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

Course NURS-6630C-9/NURS-6630N-9-
Approaches to Treatment2020 Spring
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Test Week I6 IMidterm IExam
Status Completed
Attempt 72 I out I of I 75 I points
IScore


Time 1 Ihour, I36 Iminutes Iout Iof I2 Ihours
IElapsed


Results I Submitted IAnswers
IDisplaye

d

• Question 1 I

1 Iout Iof I1 Ipoints
Mr. McCullin is 64 years old with Parkinson’s disease. The
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PMHNP caring for Mr. McCullin wants to start him on a
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dopamine agonist to help manage and treat his condition. The
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PHMNP selects this agent because of which action it has on
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patients like Mr. McCullin?
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Selected D.
IAnswer:
D2 receptors are the primary binding site for dopamine
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agonists.
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• Question 2 I


1 Iout Iof I1 Ipoints


Ms. IHill Iis Icurrently I being Itreated Ifor I schizophrenia Ibut Ihas Istopped Itaking
Iher I medications I due I to I some I side I effects I she I claims I she I was

Iexperiencing. I She I presents I to I the I clinic I today I with I worsening I symptoms.

IShe Iis I experiencing Ianhedonia, I agitation, Iattentional Iimpairment, Iand

Iaffective I blunting. I Which I one I of I the I symptoms I mentioned I is I considered I a

Iprogressive Isymptom Iof Ischizophrenia?




Selected B.
IAnswer:
Agitation
• Question 3 I


1 Iout Iof I1 Ipoints

, The PMHNP evaluates the patient for “fear conditioning” when
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he asks:
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Selected A.
IAnswer:
Have you ever experienced any
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variety of trauma?
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• Question 4 I


1 Iout Iof I1 Ipoints
While genes have potential to modify behavior, behavior can
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also modify genes. How do genes impact this process?
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Selected B.
IAnswer:
Changes made to proteins lead to changes I I I I I I


in behavior.
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• Question 5 I


1 Iout Iof I1 Ipoints
The PMHNP is caring for a patient with schizophrenia and is
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considering a variety of treatment approaches. The PHMNP
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selects a viable treatment that is consistent with the
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“dopamine hypothesis of schizophrenia.” What action does
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the PMHNP anticipate this treatment having on the patient?
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Selected B.
IAnswer:
Hyperactivity in the mesolimbic dopamine pathway I I I I I


mediates the positive symptoms of schizophrenia.
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• Question 6 I



1 Iout Iof I1 Ipoints
A patient is diagnosed with schizophrenia. What rises the patient’s
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potential to mediate the cognitive symptoms of the disease?
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Selected A.
IAnswer:
Achieving underactivity of the mesocorticol I I I I


projections to the prefrontal cortex
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• Question 7 I


1 Iout Iof I1 Ipoints

, The PMHNP is assessing a patient in the psychiatric
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emergency room. The patient tells the PMHNP that he does
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not understand why his depression has not lifted after being
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on four different antidepressants over the course of a year.
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Which of the following symptoms can be residual symptoms
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for patients who do not achieve remission with major
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depressive disorder?
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Selected D.
IAnswer:
A and I


C
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• Question 8 I



1 Iout Iof I1 Ipoints
Though medications have the ability to target neurotransmitter release into
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the synapse by the presynaptic neuron it is not always necessary. The PMHNP
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understands that this is because:
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Selected
C.
IAnswer:
Neurotransmitters can spread by I I I


diffusion.
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• Question 9 I



1 Iout Iof I1 Ipoints
A patient diagnosed with PTSD is prescribed propranolol (Inderal)
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and the PMHNP understands that he was prescribed this
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medication for what purpose:
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Selected B.
IAnswer:
Beta blockers are linked to I I I I


reconsolidation.
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• Question 10 I


1 Iout Iof I1 Ipoints
A patient presents with frequent episodes of mania. Which
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statement describes an appropriate treatment approach for
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this patient?
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Selected B.
IAnswer:
“The patient could benefit from an I I I I I


anticonvulsant.”
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