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NURS NRNP 6640: VERIFIED Review Test Submission: Week 11 Final Exam WITH 100% ACCURATE RATIONALE. SPRING QTR. GRADED A+

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Linda is a 65-year-old patient who has completed initial treatment for alcohol addiction and anxiety problems. She is motivated to continue her treatment gains and have a healthy lifestyle. How would the PMHNP apply a mindfulness approach to this case? Selected Answer: A. Help Linda develop an awareness of triggers in order to have greater control over physical and emotional responses A PMHNP is assessing a 60-year-old patient named Carlos. He has severe PTSD and mild substance abuse issues. The most appropriate setting to treat Carlos would be a . Selected Answer: D. mental health system of care The PMHNP is interviewing a patient with a history of substance abuse. He has attempted to stop abusing drugs three times before. He states to the PMHNP, “I just cannot change. How can you help me?!” As it applies to change, the PMHNP understands the principle of evocation to mean:

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NURS 6630 Review Test Submission:Week 11
Final Exam 2022/2023(June-August
session).With 100% Correct Responses
User
Course NURS-6630C-8/NURS-6630N-8-Approaches to Treatment2023
Test Week 11 Final Exam
Started :
Submitted:
Status
Attempt 74 out of 75 points
Score
Time Elapsed 2 hours, 0 minute out of 2 hours
Results Submitted Responses
Displayed
• Quiz 1
1 out of 1 points

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?


Selected c.
Respons Naltrexone
e: (VIVITROL)

• Quiz 2
1 out of 1 points

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.
Response: 1

,Quiz 3
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.


Selected d.
Respons Norepinephrine / norepinephrine-
e: dopamine

• Quiz 4
1 out of 1 points

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?


Selected d.
Respons Atomoxetine
e: (Strattera)

• Quiz 5
1 out of 1 points

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?


Selected b.
Respons Triazolam
e: (Halcion)

• Quiz 6
1 out of 1 points

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?


Selected d.
Respons Give the medicine at night and lower
e: the dose

• Quiz 7
1 out of 1 points

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?


Selected b.
Respons “I am unable to fall asleep at
e: night.”

• Quiz 8
1 out of 1 points

Alcohol enhances inhibition at synapses and reduces excitation at
synapses.


Selected c.
Respons Dopeminergic /
e: Glugamate

• Quiz 9
1 out of 1 points

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?


Selected b.
Respons Donepezil increases the activity of acetylcholinesterase in the peripheral
e: acetylcholine neurons and the decline in acetylcholine causes increased
side effects.

• Quiz 10
1 out of 1 points

Which of the following anticonvulsants increases serotonergic neurotransmission and
GABAergic transmission, while decreasing glutamatergic neurotransmission?


Selected a.
Respons Topiramate
e: (TOPAMAX)

• Quiz 11
1 out of 1 points

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?
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