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Exam (elaborations)

NURS 6630 EXAM LATEST UPDATED () WITH COMPLETE SOLUTIONS

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NURS 6630 EXAM LATEST UPDATED () WITH COMPLETE SOLUTIONS NURS 6630 Midterm Exam Question1 1 out of 1 points When an unstable patient asks why it is necessary to add medications to his current regimen, the PMHNP’s best response would be: Selected C. Answer: “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.” • Question 2 0 out of 1 points 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 patient? Selecte d Answer : C. Lithium (Lithobid • Question 3 Mr. Gordon is a middle-aged client who was started on 1 out of 1 points 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? Selecte d Answer : A. This client may have Bipolar III disorder • Question 4 1 out of 1 points A patient presents with frequent episodes of mania. Which statement describes an appropriate treatment approach for this patient? Selected Answer: B. “The patient could benefit from an anticonvulsant.” • Question 5 1 out of 1 points 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? Selecte d Answer : B. Those that are potent D2 antagonists with 5HT2A antagonism properties • Question 6 1 out of 1 points After ordering flumazenil (Rumazicon) the PMHNP cautions the staff to monitor for which possible effect? Selecte d Answer : D. All of the abov e • Question 7 1 out of 1 points 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? Selecte d Answer : A. dopamine and serotonin • Question 8 1 out of 1 points While genes have potential to modify behavior, behavior can also modify genes. How do genes impact this process?Selected Answer:B. Changes made to proteins lead to changes in behavior.

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