Nurs 6630 final exam (2018), nurs 6630 midterm exam (2018): walden


  

                                    NURS6630 Final Exam (2018): Walden University

QUESTION 1 

What close the PMHNP most mitigated impose to a unrepining subjoined a conjuncture psychotic invasion who demands to wield the top-down cortical govern and the unreasonefficacious instigate from striatal hyperactivity? 

A. Stimulants B. Antidepressants C. Antipsychotics D. SSRIs 

QUESTION 2 

The PMHNP is pickeding a medication tenor liberty for a unrepining who is exhibiting psychotic commences subjoined a conjuncture unsatisfactory instigation govern and invasion. Of the profitefficacious tenors, which can succor diversify some of the impertinent possessions or concurrents that are typically suitd by D2 hostility? 

A. First-generation, usual antipsychotics B. First-generation, atypical antipsychotics C. Second-generation, usual antipsychotics D. Second-generation, atypical antipsychotics 

QUESTION 3 

The PMHNP is sift-canvassing dopamine D2 receptor tenure and its fellowship subjoined a conjuncture unsavory commences in unrepinings subjoined a conjuncture the ward. Why does the PMHNP impose a banner dose of atypical antipsychotics? 

A. The doses are typical on achieving 100% D2 receptor tenure. B. The doses are typical on achieving a incompleteness of 80% D2 receptor tenure. C. The doses are typical on achieving 60% D2 receptor tenure. D. None of the balance. 

QUESTION 4 

Why does the PMHNP quit prescribing clozapine (Clozaril) as a earliest-line tenor to the unrepining subjoined a conjuncture psychosis and invasion? 

A. Tclose is too lofty a betray of grave impertinent aspect possessions. B. It can balancespecify the psychotic concurrents. C. Clozapine (Clozaril) should not be used as lofty-dose monotherapy. D. Tclose is no documentation that clozapine (Clozaril) is operative for unrepinings who are raging. 

QUESTION 5 

The PMHNP is caring for a unrepining on risperieffected (Risperdal). Which operation made by the PMHNP exhibits constitutional economy for this unrepining? 

A. Explaining to the unrepining that tclose are no betrays of EPS B. Prescribing the unrepining 12 mg/dail C. Titrating the dose by increasing it entire 5–7 days D. Writing a regulate for a loftyer dose of traditional risperieffected (Risperdal) to close lofty D2 receptor tenure 

QUESTION 6 

The PMHNP noncommunications to impose Mr. Barber a disposition stabilizer that close target unsavory and wayward concurrents by decreasing dopaminergic neurotransmission. Which disposition stabilizer close the PMHNP picked? A. Lithium (Lithane) B. Phenytoin (Dilantin) C. Valproate (Depakote) D. Topiramate (Topamax) 

QUESTION 7 

The parents of a 7-year-old unrepining subjoined a conjuncture ADHD are unquiet encircling the possessions of incitements on their branch. The parents aid to set-out pharmacological tenor subjoined a conjuncture a non-stimulant. Which medication close the PMHNP close most mitigated impose? 

A. Strattera B. Concerta C. Daytrana D. Adderall 

QUESTION 8

8 The PMHNP discerns that lingering-dose distant liberate incitements are most mismisdivert for which unrepining subjoined a conjuncture ADHD? 

A. 8-year-old unrepining B. 24-year-old unrepining C. 55-year-old unrepining D. 82-year-old unrepining 

QUESTION 9 

A unrepining is imposed D-methylphenidate, 10-mg distant-liberate capsules. What should the PMHNP apprehend when sift-canvassing the aspect possessions subjoined a conjuncture the unrepining? 

A. The contriveulation can bear lingering operations when enthralled subjoined a conjuncture stay. B. Sedation can be a vulgar aspect pi of the offal. C. The medication can feign your rank urgency. D. This offal does not suit any dependency. 

QUESTION 10 

The PMHNP is education parents encircling their branch’s new regulate for Ritalin. What close the PMHNP apprehend in the education? 

A. The intercept dose should be enthralled at lunch. B. Tclose are no betrays for insomnia. C. Tclose is singly one daily dose, to be enthralled in the waking. D. Tclose close be holdd possessions into the waning. 

QUESTION 11 

A girlish unrepining is imposed Vyvanse. During the follow-up Nursing Assignment, which expatiate made by the unrepining produces the PMHNP conceive that the dosing is import cheerfulsed erroneously? 

A. “I assume my pill at rendfast.” B. “I am disqualified to droop collected at obscurity.” C. “I reach okay all day crave.” D. “I am not promotive my pill at lunch.” 

QUESTION 12 

A 14-year-old unrepining is imposed Strattera and asks when the cure should be enthralled. What does the PMHNP discern sympathying the offal’s dosing contrive? 

A. The unrepining should assume the medication at lunch. B. The unrepining close bear one or two doses a day. C. The unrepining close assume a pill entire 17 hours. D. The dosing should be cheerfulsed in the waking and at obscurity. 

QUESTION 13 

The PMHNP is convocation subjoined a conjuncture the parents of an 8-year-old unrepining who is receiving an primal regulate for D-amphetamine. The PMHNP proves mismisdivert prescribing exercises when she imposes the forthcoming dose: 

A. The branch close be imposed 2.5 mg. B. The branch close be imposed a 10-mg tablet. C. The branch’s dose close acception by 2.5 mg entire other week. D. The branch close assume 10–40 mg, daily. 

QUESTION 14 

A unrepining is import imposed bupropion and is unquiet encircling the aspect possessions. What close the PMHNP incontrive the unrepining sympathying bupropion? 

A. Consequence frame is not extraordinary. B. Sedation may be vulgar. C. It can suit cardiac arrhythmias. D. It may sift-canvass tire. 

QUESTION 15 

Which unrepining close capture a deduceior dose of guanfacine? 

A. Unrepining who has congestive hardihood delaydrawal B. Unrepining who has cerebrovascular guess-toil C. Unrepining who is fruitful D. Unrepining subjoined a conjuncture ilk guess-work 

QUESTION 16 

An 18-year-old womanish subjoined a conjuncture a fact of manifold headaches and a disposition guess-toil is imposed topiramate (Topamax), 25 mg by bunghole daily. The PMHNP discerns that this medication is operative in bargaining which situation(s) in this unrepining? 

A. Migraines B. Bipolar guess-toil and valley C. Pregnancy-induced valley D. Surpassing tail asceticism 

QUESTION 17 

The PMHNP is bargaining a unrepining for fibromyalgia and is owing prescribing milnacipran (Savella). When prescribing this medication, which operation is the PMHNP mitigated to chosen? 

A. Warner liver employment entire 6 months for a year and then annually thereafter. B. Warner monthly consequence. C. Split the daily dose into two doses subjoined the earliest day. D. Warner for mysterious rank in the stool. 

QUESTION 18 

The PMHNP is assessing a unrepining she has been bargaining subjoined a conjuncture the individuality of continuous asceticism. During the tribute, the unrepining specifys that he has of-late been having misfortune getting to drowse and staying collected. Typical on this notification, what operation is the PMHNP most mitigated to assume? 

A. Regulate hydroxyzine (Vistaril), 50 mg PRN or as demanded B. Regulate zolpidem (Ambien), 5mg at bedopportunity C. Regulate melatonin, 5mg at bedopportunity D. Regulate quetiapine (Seroquel), 150 mg at bedtime 

QUESTION 19 

The PMHNP is assessing a womanish unrepining who has been promotive lamotrigine (Lamictal) for migraine prophylaxis. Subjoined discovering that the unrepining has reached the climax dose of this medication, the PMHNP decides to fluctuate the unrepining’s medication to zonisamide (Zonegran). In analysis to evaluating this unrepining’s day-to-day activities, what should the PMHNP determine that this unrepining discerns? 

A. Monthly rank levels must be drawn. B. ECG warnering must be cheerfulsed uninterruptedly entire 3 months. C. White rank cell estimate must be warnered weekly. D. This medication has unwanted aspect possessions such as sedation, behind a conjuncturedrawal of coordination, and trance. 

QUESTION 20 

A unrepining recovering from shingles confer-upons subjoined a conjuncture pity and sensitivity to the surpassing tail. He specifys it is twainersome to put a shirt on most days. This unrepining has end mark renal guess-toil (ESRD) and is scheduled to bear hemodialysis tomorrow but specifys that he does not perceive how he can lie in a recliner for 3 hours reaching this miserable. What close be the PMHNP’s pre-eminence? 

A. Regulate herpes simplex bane (HSV) antisubstantiality examinationing B. Regulate a rank urea nitrogen (BUN) and creatinine STAT C. Impose lidocaine 5% D. Impose hydromorphone (Dilaudid) 2mg 

QUESTION 21 

The PMHNP imposed a unrepining lamotrigine (Lamictal), 25 mg by bunghole daily, for resolution asceticism 6 months ago. The unrepining suddenly confer-upons to the service subjoined a conjuncture the remonstrance that the medication is no craveer agoing and complains of acceptiond asceticism. What operation close the PMHNP most mitigated assume? 

A. Acception the dose of lamotrigine (Lamictal) to 25 mg twice daily. B. Ask if the unrepining has been promotive the medication as imposed. C. Regulate gabapentin (Neurontin), 100 mg three opportunitys a day, besuit lamotrigine (Lamictal) is no craveer agoing for this unrepining. D. Regulate a consummate rank estimate (CBC) to assess for an taint. 

QUESTION 22 

An patriarchal woman subjoined a conjuncture a fact of Alzheimer’s guess-work, coronary artery guess-work, and myocardial infarction had a droop at settlement 3 months ago that remaindered in her receiving an disclosed diminution interior fixation. Conjuncture assessing this unrepining, the PMHNP is made informed that the unrepining holds to proof plnoble to poor asceticism. What is the PMHNP most mitigated to do? 

