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Walden University NURS 6630 Final Exam| Attempt Score: 62 out of 75

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Walden University NURS 6630 Final Exam| Attempt Score: 62 out of 75

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Voorbeeld van de inhoud

Attempt Score 62 out of 75 points
Time Elapsed 1 hour, 55 minutes out of 2
hours
Results Submitted Answers
Displayed
• Question 1
1 out of 1 points
Why does the PMHNP avoid prescribing clozapine (Clozaril) as a first-line treatment to thepatient with
psychosis and aggression?

Selected A.
Answer: There is too high a risk of serious adverseside
effects.


• Question 2
1 out of 1 points
A 75-year-old male patient diagnosed with Alzheimer’s disease presents with agitation andaggressive
behavior. The PMHNP determines which of the following to be the best treatment option?

Selected D.
Answer: Citalopram (Celexa) or Escitalopram(Lexapro)
• Question 3
1 out of 1 points
A group of nursing students seeks further clarification from the PMHNP on how cholinesterase
inhibitors are beneficial for Alzheimer’s disease patients. What is theappropriate response?

Selected D.
Answer: Both “A” &
“C.”
• Question 4
1 out of 1 points
The PMHNP understands that slow-dose extended release stimulants are most appropriatefor which
patient with ADHD?

Selected A.
Answer: 8-year-old
patient



• Question 5
1 out of 1 points
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 A.
Answer: Methylphenidate (Ritalin,
Concerta)



• Question 6
1 out of 1 points
A patient with fibromyalgia and major depression needs to be treated for symptoms ofpain. Which is
the PMHNP most likely to prescribe for this patient?


Selected Duloxetine
Answer: (Cymbalta)



• Question 7
1 out of 1 points
Mrs. Kenner is concerned that her teenage daughter spends too much time on the Internet.She inquires
about possible treatments for her daughter’s addiction. Which response by the PMHNP demonstrates
understanding of pharmacologic approaches for compulsive disorders?



Selected D.
Answer: “There are no evidence-based treatments for Internet addiction, but there are
behavioral therapies your daughter can try.”
• Question 8
1 out of 1 points
An adult patient presents with a history of alcohol addiction and attention deficit hyperactivity disorder
(ADHD). Given these comorbidities, the PMHNP determines which ofthe following medications may
be the best treatment option?

Selected C.
Answer: Atomoxetine
(Strattera)


• Question 9
1 out of 1 points
Which of the following is a true statement regarding the use of stimulants to treatattention deficit
hyperactivity disorder (ADHD)?

Selected B.
Answer: Signal strength output is increased by dialing up the release of dopamine(DA) and
norepinephrine (NE).

, • Question 10
1 out of 1 points
A 71-year-old male patient comes to an appointment with his 65-year-old wife. They are both having
concerns related to her memory and ability to recognize faces. The PMNHP isconsidering prescribing
memantine (Namenda) based on the following symptoms:

Selected C.
Answer: Amnesia, apraxia,
agnosia



• Question 11
1 out of 1 points
The PMHNP is meeting with the parents of an 8-year-old patient who is receiving an initial
prescription for D-amphetamine. The PMHNP demonstrates appropriate prescribing practices when
she prescribes the following dose:

Selected A.
Answer: The child will be prescribed
2.5 mg.



• Question 12
1 out of 1 points
The PMHNP is assessing a patient who presents with elevated levels of brain amyloid as noted by
positron emission tomography (PET). What other factors will the PMHNP consider before prescribing
medication for this patient, and what medication would the PMHNP wantto avoid given these other
factors?

Selected D.
Answer: Both “A” &
“B”
• Question 13
0 out of 1 points
The PMHNP is attempting to treat a patient’s chronic insomnia and wishes to start with aninitial
prescription that has a half-life of approximately 1–2 hours. What is the most appropriate prescription
for the PMHNP to make?


Selected B.
Answer: Quazepam
(Doral)



• Question 14
1 out of 1 points

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