NURS6630 Final Exam (2025) Verified Questions and Answers | Graded A+

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NURS6630 Final Exam (2025)
100%VERIFIED |complete
QUESTIONS AND ANSWERS |
GRADED A+.

What is the strongest established risk factor for bipolar disorder? -
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..........ANSWER.......Family history
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which of the following medications are known as selective serotoni
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n re-uptake inibitors (SSRIs)? - ..........ANSWER.......Nortriptyline
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Citalopram
Duloxetine
fluoxetine
venlafaxine


Which disease state o a non-
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adherent patient is at greater risk for substance use violence, and vi
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ctimization as well as worse overall quality of life? -
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..........ANSWER.......Schizophrenia
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Patient is a 72 year old male with a past medical history significant f
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or the atrial fibrillation and COPD with a new diagnosis of major de
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pression disorder. Based on his comorbid conditions, what antidep
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ressant would you recommend as first-line? -
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..........ANSWER.......not TCA due to fib and age, not ADHD med
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which of the following is an appropriate strategy for managing treat
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ment resistant depression - ..........ANSWER.......SSRI and SNRI
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which of the following medications is best to AVOID in maintenanc
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e treatment of bipolar disorder and why -
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..........ANSWER.......antidepressants might contribute to an increa
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se in mood episode freq1uency
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An 8-year- p



old patient presents with severe hyperactivity, described as "ants in
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his pants." Based on self-
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report from the patient, his parents, and his teacher; attention defic
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it hyperactivity disorder (ADHD) is suspected. What medication is t
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he PMNHP most likely to prescribe? - ..........ANSWER.......ANS: b.
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Methylphenidate (Ritalin, Concerta) p p




Kevin is an adolescent who has been diagnosed with kleptomania.
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His parents are interested in seeking pharmacological treatment.
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What does the PMHNP tell the parents regarding his treatment opti
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ons? - ..........ANSWER.......ANS: d.
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"Naltrexone may be an appropriate option to discuss." p p p p p p p

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Which of the following substances has the highest probability of bec
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oming dependent after a single use? - ..........ANSWER.......ANS: c.
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Nicotine


The nursing staff asks the PMHNP for additional education regardi
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ng the treatment of agitation in dementia patients. Which of the foll
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owing is correct? - ..........ANSWER.......ANS: c.
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The nurse should attempt to determine how the patient's environm
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ent may be impacting the patient's mood.
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A patient on chronic opioids is currently on oxycodone ER (OxyCon
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tin). The PMHNP is consulted to treat underlying depression. Unde
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r which circumstance should the PMHNP order naloxone (NARCA
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N)? - ..........ANSWER.......ANS: c.
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The patient is somnolent and has 7 respirations per minute.
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A patient with chronic insomnia asks the PMHNP if they can first tr
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y an over the-
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counter (OTC) medication before one that needs to be prescribed to
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help the patient sleep. Which is the best response by the PMHNP? -
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..........ANSWER.......ANS: a.
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"You can get melatonin over the counter, which will help with sleep
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onset."


The PMHNP is caring for a patient who experiences too much overs
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timulation and anxiety during daytime hours. The patient agrees to
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a pharmacological treatment but states, "I don't want to feel sedate
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d or drowsy from the medicine." Which decision made by the PMH
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NP demonstrates proper knowledge of this patient's symptoms and
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appropriate treatment options? - ..........ANSWER.......ANS: b.
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Avoiding prescribing the patient a drug that blocks H1 receptors
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Which of these statements is correct? - ..........ANSWER.......ANS: d.
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Sedation is unusual with aripiprazole (ABILIFY)
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The PMHNP is caring for a patient who openly admitted to drinkin
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g a quart of vodka daily. Prior to prescribing this patient disulfiram
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(Antabuse), it is important for the PMHNP to: - p p p p p p p p



..........ANSWER.......ANS: d.
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Evaluate the patient's willingness to abstain from alcohol
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Mr. Peterson is meeting with the PMHNP to discuss healthier dieta
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ry habits. With a BMI of 33, Mr. Peterson is obese and needs to mod
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ify his food intake. "Sometimes I think I'm addicted to food the way
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some people are addicted to drugs," he says. Which statement best
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describes the neurobiological parallels between food and drug addi
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ction? - ..........ANSWER.......ANS: d.
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There is decreased activation of the prefrontal cortex.
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An 18-year- p



old female with a history of frequent headaches and a mood disorde
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r is prescribed topiramate (Topamax), 25 mg by mouth daily. The P
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