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 2023/2024 GRADED A+ 1 points QUESTION 1 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ A “It’s my fault that all of this is happening. I don’t think I could ever . forgive myself.” B “I have to talk to the President because I’m the only one who can . help him.” C “I’m not sure why that lady is wearing a red jacket since it’s the dogs . who need food.” D “I don’t know that I even want to go to that meeting. It doesn’t seem . worth it anymore.” 1 points QUESTION 2 1. Mr. McCullin is 64 years old with Parkinson’s disease. The PMHNP caring for Mr. McCullin wants to start him on a dopamine agonist to help NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 1. Which statement made by the patient suggests the patient will need to be treated with antipsychotics that target paranoid psychosis? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ points QUESTION 4 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 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 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 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? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ the cognitive symptoms of the disease? A Achieving underactivity of the mesocorticol projections to 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 1 points QUESTION 6 1. What is accurate about the clinical description of psychosis? A It is simply a separate way to clinically describe the NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ B dopamine and norepinephrine . C dopamine and GABA . D GABA and glutamate . 1 points QUESTION 9 1. Which statement made by the PMHNP exemplifies correct teaching of physiological effects in the body? 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 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ properties. . D D2 partial agonists are associated with increased efficacy in treating positive . symptoms of schizophrenia. 1 points QUESTION 10 1. Mrs. Schwartzman is a 52-year-old patient 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. What does the PMHNP infer from this encounter with the patient? A An underlying depressive disorder . NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ B The recent change of a 2nd generation antipsychotic to a . conventional one C The recent change of a 1st generation antipsychotic to a 2nd . generation antipsychotic D All of the above . 1 points QUESTION 11 1. The PMHNP is considering prescribing a 49-year- old male clozapine (Clozaril) to treat his schizophrenia and suicidal ideations. The PMHNP is aware that which factor may impact the dose needed to effectively treat his condition: NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ . control his temper 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? 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 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ . 1 points QUESTION 14 1. A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT and neurotransmitter serotonin. What is the rationale for prescribing a medication such as this? A To promote the availability of serotonin . B To decrease serotonin . C To indirectly increase the amount of dopamine . in the body D To help decrease the amount of serotonin and NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ . dopamine 1 points QUESTION 15 1. The PMHNP is caring for four patients. Which patient statement indicates that benzodiazepines would be beneficial? A “I have trouble staying asleep in the middle of the night.” . B “My spouse told me that I seem to have trouble remembering . things sometimes.” C “I really want to stop smoking, but the cravings are too strong.” . D “I feel nervous to go outside and be in large crowds.” . NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 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? A Full agonists . B Antagonists . C Partial . agonists D Inverse . agonists 1 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ points QUESTION 19 1. A patient presents with frequent episodes of mania. Which statement describes an appropriate treatment approach for this patient? A “The patient needs to have an inverse agonist.” . B “The patient could benefit from an anticonvulsant.” . C “The patient’s calcium, sodium, chloride, and potassium levels . must be regulated.” D “The patient should have a drug that acts on ligand-gated ion . channels.” 1 points QUESTION 20 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 1. What characteristics do the nicotinic, cholinergic, serotonin 3, and glycine receptors all have in common? A Ligand-gated ion channels with a . pentameric structure B Ligand-gated ion channels with a . tetrameric structure C Voltage-sensitive ion channels . D Are G-coupled protein receptors . QUESTION 2 1 1. A noncompliant patient states, “Why do you want me to put this poison in my body?” Identify the best NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ A Anhedonia . B Agitation . C Attentional Impairment . D Affective Blunting . 1 points QUESTION 2 3 1. Which statement about neurotransmitters and medications is true? 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 endogenous . neurotransmitters and defining their function in the brain. NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ C Medications work by sending messages to neurotransmitters enabling them to work more . effectively. D An imbalance of serotonin has been directly linked to depression. Following the discovery of this . neurotransmitter, pharmacologists were able to develop a well-known drug- Prozac as the first medication used to restore the balance of serotonin. 