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NRNP 6665 Final Exam Test 2025 Questions with 100% Correct Answers Verified Updated 2025 / 2026 WALDEN $15.99
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NRNP 6665 Final Exam Test 2025 Questions with 100% Correct Answers Verified Updated 2025 / 2026 WALDEN
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NRNP 6665 Final Exam Test 2025 Questions with 100% Correct Answers Verified Updated 2025 / 2026 WALDEN

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  • February 8, 2024
  • 49
  • 2023/2024
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NRNP 6665 Final Exam Test Questions
1.Question 18:
Christine is a 9-year-old female who presents for care after having been
placed in the local foster care system. She has been in and out of foster care
for the last 4 years after her parents were killed in an automobile accident.
Christine has been placed in a variety of homes and residential care facilities
The PMHNP recognizes that Christine is at high risk for:: A. Dissociative
disorders
B. Post-traumatic stress disorder
C. Impulse-control disorder
D. Attachment disorder
2.Question 7:
Caylee is a 5-year-old girl who is referred for evaluation by child protective
services. She was recently removed from her biological family and placed in
foster care, as her home environment was reportedly unsafe due to
conditions of extreme neglect. Her foster mother reports that Caylee is very
quiet and withdrawn and always appears sad and disinterested in her
surroundings; however, she becomes very irritable when anything
unexpected or unplanned occurs. The foster mother became very concerned
when it appeared that Caylee was hallucinating. The PMHNP considers that::
A. Caylee is at high risk for suicide and precautions should be taken
B. The hallucinations are consistent with brief psychotic disorder or
schizophrenia
C. The history and reported symptoms are typical of depressive disorder
in young children
D. This is a common situation when prepubertal children are removed
from the biological parents regardless of how dysfunctional they are
3.Question 2:
Debi is a 15-year-old girl who is currently being treated for depression. Her
parents have been very proactive and involved in her care, and Debi has
achieved remission 2 months after beginning treatment with a combination
of pharmacotherapy and cognitive behavioral therapy. While counseling
Debi's parents about important issues in management, the PMHNP advises
that:: A. There is a > 50% likelihood that Debi's younger sibling will
develop depressive symptoms
B. The mean length of major depressive episode in adolescents is 4
months
C. 20 to 40% of adolescents who have major depressive disorder will
develop bipolar I within 5 years


,D. Adolescent-onset depression typically need long-term pharmacologic
manage- ment to prevent relapses
4.Agomelatine: Brand: Valdoxan
-Melatonin multimodal (Mel-MM)






,-Agonist at melatonergic 1 and melatonergic 2 receptors
-Antagonist at 5HT2C receptors
-Not FDA approved: Rx for Depression, Generalized anxiety disorder
-Initial 25 mg/day at bedtime; after 2 weeks can increase to 50 mg/day
at bedtime
5.Amitriptyline (Elavil): Tricyclic antidepressant.
6.Aripiprazole (Abilify): Treatment for depression. Atypical antipsychotic.
"Dopamine stabilizer". Dopamine receptor antagonist in high
concentration and also stimulates increase of dopamine in low
concentrations. Side effects: insomnia, akathisia.
7.Brexpiprazole (Rexulti): Treatment for depression. Atypical antipsychoti
8.Bupropion (Wellbutrin): Antidepressant and smoking cessation aid, It
can treat depression and help people quit smoking. It can also prevent
depression caused by seasonal affective disorder (SAD).
9.Citalopram (Celexa): Antidepressant, SSRI: 20-40 mg qd.
10.Clomipramine (Anafranil): -Serotonin reuptake inhibitor (S-RI)
-Tricyclic antidepressant (TCA)
-Parent drug is a potent serotonin reuptake inhibitor
Active metabolite is a potent norepinephrine/noradrenaline reuptake
inhibitor
-Increases serotonergic neurotransmission by blocking the serotonin
reuptake pump (transporter), -Desensitization of serotonin receptors,
especially serotonin 1A recep- tors
-Increases noradrenergic neurotransmission by blocking the
norepinephrine reup- take pump (transporter), -Desensitization of beta
adrenergic receptors
-Dopamine is inactivated by norepinephrine reuptake in the frontal
cortex
-Lacks dopamine transporters
-Increases dopamine neurotransmission in this part of the brain
**FDA Approved for Pediatrics in tx Obsessive-compulsive disorder (OCD
(ages 10 and older)
*Off-Label for Pediatric Use: Depression, Severe and treatment-resistant
depres- sion, Cataplexy syndrome, Anxiety, Insomnia,
Neuropathic pain/chronic pain
-Full therapeutic benefits may take 2-8 weeks
-Dosing: in Peds/Adolescents/Adults:
100-250mg/day
11.Cyamemazine (Tercian): Treatment for depression.


, -Known as cyamepromazine
-Typical antipsychotic drug of the phenothiazine class.
-Treatment for
schizophrenia and
psychosis-associated

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