NURS6630 FINAL EXAM 2026
WALDEN UNIVERSITY STUDY
GUIDE COMPREHENSIVE
QUESTIONS ANSWERS GRADED A+
◉ which of the following medications are known as selective serotonin
re-uptake inibitors (SSRIs)?
Answer: Nortriptyline
Citalopram
Duloxetine
fluoxetine
venlafaxine
◉ Which disease state o a non-adherent patient is at greater risk for
substance use violence, and victimization as well as worse overall
quality of life?
Answer: Schizophrenia
◉ Patient is a 72 year old male with a past medical history significant
for the atrial fibrillation and COPD with a new diagnosis of major
depression disorder. Based on his comorbid conditions, what
antidepressant would you recommend as first-line?
Answer: not TCA due to fib and age, not ADHD med
◉ which of the following is an appropriate strategy for managing
treatment resistant depression
,Answer: SSRI and SNRI
◉ which of the following medications is best to AVOID in maintenance
treatment of bipolar disorder and why
Answer: antidepressants might contribute to an increase in mood episode
freq1uency
◉ 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?
Answer: ANS: b.
Methylphenidate (Ritalin, Concerta)
◉ 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?
Answer: ANS: d.
"Naltrexone may be an appropriate option to discuss."
◉ Which of the following substances has the highest probability of
becoming dependent after a single use?
Answer: ANS: c.
Nicotine
,◉ The nursing staff asks the PMHNP for additional education regarding
the treatment of agitation in dementia patients. Which of the following is
correct?
Answer: ANS: c.
The nurse should attempt to determine how the patient's environment
may be impacting the patient's mood.
◉ 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)?
Answer: ANS: c.
The patient is somnolent and has 7 respirations per minute.
◉ 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?
Answer: ANS: a.
"You can get melatonin over the counter, which will help with sleep
onset."
◉ 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?
Answer: ANS: b.
Avoiding prescribing the patient a drug that blocks H1 receptors
◉ Which of these statements is correct?
Answer: ANS: d.
Sedation is unusual with aripiprazole (ABILIFY)
◉ 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:
Answer: ANS: d.
Evaluate the patient's willingness to abstain from alcohol
◉ 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?
Answer: ANS: d.
There is decreased activation of the prefrontal cortex.
◉ An 18-year-old female with a history of frequent headaches and a
mood disorder is prescribed topiramate (Topamax), 25 mg by mouth
WALDEN UNIVERSITY STUDY
GUIDE COMPREHENSIVE
QUESTIONS ANSWERS GRADED A+
◉ which of the following medications are known as selective serotonin
re-uptake inibitors (SSRIs)?
Answer: Nortriptyline
Citalopram
Duloxetine
fluoxetine
venlafaxine
◉ Which disease state o a non-adherent patient is at greater risk for
substance use violence, and victimization as well as worse overall
quality of life?
Answer: Schizophrenia
◉ Patient is a 72 year old male with a past medical history significant
for the atrial fibrillation and COPD with a new diagnosis of major
depression disorder. Based on his comorbid conditions, what
antidepressant would you recommend as first-line?
Answer: not TCA due to fib and age, not ADHD med
◉ which of the following is an appropriate strategy for managing
treatment resistant depression
,Answer: SSRI and SNRI
◉ which of the following medications is best to AVOID in maintenance
treatment of bipolar disorder and why
Answer: antidepressants might contribute to an increase in mood episode
freq1uency
◉ 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?
Answer: ANS: b.
Methylphenidate (Ritalin, Concerta)
◉ 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?
Answer: ANS: d.
"Naltrexone may be an appropriate option to discuss."
◉ Which of the following substances has the highest probability of
becoming dependent after a single use?
Answer: ANS: c.
Nicotine
,◉ The nursing staff asks the PMHNP for additional education regarding
the treatment of agitation in dementia patients. Which of the following is
correct?
Answer: ANS: c.
The nurse should attempt to determine how the patient's environment
may be impacting the patient's mood.
◉ 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)?
Answer: ANS: c.
The patient is somnolent and has 7 respirations per minute.
◉ 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?
Answer: ANS: a.
"You can get melatonin over the counter, which will help with sleep
onset."
◉ 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?
Answer: ANS: b.
Avoiding prescribing the patient a drug that blocks H1 receptors
◉ Which of these statements is correct?
Answer: ANS: d.
Sedation is unusual with aripiprazole (ABILIFY)
◉ 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:
Answer: ANS: d.
Evaluate the patient's willingness to abstain from alcohol
◉ 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?
Answer: ANS: d.
There is decreased activation of the prefrontal cortex.
◉ An 18-year-old female with a history of frequent headaches and a
mood disorder is prescribed topiramate (Topamax), 25 mg by mouth
