NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATE, Exams of Nursing

Download NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATE and more Exams Nursing in PDF only on Docsity! NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 1 points QUESTION 1 1 points QUESTION 4 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE A “Amphetamines may help you, as they can alleviate psychotic conditions.” . B “Amphetamines can inhibit negative symptoms of schizophrenia, so this might be a . good choice for you.” C “Amphetamines can cause hallucinations, so I would advise against this type of . prescription.” D “Amphetamines can lead to a dopamine deficiency, so I will not prescribe this for . you.” energy levels. Which response made by the PMHNP is most appropriate? 1.The PMHNP is caring for a patient with schizophrenia and is considering a variety of treatment approaches. The PHMNP selects a viable treatment that is consistent with the “dopamine hypothesis of schizophrenia.” What action does the PMHNP anticipate this treatment having on the patient? A Blocking the release of dopamine facilitates the onset of positive schizophrenia .symptoms. B Hyperactivity in the mesolimbic dopamine pathway mediates the positive .symptoms of schizophrenia. C Antipsychotic drugs that open D2 receptor pathways can treat schizophrenia. . D The neuroanatomy of dopamine neuronal pathways can explain symptoms of .schizophrenia. 1 points QUESTION 5 1.A patient is diagnosed with schizophrenia. What increases the patient’s potential to mediate the cognitive NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 1 points QUESTION 6 1. What is accurate about the clinical description of psychosis? the prefrontal .cortex B Achieving overactivity of the mesocorticol projections to the ventromedial .prefrontal cortex C Achieving underactivity of the mesocortical projections to the .ventromedial prefrontal cortex D Achieving overactivity of the mesocorticol projections to the prefrontal .cortex NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE symptoms of the disease? A Achieving underactivity of the mesocorticol projections to B Hypersexuality . C Reduction in negative symptoms . D Tardive dyskinesia . A dopamine and serotonin 1 points QUESTION 8 1.The PMHNP is caring for a patient who is taking antipsychotics heard the psychiatrist tell the patient that the patient would be placed on a different antipsychotic agent called an atypical antipsychotic. What neurotransmitters will this new medication work on? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE A Increased hallucinations and positive symptoms . . C dopamine and GABA . D GABA and glutamate . A Muscarinic antagonists are more likely to cause decreased prolactin levels. . B D2 antagonists decrease the likelihood of EPS symptoms. . C D2 antagonism is linked to antidepressant properties. 1 points QUESTION 9 1.Which statement made by the PMHNP exemplifies correct teaching of physiological effects in the body? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE B dopamine and norepinephrine . . D D2 partial agonists are associated with increased NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE efficacy in C The patient has chronic kidney .disease, stage 2. D The patient drinks a cup of coffee a NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE B The patient has hypertension. . A Alert staff to possible seizures . B Write an order for a different mood stabilizer . C Decrease the amount prescribed for aripiprazole .(Abilify) D Explain to the patient that it will be more difficult to 1 points QUESTION 12 1.A patient is diagnosed with bipolar disorder and is currently taking carbamazepine (Tegretol), aripiprazole (Abilify), and melatonin. The PMHNP has just written an order to discontinue the carbamazepine (Tegretol) for drug-induced thrombocytopenia. The PMHNP is aware that his next best action is to: NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE . day. . control his temper A Review Amitriptyline (Elavil) level . B Order a STAT BUN/SCr . C Asses the client for nystagmus . D Order a STAT platelet, D-dimer, and PT/INR . 1 points QUESTION 13 1.A patient recently transferred following a suicide attempt has a history of schizophrenia, depression, and fibromyalgia. He is currently taking Amitriptyline (Elavil), Lisinopril, aspirin, and fluoxetine (Prozac). When assessing the psychiatric medications and the reason for admission, what would be the best course of action for the PMHNP with this client? 1 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE A “The drug will have an almost immediate . effect.” B “The drug can take a while to build up in your .system.” C “The drug is slow to release but lasts for a long . time.” D “The drug will make a subtle difference in your .symptoms.” 1 points 1 points QUESTION 16 1.Ms. Harlow is a 42-year-old patient who is prescribed a drug that acts on ionotropic receptors. She is curious about the effects of the drug and how it will act on her symptoms. Which statement made by the PMHNP demonstrates proper understanding of Ms. Harlow’s prescription? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE A Benzodiazepine . B Mirtazapine .(Remeron) C Ketamine . D Varenicline .(Chantix) QUESTION 17 1.A patient is seeking pharmacological treatment for smoking cessation. Which drug class does the PMHNP prescribe to the patient? