6630 final exam with 100% correct answers 2024

6630 final exam with 100% correct answers 2024 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. Carbamazepine Antipsychotics are doses at a level that blocks % of D2 receptors. -Answer-ANS: 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? -Answer-ANS: 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? -Answer-ANS: 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? -Answer-ANS: b. Cardiovascular disease The PMHNP wishes to prescribe a medication that reduces glutamate transmission in an Alzheimer's patient. Which medication should the PMHNP prescribe? -Answer-ANS: b. Memantine (NAMENDA)