NURS 6630 MIDTERM EXAM 2 COMPLETE EXAM WITH SOLUTIONS 2023

IQuestionI1 • 1Iout Iof I1Ipoints WhenIanIunstableIpatientIasksIwhyIitIisInecessaryItoIaddImedications ItoIhis IcurrentIregimen,ItheIPMHNP’sIbestIresponseIwouldIbe: Selected IAnswer: C. I “Many Ipsychiatric Iillnesses Iinvolve Iseveral Idys-functioning Ineurotransmitter Isystems Iin Ithe Ibrain. IOften, Ia Isingle Imedication Imay Ionly Ieffect Ione Ior Itwo Iof Ithe Idys-functioning Isystems. IThe Iaddition Iof Ianother Imedication Ican Iwork Iwith Ithe Icurrent Imedication Iin Istabilizing Imultiple Ineurotransmitter Isystems Iand Ihelp Ito Ialleviate Iyour Isymptoms.” • QuestionI2 0Iout Iof I1Ipoints TheIPMHNPIisImeetingIwithIaInewImotherIwhoIwouldIlikeItoIbeginItaking ImedicationIagainItoItreatIherIbipolarIdepression;IsheIisIbreastfeedingIherI2- monthIoldIdaughter.I ITheIPMHNPIrecognizesIthatIwhichIofItheIfollowing ImedicationsIisIcontraindicatedIforIthisIpatient? Selected IAnswer: C. I LithiumI(Lithobid) • QuestionI3 1Iout Iof I1Ipoints Mr. IGordon Iis Ia Imiddle-aged Iclient Iwho Iwas Istarted Ion Iantidepressant Imonotherapy Ifor Idepression. I IAfter Ibeginning Ithis Imedication, Ithe IPMHNP Inoticed Ithat Ithis Iclient Iseemed Ito Iswing Iinto Ia Ihypomanic Iepisode. IWhat Ican Ithe IPMHNPIinfer Ifrom Ithis Ibehavior Ichange? SelectedIAnswer: A. I This Iclient Imay Ihave IBipolar IIII Idisorder • QuestionI4 1Iout Iof I1Ipoints AIpatientIpresentsIwithIfrequentIepisodesIofImania.IWhichIstatementIdescribes IanIappropriateItreatmentIapproachIforIthisIpatient? Selected IAnswer: B. I “TheIpatientIcouldIbenefitIfromIanIanticonvulsant.”I I • QuestionI5 1Iout Iof I1Ipoints TheIstudentIinquiresIaboutIantipsychoticImedications.IWhichIresponseIbyIthe IPMHNPIdescribesItheIfactorsIthatIcontributeItoIreducedIriskIofIextrapyramidal IsymptomsI(EPS)IforIpatientsIwhoItakeIantipsychotics? Selected IAnswer: B. I ThoseIthatIareIpotentID2Iantagonists IwithI5HT2AIantagonism Iproperties • QuestionI6 1Iout Iof I1Ipoints After Iordering Iflumazenil I(Rumazicon) Ithe IPMHNP Icautions Ithe Istaff Ito Imonitor Ifor Iwhich Ipossible Ieffect? Selected IAnswer: D. I AllIofItheIabove