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE A Full agonists . B Antagonists . C Partial .agonists D Inverse .agonists 1 points QUESTION 18 1.The PMHNP is caring for a new patient who has been transferred from another office. When meeting with the new patient, the patient reports, “I feel like I am improving with the stabilizers.” The PMHNP immediately recognizes that the patient is describing which kind of drug? 1 points NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE . B “ Medications work by increasing the types of neurotransmitters produced by the human brain.” . C “Most medications that work in the brain will result in restoring an imbalance of one or more . neurotransmitters that your body already produces helping to alleviate your symptoms .” D “Why do you believe that your medication is poison?” . NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE A “You have to take your medication to become stable.” 1 points QUESTION 2 2 1. Ms. Hill is currently being treated for schizophrenia but has stopped taking her medications due to some side effects she NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE claims she was experiencing. She presents to the clinic today with worsening symptoms. She is experiencing anhedonia, agitation, attentional impairment, and affective blunting. Which one of the symptoms mentioned is considered a positive symptom of schizophrenia? 1 points QUESTION 2 3 1. Which statement about neurotransmitters and medications is true? B Agitation . C Attentional Impairment . D Affective Blunting . A Endorphins were discovered before morphine which lead to the use of the opioids for pain . control. B Several psychiatric medications have been developed after discoveries of NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE A Anhedonia . endogenous . neurotransmitters and defining their function in the brain. 1 points QUESTION 2 5 1. During gene expression, what must occur prior to a gene being expressed? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE . in your life, the only way to effectively manage your symptoms is by adding additional medications in hopes that it will work for you." C “Many psychiatric illnesses involve several dys- functioning neurotransmitter systems in the . brain. Often, a single medication may only effect one or two of the dys- functioning systems. The addition of another medication can work with the current medication in stabilizing multiple neurotransmitter systems and help to alleviate your symptoms.” D “I understand your concerns. Often times, it is necessary to switch medications after short . periods of time to better manage your symptoms. We will discontinue your current regimen and start another single drug agent.” A Transcription factor must bind to the regulatory region NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE within . the cell’s nucleus. C The coding region must separate from the regulatory region. . D RNA polymerase must inhibit the process of changing RNA to .mRNA. A Genes impact neuron functioning directly. . B Changes made to proteins lead to changes in .behavior. C Neurons are able to impact protein synthesis. 1 points QUESTION 2 6 1.While genes have potential to modify behavior, behavior can also modify genes. How do genes impact this process? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE B RNA must be converted to mRNA. . . 1 points QUESTION 2 9 1. It is important for the PMHNP to recognize differences in pharmacokinetics to safely prescribe and monitor medications. Which of the following statements does the competent PMHNP identify as true? .understand to treat conditions effectively. A About 1 out of 5 Asians requires lower-than-normal doses of some antidepressants .and antipsychotics. B The term polymorphic refers to the body’s ability to break a medication down several . ways, and this patient may require higher doses of certain antidepressants and antipsychotics. NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE D The CYP enzyme system is a steady and predictable process that prescribers must C About 1 out of 30 Caucasians requires lower doses of some antidepressants and the newer medications. . A Most medications that act on G-protein linked receptors have antagonistic traits. . B The majority of medications used in practice are full agonists and are used to .stimulate the body’s natural neurotransmitters. C Most medications act as partial agonists because they allow 1 points QUESTION 30 1.As it relates to G-protein linked receptors, what does the PMHNP understand about medications that are used in practice? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE . antipsychotics. D Most enzyme pathways do not have interactions between the body to use only . what is needed. . A The client has been misdiagnosed with schizophrenia . B The client is not compliant with this new medication . C The new medication is blocking D2 receptors in the mesolimbic 1 points QUESTION 31 1.Mrs. Schwartzman is a 52-year-old client with schizophrenia and no established history of depression. When meeting with the PMHNP, she presents with apathy and withdrawn social behavior, and she reports a loss of joy from enjoyable activities since starting her new medication. What does the PMHNP infer from this encounter with the client? