NURS-6630C/NURS-6630N FINAL EXAM (WINTER
2021 -75/75)
NURS-6630C-7/NURS-6630N-7-Approaches to
Treatment2019
Week 11 Final Exam
The parents of a 10 year old girl diagnosed with ADHD ask if the PMHNP can prescribe something to
help their daughter’s ADHD that is not a stimulant. Which of the following responses is correct?
"I can prescribe atomoxetine for your daughter. This medication help ADHD symptoms and is not
considered a stimulant."
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?
“You can get melatonin over the counter, which will help with sleep onset.”
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:
Evaluate the patient’s willingness to abstain from alcohol
The nursing staff asks the PMHNP for additional education regarding the treatment of agitation in
dementia patients. Which of the following is correct?
The nurse should attempt to determine how the patient's environment may be impacting the
patient's mood.
The PMHNP is evaluating a 30-year-old female patient who states that she notices pain and a drastic
change in mood before the start of her menstrual cycle. The patient states that she has tried diet and
lifestyle changes but nothing has worked. What will the PMHNP most likely do?
Prescribe desvenlafaxine (Pristiq), 50 mg daily
,NURS-6630C/NURS-6630N FINAL EXAM (WINTER
2021 -75/75)
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?
Benzodiazepines
Daniel is a 33 year old patient with ADHD and multiple comorbidities: mood disorder, alcohol abuse,
ADHD, and nicotine dependence. Which comorbidity should be treated first?
Alcohol abuse disorder
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? All of these could potentially
treat their son’s symptoms.
The PMHNP is performing a quality assurance peer review of the chart of another PMHNP. Upon
review, the PMHNP reviews the chart of an older adult patient in long-term care facility who has
chronic insomnia. The chart indicates that the patient has been receiving hypnotics on a nightly basis.
What does the PMHNP find problematic about this documentation?
Hypnotics have prolonged half-lives that can cause drug accumulation in the elderly.
The PMHNP understands that slow-dose extended release stimulants are most appropriate for
which patient with ADHD? 8-year-old patient
Mr. Peterson is meeting with the PMHNP to discuss healthier dietary habits. With a BMI of 33, Mr.
Peterson is obese and needs to modify his food intake. “Sometimes I think I’m addicted to food the way
some people are addicted to drugs,” he says. Which statement best describes the neurobiological
parallels between food and drug addiction? There is decreased activation of the prefrontal cortex.
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
, NURS-6630C/NURS-6630N FINAL EXAM (WINTER
2021 -75/75)
for 3 hours feeling this uncomfortable. What will be the PMHNP’s priority?
Prescribe lidocaine 5%
A patient is prescribed D-methylphenidate, 10-mg extended-release capsules. What should the PMHNP
include when discussing the side effects with the patient? The medication can affect your blood
pressure.
The PMHNP is treating a patient with depression and fibromyalgia. The PMHNP chooses to prescribe
a treatment that may help treat the patient's fibromyalgia and depressive symptoms. Which medication
is the PMHNP likely to choose? Amitriptyline (ELAVIL)
Brandon is a non-compliant patient that presents to the clinic asking for help with his alcohol
dependence. The PMHNP evaluates the patient and determines a long-acting injection that blocks
the mu-receptors would be the best treatment option for Brandon. Which medication should the
PMHNP prescribe? Naltrexone (VIVITROL)
Which patient will receive a lower dose of guanfacine? Patient with kidney disease
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?
The patient’s vital signs are 98.4F temp, 88 pulse, 104/62 blood pressure, and 8 respirations.
The PMHNP is meeting with the parents of an 8-year-old patient who is receiving an initial
prescription for D-amphetamine. The PMHNP demonstrates appropriate prescribing practices when
she prescribes the following dose: The child will be prescribed 2.5 mg.
The PMHNP is treating a patient for fibromyalgia and is considering prescribing milnacipran (Savella).
When prescribing this medication, which action is the PMHNP likely to choose? Split the daily dose
into two doses after the first day.
