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NR 607 FINAL EXAM Latest Update Actual Exam with 310 Questions and 100% Verified Correct Answers Guaranteed A+ At First Attempt Verified By Professor$25.49
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NR 607 FINAL EXAM Latest Update 2024-2025
Actual Exam with 310 Questions and 100%
Verified Correct Answers Guaranteed A+ At First
Attempt Verified By Professor
________ in treatment-resistant cases. - CORRECT ANSWER: clozapine
-Patients should be offered a clozapine trial if they have a partial or non-response to two
antipsychotic trials, assuming those antipsychotic trials are an adequate dose and
duration (four to eight weeks)
___________ is FDA approved for tx of tardive dyskinesia - CORRECT ANSWER:
Valbenazine (Ingrezza)
_____________________ for care and treatment is a fundamental ethical and legal
principle - CORRECT ANSWER: Informed consent
A global pandemic limits face-to-face mental health visits, the PMHNP determines that
the patient requires ongoing mental health treatment. The PMHNP arranges to meet
with the client via weekly interactive video sessions.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
,Psychotherapy - CORRECT ANSWER: Telehealth
Rationale: Telehealth services utilize telecommunication technology to deliver treatment
to clients.
A PMHNP discovers her colleague is diverting scheduled medications to self-medicate
anxiety. The PMHNP reports the concerns to the colleagues supervisor.
How the PMHNP applied ethical principles:
-Respect for the Individual
-Commitment to the Healthcare Consumer
-Advocacy for the Healthcare Consumer
-Responsibility and Accountability for Practice
-Duties to Self and Others
-Contributions to Healthcare Environments
-Advancement of the Nursing Profession
-Collaboration to Meet Health Needs
-Promotion of the Nursing Profession - CORRECT ANSWER: Contributions to
Healthcare Environments
Rationale: The PMHNP recognizes signs/symptoms of psychiatric disorders in the
workplace reporting peer observations to leadership. The PMHNP helps address
problems faced by colleagues that impact client safety or violate public trust, including
substance abuse.
A PMHNP speaks at a school board meeting about the need develop policies to expand
mental health services for underserved students.
How the PMHNP applied ethical principles:
-Respect for the Individual
-Commitment to the Healthcare Consumer
,-Advocacy for the Healthcare Consumer
-Responsibility and Accountability for Practice
-Duties to Self and Others
-Contributions to Healthcare Environments
-Advancement of the Nursing Profession
-Collaboration to Meet Health Needs
-Promotion of the Nursing Profession - CORRECT ANSWER: Promotion of the Nursing
Profession
Rationale: The PMHNP participates in policy development and implementation that
recognizes PMH disorders as treatable and ensures that nursing care is delivered with
respect to human needs and values without prejudice.
Acute inpatient care - CORRECT ANSWER: short-term treatment to provide care for
acutely ill clients who are unable to meet basic needs due to a mental health condition
or are at risk of harming themselves or others
-focus is crisis stabilization
-may be voluntary or involuntary
Agnieszka has experienced persistent racial discrimination since immigrating to the
United States, which has led to chronic stress, anxiety, depression, and post-traumatic
stress disorder (PTSD), exacerbating her chronic depression
What racism's effect is the patient experiencing?
Limited access to resources
Intersections with other social determinants
Cultural mistrust and mental healthcare disparities
Discrimination and racial trauma - CORRECT ANSWER: Discrimination and racial
trauma
, • potentially life-threatening
• occurs in less than 1% of clients prescribed clozapine
• cause unknown; may be genetic
-Onset of symptoms any time following initiation of clozapine, most common after 4-5
weeks of drug therapy
-symptoms of CLIA:
• fever and chills
• increased heart rate
• sudden hypotension
• muscle weakness and fatigue
• mouth ulcers
• sore throat
-Diagnosis: absolute neutrophil counts (ANC) less than 100/mcL.
Agranulocytosis Tx - CORRECT ANSWER: -immediate discontinuation of clozapine
-supportive care for infection
-consultation with hematology
AIMS - CORRECT ANSWER: Abnormal Involuntary Movement Scale
-12 questions
-5 point rating scale
• range from none to severe
Akathisia - CORRECT ANSWER: -The subjective feeling of restlessness with a
compelling urge to move
-May include repetitive movements:
• finger tapping, rocking, crossing/uncrossing legs
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