Nurs6630 final exam (2018): walden university (already graded a)


  

NURS6630 Final Exam (2018): Walden University

QUESTION 1 

What obtain the PMHNP most slight decree to a enduring delay psychotic encroachment who scarcitys to direct the top-down cortical direct and the exorbitant force from striatal hyperactivity? 

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

QUESTION 2 

The PMHNP is primeing a medication composition discretion for a enduring who is exhibiting psychotic actions delay scanty force direct and encroachment. Of the salutary compositions, which can aid deviate some of the impertinent possessions or symptoms that are normally wastementd by D2 hostility? 

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

QUESTION 3 

The PMHNP is examineing dopamine D2 receptor tenure and its connection delay displeasing actions in endurings delay the ward. Why does the PMHNP decree a archearchefashion dose of atypical antipsychotics? 

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

QUESTION 4 

Why does the PMHNP dodge prescribing clozapine (Clozaril) as a primitive-line composition to the enduring delay psychosis and encroachment? 

A. There is too exalted a lavish of earnest impertinent verge possessions. B. It can balancepaint the psychotic symptoms. C. Clozapine (Clozaril) should not be used as exalted-dose monotherapy. D. There is no documentation that clozapine (Clozaril) is serviceable for endurings who are vehement. 

QUESTION 5 

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

A. Explaining to the enduring that there are no lavishs of EPS B. Prescribing the enduring 12 mg/dail C. Titrating the dose by increasing it whole 5–7 days D. Writing a direction for a exalteder dose of verbal risperieffected (Risperdal) to close exalted D2 receptor tenure 

QUESTION 6 

The PMHNP neglects to decree Mr. Barber a humor stabilizer that obtain target displeasing and impressible symptoms by decreasing dopaminergic neurotransmission. Which humor stabilizer obtain the PMHNP prime? A. Lithium (Lithane) B. Phenytoin (Dilantin) C. Valproate (Depakote) D. Topiramate (Topamax) 

QUESTION 7 

The parents of a 7-year-old enduring delay ADHD are unquiet environing the possessions of stimuluss on their cadet. The parents excellenteded to set-out pharmacological composition delay a non-stimulant. Which medication obtain the PMHNP obtain most slight decree? 

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

QUESTION 8

8 The PMHNP perceives that slow-dose comprehensive acquit stimuluss are most expend for which enduring delay ADHD? 

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

QUESTION 9 

A enduring is decreed D-methylphenidate, 10-mg comprehensive-acquit capsules. What should the PMHNP conceive when examineing the verge possessions delay the enduring? 

A. The fashionulation can own recent operations when fascinated delay stay. B. Sedation can be a spiritnear verge movables of the offal. C. The medication can seek your class influence. D. This offal does not wastement any dependency. 

QUESTION 10 

The PMHNP is instruction parents environing their cadet’s new direction for Ritalin. What obtain the PMHNP conceive in the instruction? 

A. The second dose should be fascinated at lunch. B. There are no lavishs for insomnia. C. There is singly one daily dose, to be fascinated in the waking. D. There obtain be continued possessions into the slumbering. 

QUESTION 11 

A young enduring is decreed Vyvanse. During the follow-up provision, which dilate made by the enduring bring-abouts the PMHNP reflect that the dosing is life effected incorrectly? 

A. “I interest my pill at breakfast.” B. “I am incapable to discard indifferent,somnolent at ignorance.” C. “I move okay all day covet.” D. “I am not gate my pill at lunch.” 

QUESTION 12 

A 14-year-old enduring is decreed Strattera and asks when the salve should be fascinated. What does the PMHNP perceive respecting the offal’s dosing profile? 

A. The enduring should interest the medication at lunch. B. The enduring obtain own one or two doses a day. C. The enduring obtain interest a pill whole 17 hours. D. The dosing should be effected in the waking and at ignorance. 

QUESTION 13 

The PMHNP is examineion delay the parents of an 8-year-old enduring who is receiving an judicious direction for D-amphetamine. The PMHNP demonstrates expend prescribing practices when she decrees the forthcoming dose: 

A. The cadet obtain be decreed 2.5 mg. B. The cadet obtain be decreed a 10-mg tablet. C. The cadet’s dose obtain acception by 2.5 mg whole other week. D. The cadet obtain interest 10–40 mg, daily. 

