NURS6630
NURS6630 Final Exam 2025 VERIFIED
QUESTIONS AND ANSWERS
What is the strongest established risk factor for bipolar disorder? - Family history
which of the following medications are known as selective serotonin re-uptake inibitors
(SSRIs)? - Nortriptyline
Citalopram
Duloxetine
fluoxetine
venlafaxine
Which disease state o a non-adherent patient is at greater risk for substance use violence,
and victimization as well as worse overall quality of life? - Schizophrenia
Patient is a 72 year old male with a past medical history significant for the atrial
fibrillation and COPD with a new diagnosis of major depression disorder. Based on his
comorbid conditions, what antidepressant would you recommend as first-line? - not TCA
due to fib and age, not ADHD med
which of the following is an appropriate strategy for managing treatment resistant
depression - SSRI and SNRI
which of the following medications is best to AVOID in maintenance treatment of bipolar
disorder and why - antidepressants might contribute to an increase in mood episode
freq1uency
NURS6630
,NURS6630
An 8-year-old patient presents with severe hyperactivity, described as "ants in his pants."
Based on self-report from the patient, his parents, and his teacher; attention deficit
hyperactivity disorder (ADHD) is suspected. What medication is the PMNHP most likely
to prescribe? - ANS: b.
Methylphenidate (Ritalin, Concerta)
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? - ANS: d.
"Naltrexone may be an appropriate option to discuss."
Which of the following substances has the highest probability of becoming dependent
after a single use? - ANS: c.
Nicotine
The nursing staff asks the PMHNP for additional education regarding the treatment of
agitation in dementia patients. Which of the following is correct? - ANS: c.
The nurse should attempt to determine how the patient's environment may be impacting
the patient's mood.
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)? - ANS: c.
The patient is somnolent and has 7 respirations per minute.
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? - ANS: a.
"You can get melatonin over the counter, which will help with sleep onset."
NURS6630
,NURS6630
The PMHNP is caring for a patient who experiences too much overstimulation and
anxiety during daytime hours. The patient agrees to a pharmacological treatment but
states, "I don't want to feel sedated or drowsy from the medicine." Which decision made
by the PMHNP demonstrates proper knowledge of this patient's symptoms and
appropriate treatment options? - ANS: b.
Avoiding prescribing the patient a drug that blocks H1 receptors
Which of these statements is correct? - ANS: d.
Sedation is unusual with aripiprazole (ABILIFY)
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: - ANS: d.
Evaluate the patient's willingness to abstain from alcohol
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? - ANS: d.
There is decreased activation of the prefrontal cortex.
An 18-year-old female with a history of frequent headaches and a mood disorder is
prescribed topiramate (Topamax), 25 mg by mouth daily. The PMHNP understands that
this medication is effective in treating which condition(s) in this patient?` - ANS: c.
Migraines
A patient you have been evaluating was admitted to the hospital with some abnormal lab
work. Hematology/oncology was consulted and diagnoses the patient with aplastic
anemia and agranulocytosis. Which medication was likely the culprit? - ANS: d.
NURS6630
, NURS6630
Carbamazepine
Antipsychotics are doses at a level that blocks % of D2 receptors. - ANS: a.
50-70
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? - ANS: b
"It can cause blurred vision
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? - ANS: b.
Guanfacine ER (Intuniv)
The PMHNP is assessing a patient who will be receiving phentermine (Adipex
P)/topiramate (Topamax) (Qsymia). Which of the following conditions/diseases will
require further evaluation before this medication can be prescribed? - ANS: b.
Cardiovascular disease
The PMHNP wishes to prescribe a medication that reduces glutamate transmission in an
Alzheimer's patient. Which medication should the PMHNP prescribe? - ANS: b.
Memantine (NAMENDA)
A patient with fibromyalgia and major depression needs to be treated for symptoms of
pain. Which is the PMHNP most likely to prescribe for this patient? - ANS: d.
