NR 607 Substance Use Disorders exam with
correct answers
Which |pupillary |changes |would |one |expect |to |observe |with |acute |stimulant |intoxication? |- |
✔✔Stimulant |intoxication |is |associated |with |pupillary |dilation. |Narcotic |drugs |are |associated |with |
pupil |constriction. |Unequal |pupil |sizes |(anisocoria) |are |associated |with |both |benign |and |life |
threatening |emergencies.
A |patient |who |has |been |stable |on |his |long-acting |injectable |medication |tells |the |PMHNP |that |he |
would |like |to |quit |smoking. |What |is |the |best |response? |- |✔✔"Let |us |make |an |appointment |as |your |
medication |dose |may |need |to |be |lowered.
What |would |a |COWS |score |of |16 |indicate? |- |✔✔The |COWS |or |Clinical |Opiate |Withdrawal |Scale |can |
range |from |0 |- |36+. |A |Score |of |5 |- |12 |would |be |considered |mild. |A |score |of |13 |- |24 |would |be |
considered |moderate. |A |score |of |25 |- |36 |would |be |considered |moderately |severe |and |a |score |of |
more |than |36 |would |indicate |severe |withdrawal.
Which |of |the |following |best |represents |the |theory |of |resilience |as |it |applies |to |psychiatric |advanced |
practice |nursing? |- |✔✔Adapting |and |accepting |something |you |cannot |change
Resilience |is |a |dynamic |process |in |which |the |goal |is |not |to |just |adapt, |but |to |overcome |an |adversity |
and |then |apply |this |sense |of |mastery |to |a |future |problem.
A |patient |who |has |been |sober |for |7 |days |struggles |with |cravings |and |is |fearful |of |relapse. |He |reports |
taking |naltrexone |daily. |What |agent |should |the |PMHNP |prescribe |to |help |reduce |his |cravings? |- |
✔✔Citalopram
A |61-year-old |married |woman |who |has |been |sober |from |alcohol |use |disorder |for |25 |years |relapsed |3 |
weeks |ago. |She |reports |drinking |1.5 |L |of |vodka |and |half |a |liter |of |scotch |daily. |On |exam |she |is |
emotionally |labile |ranging |from |irritable |to |crying, |slurring |her |words, |and |exhibits |a |bilateral |upper |
extremity |fine |tremor. |Vitals: |blood |pressure |150/100, |heart |rate |110, |respiratory |rate |18, |SpO2 |98% |
room |air. |She |reports |feeling |nauseous, |sweating, |and |moderately |anxious. |What |is |the |primary |
concern |for |this |patient? |- |✔✔Alcohol |withdrawal
Abrupt |cessation |of |daily |diazepam |40 |mg |use |after |2 |years |may |present |with |what? |- |✔✔Abrupt |
cessation |of |a |benzodiazepine |after |chronic |use |may |result |in |a |withdrawal |seizure, |delirium |or |other |
withdrawal |reaction |which |may |be |life |threatening.
Marjorie |decided |to |cancel |her |upcoming |appointment |with |her |PMHNP |and |avoid |potential |
treatment |out |of |fear |that |her |peers |may |find |out |and |think |she |is |"crazy". |This |behavior |is |best |
described |as |what? |- |✔✔Label |avoidance |occurs |when |one |avoids |treatment |out |of |fear |of |the |future
correct answers
Which |pupillary |changes |would |one |expect |to |observe |with |acute |stimulant |intoxication? |- |
✔✔Stimulant |intoxication |is |associated |with |pupillary |dilation. |Narcotic |drugs |are |associated |with |
pupil |constriction. |Unequal |pupil |sizes |(anisocoria) |are |associated |with |both |benign |and |life |
threatening |emergencies.
A |patient |who |has |been |stable |on |his |long-acting |injectable |medication |tells |the |PMHNP |that |he |
would |like |to |quit |smoking. |What |is |the |best |response? |- |✔✔"Let |us |make |an |appointment |as |your |
medication |dose |may |need |to |be |lowered.
What |would |a |COWS |score |of |16 |indicate? |- |✔✔The |COWS |or |Clinical |Opiate |Withdrawal |Scale |can |
range |from |0 |- |36+. |A |Score |of |5 |- |12 |would |be |considered |mild. |A |score |of |13 |- |24 |would |be |
considered |moderate. |A |score |of |25 |- |36 |would |be |considered |moderately |severe |and |a |score |of |
more |than |36 |would |indicate |severe |withdrawal.
Which |of |the |following |best |represents |the |theory |of |resilience |as |it |applies |to |psychiatric |advanced |
practice |nursing? |- |✔✔Adapting |and |accepting |something |you |cannot |change
Resilience |is |a |dynamic |process |in |which |the |goal |is |not |to |just |adapt, |but |to |overcome |an |adversity |
and |then |apply |this |sense |of |mastery |to |a |future |problem.
A |patient |who |has |been |sober |for |7 |days |struggles |with |cravings |and |is |fearful |of |relapse. |He |reports |
taking |naltrexone |daily. |What |agent |should |the |PMHNP |prescribe |to |help |reduce |his |cravings? |- |
✔✔Citalopram
A |61-year-old |married |woman |who |has |been |sober |from |alcohol |use |disorder |for |25 |years |relapsed |3 |
weeks |ago. |She |reports |drinking |1.5 |L |of |vodka |and |half |a |liter |of |scotch |daily. |On |exam |she |is |
emotionally |labile |ranging |from |irritable |to |crying, |slurring |her |words, |and |exhibits |a |bilateral |upper |
extremity |fine |tremor. |Vitals: |blood |pressure |150/100, |heart |rate |110, |respiratory |rate |18, |SpO2 |98% |
room |air. |She |reports |feeling |nauseous, |sweating, |and |moderately |anxious. |What |is |the |primary |
concern |for |this |patient? |- |✔✔Alcohol |withdrawal
Abrupt |cessation |of |daily |diazepam |40 |mg |use |after |2 |years |may |present |with |what? |- |✔✔Abrupt |
cessation |of |a |benzodiazepine |after |chronic |use |may |result |in |a |withdrawal |seizure, |delirium |or |other |
withdrawal |reaction |which |may |be |life |threatening.
Marjorie |decided |to |cancel |her |upcoming |appointment |with |her |PMHNP |and |avoid |potential |
treatment |out |of |fear |that |her |peers |may |find |out |and |think |she |is |"crazy". |This |behavior |is |best |
described |as |what? |- |✔✔Label |avoidance |occurs |when |one |avoids |treatment |out |of |fear |of |the |future
