NURS 6630 MIDTERM EXAM 3 GRADED LATEST A+

1 out of 1 points When an unstable patient asks why it is necessary to add medications to his current regimen, the PMHNP’s best response would be: Selected Answer: C. “Many psychiatric illnesses involve several dysfunctioning neurotransmitter systems in the brain. Often, a single medication may only effect one or two of the dys-functioning systems. The addition of another medication can work with the current medication in stabilizing multiple neurotransmitter systems and help to alleviate your symptoms.” 1 out of 1 points The PMHNP is meeting with a new mother who would like to begin taking medication again to treat her bipolar depression; she is breastfeeding her 2- month old daughter. The PMHNP recognizes that which of the following medications is contraindicated for this patient? C. Lithium (Lithobid) 1 out of 1 points The PMHNP assesses a 10-year old male child in the ER and suspects mania. Which of the following symptoms and recommendations for follow-up evaluation are appropriate? Selected Answer: B. Irritability, violent outbursts, hyperactivity; the child should also be evaluated further for ADHD 1 out of 1 points Mr. Gordon is a middle-aged client who was started on antidepressant monotherapy for depression. After beginning this medication, the PMHNP noticed that this client seemed to swing into a hypomanic episode. What can the PMHNP infer from this behavior change? Selected Answer: A. This client may have Bipolar III disorder1 out of 1 points A patient presents with frequent episodes of mania. Which statement describes an appropriate treatment approach for this patient? Selected Answer: B. “The patient could benefit from an anticonvulsant.” 1 out of 1 points The student inquires about antipsychotic medications. Which response by the PMHNP describes the factors that contribute to reduced risk of extrapyramidal symptoms (EPS) for patients who take antipsychotics? Selected Answer: B. Those that are potent D2 antagonists with 5HT2A antagonism properties 1 out of 1 points A patient is prescribed escitalopram (Lexapro) for his anxiety. When he asks why he was given an antidepressant the PMHNP’s best response is: Selected Answer: A. “SSRIs are used to treat anxiety because serotonin has been proven to help with feelings of fear and worry.” The patient had anxiety disorder which is as a result of increased release of hormones that elevate moods or emotions. To reduced the neuronal activities that lead to anxiety a group of drugs that inhibit this pathway are administered. Such are called antidepressants an example isescitalopram (Lexapro). Question 6 1 out of 1 points After ordering flumazenil (Rumazicon) the PMHNP cautions the staff to monitor for which possible effect?Selected Answer: ??? D. All of the above ??? c. Sweating and nausea hypertension palpitations dysrhythmias seizures vertigo nausea vomiting blurred vision flushing from cutaneous vasodilation Question 7 1 out of 1 points The PMHNP is caring for a patient who is taking antipsychotics heard the psychiatrist tell the patient that the patient would be placed on a different antipsychotic agent called an atypical antipsychotic. What neurotransmitters will this new medication work on? Selected Answer: A. dopamine and serotonin !!!WRONG, NO NO!!! Question 28 0 out of 1 points