NURS 6630 FINAL EXAM 2023
ANSWERS AND EXPLANITIONS
• Question 1
0 out of 1 points
A patient diagnosed with obsessive compulsive disorder has been
taking a high-dose SSRI and is participating in therapy twice a week.
He reports an inability to carry out responsibilities due to consistent
interferences of his obsessions and compulsions. The PMHNP knows
that the next step would be which of the following?
Selected Answer: B.
Decrease his SSRI and add an MAOI.
• Question 2
0 out of 1 points
Which statement best describes a pharmacological approach to treating
patients for impulsive aggression?
Selected B.
Answer: Atypical antipsychotics can increase subcortical
dopaminergic stimulation.
, 0 out of 1 points
The PMHNP evaluates a patient presenting with symptoms of
dementia. Before the PMHNP considers treatment options, the patient
must be assessed for other possible causes of dementia. Which of the
following answers addresses both possible other causes of dementia
and a rational treatment option for Dementia?
Selected B.
Answer: Possible other causes: hypothyroidism, adrenal
insufficiency, hyperparathyroidism
Possible treatment option: donepezil
• Question 4
1 out of 1 points
An 80-year-old female patient diagnosed with Stage II Alzheimer’s has
a history of irritable bowel syndrome. Which cholinergic drug may be
the best choice for treatment given the patient’s gastrointestinal
problems?
Selected Answer: A.
Donepezil (Aricept)
• Question 5
0 out of 1 points
The PMHNP is teaching parents about their child’s new prescription
for Ritalin. What will the PMHNP include in the teaching?
Selected Answer: D.
There will be continued effects into the evening.
, • Question 6
1 out of 1 points
The PMHNP prescribes gabapentin (Neurontin) for a patient’s chronic
pain. How does the PMHNP anticipate the drug to work?
Selected A.
Answer: It will bind to the alpha-2-delta ligand subunit of
voltage-sensitive calcium channels.
• Question 7
1 out of 1 points
An opioid-naive patient is taking MS Contin (morphine sulfate) to treat
his pain that is secondary to cancer. Under what circumstances would
the PMHNP order naloxone (Narcan) IM/SQ?
Selected D.
Answer: The patient’s vital signs are 98.4F temp, 88 pulse,
104/62 blood pressure, and 8 respirations.
• Question 8
1 out of 1 points
A patient is prescribed D-methylphenidate, 10-mg extended-release
capsules. What should the PMHNP include when discussing the side
effects with the patient?
Selected Answer: C.
The medication can affect your blood pressure.
• Question 9
1 out of 1 points
A young patient is prescribed Vyvanse. During the follow-up
appointment, which comment made by the patient makes the PMHNP
think that the dosing is being done incorrectly?
ANSWERS AND EXPLANITIONS
• Question 1
0 out of 1 points
A patient diagnosed with obsessive compulsive disorder has been
taking a high-dose SSRI and is participating in therapy twice a week.
He reports an inability to carry out responsibilities due to consistent
interferences of his obsessions and compulsions. The PMHNP knows
that the next step would be which of the following?
Selected Answer: B.
Decrease his SSRI and add an MAOI.
• Question 2
0 out of 1 points
Which statement best describes a pharmacological approach to treating
patients for impulsive aggression?
Selected B.
Answer: Atypical antipsychotics can increase subcortical
dopaminergic stimulation.
, 0 out of 1 points
The PMHNP evaluates a patient presenting with symptoms of
dementia. Before the PMHNP considers treatment options, the patient
must be assessed for other possible causes of dementia. Which of the
following answers addresses both possible other causes of dementia
and a rational treatment option for Dementia?
Selected B.
Answer: Possible other causes: hypothyroidism, adrenal
insufficiency, hyperparathyroidism
Possible treatment option: donepezil
• Question 4
1 out of 1 points
An 80-year-old female patient diagnosed with Stage II Alzheimer’s has
a history of irritable bowel syndrome. Which cholinergic drug may be
the best choice for treatment given the patient’s gastrointestinal
problems?
Selected Answer: A.
Donepezil (Aricept)
• Question 5
0 out of 1 points
The PMHNP is teaching parents about their child’s new prescription
for Ritalin. What will the PMHNP include in the teaching?
Selected Answer: D.
There will be continued effects into the evening.
, • Question 6
1 out of 1 points
The PMHNP prescribes gabapentin (Neurontin) for a patient’s chronic
pain. How does the PMHNP anticipate the drug to work?
Selected A.
Answer: It will bind to the alpha-2-delta ligand subunit of
voltage-sensitive calcium channels.
• Question 7
1 out of 1 points
An opioid-naive patient is taking MS Contin (morphine sulfate) to treat
his pain that is secondary to cancer. Under what circumstances would
the PMHNP order naloxone (Narcan) IM/SQ?
Selected D.
Answer: The patient’s vital signs are 98.4F temp, 88 pulse,
104/62 blood pressure, and 8 respirations.
• Question 8
1 out of 1 points
A patient is prescribed D-methylphenidate, 10-mg extended-release
capsules. What should the PMHNP include when discussing the side
effects with the patient?
Selected Answer: C.
The medication can affect your blood pressure.
• Question 9
1 out of 1 points
A young patient is prescribed Vyvanse. During the follow-up
appointment, which comment made by the patient makes the PMHNP
think that the dosing is being done incorrectly?
