NURS 6630N Midterm Exam (3 Versions)-NURS 6630 - Psychopharmacologic Approaches to Treatment of Psychopathology. Questions with 100% correct and verified Answers with rationale. Latest 2024 update, A+ GRADE GUARANTEED.

• Quiz: 1 1out of 1 point A patient diagnosed with obsessive compulsive disorder has been taking a high-dose SSRI and is participating in therapy twice a week. He reports an inability to carry out responsibilities due to consistent interferences of his obsessions and compulsions. The PMHNP knows that the next step would be which of the following? The collect answer: B. Decrease his SSRI and add an MAOI. • Quiz: 2 Which statement best describes a pharmacological approach to treating patients for impulsive aggression? The collect answer: B. Atypical antipsychotics can increase subcortical dopaminergic stimulation. • Quiz: 3 1 out of 1 point The PMHNP evaluates a patient presenting with symptoms of dementia. Before the PMHNP considers treatment options, the patient must be assessed for other possible causes of dementia. Which of the following answers addresses both possible other causes of dementia and a rational treatment option for Dementia? The collect answer: B. Possible other causes: hypothyroidism, adrenal insufficiency, hyperparathyroidism Possible treatment option: donepezil • Quiz: 4 1 out of 1 points An 80-year-old female patient diagnosed with Stage II Alzheimer’s has a history of irritable bowel syndrome. Which cholinergic drug may be the best choice for treatment given the patient’s gastrointestinal problems? The collect answer: A. Donepezil (Aricept) • Quiz: 5 0 out of 1 points The PMHNP is teaching parents about their child’s new prescription for Ritalin. What will the PMHNP include in the teaching? The collect answer: D. There will be continued effects into the evening. • Quiz: 6 1 out of 1 points The PMHNP prescribes gabapentin (Neurontin) for a patient’s chronic pain. How does the PMHNP anticipate the drug to work? The collect answer: A. It will bind to the alpha-2-delta ligand subunit of voltage-sensitive calcium channels. • Quiz: 7 1 out of 1 points An opioid-naive patient is taking MS Contin (morphine sulfate) to treat his pain that is secondary to cancer. Under what circumstances would the PMHNP order naloxone (Narcan) IM/SQ? The collect answer: D. The patient’s vital signs are 98.4F temp, 88 pulse, 104/62 blood pressure, and 8 respirations. • Quiz: 8 1 out of 1 points A patient is prescribed D-methylphenidate, 10-mg extended-release capsules. What should the PMHNP include when discussing the side effects with the patient? The collect answer: C. The medication can affect your blood pressure. • Quiz: 9 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? The collect answer: B. “I am unable to fall asleep at night.” • Quiz: 10 1 out of 1 points A patient recovering from shingles presents with tenderness and sensitivity to the upper back. He states it is bothersome to put a shirt on most days. This patient has end stage renal disease (ESRD) and is scheduled to have hemodialysis tomorrow but states that he does not know how he can lie in a recliner for 3 hours feeling this uncomfortable. What will be the PMHNP’s priority? The collect answer: C. Prescribe lidocaine 5% • Quiz: 11 0 out of 1 points A 63-year-old patient presents with the following symptoms. The PMHNP determines which set of symptoms warrant prescribing a medication? Select the answer that is matched with an appropriate treatment. The collect answer: C. Reduced ability to find the correct word is most problematic, and an appropriate treatment option would be meantime. • Quiz: 12 1 out of 1 points The PMHNP is caring for a patient who openly admitted to drinking a quart of vodka daily. Prior to prescribing this patient disulfiram (Antabuse), it is important for the PMHNP to: The collect answer: A. Evaluate the patient’s willingness to abstain from alcohol • Quiz: 13 0 out of 1 points A PMHNP supervisor is discussing with a nursing student how stimulants and noradrenergic agents assist with ADHD symptoms. What is the appropriate response? The collect answer: A. They both increase signal strength output dopamine (DA) and norepinephrine (NE). • Quiz: 14 1 out of 1 points The PMHNP is assessing a female patient who has been taking lamotrigine (Lamictal) for migraine prophylaxis. After discovering that the patient has reached the maximum dose of this medication, the PMHNP decides to change the patient’s medication to zonisamide (Zonegran). In addition to evaluating this patient’s day-to-day activities, what should the PMHNP ensure that this patient understands? The collect answer: D. This medication has