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE D Medications used in practice may act as inverse agonists if the dosage is too high. . system 1 points QUESTION 34 1. Mr. Gordon is a middle-aged client who was started on antidepressant monotherapy for depression. After beginning this medication, the PMHNP noticed that this client seemed to swing into a hypomanic episode. What can the PMHNP infer from this behavior change? C Alpha-2 .antagonism D D2 partial .agonist A This client may have Bipolar III disorder . NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE B D2 antagonism . B The antidepressant monotherapy should be . continued . D A and C . A The patient has an unsustained response to 1 points QUESTION 35 1.Ms. Ryerson is a 28-year-old patient with a mood disorder. She recently requested to transfer to a new PMHNP, after not getting along well with her previous provider. The new PHMNP is reviewing Ms. Ryerson’s medical chart prior to their first appointment. Upon review, the PMHNP sees that the former provider last documented “patient had rapid poop out.” What does the PMHNP infer about the patient’s prescription based on this documentation? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE C A second antidepressant agent should be added as dual therapy . antidepressants. C The patient has a depletion of monoamine .neurotransmitters. D The patient has an adverse effect to atypical .antipsychotics. A Patient with a bipolar I .designation 1 points QUESTION 36 1.The PMHNP recognizes that which patient would be contraindicated for antidepressant monotherapy? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE B The patient has antidepressant-induced . hypomania. A Norepinephrine potentiates 5HT release through a2 .postsynaptic receptors. B Norepinephrine inhibits 5HT release through a2 receptors. . 1 points QUESTION 39 1.Ms. Boeckh is a 42-year-old patient with major depression. The PMHNP understands that which action of norepinephrine will affect Ms. Boeckh’s serotonin levels? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 1 points QUESTION 40 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE C Norepinephrine inhibits α2 receptors on axon terminals. . D Norepinephrine potentiates 5HT release through a1 and a2 . receptors. 1. Ms. Boeckh is a 42-year-old client who is taking an antidepressant therapy. The PMHNP understands that this medication can have substantial food interactions that can cause Ms. Boeckh to develop a hypertensive crisis. Which antidepressant class is Ms. Boeckh’s medication in? A Selective serotonin reuptake inhibitors . B MAO inhibitors . C Tricyclic antidepressants . A Insomnia . B Suicidal ideation . C Problems 1 points QUESTION 41 1.The PMHNP is assessing a patient in the psychiatric emergency room. The patient tells the PMHNP that he does not understand why his depression has not lifted after being on four different antidepressants over the course of a year. Which of the following symptoms can be residual symptoms for patients who do not achieve remission with major depressive disorder? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE D Selective norepinephrine reuptake inhibitors . . .therapeutic action of SSRIs. A Fluoxetine causes an immediate resolution of the client’s depression. . B Fluoxetine inhibits the serotonin transporter (SERT). . C Upon the acute administration of fluoxetine, serotonin levels decrease. . D Fluoxetine has a significant binding affinity to 1 points QUESTION 43 1.Fluoxetine (Prozac) has been prescribed for a client with depression. Which of the following statements is true regarding the action of this medication? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE D The action at the somatodendritic end of the serotonin neuron may best explain the cholinergic receptors. 1 points QUESTION 44 1. The nurse education knows that teaching was effective when one of the students compares fluvoxamine to sertraline and notes which of the NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE . A Both have a sedative-like, calming effect. . B Both inhibit the dopamine transporter which increases the levels of dopamine. . C Both agents are approved for the treatment of depression in the United States . D Both have actions at sigma receptors which contribute to both anxiolytic and antipsychotic effects. . A The client should be counseled to avoid all antihistamines for allergic rhinitis while taking an . MAOI B The client will need to minimize dietary intake of foods that are high in tyramine. . C The client must avoid dental work that require an anesthetic while on an MAOI. . D All non-opioids and opioid analgesics must be avoided 1 points QUESTION 45 1.A 45 year old female client with allergic rhinitis and normal blood pressure has had no reduction in depressive symptoms after trying bupropion, paroxetine, and venlafaxine. What precautions are needed when considering phenelzine in treating her depression? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE when taking an MAOI. A MAOI plus SNRI . B SSRI/SNRI plus NDRI . C NDRI/SNRI plus .mirtazapine D NDRI plus modafinil . 1 points QUESTION 48 1.A nurse overhears that a client has failed monotherapy with an SSRI and an SNRI. She also learns that the client has failed dual SSRI + SNRI therapy. The nurse approaches the PMHNP and asks what treatment options should be considered in this treatment resistant could be in this seemingly treatment-resistant patient. The PMHNP tells the nurse she will treat the patient with the following regimen: NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE A SSRI + SNRI . B SSRI + NDRI . C SSRI + MAOI . D SSRI + Mood stabilizer . NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE client. The PMHNP tells the nurse that she will treat the client with the following NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE A Weight gain can be .problematic. B Sedation is very .common. C Induction of mania is . rare. D Seizures are not unusual. . 