Duloxetine (Cymbalta)
NURS6630
NURS6630 Final Exam 2025 VERIFIED
QUESTIONS AND ANSWERS
What is the strongest established risk factor for bipolar disorder? - Family history
which of the following medications are known as selective serotonin re-uptake inibitors
(SSRIs)? - Nortriptyline
Citalopram
Duloxetine
fluoxetine
venlafaxine
Which disease state o a non-adherent patient is at greater risk for substance use violence,
and victimization as well as worse overall quality of life? - Schizophrenia
Patient is a 72 year old male with a past medical history significant for the atrial
fibrillation and COPD with a new diagnosis of major depression disorder. Based on his
comorbid conditions, what antidepressant would you recommend as first-line? - not TCA
due to fib and age, not ADHD med
which of the following is an appropriate strategy for managing treatment resistant
depression - SSRI and SNRI
which of the following medications is best to AVOID in maintenance treatment of bipolar
disorder and why - antidepressants might contribute to an increase in mood episode
freq1uency
NURS6630
,NURS6630
An 8-year-old patient presents with severe hyperactivity, described as "ants in his pants."
Based on self-report from the patient, his parents, and his teacher; attention deficit
hyperactivity disorder (ADHD) is suspected. What medication is the PMNHP most likely
to prescribe? - ANS: b.
Methylphenidate (Ritalin, Concerta)
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? - ANS: d.
"Naltrexone may be an appropriate option to discuss."
Which of the following substances has the highest probability of becoming dependent
after a single use? - ANS: c.
Nicotine
The nursing staff asks the PMHNP for additional education regarding the treatment of
agitation in dementia patients. Which of the following is correct? - ANS: c.
The nurse should attempt to determine how the patient's environment may be impacting
the patient's mood.
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)? - ANS: c.
The patient is somnolent and has 7 respirations per minute.
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? - ANS: a.
"You can get melatonin over the counter, which will help with sleep onset."
NURS6630
,NURS6630
The PMHNP is caring for a patient who experiences too much overstimulation and
anxiety during daytime hours. The patient agrees to a pharmacological treatment but
states, "I don't want to feel sedated or drowsy from the medicine." Which decision made
by the PMHNP demonstrates proper knowledge of this patient's symptoms and
appropriate treatment options? - ANS: b.
Avoiding prescribing the patient a drug that blocks H1 receptors
Which of these statements is correct? - ANS: d.
Sedation is unusual with aripiprazole (ABILIFY)
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: - ANS: d.
Evaluate the patient's willingness to abstain from alcohol
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? - ANS: d.
There is decreased activation of the prefrontal cortex.
An 18-year-old female with a history of frequent headaches and a mood disorder is
prescribed topiramate (Topamax), 25 mg by mouth daily. The PMHNP understands that
this medication is effective in treating which condition(s) in this patient?` - ANS: c.
Migraines
A patient you have been evaluating was admitted to the hospital with some abnormal lab
work. Hematology/oncology was consulted and diagnoses the patient with aplastic
anemia and agranulocytosis. Which medication was likely the culprit? - ANS: d.
NURS6630
, NURS6630
Carbamazepine
Antipsychotics are doses at a level that blocks % of D2 receptors. - ANS: a.
50-70
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? - ANS: b
"It can cause blurred vision
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? - ANS: b.
Guanfacine ER (Intuniv)
The PMHNP is assessing a patient who will be receiving phentermine (Adipex
P)/topiramate (Topamax) (Qsymia). Which of the following conditions/diseases will
require further evaluation before this medication can be prescribed? - ANS: b.
Cardiovascular disease
The PMHNP wishes to prescribe a medication that reduces glutamate transmission in an
Alzheimer's patient. Which medication should the PMHNP prescribe? - ANS: b.
Memantine (NAMENDA)
A patient with fibromyalgia and major depression needs to be treated for symptoms of
pain. Which is the PMHNP most likely to prescribe for this patient? - ANS: d.
Duloxetine (Cymbalta)
NURS6630
