Nurs 6630 Final Exam 3

Question I1 1 Iout Iof I1 Ipoints Why Idoes Ithe IPMHNP Iavoid Iprescribing Iclozapine I(Clozaril) Ias Ia Ifirst-line Itreatment Ito Ithe Ipatient Iwith Ipsychosis Iand Iaggression? Selected IAnswer: A. I There Iis Itoo Ihigh Ia Irisk Iof Iserious Iadverse Iside Ieffects. • Question I2 1 Iout Iof I1 Ipoints A I75-year-old Imale Ipatient Idiagnosed Iwith IAlzheimer’s Idisease Ipresents Iwith Iagitation Iand Iaggressive Ibehavior. IThe IPMHNP Idetermines Iwhich Iof Ithe Ifollowing Ito Ibe Ithe Ibest Itreatment Ioption? Selected IAnswer: D. I Citalopram I(Celexa) Ior IEscitalopram I(Lexapro) • Question I3 1 Iout Iof I1 Ipoints A Igroup Iof Inursing Istudents Iseeks Ifurther Iclarification Ifrom Ithe IPMHNP Ion Ihow Icholinesterase Iinhibitors Iare Ibeneficial Ifor IAlzheimer’s Idisease Ipatients. IWhat Iis Ithe Iappropriate Iresponse? Selected IAnswer: D. I Both I“A” I& I“C.” A. IAcetylcholine I(ACh) Idestruction Iis Iinhibited Iby Iblocking Ithe Ienzyme Iacetylcholinesterase. IB. IEffectiveness Iof Ithese Iagents Ioccurs Iin Iall Istages Iof IAlzheimer’s Idisease. IC. IBy Iincreasing Iacetylcholine, Ithe Idecline Iin Isome Ipatients Imay Ibe Iless Irapid. • Question I4 1 Iout Iof I1 Ipoints The IPMHNP Iunderstands Ithat Islow-dose Iextended Irelease Istimulants Iare Imost Iappropriate Ifor Iwhich Ipatient Iwith IADHD? Selected IAnswer: A. I 8-year-old Ipatient