1 points QUESTION 49 1.A patient is prescribed fluoxetine but is concerned about the side effects. Which statement demonstrates accurate patient teaching when discussing the side effects associated with fluoxetine? 1 points QUESTION 50 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ 1 points QUESTION 53 1. A patient is prescribed sertraline to treat panic disorder. Knowing that sertraline can initially cause anxiety or insomnia, what should NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 1. Mr. Ruby is a 33-year-old single father who is requesting pharmacological intervention to treat his fibromyalgia. The PMHNP sees in the medical chart that he has a recent diagnosis of arrhythmia and a BMI of 29. During his assessment, the PMHNP learns that Mr. Ruby works 40–50 hours a week as a contractor and “manages his stress” by smoking 3–4 cigarettes a day and having 8–10 drinks of alcohol each week. Why would A He has . fibromyalgia. B He has . arrhythmia. C He uses alcohol. . D He is . overweight. A Prescribe long-acting benzodiazepine for 2 weeks, then .discontinue. C Prescribe long-acting benzodiazepine for 2 weeks, then .discontinue. D Prescribe short-acting benzodiazepine for 2 weeks, then .increase the dose. A The patient has hepatic .impairment. B The patient has moderate renal 1 points QUESTION 54 1.A patient is prescribed 50 mg of desvenlafaxine to take every other day for major depressive disorder. What does the PMHNP understand about this patient? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE . increase the dose. B Prescribe short-acting benzodiazepine for 2 weeks, then . impairment. NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE C The patient has severe renal C “You may consume fermented foods, like .sauerkraut.” D “You may continue to drink beers on tap.” . A “Decongestants are fine to continue taking with MAO .inhibitors.” B “Decongestants are okay to take with MAO inhibitors in .moderation.” 1 points QUESTION 57 1.A patient who is prescribed MAO inhibitors asks about whether he can continue taking pseudoephedrine to relieve his congestion. Which response by the PMHNP indicates proper understanding of drug-drug interactions? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE B “You should not consume processed . meats.” C “Decongestants should be avoided due to risk of .hypertensive crisis.” 1 points QUESTION 58 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE . serotonin syndrome.” D “Decongestants should be avoided due to risk of A Ms. Skidmore is taking the correct dose of phenelzine (Nardil). . B Ms. Skidmore is not taking enough of the phenelzine (Nardil); she should be taking .three times that amount. C Ms. Skidmore is taking too much of the phenelzine (Nardil); she should be taking the .45 mg in three doses. D Ms. Skidmore is taking too much of the phenelzine (Nardil); she is supposed to take .45 mg every 24 hours. 1 points QUESTION 59 1.The PMHNP is caring for several patients who present with various symptoms and health issues. For which patient NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 1. Ms. Skidmore presents for a follow-up appointment after being prescribed phenelzine (Nardil), and reports “I take my 45 mg pill, three times a day, just like I’m A mirtazapine .(Remeron) B doxepin (Silenor) . C alprazolam .(Xanax) D trazadone .(Oleptro) A Mood stabilizers are only prescribed to treat manic phases of 1 points QUESTION 62 1.A patient who was diagnosed with bipolar disorder without mania, asks the PMHNP why he is being prescribed a mood stabilizer. What is the appropriate response? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 1. A patient is being prescribed a sedating antidepressant, but is concerned about weight gain. Which medication is most likely to be prescribed to addresses the bipolar depression . 1 points QUESTION 63 1. A client who was diagnosed with bipolar disorder without mania, asks the PMHNP why he is being prescribed a mood stabilizer. What is the NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE B Mood stabilizers can consistently treat both mania and bipolar depression . C Mood stabilizers can target mania and mania relapse and also reduce symptoms of . bipolar depression and relapse of bipolar depression symptoms but no drug has been proven to target all four therapeutic actions D Certain mood stabilizers, such as lithium, are able to consistently target mania and . bipolar depression A Mood stabilizers only treat manic phases of bipolar disorder. bipolar disorder. . C Mood stabilizers can treat either manic phases or depressive phases of bipolar disorder. . D Mood stabilizer monotherapy is effective in treating bipolar disorder without mania. . 1 points QUESTION 64 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE . B Mood stabilizers only treat the depressive phases of D Valproic Acid (Depakene) . 1 points QUESTION 67 1.The PMHNP is meeting with a new mother who would like to begin taking medication again to treat her bipolar depression; she is breastfeeding her 2-month old daughter. The NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE C Lamotrigine (Lamictal) . .