(Multiple Choice) NURS 6630 Final Exam (2020)….

 

             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?

                .

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?

                .

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?  

                .

Benzodiazepines

•             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?

                .

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?

                .

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?

                .

It will block testosterone.

•             Question 7

1 out of 1 points

                Which statement best describes a pharmacological approach to treating patients for impulsive aggression?

                .

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?                                     

                .

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?                                               

                .

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?

                ll of the above could potentially treat their 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)?

                .

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 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.

•             Question 13

1 out of 1 points

                A 72-year-old male patient is in the early stages of Alzheimer’s disease. The PMHNP determines that improving memory is a key consideration in selecting a medication. Which of the following would be an appropriate choice?                                           

                .

All of the above

•             Question 14

1 out of 1 points

                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.

•             Question 15

1 out of 1 points

                The parents of a 7-year-old patient with ADHD are concerned about the effects of stimulants on their child. The parents prefer to start pharmacological treatment with a non-stimulant. Which medication will the PMHNP will most likely prescribe?

                .

Strattera

•             Question 16

1 out of 1 points

                The PMHNP is assessing a patient who has expressed suicidal intent and is now stating that he is hearing voices and sees people chasing him. The PMHNP identifies these symptoms to be associated with which of the following?                                               

                .

“Bath salt” intoxication

•             Question 17

1 out of 1 points

                An 80-year-old female patient diagnosed with Stage II Alzheimer’s has a history of irritable bowel syndrome. Which cholinergic drug may be the best choice for treatment given the patient’s gastrointestinal problems?                                    

                .

Donepezil (Aricept)

•             Question 18

1 out of 1 points

                A 63-year-old patient presents with the following symptoms. The PMHNP determines which set of symptoms warrant prescribing a medication? Select the answer that is matched with an appropriate treatment.                                    

                .

Impairment in the ability to learn and retain new information is most problematic, and an appropriate treatment option would be donepezil.

•             Question 19

1 out of 1 points

                The PMHNP is caring for a patient with chronic insomnia who is worried about pharmacological treatment because the patient does not want to experience dependence. Which pharmacological treatment approach will the PMHNP likely select for this patient for a limited duration, while searching and correcting the underlying pathology associated with the insomnia?

                .

Non-benzodiazepine hypnotics

•             Question 20

1 out of 1 points

                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.

•             Question 21

1 out of 1 points

                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

•             Question 22

1 out of 1 points

                The PMHNP is caring for a patient with fibromyalgia. Which second-line treatment does the PMHNP select that may be effective for managing this patient’s pain?                                   

                .

Imipramine (Tofranil)

•             Question 23

1 out of 1 points

                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

•             Question 24

1 out of 1 points

                The PMHNP is attempting to treat a patient’s chronic insomnia and wishes to start with an initial prescription that has a half-life of approximately 1–2 hours. What is the most appropriate prescription for the PMHNP to make?

                .

Triazolam (Halcion)

•             Question 25

1 out of 1 points

                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?

                .

Naltrexone

•             Question 26

1 out of 1 points

                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?

                .

Both “A” & “C.”

•             Question 27

1 out of 1 points

                A 14-year-old patient is prescribed Strattera and asks when the medicine should be taken. What does the PMHNP understand regarding the drug’s dosing profile?

                .

The patient will have one or two doses a day.

•             Question 28

1 out of 1 points

                Naltrexone (Revia), an opioid antagonist, is a medication that is used for which of the following conditions?

                .

Alcoholism

•             Question 29

1 out of 1 points

                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.”

•             Question 30

1 out of 1 points

                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?                                    

                .

Triazolam (Halcion)

•             Question 31

1 out of 1 points

                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 for 3 hours feeling this uncomfortable. What will be the PMHNP’s priority?

                .

Prescribe lidocaine 5%

•             Question 32

1 out of 1 points

                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

•             Question 33

1 out of 1 points

                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

•             Question 34

1 out of 1 points

                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)

•             Question 35

1 out of 1 points

                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)

•             Question 36

1 out of 1 points

                The PMHNP prescribes an obese patient phentermine (Adipex-p)/topiramate ER (Topamax) (Qsymia), Why is topiramate (Topamax) often prescribed with phentermine (Adipex-P)?                                               

                .

Phentermine (Adipex-P) works by suppressing appetite while topiramate (Topamax) acts by inhibiting appetite.

•             Question 37

0 out of 1 points

                The PMHNP evaluates a patient presenting with symptoms of dementia. Before the PMHNP considers treatment options, the patient must be assessed for other possible causes of dementia. Which of the following answers addresses both possible other causes of dementia and a rational treatment option for Dementia?                                

                .

Possible other causes: hypothyroidism, Cushing’s syndrome, multiple sclerosis

Possible treatment option: memantine 

•             Question 38

1 out of 1 points

                The PMHNP is assessing a patient who presents with elevated levels of brain amyloid as noted by positron emission tomography (PET). What other factors will the PMHNP consider before prescribing medication for this patient, and what medication would the PMHNP want to avoid given these other factors?

                .

Both “A” & “B”

•             Question 39

1 out of 1 points

                The PMHNP is discussing dopamine D2 receptor occupancy and its association with aggressive behaviors in patients with the student. Why does the PMHNP prescribe a standard dose of atypical antipsychotics?                                  

                .

The doses are based on achieving 60% D2 receptor occupancy.

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