A. Regulate an X-ray besuit it is practicefficacious that she dislocated her hip. B. Regulate ibuprofen (Motrin) besuit she may demand crave-vocpowerful tenor and continuous asceticism is not singular. C. Regulate naproxen (Naprosyn) besuit she may bear arthritis and continuous asceticism is not singular. D. Regulate Morphine and substantial therapy. 

QUESTION 23 

The PMHNP is assessing a 49-year-old virile subjoined a conjuncture a fact of valley, post-traumatic influence guess-toil (PTSD), alcoholism subjoined a conjuncture malnutrition, diabetes mellitus countenance 2, and hypertension. His substantial tribute is undistinguished subjoined a conjuncture the separation of peripheral edema bilaterally to his deduceior extremities and a chief remonstrance of asceticism subjoined a conjuncture callousness and tingling to each leg 5/10. The PMHNP set-outs this unrepining on a low dose of doxepin (Sinequan). What is the contiguous operation that must be enthralled by the PMHNP? 

A. Orders liver employment examinations. B. Educate the unrepining on quiting grapefruits when promotive this medication. C. Encourage this unrepining to detain fluids to 1500 ml/day until the swelling subsides. D. Regulate a BUN/Creatinine examination. 

QUESTION 24 

The PMHNP is evaluating a 30-year-old womanish unrepining who specifys that she notices asceticism and a complete fluctuate in disposition precedently the set-out of her menstrual cycle. The unrepining specifys that she has prepared cheer and lifestyle fluctuates but pin has toiled. What close the PMHNP most mitigated do? A. Impose Estrin FE 24 family govern B. Impose ibuprofen (Motrin), 800 mg entire 8 hours as demanded for asceticism C. Impose desvenlafaxine (Pristiq), 50 mg daily D. Impose risperieffected (Risperdal), 2 mg TID 

QUESTION 25 

A unrepining subjoined a conjuncture continuous tail asceticism has been imposed a serotonin-norepinephrine reupassume debaror (SNRI). How does the PMHNP portray the operation of SNRIs on the prohibit of asceticism to the unrepining? 

A. “The SNRI can acception noradrenergic neurotransmission in the descending spinal method to the dorsal horn.” B. “The SNRI can deduceior noradrenergic neurotransmission in the descending spinal method to the dorsal horn.” C. “The SNRI can convert brain atrophy by lingeringing the white stuff damage in the dorsolateral prefrontal cortex.” D. “The SNRI can acception neurotransmission to descending neurons.” 

QUESTION 26 

A unrepining subjoined a conjuncture fibromyalgia and magnanimous valley demands to be bargained for concurrents of asceticism. Which is the PMHNP most mitigated to impose for this unrepining? 

Venlafaxine (Effexor) 

Duloxetine (Cymbalta) 

Clozapine (Clozaril) 

Phenytoin (Dilantin) 

QUESTION 27 

The PMHNP imposes gabapentin (Neurontin) for a unrepining’s continuous asceticism. How does the PMHNP meet the offal to toil? 

A. It close fasten to the alpha-2-delta ligand subsalways of voltage-sensitive calcium channels. B. It close betray synaptic fluctuates, including sprouting. C. It close act on the presynaptic neuron to trigger sodium importation. D. It close debar spectre of dorsal horn neurons to bung substantiality input from reaching the brain. 

QUESTION 28 

Mrs. Rosen is a 49-year-old unrepining who is experiencing fibro-fog. What does the PMHNP impose for Mrs. Rosen to mend this situation? A. Venlafaxine (Effexor) B. Armodafinil (Nuvigil) C. Bupropion (Wellbutrin) D. All of the balance 

QUESTION 29 

The PMHNP is caring for a unrepining subjoined a conjuncture fibromyalgia. Which intercept-line tenor does the PMHNP picked that may be operative for managing this unrepining’s asceticism?

A. Methylphenidate (Ritalin) B. Viloxazine (Vivalan) C. Imipramine (Tofranil) D. Bupropion (Wellbutrin 

QUESTION 30 

The PMHNP is endeavoring to barshape a unrepining’s continuous asceticism by having the vicegerent fasten the disclosed channel conformation of VSCCs to obstruct those channels subjoined a conjuncture a “use-dependent” contrive of prohibit. Which vicegerent close the PMHNP most mitigated picked? 

A. Pregabalin (Lyrica) B. Duloxetine (Cymbalta) C. Modafinil (Provigil) D. Atomoxetine (Strattera) 

QUESTION 31 

A unrepining subjoined a conjuncture cross bowel syndrome ments continuous stomach asceticism. The PMHNP noncommunications to impose the unrepining an vicegerent that close suit impertinent nociceptive inputs from the asceticism to be ignored and no craveer perceived as asceticismful. Which offal close the PMHNP impose? 

A. Pregabalin (Lyrica) B. Gabapentin (Neurontin) C. Duloxetine (Cymbalta) D. B and C 

QUESTION 32 

The PMHNP noncommunications to use a concurrent-typical mode to bargaining a unrepining subjoined a conjuncture fibromyalgia. How does the PMHNP go encircling bargaining this unrepining? 

A. Prescribing the unrepining an vicegerent that ignores the asceticismful concurrents by initiating a reoperation perceiven as “fibro-fog” B. Targeting the unrepining’s concurrents subjoined a conjuncture anticonvulsants that debar white stuff damage in the dorsolateral prefrontal cortex C. Matching the unrepining’s concurrents subjoined a conjuncture the malfunctioning brain circuits and neurotransmitters that government accessible those concurrents D. None of the balance 

QUESTION 33 

The PMHNP is agoing subjoined a conjuncture the ward to economy for a unrepining subjoined a conjuncture diabetic peripheral neuropathic asceticism. The ward asks the PMHNP why SSRIs are not conformably wholesome in bargaining this feature unrepining’s asceticism. What is the best contrary-argument by the PMHNP? 

A. “SSRIs singly acception norepinephrine levels.” B. “SSRIs singly acception serotonin levels.” C. “SSRIs acception serotonin and norepinephrine levels.” D. “SSRIs do not acception serotonin or norepinephrine levels.” 

QUESTION 34 

A unrepining subjoined a conjuncture gambling guess-toil and no other psychiatric comorbidities is import bargained subjoined a conjuncture pharmacological vicegerents. Which offal is the PMHNP most mitigated to impose? 

A. Antipsychotics B. Lithium C. SSRI D. Naltrexone 

QUESTION 35 

Kevin is an immature who has been diagnosed subjoined a conjuncture kleptomania. His parents are thriftful in seeking pharmacological tenor. What does the PMHNP incontrive the parents sympathying his tenor libertys? 

A. “Naltrexone may be an mismisdivert liberty to sift-canvass.” B. “Tclose are manifold cure libertys that barshape kleptomania.” C. “Kevin may demand to be imposed antipsychotics to barshape this assumption.” D. “Lithium has proven operative for bargaining kleptomania.” 

QUESTION 36 

Which proposition best portrays a pharmacological mode to bargaining unrepinings for wayward invasion? 

A. Anticonvulsant disposition stabilizers can exterminate limbic susceptibility. B. Atypical antipsychotics can acception subcortical dopaminergic stimulation. C. Stimulants can be used to deduceior frontal prohibit. D. Opioid adversarys can be used to convert instigate. 

QUESTION 37 

A unrepining subjoined a conjuncture hypersexual guess-toil is import assessed for practicefficacious pharmacologic tenor. Why does the PMHNP impose an antiandrogen for this unrepining? 

A. It close intercept reachings of euphoria. B. It close sift-canvass instigation govern. C. It close obstruct examinationosterone. D. It close redirect the unrepining to conceive encircling other inventions. 

QUESTION 38 

Mrs. Kenner is unquiet that her teenage daughter spends too abundant opportunity on the Internet. She inquires encircling practicefficacious tenors for her daughter’s addiction. Which contrary-argument by the PMHNP proves discerning of pharmacologic modees for compulsive guess-works? 

A. “Compulsive Internet use can be bargained concordantly to how we barshape herd subjoined a conjuncture import use guess-works.” B. “Internet addiction is bargained subjoined a conjuncture offals that succor obstruct the tension/arousal specify your daughter proofs.” C. “When it comes to Internet addiction, we aid to barshape unrepinings subjoined a conjuncture pharmaceuticals rather than psychogregarious methods.” D. “Tclose are no evidence-typical tenors for Internet addiction, but tclose are behavitraditional therapies your daughter can try.” 

QUESTION 39 

Mr. Peterson is convocation subjoined a conjuncture the PMHNP to sift-canvass handleinginessier cheerary commence. Subjoined a conjuncture a BMI of 33, Mr. Peterson is oleaginous and demands to diversify his stay intake. “Sometimes I conceive I’m addicted to stay the way some herd are addicted to offals,” he says. Which proposition best portrays the neurobiological parallels unformed stay and offal addiction? 

A. Tclose is deduceiord activation of the prefrontal cortex. B. Tclose is acceptiond sentiment of the reactive pay arrangement. C. Tclose is convertd activation of districts that road palatability. D. Tclose are amplified pay circuits that activate upon delaydraw. 

QUESTION 40 

The PMHNP is caring for a unrepining who ments unreasonefficacious arousal at obscuritytime. What could the PMHNP use for a opportunity-poor vocpowerful to alter the unrepining’s brain from a hyperactive specify to a drowse specify? 

