NURS 6630N/NURS6630 Week 11 Final Exam>Approaches To Treatment.(Questions And Answers)

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Question 2 1 out of 1 points The PMHNP is caring for a patient with chronic insomnia who is worried about pharmacological treatment because the patient does not want to experience dependence. Which... pharmacological treatment approach will the PMHNP likely select for this patient for a limited duration, while searching and correcting the underlying pathology associated with the insomnia? Selected Answer: d. Non-benzodiazepine hypnotics  Question 3 1 out of 1 points The PMHNP prescribed a patient lamotrigine (Lamictal), 25 mg by mouth daily, for nerve pain 6 months ago. The patient suddenly presents to the office with the complaint that the medication is no longer working and complains of increased pain. What action will the PMHNP most likely take? Selected Answer: a. Increase the dose of lamotrigine (Lamictal) to 25 mg twice daily.  Question 4 1 out of 1 points A PMHNP supervisor is discussing with a nursing student how stimulants and noradrenergic agents assist with ADHD symptoms. What is the appropriate response? Selected Answer: a. All of these are correct  Question 5 0 out of 1 points Which of these statements is correct? Selected Answer: a. EPS is common with aripiprazole (ABILIFY)  Question 6 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 7 1 out of 1 points The PMHNP prescribes an obese patient phentermine (Adipex-p)/topiramate ER (Topamax) (Qsymia), Why is topiramate (Topamax) often prescribed with phentermine (Adipex-P)? Selected Answer: a. Phentermine (Adipex-P) works by suppressing appetite while topiramate (Topamax) acts by inhibiting appetite.  Question 8 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: a. Sertraline increases norepinephrine and serotonin. You need a medication that only increases serotonin.  Question 9 1 out of 1 points All drugs that lead to addiction increase __________________in the ventral striatum, which is also called the _______________. Selected Answer: c. Dopamine / nucleus accumbens  Question 10 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 11 0 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. Zolpidem (AMBIEN)  Question 12 1 out of 1 points You decide to start a patient on lurasidone (LATUDA). Which of these counseling points is correct? Selected Answer: b. This medication must be taken with food.  Question 13 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: c. “I am unable to fall asleep at night.”  Question 14 1 out of 1 points Why does the PMHNP avoid prescribing clozapine (Clozaril) as a first-line treatment to the patient with psychosis and aggression? Selected Answer: b. There is too high a risk of serious adverse side effects. [Show More]

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