NURS 6630C – NURS 6630N Midterm Exam 7.

P a g e 1 | 18 1 Review IITest IISubmission: IIWeek II6 IIMidterm IIExam II Course NURS -6630C -8/NURS -6630N -8-Approaches IIto IITreatment2020 IISpring II Test Week II6 IIMidterm IIExam Status Completed Attempt IIScore 74 IIout IIof II75 IIpoints II II Time IIElapsed 2 IIhours, II0 IIminute IIout IIof II2 IIhours Results Submitted IIAnswers IIDisplayed • Question II1 1 IIout IIof II1 IIpoints A IIpatient IIis IIprescribed IIfluoxetine IIbut IIis IIconcerned IIabout IIthe IIside IIeffects. IIWhich IIstatement IIdemonstrates IIaccurate IIpatient IIteaching IIwhen IIdiscussing IIthe IIside IIeffects IIassociated IIwith IIfluoxetine? Selected IIAnswer: C. II Induction IIof IImania IIis IIrare. • Question II2 1 IIout IIof II1 IIpoints A IIpatient IIrecently IItransferred IIfollowing IIa IIsuicide IIattempt IIhas IIa IIhistory IIof IIschizophrenia, IIdepression, IIand IIfibromyalgia. IIHe IIis IIcurrently IItaking IIAmitriptyline II(Elavil), IILisinopril, IIaspirin, IIand IIfluoxetine II(Prozac). IIWhen IIassessing IIthe IIpsychiatric IImedications IIand IIthe IIreason IIfor IIadmission, IIwhat IIwould IIbe IIthe IIbest IIcourse IIof IIaction IIfor IIthe IIPMHNP IIwith IIthis IIclient? Selected IIAnswer: A. II Review IIAmitriptyline II(Elavil) IIlevel • Question II3 1 IIout IIof II1 IIpoints Which IIstatement II Selected IIAnswer: about IIneurotransmitters IIand IImedications IIis IItrue? B. II Several IIpsychiatric IImedications IIhave IIbeen IIdeveloped IIafter IIdiscoveries IIof IIendogenous IIneurotransmitters IIand IIdefining IItheir IIfunction IIin IIthe IIbrain . • Question II4 P a g e 2 | 18 2 1 IIout IIof II1 IIpoints A IIpatient IIis IIseeking IIpharmacological IItreatment IIfor IIsmoking IIcessation. IIWhich IIdrug IIclass IIdoes IIthe IIPMHNP IIprescribe IIto IIthe IIpatient? Selected IIAnswer: D. II Varenicline II(Chantix) • Question II5 1 IIout IIof II1 IIpoints A II25-year -old IIfemale IIpatient IIis IIbeing IIprescribed IImilnacipran IIto IItreat IIfibromyalgia, IIand IIexpresses IIconcern IIregarding II“how IIshe IIwill IIfeel IIand IIlook” IIfrom IItaking IIthe IImedicine. IIWhich IIstatement IIcorrectly IIdescribes IIthe IIside IIeffects IIas IIa IIresult IIof IItaking IIthis IImedication? Selected IIAnswer: D. II Weight IIgain IIis IIunusual. • Question II6 1 IIout IIof II1 IIpoints Which IIstatement IImade IIantipsychotics IIthat IIta Selected IIAnswer: IIby IIthe IIpatient IIsuggests IIthe IIpatient IIwill IIneed IIto IIbe IItreated IIwith rget IIparanoid IIpsychosis? B. II “I IIhave IIto IItalk IIto IIthe IIPresident IIbecause III’m IIthe IIonly IIone IIwho IIcan IIhelp IIhim.” • Question II7 1 IIout IIof II1 IIpoints The IIPMHNP IIis IIcaring IIfor IIa IIpatient IIwith IIthe IIs IIgenotype IIof IISERT . IIWhat IIdoes IIthe IIPMHNP IIunderstand IIregarding IIthis IIpatient’s IIresponse IIto IIselective IIserotonin IIreuptake IIinhibitor II(SSRI)/SNRI IItreatment? Selected IIAnswer: D. II The IIpatient IImay IIbe IIless IIresponsive IIor IItolerant IIto IIthe IItreatment. • Question II8 1 IIout IIof II1 IIpoints A IIpatient IIwho IIis IIprescribed IIMAO IIinhibitors IIasks IIabout IIwhether IIhe IIcan IIcontinue IItaking IIpseudoephedrine IIto IIrelieve IIhis IIcongestion. IIWhich IIresponse IIby IIthe IIPMHNP IIindicates IIproper IIunderstanding IIof IIdrug -drug IIinteractions? II II Selected IIAnswer: C. II P a g e 3 | 18 3 “Decongestants IIshould IIbe IIavoided IIdue IIto IIrisk IIof IIserotonin IIsyndrome.” II • Question II9 1 IIout IIof II1 IIpoints Mrs. IISchwartzman IIis IIa II52-year -old IIpatient IIwith IIschizophrenia IIand IIno IIestablished IIhistory IIof IIdepression. IIWhen IImeeting IIwith IIthe IIPMHNP , IIshe IIpresents IIwith IIapathy IIand IIwithdrawn IIsocial IIbehavior, IIand IIshe IIreports IIa IIloss IIof IIjoy IIfrom IIenjoyable IIactivities. IIWhat IIdoes IIthe IIPMHNP IIinfer IIfrom IIthis IIencounter IIwith IIthe IIpatient? Selected IIAnswer: B. II The IIrecent IIchange IIof IIa II2nd IIgeneration IIantipsychotic IIto IIa IIconventional IIone • Question II10 1 IIout IIof II1 IIpoints The IIPMHNP IIunderstands IIthat IIthe IIpotential IIof IIalcohol IIabuse IIin IIthe IIanxious IIclient IIis IIhigher IIfor IIthe IIfollowing IIreasons: Selected IIAnswer: a. II Alcohol IIexerts IIan IIeffect IIon IIGABA A IIreceptors. • Question II11 1 IIout IIof II1 IIpoints A II51-year -old IIfemale IIpatient IIpresents IIwith IIsymptoms IIof IIdepression, IIincluding IIlack IIof IImotivation IIand IIdifficulty IIsleeping. IIWhat IIrisk IIfactors IIwould IIincrease IIher IIvulnerability IIfor IIa IIdiagnosis IIof IIdepression? Selected IIAnswer: D. II A IIand IIC • Question II12 1 IIout IIof II1 IIpoints A IIpatient IIwho II IIbeing IIprescribe Selected IIAnswer: was IIdiagnosed IIwith IIbipolar IIdisorder IIwithout IImania, IIasks IIthe IIPMHNP IIwhy IIhe IIis d IIa IImood IIstabilizer. IIWhat IIis IIthe IIappropriate IIresponse? C. II Mood IIstabilizers IIcan IItarget IImania IIand IImania IIrelapse IIand IIalso IIreduce IIsymptoms IIof IIbipolar IIdepression IIand IIrelapse IIof IIbipolar IIdepression IIsymptoms IIbut IIno IIdrug IIhas IIbeen IIproven IIto IItarget IIall IIfour IItherapeutic IIactions