NR547 Final Exam Exam Questions With Complete
Solutions (Rationales provided)
_____________ is used to rapidly reverse an opioid overdose
Correct Answer Naloxone
-can be administered nasally, intramuscularly, subcutaneously,
or intravenously
_________________ is the current gold standard in the
treatment of opioid use disorder with physiologic dependence
for both detoxification and as a maintenance agent Correct
Answer Methadone
-can only be dispensed at an outpatient opioid treatment
program
72-year-old Luciana presents with concerns about her memory.
She reports having trouble remembering what day it is and has
,missed weekly bunco with her friends six times in 2 months. A
Mini-Cog™ assessment is performed.
Which of the following is the most appropriate supplemental
assessment for Luciana?
Administer a figure rearranging test.
Ask the patient to name as many types of mammals as possible
in 1 minute.
Ask the patient to explain the meaning of "you can't judge a
book by its cover."
Show the patient photos of three vegetables, then ask her to
name the vegetables later. Correct Answer Ask the patient to
name as many types of mammals as possible in 1 minute.
Rationale: The figure rearranging test would be similar to the
clock drawing activity in the Mini-Cog™; repeating this activity
will not yield meaningful results. Likewise, showing Luciana
photos of three vegetables and asking her to recall them is
similar to the word recall exercise in the Mini-Cog™. Asking
her to explain the meaning of "you can't judge a book by its
cover" is a test of abstract thought which is a higher-level
domain than is relevant to her concern. Naming items within a
particular category is an executive function test in alignment
with Luciana's current concerns.
A client with Alzheimer's dementia is prescribed donepezil.
Which of the following is the most anticipated client outcome?
cured Alzheimer's disease
complete return of cognitive function
prevention of further cognitive and functional decline
,improved memory and thinking Correct Answer improved
memory and thinking
Rationale: The effect of donepezil is to increase the availability
of acetylcholine, which results in enhanced transmission and
improved cognition. Donepezil does not cure Alzheimer's
disease, result in a complete return of cognitive function, or
prevent further decline, although it may slow progression.
Addiction Correct Answer A change in behavior caused by
biochemical changes in the brain after continued substance use
characterized by preoccupation with and repeated use of a
substance despite of negative outcomes.
Aducanumab Correct Answer has been used with clients with
mild dementia in clinical trials. This drug acts by binding to and
reducing amyloid-beta plaque in the brain.
Alcohol Use Disorder Correct Answer Clinical Features
-daily need for a large amount of alcohol to function
-pattern of heavy drinking on the weekends
-long periods of sobriety interspersed with binges
-unable to cut down or stop drinking
-blackouts
Symptoms of alcohol impairment
-slowed motor performance, decreased thinking ability,
incoordination, judgment errors, slurred speech, and blackouts.
Alcohol Withdrawal Correct Answer symptoms begin to
develop 4 to 12 hours after a reduction of alcohol intake
Alzheimer's disease Correct Answer -type of dementia
• 60-80% of dementias
-neurodegenerative disease
-Hallmarks:
• plaques - abnormal protein (beta-amyloid plaques) between
neurons
• tangles - tau protein inside neurons (neurofibrillary tangles)
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