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PMHNP ANCC Exam Review

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BONUS QUIZ 1. The neurochemical pathophysiology of Tourette disorder involves  imbalances in dopaminergic, serotonergic, and noradrenergic systems in multiple regions of the brain. 2. Before an ... older adult patient initiates pharmacotherapy with a medication that is cleared by the kidneys, an adult psychiatric and mental health nurse practitioner assesses the patient's:  creatinine clearance. 3. For 12 years, a 65-year-old patient with bipolar affective disorder has been treated with lithium (Eskalith) 900 mg daily. When oral hydrochlorothiazide (HCTZ) 12.5 mg daily is added for hypertension, the patient develops nausea, vomiting, ataxia, and muscle weakness and the patient's serum lithium level is 2.0 mEq/L. The interaction of the lithium and the thiazide diuretic has induced:  reduced renal clearance of lithium. A patient has been taking escitalopram (Lexapro) 10 mg daily for four weeks. Initially, the patient reported depression and suicidal thoughts. The patient's sleep, appetite, energy, and appearance have now begun to improve. Which statement applies to this patient?  The patient's suicide potential is increased. 4. Symptoms of anxiety and panic are associated with a low level of which neurotransmitter?  Gamma-aminobutyric acid 6. According to current clinical guidelines for treating a patient with bipolar I disorder mania with psychotic features, an adult psychiatric and mental health nurse practitioner prescribes:  quetiapine (Seroquel). 7. A male patient informs an adult psychiatric and mental health nurse practitioner that he has not slept in three days, has poor concentration, and denies fatigue. The patient's diagnosis is:  bipolar disorder 8. The neuroprotective treatment of choice for bipolar disorder is: [Show More]

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