nurs6630 final exam with answers

Question 1 1 out of 1 points The parents of a 10 year old girl diagnosed with ADHD ask if the PMHNP can prescribe something to help their daughter’s ADHD that is not a stimulant. Which of the following responses is c ...

Question 1 1 out of 1 points The parents of a 10 year old girl diagnosed with ADHD ask if the PMHNP can prescribe something to help their daughter’s ADHD that is not a stimulant. Which of the following responses is correct? Selected Answer: c. "I can prescribe atomoxetine for your daughter. This medication help ADHD symptoms and is not considered a stimulant."  Question 2 1 out of 1 points A patient with chronic insomnia asks the PMHNP if they can first try an over-the-counter (OTC) medication before one that needs to be prescribed to help the patient sleep. Which is the best response by the PMHNP? Selected Answer: d. “You can get melatonin over the counter, which will help with sleep onset.”  Question 3 0 out of 1 points Methylphenidate, amphetamine, and cocaine are alike because all three _____________________. Selected Answer: c. act as depressants.  Question 4 0 out of 1 points An elderly woman with a history of Alzheimer’s disease, coronary artery disease, and myocardial infarction had a fall at home 3 months ago that resulted in her receiving an open reduction internal fixation. While assessing this patient, the PMHNP is made aware that the patient continues to experience mild to moderate pain. What is the PMHNP most likely to do? Selected Answer: b. Order an X-ray because it is possible that she dislocated her hip.  Question 5 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: Selected Answer: c. Evaluate the patient’s willingness to abstain from alcohol  Question 6 0 out of 1 points Insomnia is caused by excessive nighttime arousal. The PMHNP is likely to prescribe which of the following to treat insomnia? Selected Answer: d. A negative allosteric modulator of GABA-A receptors  Question 7 1 out of 1 points The nursing staff asks the PMHNP for additional education regarding the treatment of agitation in dementia patients. Which of the following is correct? Selected Answer: b. The nurse should attempt to determine how the patient's environment may be impacting the patient's mood.  Question 8 1 out of 1 points The PMHNP is evaluating a 30-year-old female patient who states that she notices pain and a drastic change in mood before the start of her menstrual cycle. The patient states that she has tried diet and lifestyle changes but nothing has worked. What will the PMHNP most likely do? Selected Answer: d. Prescribe desvenlafaxine (Pristiq), 50 mg daily  Question 9 1 out of 1 points The PMHNP is caring for a patient who reports excessive arousal at nighttime. What could the PMHNP use for a time-limited duration to shift the patient’s brain from a hyperactive state to a sleep state? Selected Answer: b. Benzodiazepi nes  Question 10 1 out of 1 points Which of these characteristics does NOT meet the criteria for probably Alzheimer's dementia? Selected Answer: b. Sudden onset  Question 11 0 out of 1 points A patient with a new diagnosis of diabetic peripheral neuropathy is switched from sertraline (ZOLOFT) to duloxetine (CYMBALTA). The patient asks why they are switching treatment. What is the best response? Selected Answer: c. Sertraline increases norepinephrine and serotonin. You need a medication that only increases serotonin.  Question 12 1 out of 1 points Daniel is a 33 year old patient with ADHD and multiple comorbidities: mood disorder, alcohol abuse, ADHD, and nicotine dependence. Which comorbidity should be treated first? Selected Answer: c. Alcohol abuse disorder  Question 13 1 out of 1 points Parents of a 12-year-old boy want to consider attention deficit hyperactivity disorder (ADHD) medication for their son. Which medication would the PMHNP start? Selected Answer: a. All of these could potentially treat their son’s symptoms.  Question 14 0 out of 1 points Which of the following is considered as a disruptive/impulse control behavior? Selected Answer: a. Skin picking  Question 15 1 out of 1 points The PMHNP is performing a quality assurance peer review of the chart of another PMHNP. Upon review, the PMHNP reviews the chart of an older adult patient in long-term care facility who has chronic insomnia. The chart indicates that the patient has been receiving hypnotics on a nightly basis. What does the PMHNP find problematic about this documentation? Selected Answer: a. Hypnotics have prolonged half-lives that can cause drug accumulation in the elderly.  Question 16 1 out of 1 points The PMHNP understands that slow-dose extended release stimulants are most appropriate for which patient with ADHD? Selected Answer: d. 8-year-old patient  Question 17 1 out of 1 points Mr. Peterson is meeting with the PMHNP to discuss healthier dietary habits. With a BMI of 33, Mr. Peterson is obese and needs to modify his food intake. “Sometimes I think I’m addicted to food the way some people are addicted to drugs,” he says. Which statement best describes the neurobiological parallels between food and drug addiction? Selected Answer: c. There is decreased activation of the prefrontal cortex.  Question 18 0 out of 1 points Which of the following substances has the highest probability of becoming dependent after a single use? Selected Answer: a. Heroi n  Question 19 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?