipex P)/topiramate (Topamax)
(Qsymia). Which of the following conditions/diseases will require further evaluation before this
medication can be prescribed? - VERIFIED ANSWER VERIFIED ANSWER: b.
Cardiovascular disease
The PMHNP wishes to prescribe a medication that reduces glutamate trVERIFIED ANSWERmission in an
Alzheimer's patient. Which medication should the PMHNP prescribe? - VERIFIED ANSWER VERIFIED
ANSWER: b.
Memantine (NAMENDA)
A patient with fibromyalgia and major depression needs to be treated for symptoms of pain. Which is
the PMHNP most likely to prescribe for this patient? - VERIFIED ANSWER VERIFIED ANSWER: d.
Duloxetine (Cymbalta)
A patient is prescribed D-methylphenidate, 10-mg extended-release capsules. What should the PMHNP
include when discussing the side effects with the patient? - VERIFIED ANSWER VERIFIED ANSWER: c.
The medication can affect your blood pressure.
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