(Summer 2021): 100+ Practice
Questions & Answers
This comprehensive practice exam is designed to help you
prepare for the NURS 6630N-5 Week 11 Final Exam. The
questions are organized by topic and include rationales to
help you master the material.
EXAM OVERVIEW
Detail Information
Course NURS 6630N-5 /
DNRS-6630-5
Approaches to
Treatment
Institutio Walden University
n
,Exam Week 11 Final
Exam (Summer
2021)
Format Multiple Choice,
Scenario-Based
Questions
Topics Psychopharmacol
ogy, Dementia,
Substance Use
Disorders, ADHD,
Pain Management
SECTION 1: DEMENTIA & NEUROCOGNITIVE
DISORDERS
Question 1
L. J. is a 55-year-old male who attended a funeral and found
himself laughing during the service, but later that evening he
was irritated with himself for what he had done. His wife said
this was abnormal behavior and took him to his doctor to be
evaluated. After L. J.'s MRI was reviewed, he was diagnosed
with frontotemporal dementia. Which medication is
recommended to help L. J. with his emotional outbursts?
,A. Memantine
B. Escitalopram
C. Donepezil
D. Risperidone
Answer: B. Escitalopram
Rationale: The behavioral features of frontotemporal
dementia are sometimes helped by SSRIs (Selective Serotonin
Reuptake Inhibitors), and these are the best-studied
treatments for these disorders. SSRIs like escitalopram can
help manage emotional outbursts and behavioral symptoms.
Question 2
Of the following neurotransmitters, which ones are known to
be severely disrupted in the disease Dementia with Lewy
Bodies?
I. Acetylcholine
II. Glutamate
III. Dopamine
IV. GABA
V. Norepinephrine
A. II only
B. III only
, C. I and II
D. I and III
Answer: D. I and III
Rationale: In Dementia with Lewy Bodies, both the cholinergic
(acetylcholine) and dopaminergic (dopamine)
neurotransmitter systems are severely disrupted. This is a key
distinguishing feature of the disease pathophysiology.
Question 3
T. C. is an 88-year-old male who is diagnosed at your clinic
with Dementia with Lewy Bodies. He currently has some
debilitating gait issues, which makes his quality of life very
poor. His memory is still intact with minor deficits. Which
medication would likely benefit T. C. as his initial therapy?
A. Levodopa/carbidopa
B. Galantamine
C. Memantine
D. Benztropine
Answer: A. Levodopa/carbidopa
Rationale: Low dosages of levodopa/carbidopa (dopamine
replacement) are sometimes helpful for the motor symptoms
of Dementia with Lewy Bodies. Higher dosages of dopamine