NURS 6630 Week 11 Final Exam Fall 2021 Walden University

Course
NURS-6630N
Test
Week 11 Final Exam



 Question 1
0 out of 1 points
A patient diagnosed with obsessive compulsive disorder has been
taking a high-dose SSRI and is participating in therapy twice a week.
He reports an inability to carry out responsibilities due to consistent
interferences of his obsessions and compulsions. The PMHNP knows
that the next step would be which of the following?
Selected Answer: B.
Decrease his SSRI and add an MAOI.


 Question 2
0 out of 1 points
Which statement best describes a pharmacological approach to treating
patients for impulsive aggression?


Selected B.
Answer: Atypical antipsychotics can increase subcortical
dopaminergic stimulation.

, Question 3
1 out of 1 points
The PMHNP evaluates a patient presenting with symptoms of
dementia. Before the PMHNP considers treatment options, the patient
must be assessed for other possible causes of dementia. Which of the
following answers addresses both possible other causes of dementia
and a rational treatment option for Dementia?
Selected B.
Answer: Possible other causes: hypothyroidism, adrenal
insufficiency, hyperparathyroidism


Possible treatment option: donepezil




 Question 4
1 out of 1 points
An 80-year-old female patient diagnosed with Stage II Alzheimer’s has
a history of irritable bowel syndrome. Which cholinergic drug may be
the best choice for treatment given the patient’s gastrointestinal
problems?
Selected Answer: A.
Donepezil (Aricept)


 Question 5
0 out of 1 points
The PMHNP is teaching parents about their child’s new prescription
for Ritalin. What will the PMHNP include in the teaching?
Selected Answer: D.
There will be continued effects into the evening.

, Question 6
1 out of 1 points
The PMHNP prescribes gabapentin (Neurontin) for a patient’s chronic
pain. How does the PMHNP anticipate the drug to work?


Selected A.
Answer: It will bind to the alpha-2-delta ligand subunit of
voltage-sensitive calcium channels.


 Question 7
1 out of 1 points
An opioid-naive patient is taking MS Contin (morphine sulfate) to treat
his pain that is secondary to cancer. Under what circumstances would
the PMHNP order naloxone (Narcan) IM/SQ?

Selected D.
Answer: The patient’s vital signs are 98.4F temp, 88 pulse,
104/62 blood pressure, and 8 respirations.
 Question 8
1 out of 1 points
A patient is prescribed D-methylphenidate, 10-mg extended-release
capsules. What should the PMHNP include when discussing the side
effects with the patient?
Selected Answer: C.
The medication can affect your blood pressure.


 Question 9
1 out of 1 points
A young patient is prescribed Vyvanse. During the follow-up
appointment, which comment made by the patient makes the PMHNP
think that the dosing is being done incorrectly?

, Selected Answer: B.
“I am unable to fall asleep at night.”


 Question 10
1 out of 1 points
A patient recovering from shingles presents with tenderness and
sensitivity to the upper back. He states it is bothersome to put a shirt on
most days. This patient has end stage renal disease (ESRD) and is
scheduled to have hemodialysis tomorrow but states that he does not
know how he can lie in a recliner for 3 hours feeling this
uncomfortable. What will be the PMHNP’s priority?


Selected Answer: C.
Prescribe lidocaine 5%


 Question 11
0 out of 1 points
A 63-year-old patient presents with the following symptoms. The
PMHNP determines which set of symptoms warrant prescribing a
medication? Select the answer that is matched with an appropriate
treatment.
Selected C.
Answer: Reduced ability to find the correct word is most
problematic, and an appropriate treatment option would
be memantine.


 Question 12
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: