NURS 6630 FINAL EXAM (2 VERSIONS, NURS 6630C – NURS 6630N) 63 Questions and Answers

NURS 6630 FINAL EXAM (2 VERSIONS, NURS 6630C – NURS 6630N) 63 Questions and Answers A 75-year-old male patient diagnosed with Alzheimer’s disease presents with agitation and aggressive behavior. The PMHNP determines which of the following to be the best treatment option? Selected Answer: c. Citalopram (Celexa) or Escitalopram (Lexapro 2. 1 out of 1 points The PMHNP is attempting to treat a patient’s chronic pain by having the agent bind the open channel conformation of VSCCs to block those channels with a “use-dependent” form of inhibition. Which agent will the PMHNP most likely select? Selected Answer: b. Pregabalin (Lyrica) 3. 1 out of 1 points A patient addicted to heroin is receiving treatment for detoxification. He begins to experience autonomic hyperactivity during the drug withdrawal period. What medication will the PMHNP prescribe for this patient? Selected Answer: c. Clonidine (CATAPRES) 4. 1 out of 1 points 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? Selected Answer: You can get melatonin over the counter, which will help with sleep onset.” 5. 1 out of 1 points A 26-year-old female patient with nicotine dependence and a history of anxiety presents with symptoms of attention deficit hyperactivity disorder (ADHD). Based on the assessment, what does the PMHNP consider? Selected Answer: ADHD is often not the focus of treatment in adults with comorbid conditions 6. 1 out of 1 points Karen completes the Epworth sleepiness scale and scores abnormally high. She is diagnosed with narcolepsy. The PMHNP prescribes a wake-promoting agent that is a weak dopamine transporter antagonist. Which medication did the PMHNP prescribe? Selected Answer: a. Modafanil (PROVIGIL) 7. 1 out of 1 points The PMHNP wants to prescribe Mr. Barber a mood stabilizer that will target aggressive and impulsive symptoms by decreasing dopaminergic neurotransmission. Which mood stabilizer will the PMHNP select? Selected Answer: d. Lithium (Lithane) 8. 1 out of 1 points Which patient will receive a lower dose of guanfacine? Selected Answer: d. Patient with kidney disease 9. 1 out of 1 points Neal is complaining of restless leg syndrome and insomnia. Which first-line medication should the PMHNP prescribe to treat both? Selected Answer: a. Ripinirole (REQUIP) 10. 1 out of 1 points 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)? Selected Answer: b. The patient is somnolent and has 7 respirations per minute. 11. 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 Answer: d. The patient’s vital signs are 98.4F temp, 88 pulse, 104/62 blood pressure, and 8 respirations 12. 1 out of 1 points Which statement best describes a pharmacological approach to treating patients for impulsive aggression? Selected Answer: a. Opioid antagonists can be used to reduce drive. 13. 1 out of 1 points Alcohol enhances inhibition at synapses and reduces excitation at synapses. Selected Answer: d. GABA / Glutamate 14. 1 out of 1 points A patient with gambling disorder and no other psychiatric comorbidities is being treated with pharmacological agents. Which drug is the PMHNP most likely to prescribe? Selected Answer: b. Naltrexone 15. 1 out of 1 points Harold complains of pain associated with his irritable bowel syndrome with constipation. The PMHNP decides to prescribe a medication that prevents pain signals from reaching the brain. Which agent does the PMHNP prescribe? Selected Answer: c. Duloxetine (CYMBALTA) 16. 1 out of 1 points The PMHNP understands that bupropion (Wellbutrin) is an effective way to assist patients with smoking cessation. Why is this medication effective for these patients? Selected Answer: b. Bupropion (Wellbutrin) blocks dopamine reuptake, enabling more availability of dopamine 17. 1 out of 1 points A