NURS-6630N,Approaches to Treatment. Spring 02/24-05/17- Test Week 11 Final
Review Test Submission:
Week 11 Final Exam
Course NURS-6630N-,Approaches to
... [Show More] Treatment.2020 Spring Qtr
02/24-05/17-
Test Week 11 Final Exam
Due Date 5/11/20 1:59 AM
Status Completed
Attempt Score 72 out of 75 points
Time Elapsed 1 hour, 40 minutes out of 2 hours
Results
Displayed
Submitted Answers
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 academic integrity?
Selected
Answer:
Ye
s
Question 2
1 out of 1 points
All drugs that lead to addiction increase __________________in the ventral striatum, which is
also called the _______________.
Selected
Answer:
a.
Dopamine / nucleus
accumbens
Question 3
1 out of 1 points
A patient with chronic back pain has been prescribed a serotonin-norepinephrine reuptake
inhibitor (SNRI). How does the PMHNP describe the action of SNRIs on the inhibition of pain
to the patient?
Selected
Answer:
a.
“The SNRI can increase noradrenergic neurotransmission in the
descending spinal pathway to the dorsal horn.”
Question 4
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 prescribe?
Selected
Answer:
a.
Modafanil
(PROVIGIL)
Question 5
1 out of 1 points
Which of these characteristics does NOT meet the criteria for probably Alzheimer's
dementia?
Selected
Answer:
b.
Sudden
onset
Question 6
1 out of 1 points
Neal is complaining of restless leg syndrome and insomnia. Which first-line medication
should the PMHNP prescribe to treat both?
Selected
Answer:
a.
Ripinirole
(REQUIP)
Question 7
1 out of 1 points
A nursing student asks the PMHNP about the difference between the use of stimulants in
the treatment of ADHD and the abuse of stimulants in substance-use disorders. Which is
the correct response?
Selected
Answer:
a.
All of these are
correct.
Question 8
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:
b.
It will block excitatory neurotransmission by blocking voltage-sensitive
calcium channels.
Question 9
1 out of 1 points
A patient addicted to heroin is receiving treatment for detoxification. He begins to
experience tachycardia, tremors, and diaphoresis. What medication will the PMHNP
prescribe for this patient?
Selected d.
Answer: Clonidine
(Catapres)
Question 10
1 out of 1 points
The PMHNP is caring for a patient who reports excessive arousal at nighttime. What could
the PMHNP use for a time-limited duration to shift the patient’s brain from a hyperactive
state to a sleep state?
Selected
Answer:
a.
Benzodiazepi
nes
Question 11
1 out of 1 points
The PMHNP is assessing a 49-year-old male with a history of depression, post-traumatic
stress disorder (PTSD), alcoholism with malnutrition, diabetes mellitus type 2, and
hypertension. His physical assessment is unremarkable with the exception of peripheral
edema bilaterally to his lower extremities and a chief complaint of pain with numbness
and tingling to each leg 5/10. The PMHNP starts this patient on a low dose of doxepin
(Sinequan). What is the next action that must be taken by the PMHNP?
Selected
Answer:
a.
Order liver function
tests.
Question 12
1 out of 1 points
Antipsychotics are doses at a level that blocks ________% of D2 receptors.
Selected
Answer:
d.
60-
80
Question 13
1 out of 1 points
A 63-year-old patient presents with the following symptoms. The PMHNP determines which
set of symptoms warrant prescribing a medication? Select the answer that is matched
with an appropriate treatment.
Selected
Answer:
b.
Impairment in the ability to learn and retain new information is most
problematic, and an appropriate treatment option would be donepezil.
Question 14
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:
d.
Order hydroxyzine (Vistaril), 50 mg PRN or as
needed
Question 15
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:
c.
Lithium
(Lithane)
Question 16
0 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.
Decrease his
sertraline
Question 17
1 out of 1 points
A patient with chronic insomnia asks the PMHNP if they can first try an over-the-counter
(OTC) medication before one that needs to be prescribed to help the patient sleep. Which
is the best response by the PMHNP?
Selected
Answer:
b.
“You can get melatonin over the counter, which will help with
sleep onset.”
Question 18
1 out of 1 points
A patient recovering from shingles presents with tenderness and sensitivity to the upper
back. He states it is bothersome to put a shirt on most days. This patient has end stage
renal disease (ESRD) and is scheduled to have hemodialysis tomorrow but states that he
does not know how he can lie in a recliner for 3 hours feeling this uncomfortable. What will
be the PMHNP’s priority?
Selected
Answer:
a.
Prescribe lidocaine
5%
Question 19
1 out of 1 points
An opioid-naive patient is taking MS Contin (morphine sulfate) to treat his pain that is
secondary to cancer. Under what circumstances would the PMHNP order naloxone
(Narcan) IM/SQ?
Selected
Answer:
b.
The patient’s vital signs are 98.4F temp, 88 pulse, 104/62 blood
pressure, and 8 respirations.
Question 20
1 out of 1 points
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, which can help temper some of the adverse effects or symptoms that are
normally caused by D2 antagonism?
Selected
Answer:
c.
Second-generation, atypical
antipsychotics
Question 21
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 22
0 out of 1 points
A patient presents with psychotic aggression. Which treatment option is best for a patient
presenting with psychotic aggression due to impaired top-down cortical control and
excessive drive from striatal hyperactivity?
Selected
Answer:
d.
Antipsychoti
cs
Question 23
1 out of 1 points
Which of the following is considered as a disruptive/impulse control behavior?
Selected
Answer:
d.
Pyroman
ia
Question 24
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:
d.
It can cause cardiac
arrhythmias.
Question 25
1 out of 1 points
The PMHNP is treating a patient with depression and fibromyalgia. The PMHNP chooses to
prescribe a treatment that may help treat the patient's fibromyalgia and depressive
symptoms. Which medication is the PMHNP likely to choose?
Selected
Answer:
a.
Amitriptyline
(ELAVIL)
Question 26
1 out of 1 points
Mrs. Kenner is concerned that her teenage daughter spends too much time on the
Internet. She inquires about possible treatments for her daughter’s addiction. Which
response by the PMHNP demonstrates understanding of pharmacologic approaches for
compulsive disorders?
Selected
Answer:
c.
“There are no evidence-based treatments for Internet addiction, but there
are behavioral therapies your daughter can try.”
Question 27
1 out of 1 points
Sandra complains of constipation after being on quetiapine (SEROQUEL) for se [Show Less]