NURS6630C Week 6 Midterm Exam 7.

NURS6630C Week 6 Midterm Exam 7. QuestionII1 1IIoutIIof II1IIpoints AIIpatientIIis IIprescribedIIfluoxetineIIbutIIis IIconcernedIIaboutIItheIIsideIIeffects. IIWhichIIstatement IIdemonstrates IIaccurateIIpatientIIteachingIIwhenIIdiscussingIItheIIsideIIeffectsIIassociatedIIwithIIfluoxetine? SelectedIIAnswer: C. II InductionIIof IImaniaIIis IIrare. • QuestionII2 1IIoutIIof II1IIpoints AIIpatientIIrecentlyIItransferredIIfollowingIIaIIsuicideIIattemptIIhas IIaIIhistoryIIof IIschizophrenia, IIdepression, IIandIIfibromyalgia. IIHeIIis IIcurrentlyIItakingIIAmitriptylineII(Elavil), IILisinopril, IIaspirin, IIand IIfluoxetineII(Prozac). IIWhenIIassessingIItheIIpsychiatricIImedicationsIIandIItheIIreasonIIforIIadmission, IIwhatIIwouldIIbeIItheIIbestIIcourseIIofIIactionIIforIItheIIPMHNPIIwithIIthisIIclient? SelectedIIAnswer: A. II ReviewIIAmitriptylineII(Elavil)IIlevel • QuestionII3 1IIoutIIof II1IIpoints WhichIIstatementIIaboutIIneurotransmitters IIandIImedications IIis IItrue? Selected IIAnswer: B. II Several IIpsychiatricIImedicationsIIhaveIIbeenIIdevelopedIIafterIIdiscoveriesIIof IIendogenousIIneurotransmittersIIandIIdefiningIItheirIIfunctionIIinIItheIIbrain. • QuestionII4 1IIoutIIof II1IIpoints AIIpatientIIis IIseekingIIpharmacological IItreatmentIIfor IIsmokingIIcessation. IIWhichIIdrugIIclassIIdoesIIthe IIPMHNPIIprescribeIItoIItheIIpatient? SelectedIIAnswer: D. II VareniclineII(Chantix) • QuestionII5 1IIoutIIof II1IIpoints AII25-year-oldIIfemaleIIpatientIIis IIbeingIIprescribedIImilnacipranIItoIItreatIIfibromyalgia, IIandIIexpresses IIconcernIIregardingII“howIIsheIIwill IIfeel IIandIIlook”IIfromIItakingIItheIImedicine. IIWhichIIstatement IIcorrectlyIIdescribes IItheIIsideIIeffects IIas IIaIIresultIIof IItakingIIthis IImedication? SelectedIIAnswer: D. II WeightIIgainIIis IIunusual. • QuestionII6 1IIoutIIof II1IIpoints WhichIIstatementIImadeIIbyIItheIIpatientIIsuggestsIItheIIpatientIIwill IIneedIItoIIbeIItreatedIIwith IIantipsychotics IIthatIItargetIIparanoidIIpsychosis? Selected IIAnswer: B. II “IIIhaveIItoIItalkIItoIItheIIPresidentIIbecauseIII’mIItheIIonlyIIoneIIwhoIIcanIIhelp IIhim.” • QuestionII7 1IIoutIIof II1IIpoints TheIIPMHNPIIis IIcaringIIfor IIaIIpatientIIwithIItheIIs IIgenotypeIIof IISERT. IIWhatIIdoes IItheIIPMHNPIIunderstand IIregardingIIthis IIpatient’s IIresponseIItoIIselectiveIIserotoninIIreuptakeIIinhibitorII(SSRI)/SNRIIItreatment? SelectedIIAnswer: D. II TheIIpatientIImayIIbeIIlessIIresponsiveIIor IItolerantIItoIItheIItreatment. • QuestionII8 1IIoutIIof II1IIpoints AIIpatientIIwhoIIis IIprescribedIIMAOIIinhibitors IIasks IIaboutIIwhether IIheIIcanIIcontinueIItaking IIpseudoephedrineIItoIIrelieveIIhisIIcongestion. IIWhichIIresponseIIbyIItheIIPMHNPIIindicates IIproper IIunderstandingIIof IIdrug-drugIIinteractions? II II SelectedIIAnswer: C. II “Decongestants IIshouldIIbeIIavoidedIIdueIItoIIriskIIof IIserotoninIIsyndrome.”II • QuestionII9 1IIoutIIof II1IIpoints Mrs. IISchwartzmanIIis IIaII52-year-oldIIpatientIIwithIIschizophreniaIIandIInoIIestablishedIIhistoryIIof IIdepression. IIWhenIImeetingIIwithIItheIIPMHNP, IIsheIIpresents IIwithIIapathyIIandIIwithdrawnIIsocial IIbehavior, IIandIIsheIIreports IIaIIloss IIof IIjoyIIfromIIenjoyableIIactivities. IIWhatIIdoes IItheIIPMHNPIIinfer IIfrom IIthis IIencounter IIwithIItheIIpatient? SelectedIIAnswer: B. II TheIIrecentIIchangeIIof IIaII2ndIIgenerationIIantipsychotic IItoIIaIIconventional IIone • QuestionII10 1IIoutIIof II1IIpoints TheIIPMHNPIIunderstandsIIthatIItheIIpotential IIof IIalcohol IIabuseIIinIItheIIanxiousIIclientIIis IIhigherIIforIItheIIfollowingIIreasons: SelectedIIAnswer: a. II Alcohol IIexerts IIan IIeffect IIon IIGABAA IIreceptors. • QuestionII11 1IIoutIIof II1IIpoints AII51-year-oldIIfemaleIIpatientIIpresents IIwithIIsymptoms IIof IIdepression, IIincludingIIlackIIof IImotivation IIandIIdifficultyIIsleeping. IIWhatIIriskIIfactors IIwouldIIincreaseIIher IIvulnerabilityIIfor IIaIIdiagnosis IIof IIdepression? SelectedIIAnswer: D. II AIIandIIC • QuestionII12 1IIoutIIof II1IIpoints AIIpatientIIwhoIIwas IIdiagnosedIIwithIIbipolar IIdisorder IIwithoutIImania, IIasks IItheIIPMHNPIIwhyIIheIIis IIbeingIIprescribedIIaIImoodIIstabilizer. IIWhatIIis IItheIIappropriateIIresponse? Selected IIAnswer: C. II MoodIIstabilizers IIcanIItargetIImaniaIIandIImaniaIIrelapseIIandIIalsoIIreduceIIsymptoms IIof IIbipolar IIdepressionIIandIIrelapseIIof IIbipolar IIdepressionIIsymptoms IIbutIInoIIdrugIIhas IIbeenIIprovenIItoIItargetIIall IIfour IItherapeutic IIactions.