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NURS 6630 Final Exam Latest 2021, Walden University Latest Update
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NURS 6630 Final Exam Latest 2021, Walden University.NURS 6630 Final Exam Latest 2021, Walden University.
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NURS 6630 Final Exam Latest 2021, Walden University.• Question 1
0 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: B.
Decrease his SSRI and add an MAOI.
• Question 2
0 out of 1 points
Which statement best describes a pharmacological approach to treating patients for impulsive
aggression?
Selected
Answer: B.
Atypical antipsychotics can increase subcortical dopaminergic
stimulation.
pg. 1
, NURS 6630 Final Exam Latest 2021, Walden University.
• Question 3
0 out of 1 points
The PMHNP evaluates a patient presenting with symptoms of dementia. Before the PMHNP
considers treatment options, the patient must be assessed for other possible causes of
dementia. Which of the following answers addresses both possible other causes of dementia
and a rational treatment option for Dementia?
Selected B.
Answer: Possible other causes: hypothyroidism, adrenal insufficiency,
hyperparathyroidism
Possible treatment option: donepezil
• Question 4
1 out of 1 points
An 80-year-old female patient diagnosed with Stage II Alzheimer’s has a history of irritable
bowel syndrome. Which cholinergic drug may be the best choice for treatment given the
patient’s gastrointestinal problems?
Selected Answer: A.
Donepezil (Aricept)
• Question 5
0 out of 1 points
The PMHNP is teaching parents about their child’s new prescription for Ritalin. What will
the PMHNP include in the teaching?
Selected Answer: D.
There will be continued effects into the evening.
pg. 2
, NURS 6630 Final Exam Latest 2021, Walden University.
• Question 6
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 A.
Answer: It will bind to the alpha-2-delta ligand subunit of voltage-
sensitive calcium channels.
• Question 7
1 out of 1 points
An opioid-naive patient is taking MS Contin (morphine sulfate) to treat his pain that is
secondary to cancer. Under what circumstances would the PMHNP order naloxone (Narcan)
IM/SQ?
Selected
Answer: D.
The patient’s vital signs are 98.4F temp, 88 pulse, 104/62 blood
pressure, and 8 respirations.
• Question 8
1 out of 1 points
A patient is prescribed D-methylphenidate, 10-mg extended-release capsules. What should
the PMHNP include when discussing the side effects with the patient?
Selected Answer: C.
The medication can affect your blood pressure.
• Question 9
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?
pg. 3
, NURS 6630 Final Exam Latest 2021, Walden University.
Selected Answer: B.
“I am unable to fall asleep at night.”
• Question 10
1 out of 1 points
A patient recovering from shingles presents with tenderness and sensitivity to the upper back.
He states it is bothersome to put a shirt on most days. This patient has end stage renal disease
(ESRD) and is scheduled to have hemodialysis tomorrow but states that he does not know how
he can lie in a recliner for 3 hours feeling this uncomfortable. What will be the PMHNP’s
priority?
Selected Answer: C.
Prescribe lidocaine 5%
• Question 11
0 out of 1 points
A 63-year-old patient presents with the following symptoms. The PMHNP determines
which set of symptoms warrant prescribing a medication? Select the answer that is
matched with an appropriate treatment.
Selected C.
Answer: Reduced ability to find the correct word is most problematic, and an
appropriate treatment option would be memantine.
• 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 disulfiram (Antabuse), it is important for the PMHNP to:
pg. 4
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