NURS 6630 Review Test Submission Final Exam Week 11
8/13/2020
Review Test Submission: Week 11 Final Exam – NURS-6630N-... frederick Temenu
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NURS-6630N-4/NURS-6630F-4/NURS-6630C-4-Approaches to Treatment2020 Summer Qtr 06/01-08/23-PT27
Assignments Review Test Submission: Week 11 Final Exam Survey A. Standard Course Evaluation has been made available to
this course. Only one submission will be accepted per respondent.
Review Test Submission: Week 11 Final Exam
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NURS-6630N-4/NURS-6630F-4/NURS-6630C-4-Approaches to Treatment2020 Summer Qtr 06/01-08/23-PT27 Week 11 Final Exam
8/13/20 3:09 AM
Submitted 8/13/20 4:57 AM Due Date
8/17/20 1:59 AM Status Attempt
Score Time
Elapsed Results
Completed 62 out of 75 points 1 hour, 48 minutes out of 2 hours Submitted Answers
Displayed Question 1
1 out of 1 points
Antihistamines may cause side eOects such as blurred vision, constipation, memory problems, and dry mouth. This is due to the _______________ eGects of antihistamines.
Selected Answer: a. Anticholinergic https://class.waldenu.edu/webapps/assessment/review/review.jsp?attempt_id=_64431576_1&course_id=_16693017_1&content_id=_55901171_1&r… 1/15 Take Survey8/13/2020
Review Test Submission: Week 11 Final Exam – NURS-6630N-...
Question 2
1 out of 1 points
A 26-year-old female patient with nicotine dependence and a history of anxiety presents with
symptoms of attention de cit hyperactivity disorder (ADHD). Based on the assessment, what
does the PMHNP consider?
Selected
Answer:
d.
ADHD is often not the focus of treatment in adults with comorbid
conditions.
Question 3
0 out of 1 points
Molly is a 52-year-old female that has a diagnosis of bromyalgia. She complains of fatigue and
cognitive di culties. Which medication is the PMHNP most likely to prescribe?
Selected Answer:
Question 4
c. Topiramate (TOPAMAX)
1 out of 1 points
A patient with gambling disorder and no other psychiatric comorbidities is being treated with
pharmacological agents. Which drug is the PMHNP most likely to prescribe?
Selected Answer:
Question 5
d. Naltrexone
1 out of 1 points
Which of the following is considered as a disruptive/impulse control behavior?
Selected Answer:
a. Pyromania
Question 6
1 out of 1 points
Kevin is an adolescent who has been diagnosed with kleptomania. His parents are interested in
seeking pharmacological treatment. What does the PMHNP tell the parents regarding his
treatment options?
Selected Answer:
Question 7
c. “Naltrexone may be an appropriate option to discuss.”
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?
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Selected Answer:
Question 8
Review Test Submission: Week 11 Final Exam – NURS-6630N-...
b. “I am unable to fall asleep at night.”
1 out of 1 points
The novel neurotransmitter adenosine is responsible for the sleep-wake cycle by increasing
throughout the day and diminishing during night. Which of the follow is an antagonist of
adenosine?
Selected Answer:
Question 9
a. Ca eine
1 out of 1 points
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?
Selected Answer:
Question 10
a. Antipsychotics
1 out of 1 points
Mike wants to quit smoking. He has tried nicotine replacement and varenicline without success.
He has asked for another medication to help him kick his habit. The PMHNP decides to try a
medication that increases dopamine by prescribing a medications that can increase both
norepinephrine and dopamine. Which medication did the PMHNP prescribe?
Selected Answer:
Question 11
c. Bupropion (ZYBAN)
1 out of 1 points
The PMHNP has been asked to provide an in-service training to include attention to the use of
antipsychotics to treat Alzheimer’s. What does the PMHNP convey to sta ?
Selected
c.
Answer: The use of an psycho cs may cause increased cardiovascular events and
mortality
and an psycho cs are o en used as “chemical straightjackets” to over-
tranquilize
pa ents.
Question 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 disulJram (Antabuse), it is important for the PMHNP to:
Selected Answer:
b. Evaluate the patient’s willingness to abstain from alcoholhttps://class.waldenu.edu/webapps/assessment/review/review.jsp?attempt_id=_64431576_1&course_id=_16693017_1&content_id=_55901171_1&r…
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Review Test Submission: Week 11 Final Exam – NURS-6630N-...
Question 13
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?
Selected
Answer:
d.
It will bind to the alpha-2-delta ligand subunit of voltage-sensitive calcium
channels.
Question 14
1 out of 1 points
The parents of a 7-year-old patient with ADHD are concerned about the eects of stimulants on
their child. The parents prefer to start pharmacological treatment with a non-stimulant. Which
medication will the PMHNP will most likely prescribe?
Selected Answer:
Question 15
d. Strattera
1 out of 1 points
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?
Selected Answer:
Question 16
a. Decrease his SSRI and add buspirone (Buspar).
1 out of 1 points
The PMHNP wants to use a symptom-based approach to treating a patient with Fbromyalgia.
How does the PMHNP go about treating this patient?
Selected
b.
Answer: Matching the patient’s symptoms with the malfunctioning brain circuits and
neurotransmitters that might mediate those symptoms.
Question 17
1 out of 1 points
The PMHNP prescribes pregabalin (LYRICA) for a patient with chronic pain. How does pregabalin
work to reduce pain?
Selected
Answer:
a.
It will block excitatory neurotransmission by blocking voltage-sensitive
calcium channels.
Question 18
1 out of 1 points
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Review Test Submission: Week 11 Final Exam – NURS-6630N-...
Karen completes the Epworth sleepiness scale and scores abnormally high. She is diagnosed
with narcolepsy. The PMHNP prescribes a wake-promoting agent that is a weak dopamine
transporter antagonist. Which medication did the PMHNP prescribe?
Selected Answer:
Question 19
a. Modafanil (PROVIGIL)
1 out of 1 points
The PMHNP understands that slow-dose extended release stimulants are most appropriate for
which patient with ADHD?
Selected Answer:
Question 20
c. 8-year-old patient
1 out of 1 points
Sharon is a 56-year-old female that presents to the clinic with pain after suGering a back injury
several years ago. The patient states she feels a tingling sensation in her legs. What type of pain
is Sharon likely experiencing?
Selected Answer:
Question 21
Antipsychotics are doses at a level that blocks ________% of D2 receptors.
Selected Answer:
d. 60-80
Question 22
c. Neuropathic pain
1 out of 1 points
0 out of 1 points
Neal is complaining of restless leg syndrome and insomnia. Which Nrst-line medication should
the PMHNP prescribe to treat both?
Selected Answer:
Question 23
d. Gabapentin (NEURONTIN)
1 out of 1 points
An 8-year-old patient presents with severe hyperactivity, described as “ants in his pants.” Based
on self-report from the patient, his parents, and his teacher; attention deRcit hyperactivity
disorder (ADHD) is suspected. What medication is the PMNHP most likely to prescribe?
Selected Answer:
a. Methylphenidate (Ritalin, Concerta)
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Which of the following anticonvulsants increases serotonergic neurotransmission and GABAergic transmission, while decreasing glutamatergic neurotransmission?
Selected Answer: Question 25 c. Lamotrigine (LAMICTAL) 1 out of 1 points
The nursing staU asks the PMHNP for additional education regarding the treatment of agitation in dementia patients. Which of the following is correct?
Selected Answer:
c.
The nurse should attempt to determine how the patient's environment may be impacting the patient's mood.
Question 26 1 out of 1 points
The PMHNP is assessing a patient she has been treating with the diagnosis of chronic pain. During the assessment, the patient states that he has recently been having trouble getting to sleep and staying asleep. Based on this information, what action is the PMHNP most likely to take?
Selected Answer: a. Order hydroxyzine (Vistaril), 50 mg PRN or as needed Question 27 1 out of 1 points
The PMHNP wants to prescribe Mr. Barber a mood stabilizer that will target aggressive and impulsive symptoms by decreasing dopaminergic neurotransmission. Which mood stabilizer will the PMHNP select?
Selected Answer: Question 28 a. Lithium (Lithane) 1 out of 1 points
A 75-year-old male patient diagnosed with Alzheimer’s disease presents with agitation and aggressive behavior. The PMHNP determines which of the following to be the best treatment option?
Selected Answer: Question 29 c. Citalopram (Celexa) or Escitalopram (Lexapro) 0 out of 1 points
Harold complains of pain associated with his irritable bowel syndrome with constipation. The PMHNP decides to prescribe a medication that prevents pain signals from reaching the brain. Which agent does the PMHNP prescribe? [Show Less]