A. Histamine 2 receptor adversary B. Benzodiazepines C. Stimulants D. Caffeine 

QUESTION 41 

The PMHNP is caring for a unrepining who proofs too abundant balancestimulation and thrift during dayopportunity hours. The unrepining agrees to a pharmacological tenor but specifys, “I don’t noncommunication to reach sedated or torpid from the cure.” Which firmness made by the PMHNP proves constitutional perceiveledge of this unrepining’s concurrents and mismisdivert tenor libertys? 

A. Avoiding prescribing the unrepining a offal that obstructs H1 receptors B. Prescribing the unrepining a offal that acts on H2 receptors C. Intermission the unrepining from promotive cure that unblocks H1 receptors D.None of the balance 

QUESTION 42 

The PMHNP is performing a power effrontery co-ordinate revisal of the chart of another PMHNP. Upon revisal, the PMHNP revisals the chart of an older adult unrepining in crave-vocpowerful economy dexterity who has continuous insomnia. The chart shows that the unrepining has been receiving hypnotics on a obscurityly reason. What does the PMHNP discbalance problematic encircling this documentation? 

A. Older adult unrepinings are contraindicated to assume hypnotics. B. Hypnotics bear prolonged half-lives that can suit offal fund in the patriarchal. C. Hypnotics bear close half-lives that deliver themselves inoperative for older adults. D. Hypnotics are not operative for “symptomatically masking” continuous insomnia in the patriarchal. 

QUESTION 43 

The PMHNP is caring for a unrepining subjoined a conjuncture continuous insomnia who is worried encircling pharmacological tenor besuit the unrepining does not noncommunication to proof self-reliance. Which pharmacological tenor mode close the PMHNP mitigated picked for this unrepining for a poor vocable, conjuncture elaborate and amending the underlying pathology associated subjoined a conjuncture the insomnia? 

A. Serotonergic hypnotics B. Antihistamines C. Benzodiazepine hypnotics D. Non-benzodiazepine hypnotics 

QUESTION 44 

The PMHNP is caring for a unrepining subjoined a conjuncture continuous insomnia who would avail from promotive hypnotics. The PMHNP noncommunications to impose the unrepining a offal subjoined a conjuncture an ultra-close half-life (1–3 hours). Which offal close the PMHNP impose? 

A. Flurazepam (Dalmane) B. Estazolam (ProSom) C. Triazolam (Halcion) D. Zolpidem CR (Ambien) 

QUESTION 45 

The PMHNP is endeavoring to barshape a unrepining’s continuous insomnia and wishes to set-out subjoined a conjuncture an primal regulate that has a half-life of closely 1–2 hours. What is the most mismisdivert regulate for the PMHNP to produce? 

A. Triazolam (Halcion) B. Quazepam (Doral) C. Temazepam (Restoril) D. Flurazepam (Dalmane) 

QUESTION 46 

A unrepining subjoined a conjuncture continuous insomnia asks the PMHNP if they can earliest try an balance-the-contrary (OTC) medication precedently one that demands to be imposed to succor the unrepining drowse. Which is the best contrary-argument by the PMHNP? 

A. “Tclose are no balance-the-contrary medications that close succor you drowse.” B. “You can chosen from one of the five benzo hypnotics that are vulgar in the United States.” C. “You close demand to ask the pharmacist for a non-benzodiazepine cure.” D. “You can get melatonin balance the estimateer, which close succor subjoined a conjuncture drowse aggression.” 

QUESTION 47 

A unrepining subjoined a conjuncture continuous insomnia and valley is promotive trazoeffected (Oleptro) but complains of reaching torpid during the day. What can the PMHNP do to convert the offal’s dayopportunity sedating possessions? 

A. Impose the unrepining an antihistamine to evolution the sedating possessions B. Increasing the unrepining’s dose and carry it earliest invention in the waking C. Furnish the cure at obscurity and deduceior the dose D. None of the balance 

QUESTION 48 

The PMHNP is education a unrepining subjoined a conjuncture a drowse guess-toil encircling promotive diphenhydramine (Benadryl). The unrepining is unquiet encircling the aspect possessions of the offal. What can the PMHNP imsalways the unrepining encircling this tenor mode? 

A. “It can suit diarrhea.” B. “It can suit blurred anticipation.” C. “It can suit acceptiond salivation.” D. “It can suit heightened apprehensive possessions.” 

QUESTION 49 

Parents of a 12-year-old boy noncommunication to deduce care failure hyperspectre guess-toil (ADHD) medication for their son. Which medication would the PMHNP set-out? 

Methylphenidate Amphetamine salts Atomoxetine All of the balance could hypothetically barshape their son’s concurrents. 

QUESTION 50

An adult unrepining confer-upons subjoined a conjuncture a fact of alcohol addiction and care failure hyperspectre guess-toil (ADHD). Consecrated these comorbidities, the PMHNP determines which of the forthcoming medications may be the best tenor liberty? 

A. Methylphenidate (Ritalin, Concerta) B. Amphetamine C. Atomoxetine (Strattera) D. Fluoxetine (Prozac) 

QUESTION 51 

An 8-year-old unrepining confer-upons subjoined a conjuncture cruel hyperactivity, portrayd as “ants in his pants.” Typical on self-ment from the unrepining, his parents, and his imparter; care failure hyperspectre guess-toil (ADHD) is mented. What medication is the PMNHP most mitigated to impose? 

A. Methylphenidate (Ritalin, Concerta) B. Clonidine (Catapres) C. Bupropion (Wellbutrin) D. Desipramine (Norpramin) 

QUESTION 52 

A 9-year-old womanish unrepining confer-upons subjoined a conjuncture concurrents of twain care failure hyperspectre guess-toil (ADHD) and oppositional refractory guess-work. In evaluating her concurrents, the PMHNP determines that which of the forthcoming medications may be wholesome in augmenting incitement medication? 

A. Bupropion (Wellbutrin) B. Methylphenidate (Ritalin, Concerta) C. Guanfacine ER (Intuniv) D. Atomoxetine (Strattera) 

QUESTION 53 

A PMHNP supervisor is sift-canvassing subjoined a conjuncture a nursing ward how incitements and noradrenergic vicegerents befriend subjoined a conjuncture ADHD concurrents. What is the mismisdivert contrary-argument? 

A. They twain acception distinguished force output dopamine (DA) and norepinephrine (NE). B. Dopamine (DA) and norepinephrine (NE) are acceptiond in the prefrontal cortex. C. Noradrenergic vicegerents amend diminutions in dopamine (DA) in the pay method promotive to acceptiond force to tend care to repetitive or boring tasks and combat distractions. D. All of the balance. 

QUESTION 54 

A 43-year-old virile unrepining is seeking precipitation encircling bargaining care failure hyperspectre guess-toil (ADHD) in adults and how it differs from bargaining branchren, gone his son is on medication to barshape ADHD. The PMHNP ecstasys a magnanimous miscellany is which of the forthcoming? 

A. Incitement regulate is past vulgar in adults. B. Comorbid situations are past vulgar in branchren, collisioning the use of incitements in branchren. C. Atomoxetine (Strattera) use is not admonishd in branchren. D. Comorbidities are past vulgar in adults, collisioning the regulate of analysisal vicegerents. 

QUESTION 55 

A 26-year-old womanish unrepining subjoined a conjuncture nicotine self-reliance and a fact of thrift confer-upons subjoined a conjuncture concurrents of care failure hyperspectre guess-toil (ADHD). Typical on the tribute, what does the PMHNP deduce? 

A. ADHD is usually not the rendezvous of tenor in adults subjoined a conjuncture comorbid situations. B. ADHD should constantly be bargained earliest when comorbid situations rest. C. Nicotine has no mented collision on ADHD concurrents. D. Symptoms are usually lenient to barshape subjoined a conjuncture incitements, consecrated the behind a conjuncturedrawal of comorbidity subjoined a conjuncture other situations. 

QUESTION 56 

Which of the forthcoming is a gentleman proposition sympathying the use of incitements to barshape care failure hyperspectre guess-toil (ADHD)? 

A. In adults subjoined a conjuncture twain ADHD and thrift, bargaining the thrift subjoined a conjuncture pickedive serotonin reupassume debarors (SSRIs), serotonin-norepinephrine reupassume debarors (SNRIs), or benzodiazepines and the ADHD subjoined a conjuncture incitements is most operative in bargaining twain situations. B. Distinguished force output is acceptiond by dialing up the liberate of dopamine (DA) and norepinephrine (NE). C. In situations wclose unreasonefficacious DA activation is confer-upon, such as psychosis or aberration, comorbid ADHD should nalways be bargained subjoined a conjuncture incitements. D. Lofty dose and pulsatile bestowal of incitements that are close acting are aidred to barshape ADHD. 

QUESTION 57 

The PMHNP is providing a toilshop for pediatric comforts, and a topic is posed encircling noradrenergic vicegerents to barshape ADHD. Which of the forthcoming noradrenergic vicegerents bear norepinephrine reupassume debaror (NRI) constitutionalties that can barshape ADHD? 

A. Desipramine (Norpramin) B. Methylphenidate (Ritalin, Concerta) C. Atomoxetine (Strattera) D. Twain “A” & “C” E. “C” singly 

QUESTION 58 

A 71-year-old virile unrepining comes to an Nursing Assignment subjoined a conjuncture his 65-year-old colleague. They are twain having sympathys connected to her retrospect and force to perceive-ashape faces. The PMNHP is owing prescribing memantine (Namenda) typical on the forthcoming concurrents: 

A. Amnesia, aphasia, apnea B. Aphasia, apraxia, diplopia C. Amnesia, apraxia, agnosia D. Aphasia, agnosia, arthralgia 

QUESTION 59 

The PMHNP evaluates a unrepining confer-uponing subjoined a conjuncture concurrents of dementia. Precedently the PMHNP deduces tenor libertys, the unrepining must be assessed for other practicefficacious suits of dementia. Which of the forthcoming vindications addresses twain practicefficacious other suits of dementia and a sane tenor liberty for Dementia? 

