NURS 6630 FINAL EXAM 4 – QUESTION AND ANSWERS LATEST 2022 A+ GRADED
• Question 1 1 out of 1 points
Why does the PMHNP avoid prescribing clozapine (Clozaril) as a first-line treatment to the
patient with psychosis and aggression?
Selected A.
Answer: There is too high a risk of serious adverse
side effects.
• Question 2
1 out of 1 points
A 75-year-old male patient diagnosed with Alzheimer’s disease presents with agitation and
aggressive behavior. The PMHNP determines which of the following to be the best
treatment option?
Selected D.
Answer: Citalopram (Celexa) or Escitalopram
(Lexapro)
• Question 3
1 out of 1 points
A group of nursing students seeks further clarification from the PMHNP on how
cholinesterase inhibitors are beneficial for Alzheimer’s disease patients. What is the
appropriate response?
Selected D.
Answer: Both “A” &
“C.”
• Question 4
1 out of 1 points
The PMHNP understands that slow-dose extended release stimulants are most appropriate
for which patient with ADHD?
Selected A.
Answer: 8-year-old
patient
• Question 5
1 out of 1 points
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?
Selected A.
Answer: Methylphenidate (Ritalin,
Concerta)
• Question 6
1 out of 1 points
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?
Selected Duloxetine
Answer: (Cymbalta)
• Question 7
1 out of 1 points
Mrs. Kenner is concerned that her teenage daughter spends too much time on the Internet.
She inquires about possible treatments for her daughter’s addiction. Which response by
the PMHNP demonstrates understanding of pharmacologic approaches for compulsive
disorders?
Selected D.
Answer: “There are no evidence-based treatments for Internet addiction, but there
are behavioral therapies your daughter can try.”
• Question 8
1 out of 1 points
An adult patient presents with a history of alcohol addiction and attention deficit
hyperactivity disorder (ADHD). Given these comorbidities, the PMHNP determines which of
the following medications may be the best treatment option?
Selected C.
Answer: Atomoxetine
(Strattera)
• Question 9
1 out of 1 points
Which of the following is a true statement regarding the use of stimulants to treat
attention deficit hyperactivity disorder (ADHD)?
Selected B.
Answer: Signal strength output is increased by dialing up the release of dopamine
(DA) and norepinephrine (NE).
, • Question 10
1 out of 1 points
A 71-year-old male patient comes to an appointment with his 65-year-old wife. They are
both having concerns related to her memory and ability to recognize faces. The PMNHP is
considering prescribing memantine (Namenda) based on the following symptoms:
Selected C.
Answer: Amnesia, apraxia,
agnosia
• Question 11
1 out of 1 points
The PMHNP is meeting with the parents of an 8-year-old patient who is receiving an initial
prescription for D-amphetamine. The PMHNP demonstrates appropriate prescribing
practices when she prescribes the following dose:
Selected A.
Answer: The child will be prescribed
2.5 mg.
• Question 12
1 out of 1 points
The PMHNP is assessing a patient who presents with elevated levels of brain amyloid as
noted by positron emission tomography (PET). What other factors will the PMHNP consider
before prescribing medication for this patient, and what medication would the PMHNP want
to avoid given these other factors?
Selected D.
Answer: Both “A” &
“B”
• Question 13
0 out of 1 points
The PMHNP is attempting to treat a patient’s chronic insomnia and wishes to start with an
initial prescription that has a half-life of approximately 1–2 hours. What is the most
appropriate prescription for the PMHNP to make?
Selected B.
Answer: Quazepam
(Doral)
• Question 14
1 out of 1 points
• Question 1 1 out of 1 points
Why does the PMHNP avoid prescribing clozapine (Clozaril) as a first-line treatment to the
patient with psychosis and aggression?
Selected A.
Answer: There is too high a risk of serious adverse
side effects.
• Question 2
1 out of 1 points
A 75-year-old male patient diagnosed with Alzheimer’s disease presents with agitation and
aggressive behavior. The PMHNP determines which of the following to be the best
treatment option?
Selected D.
Answer: Citalopram (Celexa) or Escitalopram
(Lexapro)
• Question 3
1 out of 1 points
A group of nursing students seeks further clarification from the PMHNP on how
cholinesterase inhibitors are beneficial for Alzheimer’s disease patients. What is the
appropriate response?
Selected D.
Answer: Both “A” &
“C.”
• Question 4
1 out of 1 points
The PMHNP understands that slow-dose extended release stimulants are most appropriate
for which patient with ADHD?
Selected A.
Answer: 8-year-old
patient
• Question 5
1 out of 1 points
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?
Selected A.
Answer: Methylphenidate (Ritalin,
Concerta)
• Question 6
1 out of 1 points
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?
Selected Duloxetine
Answer: (Cymbalta)
• Question 7
1 out of 1 points
Mrs. Kenner is concerned that her teenage daughter spends too much time on the Internet.
She inquires about possible treatments for her daughter’s addiction. Which response by
the PMHNP demonstrates understanding of pharmacologic approaches for compulsive
disorders?
Selected D.
Answer: “There are no evidence-based treatments for Internet addiction, but there
are behavioral therapies your daughter can try.”
• Question 8
1 out of 1 points
An adult patient presents with a history of alcohol addiction and attention deficit
hyperactivity disorder (ADHD). Given these comorbidities, the PMHNP determines which of
the following medications may be the best treatment option?
Selected C.
Answer: Atomoxetine
(Strattera)
• Question 9
1 out of 1 points
Which of the following is a true statement regarding the use of stimulants to treat
attention deficit hyperactivity disorder (ADHD)?
Selected B.
Answer: Signal strength output is increased by dialing up the release of dopamine
(DA) and norepinephrine (NE).
, • Question 10
1 out of 1 points
A 71-year-old male patient comes to an appointment with his 65-year-old wife. They are
both having concerns related to her memory and ability to recognize faces. The PMNHP is
considering prescribing memantine (Namenda) based on the following symptoms:
Selected C.
Answer: Amnesia, apraxia,
agnosia
• Question 11
1 out of 1 points
The PMHNP is meeting with the parents of an 8-year-old patient who is receiving an initial
prescription for D-amphetamine. The PMHNP demonstrates appropriate prescribing
practices when she prescribes the following dose:
Selected A.
Answer: The child will be prescribed
2.5 mg.
• Question 12
1 out of 1 points
The PMHNP is assessing a patient who presents with elevated levels of brain amyloid as
noted by positron emission tomography (PET). What other factors will the PMHNP consider
before prescribing medication for this patient, and what medication would the PMHNP want
to avoid given these other factors?
Selected D.
Answer: Both “A” &
“B”
• Question 13
0 out of 1 points
The PMHNP is attempting to treat a patient’s chronic insomnia and wishes to start with an
initial prescription that has a half-life of approximately 1–2 hours. What is the most
appropriate prescription for the PMHNP to make?
Selected B.
Answer: Quazepam
(Doral)
• Question 14
1 out of 1 points
