NURS-6630C-6/NURS-6630N-6-Approaches to Treatment2020 Spring Qtr 02/24-05/17-PT27 -- Week 11 Final Exam...QUESTIONS AND ANSERS..

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) Question 2 0 out of 1 points All drugs that lead to addiction increase in the ventral striatum, which is also called the . Selected Answer: d. Dopamine / substantia nigra Question 3 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) Question 4 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) Question 5 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: Question 6 0 out of 1 points c. “You can get melatonin over the counter, which will help with sleep onset.” Antipsychotics are doses at a level that blocks % of D2 receptors. Selected Answer: c. 20-40 Question 7 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: Question 8 0 out of 1 points a. ADHD is often not the focus of treatment in adults with comorbid conditions. Sandra complains of constipation after being on quetiapine (SEROQUEL) for several weeks. Constipation is likely caused by the binding of quetiapine (SEROQUEL) to which receptor? Selected Answer: d. 5HT2A Question 9 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) Question 10 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) Question 11 1 out of 1 points Which patient will receive a lower dose of guanfacine? Selected Answer: d. Patient with kidney disease Question 12 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) Question 13 0 out of 1 points The PMHNP prescribes pregabalin (LYRICA) for a patient with chronic pain. How does pregabalin work to reduce pain? Selected Answer: d. It will increase excitatory neurotransmission by allowing calium influx across the voltate-sensitive calcium channels. Question 14 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. Question 15 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: