Question 1
0 out of 0 points
When completing this exam, did you comply with Walden University’s Code of
Conduct including the expectations for
... [Show More] academic integrity?
Selected
Answer:
Ye
s
Question 2
1 out of 1 points
The PMHNP understands that slow-dose extended release
stimulants are most appropriate for which patient with ADHD?
Selected
Answer:
c.
8-year-old
patient
Question 3
1 out of 1 points
Jordan is diagnosed with obsessive compulsive disorder. He has
been trialed on several different SSRIs and is currently on high
dose sertraline. He reports an inability to carry out responsibilities
because of an obsession with handwashing. Which is the best
treatment option for Jordan?
Selected
Answer:
a.
Maintain the same dose of sertraline and add
quetiapine
Question 4
1 out of 1 points
The PMHNP is discussing dopamine D2 receptor occupancy and its
association with aggressive behaviors in patients with the
student. Why does the PMHNP prescribe a standard dose of
atypical antipsychotics?
Selected
Answer:
c.
The doses are based on achieving 60% D2 receptor
occupancy.
Question 5
1 out of 1 points
A 72-year-old male patient is in the early stages of Alzheimer’s
disease. The PMHNP determines that improving memory is a key
consideration in selecting a medication. Which of the following
NURS 6630 FINAL EXAM PSYCHOPHARMACOLOGY
would be an appropriate choice?
Selected
Answer:
c.
All of these are
correct
Question 6
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:
Selected
Answer:
c.
Amnesia, apraxia,
agnosia
Question 7
1 out of 1 points
The PMHNP is working with the student to care for a patient with
diabetic peripheral neuropathic pain. The student asks the PMHNP
why SSRIs are not consistently useful in treating this particular
patient’s pain. What is the best response by the PMHNP?
Selected
Answer:
b.
“SSRIs only increase serotonin
levels.”
Question 8
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:
Selected
Answer:
b.
Evaluate the patient’s willingness to abstain
from alcohol
Question 9
0 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:
Selected
Answer:
a.
The child will take 10–40 mg,
daily.
Question 10
1 out of 1 points
The PMHNP is assessing a patient who will be receiving
phentermine + topiramate combination (QSYMIA). QSYMIA would
be contraindicated in which patient?
Selected
Answer:
d.
A 37-year-old female that is being treated with
phenelzine
Question 11
0 out of 1 points
Jacob is a 7-year-old pediatric patient who has significant
oppositional symptoms associated with his ADHD diagnosis. What
is the best treatment for this patient?
Selected
Answer:
b.
Prescribe a methylphenidate
alone.
Question 12
1 out of 1 points
The PMHNP is attempting to treat a patient’s chronic pain by
having the agent bind the open channel conformation of VSCCs to
block those channels with a “use-dependent” form of inhibition.
Which agent will the PMHNP most likely select?
Selected
Answer:
c.
Pregabalin
(Lyrica)
Question 13
1 out of 1 points
An adult patient presents with a history of alcohol addiction and
attention deficit hyperactivity disorder (ADHD). Given these
comorbidities, the PMHNP determines which of the following
medications may be the best treatment option?
Selected
Answer:
c.
Atomoxetine
(Strattera)
Question 14
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:
b.
It will bind to the alpha-2-delta ligand subunit of
voltage-sensitive calcium channels.
Question 15
1 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?
Selected
Answer:
b.
All of these are
correct
Question 16
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:
a.
“Naltrexone may be an appropriate option to
discuss.”
Question 17
0 out of 1 points
The PMHNP is caring for a patient with chronic insomnia. The
PMHNP wishes to prescribe a drug with an ultra-short half-life.
Which drug will the PMHNP prescribe?
Selected a.
Answer: Zolpidem CR (AMBIEN
CR)
Question 18
1 out of 1 points
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 19
1 out of 1 points
Parents of a 12-year-old boy want to consider attention deficit
hyperactivity disorder (ADHD) medication for their son. Which
medication would the PMHNP start?
Selected
Answer:
b.
All of these could potentially treat their son’s
symptoms.
Question 20
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?
Selected
Answer:
b.
Hypnotics have prolonged half-lives that can cause
drug accumulation in the elderly.
Question 21
0 out of 1 points
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?
Selected
Answer:
a.
Possible other causes: hypothyroidism, adrenal
insufficiency, niacin deficiency
Possible treatment option: risperidone
Question 22
1 out of 1 points
A patient calls the clinic to ask about an over-the-counter sleep
aid. What is the best response?
Selected
Answer:
c.
"Certain first-generation antihistamines may be
used to help you sleep."
Question 23
1 out of 1 points
The PMHNP prescribed a patient lamotrigine (Lamictal), 25 mg by
mouth daily, for nerve pain 6 months ago. The patient suddenly
presents to the office with the complaint that the medication is no
longer working and complains of increased pain. What action will
the PMHNP most likely take?
Selected
Answer:
a.
Increase the dose of lamotrigine (Lamictal) to 25
mg twice daily.
Question 24
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 deficit
hyperactivity disorder (ADHD) is suspected. What medication is
the PMNHP most likely to prescribe?
Selected
Answer:
b.
Methylphenidate (Ritalin,
Concerta)
Question 25
1 out of 1 points
Which patient will receive a lower dose of guanfacine?
Selected
Answer:
b.
Patient with kidney
disease
Question 26
1 out of 1 points
Which of the following is a true statement regarding the use of
stimulants to treat attention deficit hyperactivity disorder
(ADHD)?
Selected
Answer:
b.
Signal strength output is increased by dialing up the
release of dopamine (DA) and norepinephrine (NE).
Question 27
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:
a.
Naltrexo
ne
Question 28
1 out of 1 points
An interneuron is a neuron that has its cell body, dendrites, and
axon within the spinal cord. The neuron can be considered
excitatory if it contains ____________ or inhibitory if it contains
____________.
Selected
Answer:
b.
Glutamate /
GABA
Question 29
1 out of 1 points
The PMHNP is caring for a patient with chronic insomnia who is
worried about pharmacological treatment because the patient
does not want to experience dependence. Which pharmacological
treatment approach will the PMHNP likely select for this patient for
a limited duration, while searching and correcting the underlying
pathology associated with the insomnia?
Selected
Answer:
d.
Non-benzodiazepine
hypnotics
Question 30
1 out of 1 points
A patient is being prescribed bupropion and is concerned about
the side effects. What will the PMHNP tell the patient regarding
bupropion?
Selected
Answer:
c.
It can cause cardiac
arrhythmias.
Question 31
1 out of 1 points
The PMHNP wishes to prescribe a medication that reduces
glutamate transmission in an Alzheimer's patient. Which
medication should the PMHNP prescribe?
Selected
Answer:
b.
Memantine
(NAMENDA)
Question 32
1 out of 1 points
A 43-year-old male patient is seeking clarification about treating
attention deficit hyperactivity disorder (ADHD) in adults and how
it differs from treating children, since his son is on medication to
treat ADHD. The PMHNP conveys a major difference is which of
the following?
Selected
Answer:
b.
Comorbidities are more common in adults, impacting
the prescription of additional agents.
Question 33
1 out of 1 points
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 [Show Less]