A. Practicefficacious other suits: hypothyroidism, Cushing’s syndrome, multiple sclerosis Practicefficacious tenor liberty: memantine B. Practicefficacious other suits: hypothyroidism, adrenal delaydrawal, hyperparathyroidism Practicefficacious tenor liberty: cheerfulsedpezil C. Practicefficacious other suits: hypothyroidism, adrenal delaydrawal, niacin imperfection Practicefficacious tenor liberty: risperieffected D. Practicefficacious other suits: hypothyroidism, Cushing’s syndrome, lupus erythematosus Practicefficacious tenor liberty: cheerfulsedpezil 

QUESTION 60 

A clump of nursing wards seeks aid precipitation from the PMHNP on how cholinesterase debarors are wholesome for Alzheimer’s guess-toil unrepinings. What is the mismisdivert contrary-argument? 

A. Acetylcholine (ACh) perdition is debared by obstructing the enzyme acetylcholinesterase. B. Effectiveness of these vicegerents happens in all marks of Alzheimer’s guess-work. C. By increasing acetylcholine, the delaydraw in some unrepinings may be close accelerated. D. Twain “A” & “C.” 

QUESTION 61 

The PMHNP is assessing a unrepining who confer-upons subjoined a conjuncture lofty levels of brain amyloid as exalted by positron emission tomography (PET). What other ingredients close the PMHNP deduce precedently prescribing medication for this unrepining, and what medication would the PMHNP noncommunication to quit consecrated these other ingredients? 

A. ApoE4 genocountenance and quit antihistamines if practicefficacious B. Countenance 2 diabetes and quit olanzapine C. Thrift and quit methylphenidate D. Twain “A” & “B” 

QUESTION 62 

A 72-year-old virile unrepining is in the future marks of Alzheimer’s guess-work. The PMHNP determines that suitefficacious retrospect is a key deduceation in pickeding a medication. Which of the forthcoming would be an mismisdivert select? 

A. Rivastigmine (Exelon) B. Donepezil (Aricept) C. Galantamine (Razadyne) D. All of the balance 

QUESTION 63 

A 63-year-old unrepining confer-upons subjoined a conjuncture the forthcoming concurrents. The PMHNP determines which set of concurrents authorize prescribing a medication? Picked the vproof that is matched subjoined a conjuncture an mismisdivert tenor. 

A. Lowly force to recollect names is most problematic, and an mismisdivert tenor liberty is memantine. B. Enervation in the force to gather and keep new notification is most problematic, and an mismisdivert tenor liberty would be cheerfulsedpezil. C. Lowly force to discbalance the amend engagement is most problematic, and an mismisdivert tenor liberty would be memantine. D. Lowly force to recollect wclose objects are most problematic, and an mismisdivert tenor liberty would be cheerfulsedpezil. 

QUESTION 64 

A 75-year-old virile unrepining diagnosed subjoined a conjuncture Alzheimer’s guess-toil confer-upons subjoined a conjuncture noise and unsavory commence. The PMHNP determines which of the forthcoming to be the best tenor liberty? 

A. Immunotherapy B. Donepezil (Aricept) C. Haloperidol (Haldol) D. Citalopram (Celexa) or Escitalopram (Lexapro) 

QUESTION 65 

The PMHNP has been asked to procure an in-service inoculation to apprehend care to the use of antipsychotics to barshape Alzheimer’s. What does the PMHNP ecstasy to staff? 

A. The use of antipsychotics may suit acceptiond cardiovascular well-mannered-balancedts and decease. B. A cheerful-tempered-tempered liberty in bargaining noise and psychosis in Alzheimer’s unrepinings is haloperidol (Haldol). C. Antipsychotics are usually used as “chemical straightjackets” to balance-tranquilize unrepinings. D. Twain “A” & “C.” 

QUESTION 66 

An 80-year-old womanish unrepining diagnosed subjoined a conjuncture Mark II Alzheimer’s has a fact of cross bowel syndrome. Which cholinergic offal may be the best select for tenor consecrated the unrepining’s gastrointestinal problems? 

A. Donepezil (Aricept) B. Rivastigmine (Exelon) C. Memantine (Namenda) D. All of the balance 

QUESTION 67 

The PMHNP discerns that bupropion (Wellbutrin) is an operative way to befriend unrepinings subjoined a conjuncture smoking quiescence. Why is this medication operative for these unrepinings? 

A. Bupropion (Wellbutrin) liberates the dopamine that the unrepining would typically capture through smoking. B. Bupropion (Wellbutrin) befriends unrepinings subjoined a conjuncture their cravings by changing the way that tobacco tastes. C. Bupropion (Wellbutrin) obstructs dopamine reuptake, enabling past availforce of dopamine. D. Bupropion (Wellbutrin) toils on the mesolimbic neurons to acception the availforce of dopamine. 

QUESTION 68 

Naltrexone (Revia), an opioid adversary, is a medication that is used for which of the forthcoming situations? 

A. Alcoholism B. Continuous asceticism C. Abuse of inhalants D. Plnoble to poor heroin subjoined a conjuncturedrawal 

QUESTION 69 

A unrepining addicted to heroin is receiving tenor for detoxification. He starts to proof tachycardia, tremors, and diaphoresis. What medication close the PMHNP impose for this unrepining? 

A. Phenobarbital (Luminal) B. Methaeffected (Dolophine) C. Naloxone (Narcan) D. Clonidine (Catapres) 

QUESTION 70 

A unrepining diagnosed subjoined a conjuncture obsessive compulsive guess-toil has been promotive a lofty-dose SSRI and is severicipating in therapy twice a week. He ments an inforce to carry out responsibilities due to consonant quarrelnces of his obsessions and compulsions. The PMHNP perceives that the contiguous step would be which of the forthcoming? 

A. Inferior his SSRI and add buspirone (Buspar). B. Inferior his SSRI and add an MAOI. C. Inferior his SSRI steadily until it can be rendd then try an antipsychotic to wield his concurrents. D. Detain his SSRI dosage the selfselfidentical and add a low-dose TCA. 

QUESTION 71 

The PMHNP is assessing a unrepining who close be receiving phentermine (Adipex-P)/topiramate (Topamax) (Qsymia). Which of the forthcoming situations/diseases close insist-upon aid evaluation precedently this medication can be imposed? 

A. Ilk guess-toil mark II B. Obesity C. Cardiovascular guess-toil D. Diabetes countenance II 

QUESTION 72 

The PMHNP imposes an oleaginous unrepining phentermine (Adipex-p)/topiramate ER (Topamax) (Qsymia), Why is topiramate (Topamax) usually imposed subjoined a conjuncture phentermine (Adipex-P)? 

A. Phentermine (Adipex-P) dose can be acceptiond safely when enthralled subjoined a conjuncture an anticonvulsant. B. Phentermine (Adipex-P) toils by bunging proclivity conjuncture topiramate (Topamax) acts by debaring proclivity. C. Topiramate (Topamax) efficaciousiates proclivity bungion closed by phentermine (Adipex-P). D. Topiramate (Topamax) succors intercept the unwanted aspect possessions of phentermine (Adipex-P). 

QUESTION 73 

The PMHNP is assessing a unrepining who has plain suicidal eager and is now stating that he is hearing voices and sees herd chasing him. The PMHNP identifies these concurrents to be associated subjoined a conjuncture which of the forthcoming? 

A. Barbiturate hallucination B. Marijuana hallucination C. “Bath salt” hallucination D. Cocaine hallucination 

QUESTION 74 

The PMHNP is caring for a unrepining who disclosedly admitted to imbientity a quart of vodka daily. Precedent to prescribing this unrepining disulfiram (Antabuse), it is magnanimous for the PMHNP to: 

A. Evaluate the unrepining’s closeingness to leave-off from alcohol B. Counsel the unrepining on cheerary restrictions C. Obtain liver employment examinations D. Assess for addiction to opioids 

QUESTION 75 An opioid-naive unrepining is promotive MS Contin (morphine sulfate) to barshape his asceticism that is interceptary to cancer. Under what stipulation would the PMHNP regulate naloxone (Narcan) IM/SQ? 

A. The unrepining’s harangue is slurred, and he is in and out of drowse. B. The unrepining’s proclivity has deduceiord from eating 100% of his fast to 50% of his fast. C. The unrepining complains of not having a bowel motion for 4 days. D. The unrepining’s material signs are 98.4F temp, 88 pulse, 104/62 rank urgency, and 8 respirations. 

QUESTION 76 

When completing this exam, did you relinquish subjoined a conjuncture Walden University’s Code of Commence including the expectations for academic honor? 

Yes No

  

                         NURS 6630 Midvocpowerful Exam (2018): Walden University

QUESTION 1

1.      A noncompliant unrepining specifys, "Why do you noncommunication me to put this infect in my substantiality?" Establish the best contrary-argument made by the psychiatric-mental handleinginess comfort practitioner (PMHNP).

A.

"You bear to assume your medication to behove unwavering."

B.

"Most medications close acception the compute of neurotransmitters that you already bear in the brain."

C.

"Most medications used in tenor are either increasing or decreasing neurotransmitters that your substantiality already has."

D.

"Why do you consider that your medication is infect?" 

QUESTION 2

1.      Which proposition encircling neurotransmitters and medications is gentleman?

A.

Natural neurotransmitters such as endorphins bear been discovered subjoined the fruit of medications.

B.

Some medications were plain subjoined the clue and perceiven operation of the neurotransmitters in the brain.

C.

Neurotransmitters capture messages from most medications.

D.

The neurotransmitter serotonin is straightway attached to valley. Forthcoming this clue, the antidepressant Prozac was plain.

1 points  

QUESTION 3

1.      When an ununwavering unrepining asks why it is requitop to add medications to his prevalent viands, the PMHNP's best contrary-argument would be:

A.

"In an utmost contingency such as yours, past than one medication is usually demanded."

B.

"Due to the undignifiedness of your prevalent medication, we demand to try someinvention else that can haply efficaciousiate its possessions.

C.

"Medications are usually local to the neurotransmitter(s) they are feigning and, due to past than one neurotransmitter involvement, it is usually requitop to use past than one medication to mend concurrents."

D.

"I discern your sympathy. We can rend your prevalent medication and switch to a contrariant one that may improve wield your concurrents."

1 points  

QUESTION 4 ?

1.      During gene countenance, what must happen precedent to a gene import plain?

A.

Transcription ingredient must fasten to the regulatory district subjoined a conjuncturein the cell's kernel.

B.

RNA must be converted to mRNA.

C.

The coding district must unconnected from the regulatory district. This is wickedness

D.

RNA polymerase must debar the road of changing RNA to mRNA.

1 points  

QUESTION 5

1.      While genes bear relishly to diversify commence, commence can besides diversify genes. How do genes collision this road?

A.

Genes collision neuron employmenting straightway.

B.

Changes made to proteins guide to fluctuates in commence.

C.

Neurons are efficacious to collision protein union.

D.

Genes collision the DNA of a cell, promotive to fluctuates in commence.

1 points  

QUESTION 6

1.      Though medications bear the force to target neurotransmitters in the synapse, it is not constantly requisite. The PMHNP discerns that this is owing:

A.

Neurotransmission that happens via the axon yields for ecstasy of a neurotransmitter.

B.

Active ecstasy is a contrariant countenance of intelligence that yields the ecstasy of indubitpowerful neurotransmitters.

C.

Neurotransmitters can circulate by evacuation.

D.

The postsynaptic neuron can liberate the neurotransmitter.

1 points  

QUESTION 7

1.      Why is the cytochrome P450 enzyme arrangement of judgment to the PMHNP?

A.

The ilks enact a role subjoined a conjuncture perspiration of the medication, and if a unrepining has ilk damage, the dose must be acceptiond to be operative.

B.

The bioavailforce of the medication subjoined it passes through the stomach and liver can be altered. Amend vindication

C.

The medication's chemical structure fluctuates when it comes in apposition subjoined a conjuncture the noble in the stomach.

D.

The CYP enzyme arrangement is a well-mannered-regulated and predictefficacious road that imposers must discern to barshape situations operatively.

1 points  

QUESTION 8

1.      It is magnanimous for the PMHNP to perceive-ashape miscellanys in pharmacokinetics to safely impose and warner medications. Which of the forthcoming propositions does the copent PMHNP establish as gentleman?

A.

About 1 out of 5 Asians insist-upons deduceior-than-typical doses of some antidepressants and antipsychotics.

B.

The vocpowerful polymorphic refers to the substantiality's force to rend a medication down separate ways, and this unrepining may insist-upon loftyer doses of indubitpowerful antidepressants and antipsychotics.

C.

About 1 out of 30 Caucasians insist-upons deduceior doses of some antidepressants and antipsychotics.

D.

Most enzyme methods do not bear interactions unformed the newer medications.

1 points  

QUESTION 9

1.      As it relates to G-protein attached receptors, what does the PMHNP discern encircling medications that are used in exercise?

A.

Most medications that act on G-protein attached receptors bear adversaryic traits.

B.

The magnanimousity of medications used in exercise are liberal agonists and are used to intensify the substantiality's cosmical neurotransmitters.

C.

Most medications act as favoring agonists besuit they yield the substantiality to use singly what is demanded.

D.

Medications used in exercise may act as inverse agonists if the dosage is too lofty.

1 points  

QUESTION 10

1.      The PMHNP is owing prescribing a 49-year-old virile clozapine (Clozaril) to barshape his schizophrenia and suicidal ideations. The PMHNP is informed that which ingredient may collision the dose demanded to operatively barshape his situation:

A.

The unrepining smokes cigarettes. 

B.

The unrepining has hypertension.

C.

The unrepining has continuous ilk guess-work, mark 2.

D.

The unrepining imbibes a cup of coffee a day.

1 points  

QUESTION 11

1.      A unrepining is diagnosed subjoined a conjuncture bipolar guess-toil and is prevalently promotive carbamazepine (Tegretol), aripiprazole (Abilify), and melatonin. The PMHNP has fit written an regulate to rend the carbamazepine (Tegretol) for offal-induced thrombocytopenia. The PMHNP is informed that his contiguous best operation is to:

A.

Alert staff to practicefficacious seizures

B.

Write an regulate for a contrariant dispositionstabilizer 

C.

Decrease the aggregate imposed for aripiprazole (Abilify)

D.

Explain to the unrepining that it close be past hard to govern his diversify

1 points  

QUESTION 12

1.      A unrepining of-late infections forthcoming a suicide endeavor has a fact of schizophrenia, valley, and fibromyalgia. He is prevalently promotive Amitriptyline (Elavil), Lisinopril, aspirin, and fluoxetine (Prozac). Which is the best operation for the PMHNP to assume for this unrepining?

A.

Review Amitriptyline (Elavil) level 

B.

Order a liver employment examination

C.

Check the unrepining's rank urgency and pulse

D.

Order a stat platelet estimate

1 points  

QUESTION 13

1.      A unrepining subjoined a conjuncture schizophrenia is consecrated an inverse agonist that acts on the receptor 5HT and neurotransmitter serotonin. What is the sanee for prescribing a medication such as this?

A.

To raise the availforce of serotonin

B.

To deduceior serotonin

C.

To instraightway acception the aggregate of dopamine in the substantiality

D.

To succor deduceior the aggregate of serotonin and dopamine

1 points  

QUESTION 14

1.      The PMHNP is caring for indecent unrepinings. Which unrepining proposition shows that benzodiazepines would be wholesome?

A.

"I bear misfortune staying collected in the average of the obscurity."

B.

"My colleague told me that I look to bear misfortune recollecting inventions sometimes."

C.

"I unquestionably noncommunication to bung smoking, but the cravings are too solid."

D.

"I reach expressive to go outaspect and be in magnanimous crowds."

1 points  

QUESTION 15

1.      Ms. Harlow is a 42-year-old unrepining who is imposed a offal that acts on ionotropic receptors. She is unsordid encircling the possessions of the offal and how it close act on her concurrents. Which proposition made by the PMHNP proves constitutional discerning of Ms. Harlow's regulate?

A.

"The offal close bear an approximately imaccessible pi."

B.

"The offal can assume a conjuncture to establish up in your arrangement." 

C.

"The offal is lingering to liberate but unfoldeds for a crave opportunity."  

D.

"The offal close produce a wily miscellany in your concurrents." 

1 points  

QUESTION 16

1.      A unrepining is seeking pharmacological tenor for smoking quiescence. Which offal assort does the PMHNP impose to the unrepining?

A.

Benzodiazepine

B.

Mirtazapine (Remeron)

C.

Ketamine

D.

Varenicline (Chantix)

1 points  

QUESTION 17

1.      The PMHNP is caring for a new unrepining who has been infections from another service. When convocation subjoined a conjuncture the new unrepining, the unrepining ments, "I reach relish I am suitefficacious subjoined a conjuncture the stabilizers." The PMHNP directly perceive-agains that the unrepining is describing which husk of offal?

A.

Full agonists

B.

Antagonists

C.

Partial agonists

D.

Inverse agonists

1 points  

QUESTION 18

1.      A unrepining confer-upons subjoined a conjuncture manifold episodes of aberration. Which proposition portrays an mismisdivert tenor mode for this unrepining?

A.

"The unrepining demands to bear an inverse agonist."

B.

"The unrepining could avail from an anticonvulsant."  

C.

"The unrepining's calcium, sodium, chloride, and potassium levels must be regulated." 

D.

"The unrepining should bear a offal that acts on ligand-gated ion channels."

1 points  

QUESTION 19

1.      The PHMNP is caring for a unrepining who would avail from nicotine cholinergic, serotonin 3, or glycine receptors. What husk of vicegerent does the PHMNP noncommunication to impose for this unrepining?

A.

Ligand-gated ion channels subjoined a conjuncture a pentameric structure

B.

Ligand-gated ion channels subjoined a conjuncture a tetrameric structure

C.

Voltage-sensitive ion channels

D.

Anticonvulsants

1 points  

QUESTION 20 ?

1.      Which proposition made by the unrepining suggests the unrepining close demand to be bargained subjoined a conjuncture antipsychotics that target paranoid psychosis?

A.

"It's my shortness that all of this is happening. I don't conceive I could always forego myself." 

B.

"I bear to dialogue to the President besuit I'm the singly one who can succor him."

C.

"I'm not fast why that lady is wearing a red jacket gone it's the dogs who demand stay."

D.

"I don't perceive that I well-mannered-balanced noncommunication to go to that convocation. It doesn't look excellence it anymore."

1 points  

QUESTION 21

1.      A unrepining has been bargained subjoined a conjuncture a compute of novel psychotropic offals. How is it hypothetically practicefficacious to establish apprehensive mendment in the unrepining using neuropsychological tribute batteries subjoined the pharmacologic therapy? I did not bear this topic

A.

Obtaining raw normative metrics and using them to assess employmentality

B.

Having the unrepining ment on apprehensive employment typical on favoring proofs

C.

Monitoring the unrepining in a governled setting 

D.

Measuring concurrents of psychosis

1 points  

QUESTION 22

1.      Mr. McCullin is 64 years old subjoined a conjuncture Parkinson's guess-work. The PMHNP caring for Mr. McCullin noncommunications to set-out him on a dopamine agonist to succor wield and barshape his situation. The PHMNP pickeds this vicegerent besuit of which operation it has on unrepinings relish Mr. McCullin?

A.

Dopamine is vocableinated through multiple mechanisms.

B.

The D2 autoreceptor regulates liberate of dopamine from the presynaptic neuron.

C.

MAO-B confer-upons in the mitochondria subjoined a conjuncturein the presynaptic neuron.

D.

D2 receptors are the primitive fastening top for dopamine agonists. 

1 points  

QUESTION 23

1.      Mrs. Trevor is a 44-year-old unrepining who does not bear a individuality of schizophrenia but sometimes ments concurrents of psychosis, followed by cruel tire. Mrs. Trevor inquires encircling the use of amphetamines to succor subjoined a conjuncture her intelligence levels. Which contrary-argument made by the PMHNP is most misappropriate?

A.

"Amphetamines may succor you, as they can assuage psychotic situations."

B.

"Amphetamines can debar denying concurrents of schizophrenia, so this government be a cheerful-tempered-tempered select for you."

C.

"Amphetamines can suit hallucinations, so I would admonish athwart this countenance of regulate."

D.

"Amphetamines can guide to a dopamine imperfection, so I close not impose this for you."

1 points  

QUESTION 24

1.      The PMHNP is caring for a unrepining subjoined a conjuncture schizophrenia and is owing a miscellany of tenor modees. The PHMNP pickeds a viefficacious tenor that is consonant subjoined a conjuncture the "dopamine fancy of schizophrenia." What operation does the PMHNP meet this tenor having on the unrepining?

A.

Blocking the liberate of dopamine facilitates the aggression of fixed schizophrenia concurrents.

B.

Hyperspectre in the mesolimbic dopamine method accessibles the fixed concurrents of schizophrenia.

C.

Antipsychotic offals that disclosed D2 receptor methods can barshape schizophrenia.

D.

The neuroanatomy of dopamine neuronal methods can elucidate concurrents of schizophrenia.

1 points  

QUESTION 25

1.      A unrepining is diagnosed subjoined a conjuncture schizophrenia. What acceptions the unrepining's relishly to accessible the apprehensive concurrents of the guess-work?

A.

Achieving underspectre of the mesocorticol projections to the prefrontal cortex

B.

Achieving balancespectre of the mesocorticol projections to the ventromedial prefrontal cortex

C.

Achieving underspectre of the mesocortical projections to the ventromedial prefrontal cortex

D.

Achieving balancespectre of the mesocorticol projections to the prefrontal cortex

1 points  

QUESTION 26

1.      The PMNHP is assessing a 29-year-old unrepining who assumes antipsychotics that obstruct D2 receptors. What unrepining education should the PMHNP apprehend connected to the practicefficacious aspect possessions of this countenance of offal?

A.

Hypersexuality

B.

Amenorrhea

C.

Dystonia

D.

Tardive dyskinesia 

A.

1 points  

QUESTION 27

1.      The PMHNP is caring for a unrepining who is promotive antipsychotics heard the psychiatrist incontrive the unrepining that the unrepining would be placed on a contrariant antipsychotic vicegerent. Which of the forthcoming insist-upons the craveest transition opportunity for remedial avail?

Olanzapine to clozapine

B.

Asenapine to Risperidone

C.

Aripripazole to ziprasidone

D.

Aripripazole to clozapine

1 points  

QUESTION 28

1.      The PMHNP is assessing a unrepining who has cirrhosis of the liver and meets that the unrepining close be imposed an antipsychotic. Which medication does the PMHNP doubt close be regulateed for this unrepining?

A.

Quetiapine

B.

Paliperidone

C.

Lurasidone

D.

Clozapine

1 points  

QUESTION 29

1.      Which proposition made by the PMHNP exemplifies amend education of physiological possessions in the substantiality?

A.

Muscarinic adversarys are past mitigated to suit deduceiord prolactin levels.

B.

D2 adversarys deduceior the relishlihood of EPS concurrents.

C.

D2 hostility is attached to antidepressant constitutionalties.

D.

D2 favoring agonists are associated subjoined a conjuncture acceptiond usefulness in bargaining fixed concurrents of schizophrenia.

1 points  

QUESTION 30

1.      Mrs. Schwartzman is a 52-year-old unrepining subjoined a conjuncture schizophrenia and no typical fact of valley. When convocation subjoined a conjuncture the PMHNP, she confer-upons subjoined a conjuncture hebetude and subjoined a conjuncturedrawn gregarious commence, and she ments a damage of joy from enjoyefficacious activities. What does the PMHNP deduce from this encontrary subjoined a conjuncture the unrepining?

A.

An underlying depressive guess-work

B.

The novel fluctuate of a 2nd origination antipsychotic to a usual one 

C.

The novel fluctuate of a 1st origination antipsychotic to a 2nd origination antipsychotic

D.

All of the balance

1 points  

QUESTION 31

1.      The PMHNP is promotive a fact on a unrepining who has been on antipsychotics for manifold years. Which betray ingredients are most mitigated to furnish to a individual unfolding tardive dyskinesia (TD)?

A.

Long-vocpowerful use of antipsychotics

B.

Genetic disposition

C.

Age

D.

A and C

E.

All of the balance

1 points  

QUESTION 32

1.      The ward inquires encircling antipsychotic medications. Which contrary-argument by the PMHNP portrays nthe ingredients that furnish to convertd betray of extrapyramidal concurrents (EPS) for unrepinings who assume antipsychotics?

A.

Those that are efficacious D2 adversarys

B.

Those that are efficacious D2 adversarys subjoined a conjuncture 5HT2A hostility constitutionalties

C.

D2 receptors that are obstructed in the nigrostriatal method

D.

Potent D2 adversarys that obstruct the muscarinic anti-M1 cholinergic receptors

1 points  

QUESTION 33

1.      Mr. Gordon is a average-antiquated unrepining who is promotive antipsychotics. When convocation subjoined a conjuncture the PMHNP, he ments fixed contrary-arguments to the medication, stating, "I unquestionably reach as though the possessions of my valley are going loose." Which receptor operation in antipsychotic medications is considerd to be the most wholesome in submissive the possessions portrayd by Mr. Gordon?

A.

5HT2 hostility

B.

D2 hostility

C.

Alpha-2 hostility

D.

D2 favoring agonist

1 points  

QUESTION 34

1.      A unrepining who was of-late admitted to the psychiatric nursing salways is import bargained for bipolar guess-work. Which neurotransmitter is the PMHNP most mitigated to target subjoined a conjuncture pharmaceuticals?

A.

Norepinephrine

B.

Dopamine

C.

Serotonin

D.

A and C

E.

All of the balance

1 points  

QUESTION 35

1.      Ms. Ryerson is a 28-year-old unrepining subjoined a conjuncture a disposition guess-work. She of-late requested to exchange to a new PMHNP, subjoined not getting acrave well-mannered-mannered subjoined a conjuncture her precedent procurer. The new PHMNP is revisaling Ms. Ryerson's medical chart precedent to their earliest Nursing Assignment. Upon revisal, the PMHNP sees that the contriveer procurer unfolded documented "unrepining had accelerated poop out." What does the PMHNP deduce encircling the unrepining's regulate typical on this documentation?

A.

The unrepining has an unsustained contrary-argument to antidepressants.

B.

The unrepining has antidepressant-induced hypomania. 

C.

The unrepining has a depletion of monoamine neurotransmitters.

D.

The unrepining has an impertinent pi to atypical antipsychotics.

1 points  

QUESTION 36

1.      The PMHNP perceive-agains that which unrepining would be contraindicated for antidepressant monotherapy?

A.

Patient subjoined a conjuncture a bipolar I designation

B.

Patient subjoined a conjuncture a bipolar II designation

C.

Patient subjoined a conjuncture a bipolar III designation

D.

None of the balance

1 points  

QUESTION 37

1.      Why does the PMHNP quit bargaining a unrepining subjoined a conjuncture cyclothymia, and has magnanimous depressive episodes, subjoined a conjuncture antidepressant monotherapy?

A.

The unrepining may proof paranoid quitant commence.

B.

The unrepining may proof cruel valley.

C.

The unrepining may proof hearers hallucinations.

D.

The unrepining may proof acceptiond disposition cycling.

1 points  

QUESTION 38

1.      The PMHNP is caring for a unrepining subjoined a conjuncture the s genocountenance of SERT. What does the PMHNP discern sympathying this unrepining's contrary-argument to pickedive serotonin reupassume debaror (SSRI)/SNRI tenor?

A.

The unrepining has a loftyer casualty of tolerating SSRI/SNRI tenor.

B.

The unrepining close bear a fixed contrary-argument to SSRI/SNRI tenor.

C.

The unrepining close unfold cruel disposition cycling in contrary-argument to tenor.

D.

The unrepining may be close correspondent or forbearing to the tenor.

1 points  

QUESTION 39

1.      Ms. Boeckh is a 42-year-old unrepining subjoined a conjuncture magnanimous valley. The PMHNP discerns that which operation of norepinephrine close feign Ms. Boeckh's serotonin levels?

A.

Norepinephrine efficaciousiates 5HT liberate through a2 postsynaptic receptors.

B.

Norepinephrine debars 5HT liberate through a2 receptors.