QUESTION 14 

A enduring is life decreed bupropion and is unquiet environing the verge possessions. What obtain the PMHNP utter the enduring respecting bupropion? 

A. Power fashion is not unusual. B. Sedation may be spiritless. C. It can wastement cardiac arrhythmias. D. It may enlarge tire. 

QUESTION 15 

Which enduring obtain assent-to a inferior dose of guanfacine? 

A. Enduring who has congestive benevolence shortcoming B. Enduring who has cerebrovascular distemper C. Enduring who is prolific D. Enduring delay relationship distemper 

QUESTION 16 

An 18-year-old effeminate delay a narrative of numerous headaches and a humor assumption is decreed topiramate (Topamax), 25 mg by bung daily. The PMHNP perceives that this medication is serviceable in bargaining which requisite(s) in this enduring? 

A. Migraines B. Bipolar assumption and valley C. Pregnancy-induced valley D. Surpassing end suffering 

QUESTION 17 

The PMHNP is bargaining a enduring for fibromyalgia and is owing prescribing milnacipran (Savella). When prescribing this medication, which operation is the PMHNP slight to pick-out? 

A. Monitor liver administration whole 6 months for a year and then year-by-year thereafter. B. Monitor monthly power. C. Split the daily dose into two doses behind the primitive day. D. Monitor for dark class in the stool. 

QUESTION 18 

The PMHNP is assessing a enduring she has been bargaining delay the peculiarity of constant suffering. During the tribute, the enduring says that he has of-late been having grief getting to snooze and staying indifferent,somnolent. Naturalized on this notification, what operation is the PMHNP most slight to interest? 

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

QUESTION 19 

The PMHNP is assessing a effeminate enduring who has been gate lamotrigine (Lamictal) for migraine prophylaxis. Behind discovering that the enduring has reached the climax dose of this medication, the PMHNP decides to substitute the enduring’s medication to zonisamide (Zonegran). In enumeration to evaluating this enduring’s day-to-day activities, what should the PMHNP secure that this enduring perceives? 

A. Monthly class levels must be drawn. B. ECG monitoring must be effected uninterruptedly whole 3 months. C. White class cell number must be monitored weekly. D. This medication has unwanted verge possessions such as sedation, noncommunication of coordination, and stupor. 

QUESTION 20 

A enduring recovering from shingles gives delay softness and sensitivity to the surpassing end. He says it is twainersome to put a shirt on most days. This enduring has end quantity renal distemper (ESRD) and is scheduled to own hemodialysis tomorrow but says that he does not understand how he can lie in a recliner for 3 hours moveing this unhappy. What obtain be the PMHNP’s guidance? 

A. Prescribe herpes simplex poison (HSV) anticollection touchstoneing B. Prescribe a class urea nitrogen (BUN) and creatinine STAT C. Decree lidocaine 5% D. Decree hydromorphone (Dilaudid) 2mg 

QUESTION 21 

The PMHNP decreed a enduring lamotrigine (Lamictal), 25 mg by bung daily, for resolution suffering 6 months ago. The enduring suddenly gives to the service delay the sickness that the medication is no coveter launched and complains of acceptiond suffering. What operation obtain the PMHNP most slight interest? 

A. Acception the dose of lamotrigine (Lamictal) to 25 mg twice daily. B. Ask if the enduring has been gate the medication as decreed. C. Prescribe gabapentin (Neurontin), 100 mg three opportunitys a day, beinducement lamotrigine (Lamictal) is no coveter launched for this enduring. D. Prescribe a full class number (CBC) to assess for an contagion. 

QUESTION 22 

An patriarchal mother delay a narrative of Alzheimer’s distemper, coronary artery distemper, and myocardial infarction had a discard at residence 3 months ago that resulted in her receiving an disclosed diminution interior fixation. Timeliness assessing this enduring, the PMHNP is made cognizant that the enduring continues to proof gentle to ordinary suffering. What is the PMHNP most slight to do? 

A. Prescribe an X-ray beinducement it is potential that she dislocated her hip. B. Prescribe ibuprofen (Motrin) beinducement she may scarcity covet-term composition and constant suffering is not unusual. C. Prescribe naproxen (Naprosyn) beinducement she may own arthritis and constant suffering is not unusual. D. Prescribe Morphine and tangible therapy. 

