NURS-6630N
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Test
Week11FinalExam N N N
• Question 1 N
0 out of 1 points N N N N
A patient diagnosed with obsessive compulsive disorder has been taking a
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high-dose SSRI and is participating in therapy twice a week. He reports an
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inability to carry out responsibilities due to consistent interferences of his
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obsessions and compulsions. The PMHNP knows that the next step would
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be which of the following?
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Selected Answer: B. N N
Decrease his SSRI and add an MAOI. N N N N N N
• Question 2 N
0 out of 1 points N N N N
Which statement best describes a pharmacological approach to treating patients
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for impulsive aggression?
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Selected B.
Answer
N Atypical antipsychotics can increase subcortical dopaminergic
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: stimulation.
N
,• Question 3 N
1 out of 1 points N N N N
The PMHNP evaluates a patient presenting with symptoms of dementia.
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Before the PMHNP considers treatment options, the patient must be
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assessed for other possible causes of dementia. Which of the following
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answers addresses both possible other causes of dementia and a rational
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treatment option for Dementia?
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Selected B.
Answer
N Possible other causes: hypothyroidism, adrenal insufficiency,
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: hyperparathyroidism
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Possible treatment option: donepezil N N N
• Question 4 N
1 out of 1 points N N N N
An 80-year-old female patient diagnosed with Stage IIAlzheimer’s has a
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history of irritable bowel syndrome. Which cholinergic drug may be the
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best choice for treatment given the patient’s gastrointestinal problems?
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Selected Answer: A. N N
Donepezil (Aricept) N
• Question 5 N
0 out of 1 points N N N N
The PMHNP is teaching parents about their child’s new prescription for
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Ritalin. What will the PMHNP include in the teaching?
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Selected Answer: D. N N
There will be continued effects into the evening. N N N N N N N
,• Question 6 N
1 out of 1 points N N N N
The PMHNP prescribes gabapentin (Neurontin) for a patient’s chronic
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pain. How does the PMHNP anticipate the drug to work?
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Selected A.
Answer
N It will bind to the alpha-2-delta ligand subunit of
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: voltage-sensitive calcium channels.
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• Question 7 N
1 out of 1 points N N N N
An opioid-naive patient is taking MS Contin (morphine sulfate) to treat his
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pain that is secondary to cancer. Under what circumstances would the
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PMHNP order naloxone (Narcan) IM/SQ?
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Selected D.
AnswerN The patient’s vital signs are 98.4F temp, 88 pulse, 104/62 N N N N N N N N N
: blood pressure, and 8 respirations. N N N N N
• Question 8 N
1 out of 1 points N N N N
A patient is prescribed D-methylphenidate, 10-mg extended-release
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capsules. What should the PMHNP include when discussing the side
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effects with the patient?
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Selected Answer: C. N N
The medication can affect your blood pressure. N N N N N N
• Question 9 N
1 out of 1 points
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A young patient is prescribed Vyvanse. During the follow-up
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appointment, which comment made by the patient makes the PMHNP
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think that the dosing is being done incorrectly?
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, Selected Answer: B. N N
“I am unable to fall asleep at night.” N N N N N N N
• Question 10 N
1 out of 1 points N N N N
A patient recovering from shingles presents with tenderness and
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sensitivity to the upper back. He states it is bothersome to put a shirt on
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most days. This patient has end stage renal disease (ESRD) and is
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scheduled to have hemodialysis tomorrow but states that he does not
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know how he can lie in a recliner for 3 hours feeling this uncomfortable.
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What will be the PMHNP’s priority?
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Selected Answer: C. N N
Prescribe lidocaine 5% N N
• Question 11 N
0 out of 1 points N N N N
A 63-year-old patient presents with the following symptoms. The
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PMHNP determines which set of symptoms warrant prescribing a
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medication? Select the answer that is matched with an appropriate
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treatment.
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Selected C.
Answer
N Reduced ability to find the correct word is most N N N N N N N N
: problematic, and an appropriate treatment option would be
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memantine.
N
• Question 12 N
1 out of 1 points N N N N
The PMHNP is caring for a patient who openly admitted to drinking a quart
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of vodka daily. Prior to prescribing this patient disulfiram (Antabuse), it is
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important for the PMHNP to:
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