C.

Norepinephrine debars α2 receptors on axon vocableinals.

D.

Norepinephrine efficaciousiates 5HT liberate through a1 and a2 receptors.

1 points  

QUESTION 40

1.      Which proposition made by the PMHNP amendly portrays the conformity unformed NE neurons and pharmaceutical tenor?

A.

"Drugs debar the liberate of NE."

B.

"Drugs can mock the cosmical employmenting of the NE neuron."

C.

"Drugs are disqualified to impersonate the possessions of NE neurons."

D.

"Drugs intercept the cosmical employmenting of the NE neuron by bungping the presynaptic a2 neuron."

1 points  

QUESTION 41

1.      The PMHNP is assessing a unrepining in the psychiatric necessity extent. The unrepining informs the PMHNP that he does not discern why his valley has not lifted subjoined import on indecent contrariant antidepressants balance the road of a year. Which of the forthcoming concurrents can be residual concurrents for unrepinings who do not close release subjoined a conjuncture magnanimous depressive guess-work?

A.

Insomnia

B.

Suicidal ideation

C.

Problems concentrating

D.

A and C

1 points  

QUESTION 42

1.      Fluoxetine (Prozac) has been imposed for a unrepining. Which of the forthcoming propositions is gentleman sympathying the operation of this medication?

A.

Neuronal firing rates are not dysregulated in valley.

B.

Blocking the presynaptic SERT close directly guide to a magnanimous dispense of serotonin in manifold synapses.

C.

Upon the quick administration of a SSRI, 5HT deduceiors. 

D.

The operation at the somatodendritic end of the serotonin neuron may best elucidate the remedial operation of SSRIs. 

1 points  

QUESTION 43

1.      The comfort preceptor perceives that education was operative when one of the wards compares fluvoxamine to sertraline and notes which of the forthcoming concordantities?

A.

Both bear a sedative-like, calming pi. 

B.

Both furnish to antipsychotic operations.

C.

Both prove favorefficacious discoverings in bargaining valley in the patriarchal.

D.

Both are perceiven for causing cruel subjoined a conjuncturedrawal concurrents such as dizziness, impatience, and akathisia.

1 points  

QUESTION 44

1.      A 45-year-old womanish unrepining subjoined a conjuncture allergic rhinitis and typical rank urgency has had no diminution in depressive concurrents subjoined hard bupropion, paroxetine, and venlafaxine. What prefrugal are demanded in owing monoamine oxidase debarors (MAOI) in bargaining her valley?

A.

Since all MAOIs insist-upon cheerary restrictions, the unrepining close demand to quit all cheeses and antiquated, smoked, or fermented meats.

B.

The unrepining cannot assume any antihistamines. 

C.

The unrepining cannot bear two light teeth extracted conjuncture on a MAnOI.

D.

The unrepining close demand to minimize cheerary inassume of stays such as tap and unpasteurized beer, antiquated cheeses, and soy products/tofu. 

1 points  

QUESTION 45

1.      After sitting in on an interdisciplinary tenor team convocation, the ward comfort asks the instructor to elucidate a arrangement-typical mode to the tenor of valley. What is the mismisdivert contrary-argument?

A.

Symptoms succor compose a individuality, then concurrents are deconstructed into a catalogue of local concurrents proofd by a unrepining. 

B.

Symptoms are matched earliest subjoined a conjuncture the brain circuits that hypothetically accessible them and then subjoined a conjuncture the perceiven neuropharmacological maxim of these circuits by neurotransmitters.

C.

Treatment libertys that target neuropharmacological mechanisms are pickeded to enucleate concurrents one by one.

D.

All of the balance.

1 points  

QUESTION 46

1.      A 51-year-old womanish unrepining confer-upons subjoined a conjuncture concurrents of valley, including behind a conjuncturedrawal of motivation and hardy drowseing. What betray ingredients would acception her vulnerforce for a individuality of valley?

A.

First aggression in puberty or future adulthood

B.

Late aggression of menses  

C.

Premenstrual syndrome

D.

A and C

1 points  

QUESTION 47

1.      A comfort balancehears that a unrepining has failed solitary therapy subjoined a conjuncture an SSRI and SNRI. She besides gathers that the unrepining has been on dual SSRI/SNRI therapy subjoined a conjunctureout strong concurrent govern. She modees the PMHNP and asks what the contiguous tenor liberty could be in this lookingly tenor-resistant unrepining. The PMHNP informs the comfort she close barshape the unrepining subjoined a conjuncture the forthcoming viands:

A.

MAOI plus SNRI

B.

SSRI/SNRI plus NDRI 

C.

NDRI/SNRI plus mirtazapine

D.

NDRI plus modafinil

1 points  

*Q/UESTION 48

1.      Mrs. Radcliff is a 42-year-old unrepining who is owing bungping paroxetine. Why does her PMHNP admonish athwart this hasty discontinuation of the cure?

A.

She may proof subjoined a conjuncturedrawal concurrents.

B.

She may proof acceptiond trauma.

C.

Effects of hasty quiescence are hidden.

D.

It can guide to hardies subjoined a conjuncture eagerness.

1 points  

QUESTION 49

1.      A unrepining is imposed fluoxetine but is unquiet encircling the aspect possessions. Which proposition proves respectful unrepining education when sift-canvassing the aspect possessions associated subjoined a conjuncture fluoxetine?

A.

Weight frame can be problematic.

B.

Sedation is very vulgar.

C.

Induction of aberration is costly.

D.

Seizures are not extraordinary.

1 points  

QUESTION 50

1.      The PMHNP is caring for a unrepining subjoined a conjuncture thrift who unfolds plnoble to poor hepatic enervation. Which operation does the PMHNP assume sympathying the use of venlafaxine?

A.

Stop the venlafaxine

B.

Lower the dose of venlafaxine by 50%

C.

Lower the dose of venlafaxine by 25-40%

D.

Increase the dose of venlafaxine by 50%

1 points  

QUESTION 51

1.      A 25-year-old womanish unrepining is import imposed milnacipran to barshape fibromyalgia, and expresses sympathy sympathying "how she close reach and look" from promotive the cure. Which proposition amendly portrays the aspect possessions as a remainder of promotive this medication?

A.

It can feign her menstruation. 

B.

Suicidality can be vulgar unformed girlish adults.

C.

Sedation may be problematic.

D.

Weight frame is extraordinary.

1 points  

QUESTION 52

1.      Mr. Ruby is a 33-year-old solitary senior who is requesting pharmacological interposition to barshape his fibromyalgia. The PMHNP sees in the medical chart that he has a novel individuality of arrhythmia and a BMI of 29. During his tribute, the PMHNP gathers that Mr. Ruby toils 40-50 hours a week as a contractor and "manages his influence" by smoking 3-4 cigarettes a day and having 8-10 imbibes of alcohol each week. Why would duloxetine be contraindicated for Mr. Ruby?

A.

He has fibromyalgia.

B.

He has arrhythmia.

C.

He uses alcohol.

D.

He is balanceweight.

1 points  

QUESTION 53

1.      A unrepining is imposed sertraline to barshape trembling guess-work. Knowing that sertraline can primally suit thrift or insomnia, what should the PMHNP do?

A.

Prescribe crave-acting benzodiazepine for 2 weeks, then acception the dose.

B.

Prescribe close-acting benzodiazepine for 2 weeks, then rend.

C.

Prescribe crave-acting benzodiazepine for 2 weeks, then rend.

D.

Prescribe close-acting benzodiazepine for 2 weeks, then acception the dose. 

1 points  

QUESTION 54

1.      A unrepining is imposed 50 mg of desvenlafaxine to assume entire other day for magnanimous depressive guess-work. What does the PMHNP discern encircling this unrepining?

A.

The unrepining has hepatic enervation.

B.

The unrepining has poor renal enervation.

C.

The unrepining has cruel renal enervation.

D.

The unrepining has cardiac enervation.

1 points  

QUESTION 55

1.      The PMHNP discerns that which mechanism furnishs to a worse tolerforce contrive for unrepinings promotive tricyclic antidepressants (TCAs)?

A.

Histamine H1 receptor obstructade can suit insomnia.

B.

Muscarinic M1 receptor obstructade suits blurred anticipation.

C.

Alpha 1 adrenergic receptor obstructade suits consequence frame.

D.

Muscarinic M3 receptor obstructade suits sedation.

1 points  

QUESTION 56

1.      A unrepining who was imposed an MAO debaror is gathering encircling cheerary modifications. Which proposition made by the PMHNP proves constitutional education of the stay-offal interactions for MAO debarors?

A.

"You must quit soy products, such as tofu."

B.

"You should not pine roaded meats."

C.

"You may pine fermented stays, relish sauerkraut."

D.

"You may hold to imbibe beers on tap."

1 points  

QUESTION 57

1.      A unrepining who is imposed MAO debarors asks encircling whether he can hold promotive pseudoephedrine to acceleration his accumulation. Which contrary-argument by the PMHNP shows constitutional discerning of offal-offal interactions?  

A.

"Decongestants are noble to hold promotive subjoined a conjuncture MAO debarors." 

B.

"Decongestants are okay to assume subjoined a conjuncture MAO debarors in moderateness."

C.

"Decongestants should be quited due to betray of serotonin syndrome." 

D.

"Decongestants should be quited due to betray of hypertensive exigency."  

1 points  

QUESTION 58

1.      Ms. Skidpast confer-upons for a follow-up Nursing Assignment subjoined import imposed phenelzine (Nardil), and ments "I assume my 45 mg pill, three opportunitys a day, fit relish I'm reported to." What does the PMHNP discern encircling this unrepining?

A.

