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NSG 6420 Array

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Exam of 22 pages for the course NSG 6420 Array at NSG 6420 Array (NSG 6420 Array)

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Week 9 Quiz
Which of the following statements are true?


Selected d.
Answer: A&B


Answers: a.
First-generation (typical) antipsychotics are associated with a higher
incidence of EPS.

b.
Second-generation (atypical) antipsychotics are associated with a higher
risk of metabolic side effects.

c.
There is evidence that atypical antipsychotics are significantly more
effective than typical antipsychotics in the treatment of cognitive
symptoms associated with schizophrenia.

d.
A&B

e.
A, B, and C

• Question 2
3.75 out of 3.75 points
Cindy is a 55-year-old patient who presents with symptoms consistent with Generalized
anxiety disorder. The patient has an unremarkable social history other than she
consumes two or three glasses of wine per night. Which of the following would be an
appropriate therapy to start this patient on?


Selected b.
Answer: Escitalopram 10mg daily


Answers: a.
Xanax 0.25mg BID PRN
Anxiety

b.
Escitalopram 10mg daily

c.
Buspirone 10mg BID

d.
Aripiprazole 10mg daily

• Question 3

, 3.75 out of 3.75 points
Richard is a 54-year-old male who suffers from schizophrenia. After exhausting various
medication options, you have decided to start him on Clozapine. Which of the
statements below is true regarding Clozapine?


Selected d.
Answer: A&B


Answers: a.
Regular blood monitoring must be performed to monitor for
neutropenia.

b.
Clozapine can only be filled by a pharmacy that participates in the
REMS program.

c.
Bradycardia is a common side effect of Clozapine.

d.
A&B

e.
All of the above

• Question 4
0 out of 3.75 points
Jordyn is a 27-year-old patient who presents to the clinic with GAD. She is 30 weeks
pregnant and has been well controlled on a regimen of sertraline 50mg daily. Jordyn
says that "about once or twice a week my husband really gets on my nerves and I can't
take it." She is opposed to having the sertraline dose increased due to the risk of further
weight gain. You have decided to prescribe the patient a short-term course of
benzodiazepines for breakthrough anxiety. Which of the following is the LEAST
appropriate benzodiazepines to prescribe to this patient?


Selected b.
Answer: alprazola
m

Answers: a.
diazepam

b.
alprazola
m

c.
clonazepa
m

, d.
lorazepa
m

• Question 5
0 out of 3.75 points
Jason is a 6-year-old child whose mother presents to the clinic with him. The mother
says that “he's not himself lately." After a thorough workup, you diagnose the patient as
having GAD. Which of the following medications would be the LEAST appropriate to
prescribe to this child?


Selected b.
Answer: Paroxetin
e

Answers: a.
Sertraline

b.
Paroxetin
e

c.
Venlafaxi
ne

d.
Buspirone

• Question 6
3.75 out of 3.75 points
John is a 41-year old-patient who presents to the clinic with diarrhea, fatigue, and
recently has been having tremors. He was diagnosed 19 years ago with bipolar disorder
and is currently managed on Lithium 300mg BID. As the PMHNP, you decide to order a
lithium level that comes back at 2.3mmol/l. What is the most appropriate course of
action?


Selected c.
Answer: Tell John he needs to go to the hospital and call an ambulance to
bring him.

Answers: a.
Investigate other differential diagnoses for his symptoms.

b.
Tell John to skip his next four Lithium doses and resume therapy.

c.
Tell John he needs to go to the hospital and call an ambulance to

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