Review Test Submission:
Week 11 Final Exam
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Course NURS-6630C-8/NURS-6630N-8-Approaches to Treatment2020
Spring Qtr 02/24-05/17-PT27
Test Week 11
... [Show More] Final Exam
Started 5/6/20 5:30 AM
Submitted 5/6/20 7:30 AM
Due Date 5/11/20 1:59 AM
Status Completed
Attempt
Score
74 out of 75 points
Time Elapsed 2 hours, 0 minute out of 2 hours
Results
Displayed
Submitted Answers
Question 1
1 out of 1 points
Brandon is a non-compliant patient that presents to the clinic asking for help with his
alcohol dependence. The PMHNP evaluates the patient and determines a long-acting
injection that blocks the mu-receptors would be the best treatment option for Brandon.
Which medication should the PMHNP prescribe?
Selected
Answer:
c.
Naltrexone
(VIVITROL)
Question 2
1 out of 1 points
Sandra complains of constipation after being on quetiapine (SEROQUEL) for several
weeks. Constipation is likely caused by the binding of quetiapine (SEROQUEL) to which
receptor?
Selected
Answer:
b.
D
1
Question 3
1 out of 1 points
Even though both of these medications are useful in the treatment of ADHD, their actions
are different. Atomoxetine is a selective ______________________ reuptake inhibitor, while
bupropion is a selective __________________ reuptake inhibitor.
Selected
Answer:
d.
Norepinephrine / norepinephrinedopamine
Question 4
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:
d.
Atomoxetine
(Strattera)
Question 5
1 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?
Selected
Answer:
b.
Triazolam
(Halcion)
Question 6
1 out of 1 points
A patient with chronic insomnia and depression is taking trazodone (Oleptro) but
complains of feeling drowsy during the day. What can the PMHNP do to reduce the drug’s
daytime sedating effects?
Selected
Answer:
d.
Give the medicine at night and lower
the dose
Question 7
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?
Selected
Answer:
b.
“I am unable to fall asleep at
night.”
Question 8
1 out of 1 points
Alcohol enhances inhibition at ____________ synapses and reduces excitation at
______________ synapses.
Selected
Answer:
c.
Dopeminergic /
Glugamate
Question 9
1 out of 1 points
A patient’s daughter calls your office with concerns that her mother is having significant
gastrointestinal side effects. You review the patient’s chart and realize she is having side
effects from donepezil (ARICEPT). What is the mechanism of the gastrointestinal
disturbances?
Selected
Answer:
b.
Donepezil increases the activity of acetylcholinesterase in the peripheral
acetylcholine neurons and the decline in acetylcholine causes increased
side effects.
Question 10
1 out of 1 points
Which of the following anticonvulsants increases serotonergic neurotransmission and
GABAergic transmission, while decreasing glutamatergic neurotransmission?
Selected
Answer:
a.
Topiramate
(TOPAMAX)
Question 11
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:
c.
Citalopram (Celexa) or Escitalopram
(Lexapro)
Question 12
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:
d.
Glutamate /
GABA
Question 13
1 out of 1 points
Which patient will receive a lower dose of guanfacine?
Selected
Answer:
c.
Patient with kidney
disease
Question 14
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:
d.
Bupropion
(ZYBAN)
Question 15
1 out of 1 points
A patient with irritable bowel syndrome reports chronic stomach pain. The PMHNP wants
to prescribe the patient an agent that will cause irrelevant nociceptive inputs from the
pain to be ignored and no longer perceived as painful. Which drug will the PMHNP
prescribe?
Selected c.
Answer: Duloxetine
(Cymbalta)
Question 16
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 17
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 18
1 out of 1 points
A patient with hypersexual disorder is being assessed for possible pharmacologic
treatment. Why does the PMHNP prescribe an antiandrogen for this patient?
Selected
Answer:
d.
It will block
testosterone.
Question 19
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?
Selected
Answer:
a.
“It can cause blurred
vision.”
Question 20
1 out of 1 points
The nursing staff asks the PMHNP for additional education regarding the treatment of
agitation in dementia patients. Which of the following is correct?
Selected
Answer:
a.
The nurse should attempt to determine how the patient's environment
may be impacting the patient's mood.
Question 21
1 out of 1 points
The PMHNP is caring for a patient with chronic insomnia who would b [Show Less]