1 points QUESTION 2 4 1. When an unstable patient asks why it is necessary to add medications to his current regimen, the PMHNP’s best response would be: A "More often than you would think, multiple medications should always be tried together to see . what happens.” B “Due to this being your first hospitalization after starting medication treatment for the first time NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ . 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.” 1 points QUESTION 2 5 1. During gene expression, what must occur prior to a gene being expressed? A Transcription factor must bind to the regulatory region within NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ . D Genes impact the DNA of a cell, leading to . changes in behavior. 1 points QUESTION 2 7 1. Though medications have the ability to target neurotransmitter release into the synapse by the presynaptic neuron it is not always necessary. The PMHNP understands that this is because: A Neurotransmission occurring along the axon is normally at a level to prevent symptoms of . mental illness and rarely require augmentation from medication therapy. B Neurotransmission is minimally affected by medication therapy when compared to the baseline . neurotransmitter release of a resting neuron. C Neurotransmitters can spread by diffusion. . D The post synaptic neuron can produce and release its’ own NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ neurotransmitter allowing it to . function properly. 1 points QUESTION 2 8 1. Why is the cytochrome P450 enzyme system of significance to the PMHNP? A The kidneys play a role with excretion of the medication, and if a patient has kidney . damage, the dose must be increased to be effective. B The bioavailability of the medication after it passes through the stomach and liver . can be altered. C The medication’s chemical composition changes when it comes in contact with the . acid in the stomach. NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ D The CYP enzyme system is a steady and predictable process that prescribers must . understand to treat conditions effectively. 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? 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 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ mesolimbic . system D The dose of this new antipsychotic medication is too low . 1 points QUESTION 32 1. The student inquires about antipsychotic medications. Which response by the PMHNP describes the factors that contribute to reduced risk of extrapyramidal symptoms (EPS) for patients who take antipsychotics? A Those that are potent D2 antagonists . B Those that are potent D2 antagonists with 5HT2A antagonism . properties C D2 receptors that are blocked in the nigrostriatal NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ pathway . D Potent D2 antagonists that block the muscarinic anti-M1 . cholinergic receptors 1 points QUESTION 33 1. Mr. Gordon is a middle-aged patient who is taking antipsychotics. When meeting with the PMHNP, he reports positive responses to the medication, stating, “I really feel as though the effects of my depression are going away.” Which receptor action in antipsychotic medications is believed to be the most beneficial in producing the effects described by Mr. Gordon? A 5HT2 . antagonism NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ B D2 antagonism . C Alpha-2 . antagonism D D2 partial . agonist 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? A This client may have Bipolar III disorder . B The antidepressant monotherapy should be . continued NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ B Patient with a bipolar II . designation C Patient with a bipolar III . designation D None of the above . 1 points QUESTION 37 1. The PMHNP spends a session with a client and notices behaviors correlating with a potential manic episode. All of the following are possible manic symptoms the PMHNP could observe except: A Pressured speech . B Less time sleeping . C Irritable mood . NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ D A low self esteem . 1 points QUESTION 38 1. The PMHNP is caring for a patient with the s genotype of SERT. What does the PMHNP understand regarding this patient’s response to selective serotonin reuptake inhibitor (SSRI)/SNRI treatment? A The patient has a higher chance of tolerating SSRI/SNRI . treatment. B The patient will have a positive response to SSRI/SNRI . treatment. C The patient will develop severe mood cycling in . response to treatment. D The patient may be less responsive or tolerant NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ to the . treatment. 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? A Norepinephrine potentiates 5HT release through a2 . postsynaptic receptors. B Norepinephrine inhibits 5HT release through a2 receptors. . NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ . C Problems . concentrating D A and C . 1 points QUESTION 42 1. Fluoxetine (Prozac) has been prescribed for a patient. Which of the following statements is true regarding the action of this medication? A Neuronal firing rates are not dysregulated in depression. . B Blocking the presynaptic SERT will immediately lead to a great deal of serotonin in . many synapses. C Upon the acute administration of a SSRI, 5HT decreases. NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ . NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ D The action at the somatodendritic end of the serotonin neuron may best explain the . therapeutic action of SSRIs. 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? 