QUESTION 23 

The PMHNP is assessing a 49-year-old hardy delay a narrative of valley, post-traumatic urgency assumption (PTSD), alcoholism delay malnutrition, diabetes mellitus archearchefashion 2, and hypertension. His tangible tribute is mean delay the qualification of peripheral edema bilaterally to his inferior extremities and a chief sickness of suffering delay hebetude and tingling to each leg 5/10. The PMHNP set-outs this enduring on a low dose of doxepin (Sinequan). What is the give operation that must be fascinated by the PMHNP? 

A. Orders liver administration touchstones. B. Educate the enduring on dodgeing grapefruits when gate this medication. C. Encourage this enduring to conceal fluids to 1500 ml/day until the turgescence subsides. D. Prescribe a BUN/Creatinine touchstone. 

QUESTION 24 

The PMHNP is evaluating a 30-year-old effeminate enduring who says that she notices suffering and a drastic substitute in humor precedently the set-out of her menstrual cycle. The enduring says that she has genial fare and lifestyle substitutes but noinvention has is-sueed. What obtain the PMHNP most slight do? A. Decree Estrin FE 24 nativity direct B. Decree ibuprofen (Motrin), 800 mg whole 8 hours as scarcityed for suffering C. Decree desvenlafaxine (Pristiq), 50 mg daily D. Decree risperieffected (Risperdal), 2 mg TID 

QUESTION 25 

A enduring delay constant end suffering has been decreed a serotonin-norepinephrine reupinterest restrainor (SNRI). How does the PMHNP depict the operation of SNRIs on the discommend of suffering to the enduring? 

A. “The SNRI can acception noradrenergic neurotransmission in the descending spinal road to the dorsal horn.” B. “The SNRI can inferior noradrenergic neurotransmission in the descending spinal road to the dorsal horn.” C. “The SNRI can subdue brain atrophy by slowing the white stuff forfeiture in the dorsolateral prefrontal cortex.” D. “The SNRI can acception neurotransmission to descending neurons.” 

QUESTION 26 

A enduring delay fibromyalgia and main valley scarcitys to be bargained for symptoms of suffering. Which is the PMHNP most slight to decree for this enduring? 

Venlafaxine (Effexor) 

Duloxetine (Cymbalta) 

Clozapine (Clozaril) 

Phenytoin (Dilantin) 

QUESTION 27 

The PMHNP decrees gabapentin (Neurontin) for a enduring’s constant suffering. How does the PMHNP meet the offal to is-sue? 

A. It obtain join to the alpha-2-delta ligand subunit of voltage-sensitive calcium machines. B. It obtain waste synaptic substitutes, including sprouting. C. It obtain act on the presynaptic neuron to trigger sodium influx. D. It obtain restrain disembodiment of dorsal horn neurons to smother collection input from reaching the brain. 

QUESTION 28 

Mrs. Rosen is a 49-year-old enduring who is experiencing fibro-fog. What does the PMHNP decree for Mrs. Rosen to better this requisite? A. Venlafaxine (Effexor) B. Armodafinil (Nuvigil) C. Bupropion (Wellbutrin) D. All of the balancehead 

QUESTION 29 

The PMHNP is caring for a enduring delay fibromyalgia. Which second-line composition does the PMHNP prime that may be serviceable for managing this enduring’s suffering?

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

QUESTION 30 

The PMHNP is attempting to bargain a enduring’s constant suffering by having the proxy join the disclosed machine compromise of VSCCs to fill those machines delay a “use-dependent” fashion of discommend. Which proxy obtain the PMHNP most slight prime? 

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

QUESTION 31 

A enduring delay fault-finding bowel syndrome reports constant stomach suffering. The PMHNP neglects to decree the enduring an proxy that obtain wastement againstactive nociceptive inputs from the suffering to be ignored and no coveter perceived as sufferingful. Which offal obtain the PMHNP decree? 

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

QUESTION 32 

The PMHNP neglects to use a symptom-naturalized bearing to bargaining a enduring delay fibromyalgia. How does the PMHNP go environing bargaining this enduring? 

