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NURS 6630 FINAL EXAM 5 LATEST VERSIONS (VERSION V1,V2,V3,V4,&V5) ACTUAL EXAM
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NURS 6630 FINAL EXAM 5 LATEST VERSIONS (VERSION V1,V2,V3,V4,&V5) ACTUAL EXAM
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NURS 6630FINAL EXAM 5
LATEST
VERSIONS
(VERSION
V1,V2,V3,V4,&V5
) 2024-2025
ACTUAL EXAM
EACH EXAM
CONTAINS 150
,QUESTIONS AND
CORRECT
ANSWERS
What is the strongest established risk factor for bipolar disorder? - answer
Family history
which of the following medications are known as selective serotonin re-
uptake inibitors (SSRIs)? - 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? - 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? - answer not TCA due to fib and age, not
ADHD med
which of the following is an appropriate strategy for managing treatment
resistant depression - answer SSRI and SNRI
,which of the following medications is best to AVOID in maintenance
treatment of bipolar disorder and why - 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? - answer ANS: 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? - answer
ANS: 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? - answer ANS: 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? - answer ANS: 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)? - answer ANS:
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? -
answer ANS: 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? - answer ANS: b.
Avoiding prescribing the patient a drug that blocks H1 receptors
Which of these statements is correct? - answer ANS: 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: - answer ANS: 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? - answer ANS:
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?` - answer ANS: 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? - answer ANS: d.
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