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NURS-6630C-8/NURS-6630N-8-Approaches to Treatment2020 Spring...100%

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An interneuron is a neuron that has its cell body, dendrites, and axon within the spinal cord. The neuron can be considered excitatory if it contains or inhibitory if it contains . Selected Answer: d. Glutamate / GABA Which patient will receive a lower dose of guanfacine? Selected Answer: c. Patient with kidney disease Mike wants to quit smoking. He has tried nicotine replacement and varenicline without success. He has asked for another medication to help him kick his habit. The PMHNP decides to try a medication that increases dopamine by prescribing a medications that can increase both norepinephrine and dopamine. Which medication did the PMHNP prescribe? Selected Answer: d. Bupropion (ZYBAN) A patient with irritable bowel syndrome reports chronic stomach pain. The PMHNP wants to prescribe the patient an agent that will cause irrelevant nociceptive inputs from the pain to be ignored and no longer perceived as painful. Which drug will the PMHNP prescribe? Selected c. Answer: Duloxetine (Cymbalta) The PMHNP prescribes gabapentin (Neurontin) for a patient’s chronic pain. How does the PMHNP anticipate the drug to work? Selected Answer: d. It will bind to the alpha-2-delta ligand subunit of voltage-sensitive calcium channels. The PMHNP is assessing a patient she has been treating with the diagnosis of chronic pain. During the assessment, the patient states that he has recently been having trouble getting to sleep and staying asleep. Based on this information, what action is the PMHNP most likely to take? Selected Answer: a. Order hydroxyzine (Vistaril), 50 mg PRN or as needed A patient with hypersexual disorder is being assessed for possible pharmacologic treatment. Why does the PMHNP prescribe an antiandrogen for this patient? Selected Answer: d. It will block testosterone. The PMHNP is teaching a patient with a sleep disorder about taking diphenhydramine (Benadryl). The patient is concerned about the side effects of the drug. What can the PMHNP teach the patient about this treatment approach? Selected Answer: a. “It can cause blurred vision.” The nursing staff asks the PMHNP for additional education regarding the treatment of agitation in dementia patients. Which of the following is correct? Selected Answer: a. The nurse should attempt to determine how the patient's environment may be impacting the patient's mood. The PMHNP is caring for a patient with chronic insomnia who would benefit from taking hypnotics. The PMHNP wants to prescribe the patient a drug with an ultra-short half-life (1–3 hours). Which drug will the PMHNP prescribe? Selected Answer: c. Triazolam (Halcion) Which of the following substances has the highest probability of becoming dependent after a single use? Selected Answer: d. Heroi n Which of the following is considered as a disruptive/impulse control behavior? Selected Answer: c. Gambli ng A patient presents with psychotic aggression. Which treatment option is best for a patient presenting with psychotic aggression due to impaired top-down cortical control and excessive drive from striatal hyperactivity? Selected Answer: a. Antipsychoti cs A nursing students asks the PMHNP the difference between impulsivity and compulsivity. Which of the following responses is correct? Selected Answer: b. Impulsivity is defined as acting without forethought and compulsivity is defined as actions that are inappropriate to the situation but persist. The PMHNP has been asked to provide an in-service training to include attention to the use of antipsychotics to treat Alzheimer’s. What does the PMHNP convey to staff? Selected Answer: d. The use of antipsychotics may cause increased cardiovascular events and mortality and antipsychotics are often used as “chemical straightjackets” to over-tranquilize patients. The PMHNP understands that varenicline (CHANTIX) is an effective way to assist patients with smoking cessation. Why is this medication effective for these patients? Selected Answer: a. Varenicline is a selective nicotinic acetylcholine receptor partial agonist Parents of a 12-year-old boy want to consider attention deficit hyperactivity disorder (ADHD) medication for their son. Which medication would the PMHNP start? Selected Answer: b. All of these could potentially treat their son’s symptoms.

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User Cynthia Rochelle Archie
Course NURS-6630N
Test Week 11 Final Exam
Started 2/6/19 9:14 AM
Submitted 2/6/19 11:08 AM
Due Date 2/11/19 1:59 AM
Status Completed
Attempt Score 73 out of 75
points
Time Elapsed 1 hour, 54 minutes out of
2 hours
Results Submitted Answers
Displaye
d
• Question 1
1 out of 1 points
Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What does the PMHNP
prescribe for Mrs. Rosen to improve this condition?



Selected D.
Answer: All of
the
above

• Question 2
0 out of 1 points
An elderly woman with a history of Alzheimer’s disease, coronary artery disease, and
myocardial infarction had a fall at home 3 months ago that resulted in her receiving an
open reduction internal fixation. While assessing this patient, the PMHNP is made aware
that the patient continues to experience mild to moderate pain. What is the PMHNP most
likely to do?



Selected A.
Answer: Order an X-ray because it is possible that she
dislocated her hip.


• Question 3
1 out of 1 points
The PMHNP is caring for a patient who reports excessive arousal at nighttime. What could
the PMHNP use for a time-limited duration to shift the patient’s brain from a hyperactive
state to a sleep state?



Selected B.
Answer: Benzodiazepi

, nes



• Question 4
1 out of 1 points
A patient addicted to heroin is receiving treatment for detoxification. He begins to
experience tachycardia, tremors, and diaphoresis. What medication will the PMHNP
prescribe for this patient?


Selected D.
Answer: Clonidine
(Catapres)

• Question 5
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 6
1 out of 1 points
A patient with hypersexual disorder is being assessed for possible pharmacologic
treatment. Why does the PMHNP prescribe an antiandrogen for this patient?



Selected C.
Answer: It will block
testosterone.




• Question 7
1 out of 1 points
Which statement best describes a pharmacological approach to treating patients for
impulsive aggression?



Selected D.
Answer: Opioid antagonists can be used
to reduce drive.

, • Question 8
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 A.
Answer: ADHD is often not the focus of treatment in adults with
comorbid conditions.



• Question 9
1 out of 1 points
A patient with irritable bowel syndrome reports chronic stomach pain. The PMHNP wants
to prescribe the patient an agent that will cause irrelevant nociceptive inputs from the
pain to be ignored and no longer perceived as painful. Which drug will the PMHNP
prescribe?

Selected C.
Answer: Duloxetine
(Cymbalta)



• Question 10
1 out of 1 points
Parents of a 12-year-old boy want to consider attention deficit hyperactivity disorder
(ADHD) medication for their son. Which medication would the PMHNP start?



Selected All of the above could potentially treat their
Answer: son’s symptoms.

• Question 11
1 out of 1 points
Which of the following is a true statement regarding the use of stimulants to treat
attention deficit hyperactivity disorder (ADHD)?


Selected B.
Answer: Signal strength output is increased by dialing up the release of
dopamine (DA) and norepinephrine (NE).




• Question 12
1 out of 1 points
Mr. Peterson is meeting with the PMHNP to discuss healthier dietary habits. With a BMI of

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