NURS 6630 WEEK 11 FINAL EXAM 2020

Question 1 1 out of 1 points Antihistamines may cause side eOects such as blurred vision, constipation, memory problems, and dry mouth. This is due to the eGects of antihistamines. Selected Answer: a. Anticholinergic Question 2 1 out of 1 points A 26-year-old female patient with nicotine dependence and a history of anxiety presents with symptoms of attention de cit hyperactivity disorder (ADHD). Based on the assessment, what does the PMHNP consider? Selected d. Answer: ADHD is often not the focus of treatment in adults with comorbid conditions. Question 3 0 out of 1 points Molly is a 52-year-old female that has a diagnosis of bromyalgia. She complains of fatigue and cognitive di culties. Which medication is the PMHNP most likely to prescribe? Selected Answer: c. Topiramate (TOPAMAX) Question 4 1 out of 1 points A patient with gambling disorder and no other psychiatric comorbidities is being treated with pharmacological agents. Which drug is the PMHNP most likely to prescribe? Selected Answer: d. Naltrexone Question 5 1 out of 1 points Which of the following is considered as a disruptive/impulse control behavior? Selected Answer: a. Pyromania Question 6 1 out of 1 points Kevin is an adolescent who has been diagnosed with kleptomania. His parents are interested in seeking pharmacological treatment. What does the PMHNP tell the parents regarding his treatment options? Selected Answer: c. “Naltrexone may be an appropriate option to discuss.” Question 7 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? Selected Answer: b. “I am unable to fall asleep at night.” Question 8 1 out of 1 points The novel neurotransmitter adenosine is responsible for the sleep-wake cycle by increasing throughout the day and diminishing during night. Which of the follow is an antagonist of adenosine? Selected Answer: a. Ca eine Question 9 1 out of 1 points What will the PMHNP most likely prescribe to a patient with psychotic aggression who needs to manage the top-down cortical control and the excessive drive from striatal hyperactivity? Selected Answer: a. Antipsychotics Question 10 1 out of 1 points Mike wants to quit smoking. He has tried nicotine replacement and varenicline without success. He has asked for another medication to help him kick his habit. The PMHNP decides to try a medication that increases dopamine by prescribing a medications that can increase both norepinephrine and dopamine. Which medication did the PMHNP prescribe? Selected Answer: c. Bupropion (ZYBAN) Question 11 1 out of 1 points The PMHNP has been asked to provide an in-service training to include attention to the use of antipsychotics to treat Alzheimer’s. What does the PMHNP convey to sta ? Selected c. Answer: The use of an psycho cs may cause increased cardiovascular events and mortality and an psycho cs are o en used as “chemical straightjackets” to over- tranquilize pa ents. 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 disulJram (Antabuse), it is important for the PMHNP to: Selected Answer: b. Evaluate the patient’s willingness to abstain from alcohol Question 13 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 d. Answer: It will bind to the alpha-2-delta ligand subunit of voltage-sensitive calcium channels. Question 14 1 out of 1 points The parents of a 7-year-old patient with ADHD are concerned about the eects of stimulants on their child. The parents prefer to start pharmacological treatment with a non-stimulant. Which medication will the PMHNP will most likely prescribe? Selected Answer: d. Strattera Question 15 1 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: a. Decrease his SSRI and add buspirone (Buspar).