A. Prescribing the enduring an proxy that ignores the sufferingful symptoms by initiating a reoperation understandn as “fibro-fog” B. Targeting the enduring’s symptoms delay anticonvulsants that restrain white stuff forfeiture in the dorsolateral prefrontal cortex C. Matching the enduring’s symptoms delay the malfunctioning brain circuits and neurotransmitters that government mediate those symptoms D. None of the balancehead 

QUESTION 33 

The PMHNP is launched delay the ward to grief for a enduring delay diabetic peripheral neuropathic suffering. The ward asks the PMHNP why SSRIs are not conformably accelerationful in bargaining this point enduring’s suffering. What is the best defense 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 enduring delay gambling assumption and no other psychiatric comorbidities is life bargained delay pharmacological proxys. Which offal is the PMHNP most slight to decree? 

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

QUESTION 35 

Kevin is an immature who has been diagnosed delay kleptomania. His parents are animated in seeking pharmacological composition. What does the PMHNP utter the parents respecting his composition discretions? 

A. “Naltrexone may be an expend discretion to examine.” B. “There are numerous salve discretions that bargain kleptomania.” C. “Kevin may scarcity to be decreed antipsychotics to bargain this sickness.” D. “Lithium has proven serviceable for bargaining kleptomania.” 

QUESTION 36 

Which proposition best depicts a pharmacological bearing to bargaining endurings for impressible encroachment? 

A. Anticonvulsant humor stabilizers can extinguish limbic nervousness. B. Atypical antipsychotics can acception subcortical dopaminergic stimulation. C. Stimulants can be used to inferior frontal discommend. D. Opioid enemys can be used to subdue force. 

QUESTION 37 

A enduring delay hypersexual assumption is life assessed for potential pharmacologic composition. Why does the PMHNP decree an antiandrogen for this enduring? 

A. It obtain checkmate moveings of euphoria. B. It obtain enlarge force direct. C. It obtain fill touchstoneosterone. D. It obtain redirect the enduring to reflect environing other inventions. 

QUESTION 38 

Mrs. Kenner is unquiet that her teenage daughter spends too fur opportunity on the Internet. She inquires environing potential compositions for her daughter’s addiction. Which defense by the PMHNP demonstrates perceiveing of pharmacologic bearinges for compulsive assumptions? 

A. “Compulsive Internet use can be bargained similarly to how we bargain populace delay meaning use assumptions.” B. “Internet addiction is bargained delay offals that aid fill the tension/arousal say your daughter proofs.” C. “When it comes to Internet addiction, we excellenteded to bargain endurings delay pharmaceuticals rather than psychosocial methods.” D. “There are no evidence-naturalized compositions for Internet addiction, but there are behaviverbal therapies your daughter can try.” 

QUESTION 39 

Mr. Peterson is examineion delay the PMHNP to examine healthier fareary manners. Delay a BMI of 33, Mr. Peterson is stout and scarcitys to deviate his stay intake. “Sometimes I reflect I’m addicted to stay the way some populace are addicted to offals,” he says. Which proposition best depicts the neurobiological parallels among stay and offal addiction? 

A. There is inferiord activation of the prefrontal cortex. B. There is acceptiond moveing of the reactive decorate method. C. There is subdued activation of regions that way palatability. D. There are amplified decorate circuits that activate upon waste. 

QUESTION 40 

The PMHNP is caring for a enduring who reports exorbitant arousal at ignorancetime. What could the PMHNP use for a opportunity-scant prolongation to shelve the enduring’s brain from a hyperactive say to a snooze say? 

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

QUESTION 41 

The PMHNP is caring for a enduring who proofs too fur balancestimulation and eagerness during dayopportunity hours. The enduring agrees to a pharmacological composition but says, “I don’t neglect to move sedated or somnolent from the salve.” Which determination made by the PMHNP demonstrates constitutional understandledge of this enduring’s symptoms and expend composition discretions? 

