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Qtr 06/01-08/23-PT27
Assignments Review Test Submission: Week 11 Final Exam
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Review Test Submission:
Week 11 Final Exam
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Course NURS-6630N-4/NURS-6630F-4/NURS-6630C-4-Approaches to
Treatment2020 Summer Qtr 06/01-08/23-PT27
Test Week 11 Final Exam
Started 8/13/20 3:09 AM
Submitted 8/13/20 4:57 AM
Due Date 8/17/20 1:59 AM
Status Completed
Attempt 62 out of 75 points
Score
Time 1 hour, 48 minutes out of 2 hours
Elapsed
Results Submitted Answers
Displayed
Question 1 1 out of 1 points
Antihistamines may cause side eOects such as blurred vision, constipation, memory problems,
and dry mouth. This is due to the _______________ eGects of antihistamines.
Selected Answer: a. Anticholinergic
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Question 2 1 out of 1 points
A 26-year-old female patient with nicotine dependence and a history of anxiety presents with
symptoms of attention de cit hyperactivity disorder (ADHD). Based on the assessment, what
does the PMHNP consider?
Selected d.
Answer: ADHD is often not the focus of treatment in adults with comorbid
conditions.
Question 3 0 out of 1 points
Molly is a 52-year-old female that has a diagnosis of bromyalgia. She complains of fatigue and
cognitive di culties. Which medication is the PMHNP most likely to prescribe?
Selected Answer: c. Topiramate (TOPAMAX)
Question 4 1 out of 1 points
A patient with gambling disorder and no other psychiatric comorbidities is being treated with
pharmacological agents. Which drug is the PMHNP most likely to prescribe?
Selected Answer: d. Naltrexone
Question 5 1 out of 1 points
Which of the following is considered as a disruptive/impulse control behavior?
Selected Answer: a. Pyromania
Question 6 1 out of 1 points
Kevin is an adolescent who has been diagnosed with kleptomania. His parents are interested in
seeking pharmacological treatment. What does the PMHNP tell the parents regarding his
treatment options?
Selected Answer: c. “Naltrexone may be an appropriate option to discuss.”
Question 7 1 out of 1 points
A young patient is prescribed Vyvanse. During the follow-up appointment, which comment
made by the patient makes the PMHNP think that the dosing is being done incorrectly?
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Selected Answer: b. “I am unable to fall asleep at night.”
Question 8 1 out of 1 points
The novel neurotransmitter adenosine is responsible for the sleep-wake cycle by increasing
throughout the day and diminishing during night. Which of the follow is an antagonist of
adenosine?
Selected Answer: a. Ca eine
Question 9 1 out of 1 points
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?
Selected Answer: a. Antipsychotics
Question 10 1 out of 1 points
Mike wants to quit smoking. He has tried nicotine replacement and varenicline without success.
He has asked for another medication to help him kick his habit. The PMHNP decides to try a
medication that increases dopamine by prescribing a medications that can increase both
norepinephrine and dopamine. Which medication did the PMHNP prescribe?
Selected Answer: c. Bupropion (ZYBAN)
Question 11 1 out of 1 points
The PMHNP has been asked to provide an in-service training to include attention to the use of
antipsychotics to treat Alzheimer’s. What does the PMHNP convey to sta ?
Selected c.
Answer: The use of an psycho cs may cause increased cardiovascular events and
mortality
and an psycho cs are o en used as “chemical straightjackets” to over-
tranquilize
pa ents.
Question 12 1 out of 1 points
The PMHNP is caring for a patient who openly admitted to drinking a quart of vodka daily. Prior to
prescribing this patient disulJram (Antabuse), it is important for the PMHNP to:
Selected Answer: b. Evaluate the patient’s willingness to abstain from alcohol
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Question 13 1 out of 1 points
The PMHNP prescribes gabapentin (Neurontin) for a patient’s chronic pain. How does the
PMHNP anticipate the drug to work?
Selected d.
