NURS-6630C-9 NURS-6630N-9-Approaches to Treatment2020 Spring.

Course NURS-6630C-9/NURS-6630N-9-
Approaches to Treatment 2020 Spring
TesttWeekt6tMidtermtExam
StatustCompleted
Attempt 72touttoft75tpoints
tScore



• Questiont1
1touttoft1tpoints
Mr.tMcCullintist64tyearstoldtwithtParkinson’stdisease.tThetP
MHNPtcaringtfortMr.tMcCullintwantsttotstartthimtontatdopa
minetagonistttothelptmanagetandttreatthistcondition.tThet
PHMNPtselectstthistagenttbecausetoftwhichtactiontitthasto
ntpatientstliketMr.tMcCullin?

Selected D.
tAnswer:
D2treceptorstaretthetprimarytbindingtsitetfortdopam
inetagonists.
• Questiont2
1touttoft1tpoints


Ms.tHilltistpresentlytbeingttreatedtfortschizophreniatbutthaststoppedttaki
ngthertmedicationstduettotsometsideteffectstshetclaimstshetwastexperi
encing.tShetpresentsttotthetclinicttodaytwithtworseningtsymptoms.tSheti
stexperiencingtanhedonia,tagitation,tattentionaltimpairment,tandtaffectiv
etblunting.tWhichtonetoftthetsymptomstmentionedtistconsideredtatpositi
vetsymptomtoftschizophrenia?

Selected B.
tAnswer: Agitation
• Questiont3
1touttoft1tpoints

, ThetPMHNPtevaluatestthetpatienttfort“feartconditioning”tw
henthetasks:

Selected A.
tAnswer:
Havetyoutevertexperiencedtanyttyp
etofttrauma?
• Questiont4
1touttoft1tpoints
Whiletgenesthavetpotentialttotmodifytbehavior,tbehaviortcant
alsotmodifytgenes.tHowtdotgenestimpacttthistprocess?

Selected B.
tAnswer:
Changestmadet totproteinstleadt totchanges
tintbehavior.
• Questiont5
1touttoft1tpoints
ThetPMHNPtistlovingtfortatpatienttwithtschizophreniatandti
stconsideringtatvarietytofttreatmenttapproaches.tThetPHMN
Ptselectstatviablettreatmenttthattistconsistenttwithtthet“do
paminethypothesistoftschizophrenia.”tWhattactiontdoestthe
tPMHNPtanticipatetthisttreatmentthavingtontthetpatient?

Selected B.
tAnswer
:
Hyperactivitytintthetmesolimbictdopaminetpathw
aytmediatest thetpositivetsymptomstoftschizophr
enia.
• Questiont6
1touttoft1tpoints
Atpatienttistdiagnosedtwithtschizophrenia.tWhattincreasestthetpa
tient’stpotentialttotmediatetthetcognitivetsymptomstoftthetdiseas
e?

Selected A.
tAnswer
:
Achievingtunderactivitytoftthetmesocorticoltpro
jectionsttotthetprefrontaltcortex
• Questiont7
1touttoft1tpoints

, ThetPMHNPtistassessingtatpatienttintthetpsychiatrictemer
gencytroom.tThetpatientttellstthetPMHNPtthatthetdoestnott
understandtwhythistdepressionthastnottliftedtaftertbeington
tfourtdifferenttantidepressantstovertthetcoursetoftatyear.t
Whichtoftthetfollowingtsymptomstcantbetresidualtsympto
mstfortpatientstwhotdotnottachievetremissiontwithtmajor
tdepressivetdisorder?

Selected D.
tAnswer:
Atan
dtC
• Questiont8
1touttoft1tpoints
Thoughtmedicationsthavetthetabilityttottargettneurotransmittertreleas
etintotthetsynapsetbytthetpresynaptictneurontittistnottalwaystnecessary.tThetP
MHNPtunderstandstthattthististbecause:
Selected
C.
tAnswer:
Neurotransmitterstcantspreadtbytdiff
usion.
• Questiont9
1touttoft1tpoints
AtpatienttdiagnosedtwithtPTSDtistprescribedtpropranololt(Inde
ral)tandtthetPMHNPtunderstandstthatthetwastprescribedtthist
medicationtfortwhattpurpose:

Selected B.
tAnswer:
Betatblockerstaretlinkedtt
otreconsolidation.
• Questiont10
1touttoft1tpoints
Atpatienttpresentstwithtfrequenttepisodestoftmania.tWhicht
statementtdescribestantappropriatettreatmenttapproachtfor
tthistpatient?

Selected B.
tAnswer:
“Thetpatienttcouldtbenefittfromt
antanticonvulsant.”