unwanted side effects such as sedation, lack of coordination, and drowsiness. • Quiz: 15 0 out of 0 points When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? The collect answer: Yes • Quiz: 16 1 out of 1 points The PMHNP is teaching a patient with a sleep disorder about taking diphenhydramine (Benadryl). The patient is concerned about the side effects of the drug. What can the PMHNP teach the patient about this treatment approach? The collect answer: B. “It can cause blurred vision.” • Quiz: 17 1 out of 1 points The PMHNP is performing a quality assurance peer review of the chart of another PMHNP. Upon review, the PMHNP reviews the chart of an older adult patient in long-term care facility who has chronic insomnia. The chart indicates that the patient has been receiving hypnotics on a nightly basis. What does the PMHNP find problematic about this documentation? The collect answer: B. Hypnotics have prolonged half-lives that can cause drug accumulation in the elderly. • Quiz: 18 1 out of 1 points A 14-year-old patient is prescribed Strattera and asks when the medicine should be taken. What does the PMHNP understand regarding the drug’s dosing profile? The collect answer: B. The patient will have one or two doses a day. • Quiz: 19 1 out of 1 points The PMHNP is assessing a patient who presents with elevated levels of brain amyloid as noted by positron emission tomography (PET). What other factors will the PMHNP consider before prescribing medication for this patient, and what medication would the PMHNP want to avoid given these other factors? The collect answer: D. Both “A” & “B” • Quiz: 20 1 out of 1 points The PMHNP is meeting with the parents of an 8-year-old patient who is receiving an initial prescription for D-amphetamine. The PMHNP demonstrates appropriate prescribing practices when she prescribes the following dose: The collect answer: A. The child will be prescribed 2.5 mg. • Quiz: 21 1 out of 1 points A 9-year-old female patient presents with symptoms of both attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder. In evaluating her symptoms, the PMHNP determines that which of the following medications may be beneficial in augmenting stimulant medication? The collect answer: C. Guanfacine ER (Intuniv) • Quiz: 22 0 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? The collect answer: C. Temazepam (Restoril) • Quiz: 23 1 out of 1 points A 71-year-old male patient comes to an appointment with his 65-year- old wife. They are both having concerns related to her memory and ability to recognize faces. The PMNHP is considering prescribing memantine (Namenda) based on the following symptoms: The collect answer: C. Amnesia, apraxia, agnosia • Quiz: 24 1 out of 1 points The PMHNP is assessing a patient who has expressed suicidal intent and is now stating that he is hearing voices and sees people chasing him. The PMHNP identifies these symptoms to be associated with which of the following? The collect answer: C. “Bath salt” intoxication • Quiz: 25 1 out of 1 points The PMHNP is caring for a patient who reports excessive arousal at nighttime. What could the PMHNP use for a time-limited duration to shift the patient’s brain from a hyperactive state to a sleep state? The collect answer: B. Benzodiazepines • Quiz: 26 1 out of 1 points The PMHNP is selecting a medication treatment option for a patient who is exhibiting psychotic behaviors with poor impulse control and aggression. Of the available treatments, which can help temper some of the adverse effects or symptoms that are normally caused by D2 antagonism? The collect answer: D. Second-generation, atypical antipsychotics • Quiz: 27 1 out of 1 points Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What does the PMHNP prescribe for Mrs. Rosen to improve this condition? The collect answer: D. All of the above • Quiz: 28 1 out of 1 points A patient with chronic back pain has been prescribed a serotonin- norepinephrine reuptake inhibitor (SNRI). How does the PMHNP describe the action of SNRIs on the inhibition of pain to the patient? The collect answer: A. “The SNRI can increase noradrenergic neurotransmission in the descending spinal pathway to the dorsal horn.” • Quiz: 29 1 out of 1 points An 18-year-old female with a history of frequent headaches and a mood disorder is prescribed topiramate (Topamax), 25 mg by mouth daily. The PMHNP understands that this medication is effective in treating which condition(s) in this patient? The collect answer: A. Migraines • Quiz: 30 1 out of 1 points Naltrexone (Revia), an opioid antagonist, is a medication that is used for which of the following conditions? The collect answer: A. Alcoholism