Answer: It will bind to the alpha-2-delta ligand subunit of voltage-sensitive calcium
channels.
Question 14 1 out of 1 points
The parents of a 7-year-old patient with ADHD are concerned about the eects 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?
Selected Answer: d. Strattera
Question 15 1 out of 1 points
A patient diagnosed with obsessive compulsive disorder has been taking a high-dose SSRI and is
participating in therapy twice a week. He reports an inability to carry out responsibilities due to
consistent interferences of his obsessions and compulsions. The PMHNP knows that the next step
would be which of the following?
Selected Answer: a. Decrease his SSRI and add buspirone (Buspar).
Question 16 1 out of 1 points
The PMHNP wants to use a symptom-based approach to treating a patient with Fbromyalgia.
How does the PMHNP go about treating this patient?
Selected b.
Answer: Matching the patient’s symptoms with the malfunctioning brain circuits and
neurotransmitters that might mediate those symptoms.
Question 17 1 out of 1 points
The PMHNP prescribes pregabalin (LYRICA) for a patient with chronic pain. How does pregabalin
work to reduce pain?
Selected a.
Answer: It will block excitatory neurotransmission by blocking voltage-sensitive
calcium channels.
Question 18 1 out of 1 points
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Karen completes the Epworth sleepiness scale and scores abnormally high. She is diagnosed
with narcolepsy. The PMHNP prescribes a wake-promoting agent that is a weak dopamine
transporter antagonist. Which medication did the PMHNP prescribe?
Selected Answer: a. Modafanil (PROVIGIL)
Question 19 1 out of 1 points
The PMHNP understands that slow-dose extended release stimulants are most appropriate for
which patient with ADHD?
Selected Answer: c. 8-year-old patient
Question 20 1 out of 1 points
Sharon is a 56-year-old female that presents to the clinic with pain after suGering a back injury
several years ago. The patient states she feels a tingling sensation in her legs. What type of pain
is Sharon likely experiencing?
Selected Answer: c. Neuropathic pain
Question 21 1 out of 1 points
Antipsychotics are doses at a level that blocks ________% of D2 receptors.
Selected Answer: d. 60-80
Question 22 0 out of 1 points
Neal is complaining of restless leg syndrome and insomnia. Which Nrst-line medication should
the PMHNP prescribe to treat both?
Selected Answer: d. Gabapentin (NEURONTIN)
Question 23 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 deRcit hyperactivity
disorder (ADHD) is suspected. What medication is the PMNHP most likely to prescribe?
Selected Answer: a. Methylphenidate (Ritalin, Concerta)
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Question 24 0 out of 1 points
Which of the following anticonvulsants increases serotonergic neurotransmission and
GABAergic transmission, while decreasing glutamatergic neurotransmission?
Selected Answer: c. Lamotrigine (LAMICTAL)
Question 25 1 out of 1 points
The nursing staU asks the PMHNP for additional education regarding the treatment of agitation in
dementia patients. Which of the following is correct?
Selected c.
Answer: The nurse should attempt to determine how the patient's environment may be
impacting the patient's mood.
Question 26 1 out of 1 points
The PMHNP is assessing a patient she has been treating with the diagnosis of chronic pain.
During the assessment, the patient states that he has recently been having trouble getting to
sleep and staying asleep. Based on this information, what action is the PMHNP most likely to
take?
Selected Answer: a. Order hydroxyzine (Vistaril), 50 mg PRN or as needed
Question 27 1 out of 1 points
The PMHNP wants to prescribe Mr. Barber a mood stabilizer that will target aggressive and
impulsive symptoms by decreasing dopaminergic neurotransmission. Which mood stabilizer will
the PMHNP select?
Selected Answer: a. Lithium (Lithane)
Question 28 1 out of 1 points
A 75-year-old male patient diagnosed with Alzheimer’s disease presents with agitation and
aggressive behavior. The PMHNP determines which of the following to be the best treatment
option?