(Depakene) B Carbamazepine .(Tegretol) C Lithium (Lithobid) . D Lamotrigine .(Lamictal) 1 points QUESTION 68 1.The PMHNP is meeting with a new mother who would like to begin taking medication again to treat her bipolar depression; she is breastfeeding her 2-month old daughter. The PMHNP recognizes that which of the following medications is contraindicated for this client? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE PMHNP recognizes that which of the following medications is contraindicated for this A Valporic Acid A Valproic Acid (Depakene) . C Lithium (Lithobid) . D Lamotrigine (Lamictal) . A Clonazepam (klonopin) may interfere with citalopram 1 points QUESTION 69 1.A patient was diagnosed with GAD 4 weeks ago and was placed on Clonazepam (klonopin) twice a day and citalopram (citalopram (celexa)) once daily. When he asks the PMHNP why it is necessary to wean him off of the Clonazepam (klonopin) the best response is: NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE . B Carbamazepine (Tegretol) (celexa)s targeted areas in the . brain A Increased rates of coronary artery disease . B Increased rates of type 2 diabetes . C Increased rates of stroke . D All of the above . 1 points QUESTION 72 1.The PMHNP understands that the potential of alcohol abuse in the anxious client is higher for the following reasons: survival when encountering a real but short-term threat. However, chronic elevations in cortisol can lead to increased medical comorbidities. Which of the following medical conditions may be related to these persistent cortisol elevations? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE b Alcohol increases serotonin levels . c Alcohol exerts an effect on the cannabinoid receptors . d Alcohol has an immediate action by altering G Protein Coupled Receptors . A Agitation . 1 points QUESTION 73 1.After ordering flumazenil (Rumazicon) the PMHNP cautions the staff to monitor for which possible effect? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE a Alcohol exerts an effect on GABAA receptors. . 1 points QUESTION 74 1. The PMHNP evaluates the patient for “fear conditioning” when he asks: C Sweating and Nausea . D All of the above . A Have you ever experienced any type of trauma? . B What do you do when you feel fear? . C Does your mother or father have a history of fear .and/or worrying? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE B Seizures . D What makes your fear better? • Question 2 1 out of 1 points NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE A noncompliant patient states, “Why do you want me to put this poison in my body?” Identify the best response made by the psychiatric-mental health nurse practitioner (PMHNP). Selec t ed Answ e r: C. “Most medications that work in the brain will result in restoring an imbalance of one or more neurotransmitters that your body already produces helping to alleviate your symptoms .” Ms. Hill is currently being treated for schizophrenia but has stopped taking her medications due to some side effects she claims she was experiencing. She presents to the clinic today with worsening symptoms. She is experiencing anhedonia, agitation, attentional impairment, and affective blunting. NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE Which one of the symptoms mentioned is considered a positive symptom of schizophrenia? • Question 3 1 out of 1 points • Question 4 1 out of 1 points d Answer : Agitation Which statement about neurotransmitters and medications is true? Select ed Answe r: B. Several psychiatric medications have been developed after discoveries of endogenous neurotransmitters and defining their function in the brain. When an unstable patient asks why it is necessary to add medications to his current regimen, the PMHNP’s best NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE Selecte B. response would be: NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE it is not always necessary. The PMHNP understands that this is because: Selecte d Answer: • Question 8 1 out of 1 points • Question 9 1 out of 1 points NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE C. Neurotransmitters can spread by diffusion. Why is the cytochrome P450 enzyme system of significance to the PMHNP? Select e d Answ er : B. The bioavailability of the medication after it passes through the stomach and liver can be altered. It is important for the PMHNP to recognize differences in pharmacokinetics to safely prescribe and monitor medications. Which of the following statements does the competent PMHNP identify as true? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE Sele ct ed Answer: NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE next best action is to: Selecte d Answer: • Question 13 1 out of 1 points • Question 14 0 out of 1 points NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE B. rite an order for a W different mood stabilizer A patient recently transferred following a suicide attempt has a history of schizophrenia, depression, and fibromyalgia. He is currently taking Amitriptyline (Elavil), Lisinopril, aspirin, and fluoxetine (Prozac). When assessing the psychiatric medications and the reason for admission, what would be the best course of action for the PMHNP with this client? Select e d Answ er : A. Review Amitriptyli ne (Elavil) level NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT and neurotransmitter serotonin.