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 cholinergic receptors. NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 1 points NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ QUESTION 46 1. A 51-year-old female patient presents with symptoms of depression, including lack of motivation and difficulty sleeping. What risk factors would increase her vulnerability for a diagnosis of depression? A First onset in puberty or early . adulthood B Late onset of menses . C Premenstrual syndrome . D A and C . 1 points QUESTION 47 1. A nurse overhears that a patient has failed single therapy with an SSRI and SNRI. She also learns that the patient has been on dual SSRI/SNRI therapy without adequate symptom control. She approaches the PMHNP and asks what the next NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ treatment option could be in this seemingly treatment-resistant patient. The PMHNP tells the nurse she will treat the patient with the following regimen: 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 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 1. A client is prescribed fluoxetine but is concerned about side effects. Which statement demonstrates accurate client teaching when discussing the side effects associated with fluoxetine? A Weight gain is common . B Sedation is common . C Sedation is unusual . D Seizures occur frequently . 1 points QUESTION 51 1. A 25-year-old female patient is being prescribed milnacipran to treat fibromyalgia, and expresses concern regarding “how she will feel and look” from taking the medicine. NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Which statement correctly describes the side effects as a result of taking this medication? A It can affect her menstruation. . B Suicidality can be common among . young adults. C Sedation may be problematic. . D Weight gain is unusual. . 1 points QUESTION 52 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 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 duloxetine be contraindicated for Mr. Ruby? A He has . fibromyalgia. B He has . arrhythmia. C He uses alcohol. . D He is . overweight. 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 the PMHNP do? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 1. The PMHNP understands that which mechanism contributes to a worse tolerability profile for patients taking tricyclic antidepressants (TCAs)? A Histamine H1 receptor blockade can cause . insomnia. B Muscarinic M1 receptor blockade causes . blurred vision. C Alpha 1 adrenergic receptor blockade causes . weight gain. D Muscarinic M3 receptor blockade causes . sedation. 1 points QUESTION 56 1. A patient who was prescribed an MAO inhibitor is learning about dietary modifications. Which statement made by the PMHNP demonstrates proper teaching of the food-drug interactions for MAO inhibitors? A “You must avoid soy products, such as NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ . tofu.” B “You should not consume processed . meats.” C “You may consume fermented foods, like . sauerkraut.” D “You may continue to drink beers on tap.” . 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? A “Decongestants are fine to continue taking with MAO . inhibitors.” NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ B “Decongestants are okay to take with MAO inhibitors in . moderation.” C “Decongestants should be avoided due to risk of . serotonin syndrome.” D “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 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Gutier to take . daily. B The PMHNP will require Mr. Gutier to take 2-4 doses of lorazepam . (Ativan) per day. C The PMHNP will prescribe more than 2-6 mg for Mr. Gutier to take . daily. D The PMHNP will have Mr. Gutier take 6 mg of lorazepam (Ativan) as . a PRN. 1 points QUESTION 61 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 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 patient’s concerns? A mirtazapine . (Remeron) B doxepin (Silenor) . C alprazolam . (Xanax) D trazadone . (Oleptro) 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? A Mood stabilizers are only prescribed to treat manic phases of bipolar depression NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ . 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 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 appropriate response? NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ . (Tegretol) B Gabapentin . (Neurontin) C Valporoic Acid . (Depakene) D All of the above . 1 points QUESTION 66 1. A nursing student is seeking clarification on the use of anticonvulsants to treat bipolar depression and is unclear about which anticonvulsants have the most effective outcomes in treating bipolar depression. Which of the following anticonvulsants is NOT used for treating bipolar depression? A Carbamazepine (Tegretol) . B Gabapentin (Neurontin) NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ . C Lamotrigine (Lamictal) . 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 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ PMHNP recognizes that which of the following medications is contraindicated for this patient? A Valporic Acid . (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? A Valproic Acid (Depakene) . NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 1. During assessment a patient states “Why are you asking me about my heart, I am here for my head”, the PMHNP’s best response is: A “Some medications can cause heart issues so it is necessary to rule those out before . you begin medication.” B “This is a part of our routine admission and it is important that you give me truthful . answers.” C “Chronic conditions such as Lupus can cause an area in your brain to malfunction, . specifically your hippocampus.” D “Anxiety can cause cortisol levels to increase and when this happens frequently it . puts you at risk for comorbidities such as type 2 diabetes.” 