Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED, Exams of Nursing

Download Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED and more Exams Nursing in PDF only on Docsity! Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ • Question 1 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? Select ed Answe r: 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 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? Select ed Answer: Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ d. “You can get melatonin over the counter, which will help with sleep onset.” • Question 3 Methylphenidate, amphetamine, and cocaine are alike because all three . 0 out of 1 points Select ed Answe r: c. act as depress ants. • Question 4 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 patient, the PMHNP is made aware that the patient continues to experience mild to moderate pain. What is the PMHNP most likely to do? Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ d. P rescribe desvenlafaxine (Pristiq), 50 mg daily • Question 9 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? Select ed Answe r: b. Benzodia zepi nes • Question 10 1 out of 1 points Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Which of these characteristics does NOT meet the criteria for probably Alzheimer's dementia? Select ed Answe r: b. Sud den ons et • Question 11 0 out of 1 points A patient with a new diagnosis of diabetic peripheral neuropathy is switched from sertraline (ZOLOFT) to duloxetine (CYMBALTA). The patient asks why they are switching treatment. What is the best response? Select ed Answe r: c. Sertraline increases norepinephrine and serotonin. You need a medication that only increases serotonin. • Question 12 1 out of 1 Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ points Daniel is a 33 year old patient with ADHD and multiple comorbidities: mood disorder, alcohol abuse, ADHD, and nicotine dependence. Which comorbidity should be treated first? Select ed Answe r: c. Alcohol abuse disorder • Question 13 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? Select ed Answe r: a. All of these could potentially treat their son’s symptoms. • Question 14 0 out of 1 points Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Select ed Answe r: c. There is decreased activation of the prefrontal cortex. • Question 18 0 out of 1 points Which of the following substances has the highest probability of becoming dependent after a single use? Select ed Answe r: a. Her oi n • Question 19 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 Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ know how he can lie in a recliner for 3 hours feeling this uncomfortable. What will be the PMHNP’s priority? Select ed Answe r: d. Prescribe lidocaine 5% • Question 20 1 out of 1 points A patient is prescribed D-methylphenidate, 10-mg extended-release capsules. What should the PMHNP include when discussing the side effects with the patient? Select ed Answe r: a. The medication can affect your blood pressure. • Question 21 0 out of 1 points An interneuron is a neuron that has its cell body, dendrites, and axon within the spinal Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ cord. The neuron can be considered excitatory if it contains or inhibitory if it contains . Select ed Answe r: b. Serato nin / Dopam ine • Question 22 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? Select ed Answe r: c. Amitript yline (ELAVIL) • Question 23 1 out of 1 Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ • Question 27 1 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: Select ed Answe r: c. The child will be prescribed 2.5 mg. • Question 28 1 out of 1 points The PMHNP is treating a patient for fibromyalgia and is considering prescribing milnacipran (Savella). When prescribing this medication, which action is the PMHNP likely to choose? Select ed Answe r: c. Split the daily dose into two doses after the first day. Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ • Question 29 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? Select ed Answe r: b. Atomox etine (Stratte ra) • Question 30 0 out of 1 points The PMHNP is evaluating a 7 year old pediatric patient for the treatment of ADHD. The PMHNP decides to prescribe a medication that is selective for alpha-2A receptors that has a lower incidence of sedation and hypotension. Which agent did the PMHNP prescribe? Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Select ed Answe r: a. Atomox etine (STRATT ERA) • Question 31 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? Select ed Answe r: a. The doses are based on achieving 60% D2 receptor occupancy. • Question 32 1 out of 1 points Antihistamines may cause side effects such as blurred vision, constipation, memory problems, and dry mouth. This is due to the effects of antihistamines. Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ 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? Select ed Answe r: c. Buprop ion (ZYBAN ) • Question 37 1 out of 1 points Individuals who suffer from an addiction often increase the dose of medication to achieve the desired effect. The need to increase the dose to reach the safe effect is due to . Select ed Answe r: b. toler an ce Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ • Question 38 1 out of 1 points A patient you have been evaluating was admitted to the hospital with some abnormal lab work. Hematology/oncology was consulted and diagnoses the patient with aplastic anemia and agranulocytosis. Which medication was likely the culprit? Select ed Answe r: d. Carbama zepi ne • Question 39 1 out of 1 points A 26-year-old female patient with nicotine dependence and a history of anxiety presents with symptoms of attention deficit hyperactivity disorder (ADHD). Based on the assessment, what does the PMHNP consider? Select ed Answer: Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ d. A DHD is often not the focus of treatment in adults with comorbid conditions. • Question 40 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? Select ed Answe r: b. Ripinir ole (REQUI P) • Question 41 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. Select ed Answer: Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ experiencing memory deficit, aphasia, apraxia, and agnosia. Which treatment option is best for this patient? Select ed Answe r: b. Donep ezil (ARICE PT) • Question 46 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? Select ed Answe r: d. It will block testosterone . • Question 47 1 out of 1 points A patient with gambling disorder and no other psychiatric Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ comorbidities is being treated with pharmacological agents. Which drug is the PMHNP most likely to prescribe? Select ed Answe r: a. Naltr exo ne • Question 48 1 out of 1 points A patient on chronic opioids is currently on oxycodone ER (OxyContin). The PMHNP is consulted to treat underlying depression. Under which circumstance should the PMHNP order naloxone (NARCAN)? Select ed Answe r: c. The patient is somnolent and has 7 respirations per minute. • Question 49 Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ 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? Select ed Answe r: d. Methylphenidat e (Ritalin, Concerta) • Question 50 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: Select ed Answe r: Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ (Benadryl). The patient is concerned about the side effects of the drug. What can the PMHNP teach the patient about this treatment approach? Select ed Answe r: a. “It can cause blurred vision.” • Question 55 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? Select ed Answe r: b. Modaf anil (PROVI GIL) • Question 56 Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ 1 out of 1 points The PMHNP wants to use a symptom-based approach to treating a patient with fibromyalgia. How does the PMHNP go about treating this patient? Select ed Answe r: d. Matching the patient’s symptoms with the malfunctioning brain circuits and neurotransmitters that might mediate those symptoms. • Question 57 1 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? Select ed Answe r: a. Prescribe methylphenidate and augment with guanfacine. • Question 58 1 out of 1 Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ points A 72-year-old male patient is diagnosed with frontotemporal dementia and presents with aggression and agitation. The PMHNP is consulted and decided to prescribe which of the following? Select ed Answe r: b. Citalop ram (CELEX A) • Question 59 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? Select ed Answe r: a. Give the medicine at night and lower Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Select ed Answe r: b. Antipsy choti cs • Question 64 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? Select ed Answe r: d. Lithiu m (Litha ne) • Question 65 1 out of 1 points Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ 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? Select ed Answe r: d. Antipsy choti cs • Question 66 0 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 a. Answer: D 1 • Question 67 1 out of 1 Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ 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? Select ed Answe r: c. “There are no evidence-based treatments for Internet addiction, but there are behavioral therapies your daughter can try.” • Question 68 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? Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ states, “I don’t want to feel sedated or drowsy from the medicine.” Which decision made by the PMHNP demonstrates proper knowledge of this patient’s symptoms and appropriate treatment options? Select ed Answe r: b. Avoiding prescribing the patient a drug that blocks H1 receptors • Question 73 1 out of 1 points The PMHNP is assessing a patient who will be receiving phentermine (Adipex-P)/topiramate (Topamax) (Qsymia). Which of the following conditions/diseases will require further evaluation before this medication can be prescribed? Select ed Answe r: b. Cardiova scular disease • Question 74 Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ 1 out of 1 points The parents of a 7-year-old patient with ADHD are concerned about the effects 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? Select ed Answe r: c. Stra tte ra • Question 75 1 out of 1 points The PMHNP is caring for a patient with fibromyalgia. Which second-line treatment does the PMHNP select that may be effective for managing this patient’s pain? Selected a. Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+ Answer: Imipra mine (Tofran il) • Question 76 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 Ye Answer: s Nurs 6630 final exam QUESTIONS & ANSWERS BESTEXAM SOLUTION LATEST UPDATE 2021/2022 GRADED A+