NURS 6630 EXAM
(WALDEN UNI)
QNS & ANS
VERSION 2
2023/2024
, 1. 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? Order
hydroxyzine (Vistaril), 50 mg PRN or as needed
2. 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 Naltrexo ne
3. Kevin is an adolescent who has been diagnosed with kleptomania. His parents are interested in
seeking pharmacological treatment. What does the PMHNP tell the parents regarding his treatment
options? Naltrexone may be an appropriate option to discuss.”
4. The PMHNP wants to use a symptom-based approach to treating a patient with fibromyalgia. How
does the PMHNP go about treating this patient Matching the patient’s symptoms with the
malfunctioning brain circuits and neurotransmitters that might mediate those symptoms
5. A 9-year-old female patient presents with symptoms of both attention deficit hyperactivity disorder
(ADHD) and oppositional defiant disorder. In evaluating her symptoms, the PMHNP determines
that which of the following medications may be beneficial in augmenting stimulant medication?
Guanfacine ER (Intuniv)
6. The PMHNP recognizes that which patient would be contraindicated for antidepressant
monotherapy? Patient with a bipolar I designation
(WALDEN UNI)
QNS & ANS
VERSION 2
2023/2024
, 1. 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? Order
hydroxyzine (Vistaril), 50 mg PRN or as needed
2. 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 Naltrexo ne
3. Kevin is an adolescent who has been diagnosed with kleptomania. His parents are interested in
seeking pharmacological treatment. What does the PMHNP tell the parents regarding his treatment
options? Naltrexone may be an appropriate option to discuss.”
4. The PMHNP wants to use a symptom-based approach to treating a patient with fibromyalgia. How
does the PMHNP go about treating this patient Matching the patient’s symptoms with the
malfunctioning brain circuits and neurotransmitters that might mediate those symptoms
5. A 9-year-old female patient presents with symptoms of both attention deficit hyperactivity disorder
(ADHD) and oppositional defiant disorder. In evaluating her symptoms, the PMHNP determines
that which of the following medications may be beneficial in augmenting stimulant medication?
Guanfacine ER (Intuniv)
6. The PMHNP recognizes that which patient would be contraindicated for antidepressant
monotherapy? Patient with a bipolar I designation
