NURS-6630C-8/NURS-6630N-8 Week 11 Final Exam Actual 2024 Spring Quarter (Complete 100% Accurate Questions and Answers). Guaranteed Pass

NURS-6630C-8/NURS-6630N-8 Week 11 Final Exam Actual 2024 Spring Quarter (Complete 100% Accurate Questions and Answers). Guaranteed Pass Brandon is a non-compliant patient that presents to the clinic asking for help with his alcohol dependence. The PMHNP evaluates the patient and determines a long-acting injection that blocks the mu-receptors would be the best treatment option for Brandon. Which medication should the PMHNP prescribe? Correct Answer c. Naltrexone (VIVITROL) Sandra complains of constipation after being on quetiapine (SEROQUEL) for several weeks. Constipation is likely caused by the binding of quetiapine (SEROQUEL) to which receptor? Selected b. Answer: D 1 Even though both of these medications are useful in the treatment of ADHD, their actions are different. Atomoxetine is a selective reuptake inhibitor, while bupropion is a selective reuptake inhibitor. Correct Answer d. Norepinephrine / norepinephrine- dopamine 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? Correct Answer d. Atomoxetine (Strattera) 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? Correct Answer b. Triazolam (Halcion) A patient with chronic insomnia and depression is taking trazodone (Oleptro) but complains of feeling drowsy during the day. What can the PMHNP do to reduce the drug’s daytime sedating effects? Correct Answer d. Give the medicine at night and lower the dose 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? Correct Answer b. “I am unable to fall asleep at night.” Alcohol enhances inhibition at synapses and reduces excitation at synapses. Correct Answer c. Dopeminergic / Glugamate A patient’s daughter calls your office with concerns that her mother is having significant gastrointestinal side effects. You review the patient’s chart and realize she is having side effects from donepezil (ARICEPT). What is the mechanism of the gastrointestinal disturbances? Correct Answer b. Donepezil increases the activity of acetylcholinesterase in the peripheral acetylcholine neurons and the decline in acetylcholine causes increased side effects. Which of the following anticonvulsants increases serotonergic neurotransmission and GABAergic transmission, while decreasing glutamatergic neurotransmission? Correct Answer a. Topiramate (TOPAMAX) 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? Correct Answer c. Citalopram (Celexa) or Escitalopram (Lexapro) An interneuron is a neuron that has its cell body, dendrites, and axon within the spinal cord. The neuron can be considered excitatory if it contains or inhibitory if it contains . Correct Answer d. Glutamate / GABA Which patient will receive a lower dose of guanfacine? Correct Answer c. Patient with kidney disease Mike wants to quit smoking. He has tried nicotine replacement and varenicline without success. He has asked for another medication to help him kick his habit. The PMHNP decides to try a medication that increases dopamine by prescribing a medications that can increase both norepinephrine and dopamine. Which medication did the PMHNP prescribe? Correct Answer d. Bupropion (ZYBAN) A patient with irritable bowel syndrome reports chronic stomach pain. The PMHNP wants to prescribe the patient an agent that will cause irrelevant nociceptive inputs from the pain to be ignored and no longer perceived as painful. Which drug will the PMHNP prescribe? Selected c.