1 points QUESTION 71 1. There are a number of endocrine reactions that accompany fear. A quick boost of cortisol may enhance NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 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? 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: NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ a Alcohol exerts an effect on GABAA receptors. . 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 . 1 points QUESTION 73 1. After ordering flumazenil (Rumazicon) the PMHNP cautions the staff to monitor for which possible effect? A Agitation . NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ • Question 1 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 1 points QUESTION 76 1. When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Y es N o NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ • Question 2 1 out of 1 points NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 1 out of 1 points 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 ted Answ er: 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 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ • Question 3 1 out of 1 points • Question 4 1 out of 1 points NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ impairment, and affective blunting. Which one of the symptoms mentioned is considered a positive symptom of schizophrenia? Select ed Answ er: B. Agitation Which statement about neurotransmitters and medications is true? Selec ted Answ er: B. Several psychiatric medications have been developed after discoveries of endogenous neurotransmitters and defining their function in the brain. NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ • 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 2023/2024 GRADED A+ this is because: Select ed Answ er: C. Neurotransmitters can spread by diffusion. Why is the cytochrome P450 enzyme system of significance to the PMHNP? Select ed 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 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ • Question 10 1 out of 1 points NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ following statements does the competent PMHNP identify as true? Selec ted Answ er: A. About 1 out of 5 Asians requires lower- than-normal doses of some antidepressants and antipsychotics. As it relates to G-protein linked receptors, what does the PMHNP understand about medications that are used in practice? Select ed Answ er: A. Most medications that act on G- protein linked receptors have antagonistic traits. • Question 11 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ • Question 12 0 out of 1 points NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 1 out of 1 points The PMHNP is considering prescribing a 49-year- old male clozapine (Clozaril) to treat his schizophrenia and suicidal ideations. The PMHNP is aware that which factor may impact the dose needed to effectively treat his condition: Select ed Answ er: A. The patient smokes cigarettes. 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 2023/2024 GRADED A+ NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ D. “ I feel nervous to go outside and be in large crowds.” • Question 16 NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ • Question 17 1 out of 1 points NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 1 out of 1 points 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? Select ed Answ er: A. “The drug will have an almost immediate effect.” 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 2023/2024 GRADED A+ • Question 18 1 out of 1 points NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Select ed Answ er: D. Varen icline (Chan tix) 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? Select ed Answ er: C. Part ial ago nist s NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ • Question 22 1 out of 1 points NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Which statement made by the patient suggests the patient will need to be treated with antipsychotics that target paranoid psychosis? Select ed Answ er: C. “I’m not sure why that lady is wearing a red jacket since it’s the dogs who need food.” Mr. McCullin is 64 years old with Parkinson’s disease. The PMHNP caring for Mr. McCullin wants to start him on a dopamine agonist to help manage and treat his condition. The PHMNP selects this agent because of which action it has on patients like Mr. McCullin? Select ed Answ er: NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ • Question 23 1 out of 1 points • Question 24 1 out of 1 points NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ D. D 2 receptors are the primary binding site for dopamine agonists. Mrs. Trevor is a 44-year-old patient who does not have a diagnosis of schizophrenia but occasionally reports symptoms of psychosis, followed by severe fatigue. Mrs. Trevor inquires about the use of amphetamines to help with her energy levels. Which response made by the PMHNP is most appropriate? Select ed Answ er: C. “Amphetamines can cause hallucinations, so I would advise against this type of prescription.” The PMHNP is caring for a patient with NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ • Question 25 1 out of 1 points NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 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? Selec ted Answ er: B. Hyperactivity in the mesolimbic dopamine pathway mediates the positive symptoms of schizophrenia. A patient is diagnosed with schizophrenia. What increases the patient’s potential to mediate the cognitive symptoms of the disease? Select ed Answ er: NURS 6630 MIDTERM EXAM STUDY GUIDE BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+