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– NURS 6630N Midterm Exam 7.pdf

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– NURS 6630N Midterm Exam

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Course NURS-6630C-7/NURS-6630N-7-Approaches Ito ITreatment
Test Week I11 IFinal IExam
Status Completed
Time IElapsed 1 Ihour, I45 Iminutes Iout Iof I2 Ihours
Results IDisplayed Submitted IAnswers
• Question 1 I

1 Iout Iof I1 Ipoints
The Iparents Iof Ia I10 Iyear Iold Igirl Idiagnosed Iwith IADHD Iask Iif Ithe IPMHNP Ican Iprescribe Isomething Ito Ihelp
Itheir Idaughter’s IADHD Ithat Iis Inot Ia Istimulant. IWhich Iof Ithe Ifollowing Iresponses Iis Icorrect?




Selected c. I
IAnswer: "I Ican Iprescribe Iatomoxetine Ifor Iyour Idaughter. IThis Imedication Ihelp IADHD Isymptoms
Iand Iis Inot Iconsidered Ia Istimulant."


• Question 2 I

1 Iout Iof I1 Ipoints
A Ipatient Iwith Ichronic Iinsomnia Iasks Ithe IPMHNP Iif Ithey Ican Ifirst Itry Ian Iover-the-counter I(OTC)
Imedication Ibefore Ione Ithat I needs Ito Ibe Iprescribed Ito Ihelp Ithe Ipatient Isleep. IWhich Iis Ithe Ibest Iresponse

Iby Ithe IPMHNP?




Selected IAnswer: d. I
“You Ican Iget Imelatonin Iover Ithe Icounter, Iwhich Iwill Ihelp Iwith Isleep Ionset.”
• Question 3 I

1 Ipoints
Methylphenidate, Iamphetamine, Iand Icocaine Iare Ialike Ibecause Iall Ithree I_____________________.

Selected IAnswer: c. I
act Ias Idepressants.
• Question 4 I




An Ielderly Iwoman Iwith Ia Ihistory Iof IAlzheimer’s Idisease, Icoronary Iartery Idisease, Iand Imyocardial
Iinfarction Ihad Ia Ifall Iat Ihome I3 Imonths Iago Ithat Iresulted Iin Iher Ireceiving Ian Iopen Ireduction Iinternal

Ifixation. IWhile Iassessing Ithis Ipatient, Ithe IPMHNP Iis Imade Iaware Ithat Ithe Ipatient Icontinues Ito Iexperience

Imild Ito Imoderate Ipain. IWhat Iis Ithe IPMHNP Imost Ilikely Ito Ido?




Selected IAnswer: b. I
Order Ian IX-ray Ibecause Iit Iis Ipossible Ithat Ishe Idislocated Iher Ihip.
• Question 5 I

1 Iout Iof I1 Ipoints
The IPMHNP Iis Icaring Ifor Ia Ipatient Iwho Iopenly Iadmitted Ito Idrinking Ia Iquart Iof Ivodka Idaily. IPrior Ito
Iprescribing Ithis Ipatient Idisulfiram I(Antabuse), Iit Iis Iimportant Ifor Ithe IPMHNP Ito:


Selected IAnswer: c. I
Evaluate Ithe Ipatient’s Iwillingness Ito Iabstain Ifrom Ialcohol
• Question 6 I

1 Ipoints

, Insomnia Iis Icaused Iby Iexcessive Inighttime Iarousal. IThe IPMHNP Iis Ilikely Ito Iprescribe Iwhich Iof Ithe
Ifollowing Ito Itreat Iinsomnia?




Selected IAnswer: d. I
A Inegative Iallosteric Imodulator Iof IGABA-A Ireceptors
• Question 7 I

1 Iout Iof I1 Ipoints
The Inursing Istaff Iasks Ithe IPMHNP Ifor Iadditional Ieducation Iregarding Ithe Itreatment Iof Iagitation Iin
Idementia Ipatients. IWhich Iof Ithe Ifollowing Iis Icorrect?




Selected b. I
IAnswer: The Inurse Ishould Iattempt Ito Idetermine Ihow Ithe Ipatient's Ienvironment Imay Ibe
Iimpacting Ithe Ipatient's Imood.


• Question 8 I

1 Iout Iof I1 Ipoints
The IPMHNP Iis Ievaluating Ia I30-year-old Ifemale Ipatient Iwho Istates Ithat Ishe Inotices Ipain Iand Ia Idrastic
Ichange Iin Imood Ibefore Ithe Istart Iof Iher Imenstrual Icycle. IThe Ipatient Istates Ithat Ishe Ihas Itried Idiet Iand

Ilifestyle Ichanges Ibut Inothing Ihas Iworked. IWhat Iwill Ithe IPMHNP Imost Ilikely Ido?




Selected IAnswer: d. I
Prescribe Idesvenlafaxine I(Pristiq), I50 Img Idaily
• Question 9 I

1 Iout Iof I1 Ipoints
The IPMHNP Iis Icaring Ifor Ia Ipatient Iwho Ireports Iexcessive Iarousal Iat Inighttime. IWhat Icould Ithe IPMHNP Iuse
Ifor Ia Itime-limited Iduration I to Ishift Ithe Ipatient’s Ibrain Ifrom Ia Ihyperactive Istate Ito Ia Isleep Istate? I I




Selected IAnswer: b. I
Benzodiazepines
• Question 10 I

1 Iout Iof I1 Ipoints
Which Iof Ithese Icharacteristics Idoes INOT Imeet Ithe Icriteria Ifor Iprobably IAlzheimer's Idementia?

Selected IAnswer: b. I
Sudden Ionset
• Question 11 I

0 Iout Iof I1 Ipoints
A Ipatient Iwith Ia Inew Idiagnosis Iof Idiabetic Iperipheral Ineuropathy Iis Iswitched Ifrom Isertraline I(ZOLOFT) Ito
Iduloxetine I(CYMBALTA). IThe Ipatient Iasks Iwhy Ithey Iare Iswitching Itreatment. IWhat Iis Ithe Ibest Iresponse?




Selected c. I
IAnswer: Sertraline Iincreases Inorepinephrine Iand Iserotonin. IYou Ineed Ia Imedication Ithat Ionly
Iincreases Iserotonin.




• Question 12 I

1 Iout Iof I1 Ipoints

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