An adult patient presents with a history of alcohol addiction and attention deficit hyperactivity
disorder (ADHD). Given these comorbidities, the PMHNP determines which of the following
medications may be the best treatment option? Atomoxetine (Strattera)
2021 -75/75)
NURS-6630C-7/NURS-6630N-7-Approaches to
Treatment2019
Week 11 Final Exam
The parents of a 10 year old girl diagnosed with ADHD ask if the PMHNP can prescribe something to
help their daughter’s ADHD that is not a stimulant. Which of the following responses is correct?
"I can prescribe atomoxetine for your daughter. This medication help ADHD symptoms and is not
considered a stimulant."
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?
“You can get melatonin over the counter, which will help with sleep onset.”
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:
Evaluate the patient’s willingness to abstain from alcohol
The nursing staff asks the PMHNP for additional education regarding the treatment of agitation in
dementia patients. Which of the following is correct?
The nurse should attempt to determine how the patient's environment may be impacting the
patient's mood.
The PMHNP is evaluating a 30-year-old female patient who states that she notices pain and a drastic
change in mood before the start of her menstrual cycle. The patient states that she has tried diet and
lifestyle changes but nothing has worked. What will the PMHNP most likely do?
Prescribe desvenlafaxine (Pristiq), 50 mg daily
,NURS-6630C/NURS-6630N FINAL EXAM (WINTER
2021 -75/75)
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?
Benzodiazepines
Daniel is a 33 year old patient with ADHD and multiple comorbidities: mood disorder, alcohol abuse,
ADHD, and nicotine dependence. Which comorbidity should be treated first?
Alcohol abuse disorder
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? All of these could potentially
treat their son’s symptoms.
The PMHNP is performing a quality assurance peer review of the chart of another PMHNP. Upon
review, the PMHNP reviews the chart of an older adult patient in long-term care facility who has
chronic insomnia. The chart indicates that the patient has been receiving hypnotics on a nightly basis.
What does the PMHNP find problematic about this documentation?
Hypnotics have prolonged half-lives that can cause drug accumulation in the elderly.
The PMHNP understands that slow-dose extended release stimulants are most appropriate for
which patient with ADHD? 8-year-old patient
Mr. Peterson is meeting with the PMHNP to discuss healthier dietary habits. With a BMI of 33, Mr.
Peterson is obese and needs to modify his food intake. “Sometimes I think I’m addicted to food the way
some people are addicted to drugs,” he says. Which statement best describes the neurobiological
parallels between food and drug addiction? There is decreased activation of the prefrontal cortex.
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
, NURS-6630C/NURS-6630N FINAL EXAM (WINTER
2021 -75/75)
for 3 hours feeling this uncomfortable. What will be the PMHNP’s priority?
Prescribe lidocaine 5%
A patient is prescribed D-methylphenidate, 10-mg extended-release capsules. What should the PMHNP
include when discussing the side effects with the patient? The medication can affect your blood
pressure.
The PMHNP is treating a patient with depression and fibromyalgia. The PMHNP chooses to prescribe
a treatment that may help treat the patient's fibromyalgia and depressive symptoms. Which medication
is the PMHNP likely to choose? Amitriptyline (ELAVIL)
Brandon is a non-compliant patient that presents to the clinic asking for help with his alcohol
dependence. The PMHNP evaluates the patient and determines a long-acting injection that blocks
the mu-receptors would be the best treatment option for Brandon. Which medication should the
PMHNP prescribe? Naltrexone (VIVITROL)
Which patient will receive a lower dose of guanfacine? Patient with kidney disease
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?
The patient’s vital signs are 98.4F temp, 88 pulse, 104/62 blood pressure, and 8 respirations.
The PMHNP is meeting with the parents of an 8-year-old patient who is receiving an initial
prescription for D-amphetamine. The PMHNP demonstrates appropriate prescribing practices when
she prescribes the following dose: The child will be prescribed 2.5 mg.
The PMHNP is treating a patient for fibromyalgia and is considering prescribing milnacipran (Savella).
When prescribing this medication, which action is the PMHNP likely to choose? Split the daily dose
into two doses after the first day.
An adult patient presents with a history of alcohol addiction and attention deficit hyperactivity
disorder (ADHD). Given these comorbidities, the PMHNP determines which of the following
medications may be the best treatment option? Atomoxetine (Strattera)
