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Exam (elaborations) NURS 6660 Widterm With Answers. Which of the following statements is true with respect to children who present to care acutely due to violent, enraged behavior? A. Under no circumstances should the PMHNP approach this patient. B. Prepubertal children typically require medication as they are too young to respond to conversation. C. Children who have a history of repeated, self-limited, severe tantrums require at least a 72-hour admission. D. If the child appears to...

Exam (elaborations) NURS 6660 Mid Term Jack is a 3-year-old boy who is being evaluated for developmental delay. The mental status examination is significant for an inability to stack two blocks or draw a circle. The PMHNP also appreciates the inability to attend to any task for more than a few seconds. These findings indicate an abnormality in: A . Social relatedness B . Thought process and content C . Motor behavior D . Judgment and insight C During the mental status exa...

Exam (elaborations) NURS 6660 Final Exam - Question The PMHNP is evaluating a 15-year-old male patient who has been referred by his courtappointed guardian. He has been in foster care for the last 6 years and maintained a steady pattern of low-level behavior problems such as skipping school and ignoring curfew. He is not openly defiant and has always been described as a ―loner.‖ He just does not follow most rules. During the mental status examination, the PMHNP notes that his expre...

Exam (elaborations) NURS 6660 2018 HESI EXIT V6 NEW 1. A parent tells the nurse that their 6 year-old child who normally enjoys school, has not been doing well since the grandmother died 2 months ago. Which statement most accurately describes thoughts on death and dying at this age? A) Death is personified as the bogeyman or devil B) Death is perceived as being irreversible C) The child feels guilty for the grandmother's death D) The child is worried that he, too, might die The correc...

Exam (elaborations) NURS 6660 2017 PN Hesi Exit V3 GRADED A 1) The LPN/LVN receives the client's next scheduled bag of TPN labeled with the additive NPH insulin. Which action should the nurse implement? A.Hang the solution at the current rate. B.Refrigerate the solution until needed. C.Prepare the solution with new tubing. D.Return the solution to the pharmacy. Correct Answer: D Return the solution to the pharmacy. 2) A male client has just undergone a laryngectomy and has a cuffed tra...

Exam (elaborations) NURS 6660 2017 PN Hesi Exit V2 GRADED A 2. Remove the telemetry equipment. 3. Encourage the client to cough and deep breathe. 4. Premedicate the client with an analgesic before ambulating. Correct Answer: 4. Premedicate the client with an analgesic before ambulating. 2) A client is wearing a continuous cardiac monitor, which begins to alarm at the nurse's station. The nurse sees no electrocardiographic complexes on the screen. The nurse should do which first? 1. C...

Exam (elaborations) NURS 6650 Mid-Term

Exam (elaborations) NURS 6640 FINAL Exam A PMHNP is using interpersonal psychotherapy with a 40-year-old patient having relationship problems with his extended family. The patient shares that he has been using the strategies they identified to reduce his distress, but they have not been helping. He is frustrated and is considering stopping treatment. What would be an appropriate step by the PMHNP? Selected Answer: A. Encourage the patient to continue treatment by using alternative st...

Exam (elaborations) NURS 6630 Psychopharmacology Midterm Exam What is the strongest established risk factor for bipolar disorder? Family History Response Feedback: “The strongest established risk factor for BPD is a family history of BPD.” • Question 2 Which of the following medications are known as selective serotonin re-uptake inhibitors (SSRIs)? i. Nortriptyline ii. Citalopram iii. Duloxetine iv. Fluoxetine v. Venlafaxine vi. • Question 3 Which disease state of a non-adh...

Exam (elaborations) NURS 6521 MID TERM EXAM. A Nurse Practitioner explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for Selected Answer: nitrate tolerance.  Question 2 1 out of 1 points Mr. Nguyen, age 71, will soon be discharged home from the hospital after a successful coronary artery bypass graft (CABG). During patient education about his drug regimen, Mr. Nguyen's...

Exam (elaborations) NURS 6630 Midterm. 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 dys-functioning 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 neurotransm...

Exam (elaborations) NURS 6630 Midterm Exam During assessment a patient states “Why are you asking me about my heart, I am here for my head”, the PMHNP’s best response is: Selected Answer: D. “Anxiety can cause cortisol levels to increase and when this happens frequently it puts you at risk for comorbidities such as type 2 diabetes.”  Question 2 1 out of 1 points During gene expression, what must occur prior to a gene being expressed? Selected Answers: A. Transcrip...

Exam (elaborations) NURS 6630 Final Exam. 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? Selected Answer: D. All of the above  Question 2 0 out of 1 points An elderly woman with a history of Alzheimer’s disease, coronary artery disease, and myocardial infarction had a fall at home 3 months ago that resulted in her receiving an open reduction internal fixation. While assessing this p...

Exam (elaborations) NURS 6630 Final Exam with Answers The parents of a 10 year old girl diagnosed with ADHD ask if the PMHNP can prescribe something to help their daughter’s ADHD that is not a stimulant. Which of the following responses is correct? Selected Answer: c. "I can prescribe atomoxetine for your daughter. This medication help ADHD symptoms and is not considered a stimulant."  Question 2 1 out of 1 points A patient with chronic insomnia asks the PMHNP if they can f...

Exam (elaborations) NURS 6630 Final Exam Walden University What will the PMHNP most likely prescribe to a patient with psychotic aggression who needs to manage the top-down cortical control and the excessive drive from striatal hyperactivity? A. Stimulants B. Antidepressants C. Antipsychotics D. SSRIs QUESTION 2 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, ...

Exam (elaborations) NURS 6630 Advanced Health Assessment FINAL EXAM When completing this exam, did you comply with Walden University's Code of Conduct including the expectations for academic integrity? Selected Answer: Ye s  Question 2 1 out of 1 points Breath sounds normally heard over the trachea are called: Selected Answer: bronchi al.  Question 3 1 out of 1 points A 23-year-old white woman has come to the clinic because she has missed two menstrual periods. She s...

Exam (elaborations) NURS 6560 FINAL EXAM The AGACNP is reviewing a chart of a head-injured patient. Which of the following would alert the AGACNP for the possibility that the patient is over hydrated, thereby increasing the risk for increased intracranial pressure? A. BUN = 10 B. Shift output = 800 ml, shift input = 825 ml Unchanged weight C. Serum osmolality = 260 2. QUESTION/ANSWER: A patient who has been in the intensive care unit for 17 days develops hyponatremic hyperosmolali...

Exam (elaborations) NURS 6551 Week 11 SOAP Note Walden University History of Present Illness (HPI): 33-year-old African American female is seen in office with a complaint of abnormal vaginal bleeding for two weeks. The patient states that initially the bleeding was mild but now alternates between moderate to heavy bleeding. The patient denies any factors that alleviates or worsens the bleeding. She also denies any associated factors or manifestations. Medications: Protonix 40mg daily,...

Exam (elaborations) NURS 6541 FINAL EXAM When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answer: Yes  Question 2 1 out of 1 points Antibiotic therapy is one of the mainstays of treatment for which of the following causes of wheezing? Selected Answer: c. Epiglottitis  Question 3 1 out of 1 points NURS 6541 FINAL EXAM Dave, age 17, has gynecomastia. You should also assess him ...

Exam (elaborations) NURS 6531 Spring 2019 Midterms A patient has experienced nausea and vomiting, headache, malaise, low grade fever, abdominal cramps, and watery diarrhea for 72 hours. His white count is elevated with a shift to the left. He is requesting medication for diarrhea. What is the most appropriate response? **The main focus of treatment is to prevent dehydration by drinking plenty of fluids. In severe cases, hospitalization and intravenous fluids are necessary. Over-theco...