Ms. Skidpast is promotive the amend dose of phenelzine (Nardil).

B.

Ms. Skidpast is not promotive abundance of the phenelzine (Nardil); she should be promotive three opportunitys that aggregate. 

C.

Ms. Skidpast is promotive too abundant of the phenelzine (Nardil); she should be promotive the 45 mg in three doses.

D.

Ms. Skidpast is promotive too abundant of the phenelzine (Nardil); she is reported to assume 45 mg entire 24 hours.

1 points  

QUESTION 59

1.      The PMHNP is caring for separate unrepinings who confer-upon subjoined a conjuncture sundry concurrents and handleinginess issues. For which unrepining does the PMHNP impose pregabalin (Lyrica)?

A.

Patient subjoined a conjuncture PTSD

B.

Patient subjoined a conjuncture favoring seizures

C.

Patient subjoined a conjuncture galactose intolerance  

D.

Patient subjoined a conjuncture Lapp lactase imperfection

1 points  

QUESTION 60

1.      Mr. Gutier is 72 years old subjoined a conjuncture thrift and depressive concurrents. His PMHNP is prescribing lorazepam (Ativan). What does the PMHNP discern sympathying this regulate?

A.

The PMHNP close impose close than 2-6 mg for Mr. Gutier to assume daily.

B.

The PMHNP close insist-upon Mr. Gutier to assume 2-4 doses of lorazepam (Ativan) per day.

C.

The PMHNP close impose past than 2-6 mg for Mr. Gutier to assume daily.

D.

The PMHNP close bear Mr. Gutier assume 6 mg of lorazepam (Ativan) as a PRN.

1 points  

QUESTION 61

1.      A unrepining is import imposed a sedating antidepressant, but is unquiet encircling consequence frame. Which medication is most mitigated to be imposed to addresses the unrepining's sympathys? 

A.

mirtazapine (Remeron)

B.

doxepin (Silenor)

C.

alprazolam (Xanax)

D.

trazaeffected (Oleptro)

1 points  

QUESTION 62

1.      A unrepining who was diagnosed subjoined a conjuncture bipolar guess-toil subjoined a conjunctureout aberration, asks the PMHNP why he is import imposed a disposition stabilizer. What is the mismisdivert contrary-argument?

A.

Mood stabilizers are singly imposed to barshape manic phases of bipolar valley

B.

Mood stabilizers can conformably barshape twain aberration and bipolar valley

C.

Mood stabilizers can target aberration and aberration retrogression and besides convert concurrents of bipolar valley and retrogression of bipolar valley concurrents but no offal has been proven to target all indecent remedial operations

D.

Certain disposition stabilizers, such as lithium, are efficacious to conformably target aberration and bipolar valley

1 points  

QUESTION 63

1.      The PMHNP is assessing a unrepining in the necessity extent. The unrepining shares that he has been on lithium (Lithobid) for manifold years. What rank examinations does the PMHMP regulate?

A.

Thyroid Stimulating Hormone (TSH)

B.

Complete Rank Estimate (CBC)

C.

Erythrocyte Sedimentation Rate

D.

Platelet Count

1 points  

QUESTION 64

1.      A 39-year old womanish unrepining confer-upsimply on lithium would relish to try a new medication to barshape her bipolar guess-work. She has had sympathys encircling aspect possessions from lithium and noncommunications to gather past encircling Lamotrigine (Lamictal) as a tenor liberty. The PMHNP ecstasys some of the unsordid aspects of this vicegerent, including which of the forthcoming?  I don’t conceive I had this topic

A.

Tclose is some proof lamotrigine can intercept gradation from plnoble apprehensive enervation to Alzheimer's guess-work

B.

Lamotrigine may suit rashes, including the life-threatening Stevens-Johnson syndrome

C.

It was one of the earliest anticonvulsants vulgar by the FDA to barshape bipolar valley

D.

Tclose is a betray for amenorrhea and polycystic ovarian guess-toil in women of branchbearing age

1 points  

QUESTION 65

1.      A nursing ward is seeking precipitation on the use of anticonvulsants to barshape valley and is unclear encircling most operative outcomes. Which of the forthcoming vicegerents does the PMHNP ecstasy as having unindubitpowerful outcomes?

A.

Carbamazepine (Tegretol)

B.

Gabapentin (Neurontin)

C.

Valporoic Noble (Depakene)

D.

All of the balance

1 points  

QUESTION 66

1.      A 46-year old virile unrepining mentions separate resource tenors to Carbamazepine (Tegretol) as a way to wield concurrents of his bipolar valley. Which of the forthcoming does the PMHNP show would not be an vicegerent to barshape bipolar valley?

A.

Omega-3-fatty-acids

B.

Soybean lecithin

C.

Inositol

D.

L-methylfolate

1 points  

QUESTION 67

1.      The PMHNP is convocation subjoined a conjuncture a new dame who would relish to start promotive medication aframe to barshape her bipolar valley; she is breastfeeding her 2-month old daughter. The PMHNP perceive-agains that which of the forthcoming medications is contraindicated for this unrepining?

A.

Valporic Noble (Depakene)

B.

Carbamazepine (Tegretol)

C.

Lithium (Lithobid)

D.

Lamotrigine (Lamictal)

1 points  

QUESTION 68

1.      The PMHNP assesses a 10-year old virile branch in the ER and doubts aberration. Which of the forthcoming concurrents and recommendations for follow-up evaluation are misappropriate?

A.

Irritability, euphoria, anger; the branch should be evaluated aid for commence guess-work. 

B.

Irritability, raging outbursts, hyperactivity; the branch should besides be evaluated aid for ADHD

C.

Irritability, oblivion, anger; the branch should be evaluated aid for ADHD.  

D.

Irritability, quick aberration, hyperactivity; the branch should be evaluated aid for commence guess-work. 

1 points  

QUESTION 69

1.      A unrepining was diagnosed subjoined a conjuncture GAD 4 weeks ago and was placed on Clonazepam (klonopin) twice a day and citalopram (citalopram (celexa)) uninterruptedly daily. When he asks the PMHNP why it is requitop to abalienate him off of the Clonazepam (klonopin) the best contrary-argument is:

A.

Clonazepam (klonopin) may quarrel subjoined a conjuncture citalopram (celexa)s targeted areas in the brain

B.

Clonazepam (klonopin) is not recommended for crave vocpowerful use due to practicefficacious sedation

C.

Clonazepam (klonopin) was used as an aid to barshape your situation conjuncture you were adjusting to citalopram (celexa)

D.

Clonazepam (klonopin) and citalopram (celexa) target the selfselfidentical area in the brain and subjoined crave-vocpowerful use they close start to cope making one past or close operative than the other

1 points  

QUESTION 70

1.      During tribute a unrepining specifys "Why are you scrutiny me encircling my hardihood, I am close for my head", the PMHNP's best contrary-argument is:

A.

"Some medications can suit hardihood issues so it is requitop to government those out precedently you start medication."

B.

"This is a salways of our rotation concordantity and it is magnanimous that you furnish me accurate vindications."

C.

"Chronic situations such as Lupus can suit an area in your brain to malfunction, localally your hippocampus."

D.

"Anxiety can suit cortisol levels to acception and when this happens manifoldly it puts you at betray for comorbidities such as countenance 2 diabetes."

1 points  

QUESTION 71

1.      The PMHNP discerns that the relishly of alcohol abuse in the restless unrepining is loftyer for the forthcoming reason: A.

Alcohol is legitimate and is a vulgar way that most herd dispense subjoined a conjuncture their problems.

B.

Alcohol toils concordant to benzodiazepines

C.

Up to 30% of herd subjoined a conjuncture thrift use alcohol to self-medicate

D.

Alcohol acceptions serotonin at the synapse and the unrepining may temporarily reach happy

1 points  

QUESTION 72

1.      After regulateing flumazenil (Rumazicon) the PMHNP frugal the staff to warner for which practicefficacious pi?

a.

Respiratory valley

b.

Sedation and impatience

c.

Sweating and disgust (This topic was remarkable wickedness but I conceive the vindications are contrariant too)

d.

Bradycardia and tachypnea

1 points  

QUESTION 73

1.      A unrepining  is imposed escitalopram (Lexapro) for his thrift. When he asks why he was consecrated an antidepressant the PMHNP's best contrary-argument is:

A.

"SSRIs are used to barshape thrift besuit serotonin has been proven to succor subjoined a conjuncture reachings of solicitude-alarm and fret."

B.

"Even though you were diagnosed subjoined a conjuncture thrift tclose is a very lofty casualty that you besides bear valley due to the concordantities of twain guess-works."

C.

"Antidepressants are imposed prophylactically to intercept concurrents of valley."

D.

"Escitalopram (Lexapro) is very operative subjoined a conjuncture bargaining the trembling attacks that can happen subjoined a conjuncture thrift."

1 points  

QUESTION 74 ?

1.      The PMHNP evaluates the unrepining for "solicitude-alarm situationing" when he asks:

A.

Have you always proofd any countenance of trauma?

B.

What do you do when you reach solicitude-alarm?

C.

Does your dame or senior bear a fact of solicitude-alarm and/or freting?

D.

What produces your solicitude-alarm improve?

1 points  

QUESTION 75

1.      A unrepining diagnosed subjoined a conjuncture PTSD is imposed propranolol (Inderal) and the PMHNP discerns that he was imposed this medication for what purpose:

A.

He has uninferior lofty rank urgency and this must be bargained precedently rendezvousing on his PTSD.

B.

Beta obstructers are attached to reconsolidation.

C.

This medication close yield the unrepining to drowse throughout the obscurity.

D.

This medication is attached to the acception of serotonin in the brain.

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