Selected Answer: c. Citalopram (Celexa) or Escitalopram (Lexapro)
Question 29 0 out of 1 points
Harold complains of pain associated with his irritable bowel syndrome with constipation. The
PMHNP decides to prescribe a medication that prevents pain signals from reaching the brain.
Which agent does the PMHNP prescribe?
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Selected Answer: b. Venlafaxine (EFFEXOR)
Question 30 0 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:
Selected Answer: d. The child’s dose will increase by 2.5 mg every other week.
Question 31 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:
Selected Answer: a. Amnesia, apraxia, agnosia
Question 32 1 out of 1 points
A PMHNP supervisor is discussing with a nursing student how stimulants and noradrenergic
agents assist with ADHD symptoms. What is the appropriate response?
Selected Answer: a. All of these are correct
Question 33 1 out of 1 points
The PMHNP is assessing a female patient who has been taking lamotrigine (Lamictal) for
migraine prophylaxis. After discovering that the patient has reached the maximum dose of this
medication, the PMHNP decides to change the patient’s medication to zonisamide (Zonegran). In
addition to evaluating this patient’s day-to-day activities, what should the PMHNP ensure that this
patient understands?
Selected c.
Answer: This medication has unwanted side eCects such as sedation, lack of
coordination, and drowsiness.
Question 34 1 out of 1 points
Mrs. Rosen is a 49-year-old patient who is experiencing bro-fog. What does the PMHNP
prescribe for Mrs. Rosen to improve this condition?
Selected Answer: d. All of these are correct
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Question 35 1 out of 1 points
The PMHNP is treating a patient with depression and bromyalgia. The PMHNP chooses to
prescribe a treatment that may help treat the patient's bromyalgia and depressive symptoms.
Which medication is the PMHNP likely to choose?
Selected Answer: a. Amitriptyline (ELAVIL)
Question 36 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)?
Selected Answer: a. The patient is somnolent and has 7 respirations per minute.
Question 37 1 out of 1 points
Jacob is a 7-year-old pediatric patient who has signiCcant oppositional symptoms associated
with his ADHD diagnosis. What is the best treatment for this patient?
Selected Answer: b. Prescribe methylphenidate and augment with guanfacine.
Question 38 1 out of 1 points
The PMHNP understands that bupropion (Wellbutrin) is an eWective way to assist patients with
smoking cessation. Why is this medication e[ective for these patients?
Selected b.
Answer: Bupropion (Wellbutrin) blocks dopamine reuptake, enabling more
availability of dopamine.
Question 39 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?
Selected Answer: a. Cardiovascular disease
Question 40 1 out of 1 points
The PMHNP is working with the student to care for a patient with diabetic peripheral neuropathic
pain. The student asks the PMHNP why SSRIs are not consistently useful in treating this
particular patient’s pain. What is the best response by the PMHNP?
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Selected Answer: d. “SSRIs only increase serotonin levels.”
Question 41 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?
Selected Answer: c. Carbamazepine
Question 42 1 out of 1 points
A patient is being prescribed bupropion and is concerned about the side eKects. What will the
PMHNP tell the patient regarding bupropion?
Selected Answer: a. It can cause cardiac arrhythmias.
Question 43 1 out of 1 points
An adult patient presents with a history of alcohol addiction and attention de cit hyperactivity
disorder (ADHD). Given these comorbidities, the PMHNP determines which of the following
medications may be the best treatment option?
Selected Answer: b. Atomoxetine (Strattera)
Question 44 1 out of 1 points
A patient with chronic back pain has been prescribed a serotonin-norepinephrine reuptake
inhibitor (SNRI). How does the PMHNP describe the action of SNRIs on the inhibition of pain to
the patient?
Selected c.
Answer: “The SNRI can increase noradrenergic neurotransmission in the descending
spinal pathway to the dorsal horn.”
Question 45 1 out of 1 points
Why does the PMHNP avoid prescribing clozapine (Clozaril) as a Krst-line treatment to the
patient with psychosis and aggression?
Selected Answer: d. There is too high a risk of serious adverse side e ects.
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