Question 1
An 8-year-old patient presents with severe hyperactivity, described as “ants in his pants.”
Based on self-report from the patient, his parents, and his teacher; attention deficit
hyperactivity disorder (ADH
...
Question 1
An 8-year-old patient presents with severe hyperactivity, described as “ants in his pants.”
Based on self-report from the patient, his parents, and his teacher; attention deficit
hyperactivity disorder (ADHD) is suspected. What medication is the PMNHP most likely to
prescribe?
Selected Answer: b.
Methylphenidate (Ritalin, Concerta)
Question 2
When completing this exam, did you comply with Walden University’s Code of Conduct
including the expectations for academic integrity?
Selected Answer: Yes
Question 3
1 out of 1 points
Which of the following substances has the highest probability of becoming dependent after a
single use?
Selected Answer: c.
Nicotine
Question 4
1 out of 1 points
The PMHNP is caring for a patient who experiences too much overstimulation and anxiety
during daytime hours. The patient agrees to a pharmacological treatment but states, “I don’t
want to feel sedated or drowsy from the medicine.” Which decision made by the PMHNP
demonstrates proper knowledge of this patient’s symptoms and appropriate treatment options?
Selected Answer: b.
Avoiding prescribing the patient a drug that blocks H1 receptors
Question 5
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: d.
“Naltrexone may be an appropriate option to discuss.”
Question 6
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:
Question 7
c.
The nurse should attempt to determine how the patient's environment may be
impacting the patient's mood.
1 out of 1 points
A patient on chronic opioids is currently on oxycodone ER (OxyContin). The PMHNP is
consulted to treat underlying depression. Under which circumstance should the PMHNP order
naloxone (NARCAN)?
Selected Answer: c.
The patient is somnolent and has 7 respirations per minute.
Question 8
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: a.
“You can get melatonin over the counter, which will help with sleep onset.”
Question 9
1 out of 1 points
Which of these statements is correct?
Selected Answer: d.
Sedation is unusual with aripiprazole (ABILIFY)
Question 10
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: d.
Evaluate the patient’s willingness to abstain from alcohol
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