A. Avoiding prescribing the enduring a offal that fills H1 receptors B. Prescribing the enduring a offal that acts on H2 receptors C. Stopping the enduring from gate salve that unblocks H1 receptors D.None of the balancehead 

QUESTION 42 

The PMHNP is performing a virtue promise fellow re-examination of the chart of another PMHNP. Upon re-examination, the PMHNP re-examinations the chart of an older adult enduring in covet-term grief adroitness who has constant insomnia. The chart indicates that the enduring has been receiving hypnotics on a ignorancely plea. What does the PMHNP perceive problematic environing this documentation? 

A. Older adult endurings are contraindicated to interest hypnotics. B. Hypnotics own prolonged half-lives that can wastement offal supply in the patriarchal. C. Hypnotics own incomplete half-lives that give-up-apportion themselves inserviceable for older adults. D. Hypnotics are not serviceable for “symptomatically masking” constant insomnia in the patriarchal. 

QUESTION 43 

The PMHNP is caring for a enduring delay constant insomnia who is worried environing pharmacological composition beinducement the enduring does not neglect to proof trust. Which pharmacological composition bearing obtain the PMHNP slight prime for this enduring for a scant prolongation, timeliness profound and improveing the underlying pathology associated delay the insomnia? 

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

QUESTION 44 

The PMHNP is caring for a enduring delay constant insomnia who would service from gate hypnotics. The PMHNP neglects to decree the enduring a offal delay an ultra-incomplete half-life (1–3 hours). Which offal obtain the PMHNP decree? 

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

QUESTION 45 

The PMHNP is attempting to bargain a enduring’s constant insomnia and wishes to set-out delay an judicious direction that has a half-life of almost 1–2 hours. What is the most expend direction for the PMHNP to bring-about? 

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

QUESTION 46 

A enduring delay constant insomnia asks the PMHNP if they can primitive try an balance-the-against (OTC) medication precedently one that scarcitys to be decreed to aid the enduring snooze. Which is the best defense by the PMHNP? 

A. “There are no balance-the-against medications that obtain aid you snooze.” B. “You can pick-out from one of the five benzo hypnotics that are approved in the United States.” C. “You obtain scarcity to ask the pharmacist for a non-benzodiazepine salve.” D. “You can get melatonin balance the numberer, which obtain aid delay snooze onset.” 

QUESTION 47 

A enduring delay constant insomnia and valley is gate trazoeffected (Oleptro) but complains of moveing somnolent during the day. What can the PMHNP do to subdue the offal’s dayopportunity sedating possessions? 

A. Decree the enduring an antihistamine to back the sedating possessions B. Increasing the enduring’s dose and direct it primitive invention in the waking C. Give the salve at ignorance and inferior the dose D. None of the balancehead 

QUESTION 48 

The PMHNP is instruction a enduring delay a snooze assumption environing gate diphenhydramine (Benadryl). The enduring is unquiet environing the verge possessions of the offal. What can the PMHNP tell the enduring environing this composition bearing? 

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

QUESTION 49 

Parents of a 12-year-old boy neglect to deem observation arrears hyperdisembodiment assumption (ADHD) medication for their son. Which medication would the PMHNP set-out? 

Methylphenidate Amphetamine salts Atomoxetine All of the balancehead could theoretically bargain their son’s symptoms. 

QUESTION 50

An adult enduring gives delay a narrative of alcohol addiction and observation arrears hyperdisembodiment assumption (ADHD). Loving these comorbidities, the PMHNP determines which of the forthcoming medications may be the best composition discretion? 

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

QUESTION 51 

An 8-year-old enduring gives delay stern hyperactivity, depictd as “ants in his pants.” Naturalized on self-report from the enduring, his parents, and his teller; observation arrears hyperdisembodiment assumption (ADHD) is reputed. What medication is the PMNHP most slight to decree? 

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

QUESTION 52 

A 9-year-old effeminate enduring gives delay symptoms of twain observation arrears hyperdisembodiment assumption (ADHD) and oppositional fractions assumption. In evaluating her symptoms, the PMHNP determines that which of the forthcoming medications may be salutary in augmenting stimulus medication? 

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

QUESTION 53 

A PMHNP supervisor is examineing delay a nursing ward how stimuluss and noradrenergic proxys succor delay ADHD symptoms. What is the expend defense? 

A. They twain acception illustrious power output dopamine (DA) and norepinephrine (NE). B. Dopamine (DA) and norepinephrine (NE) are acceptiond in the prefrontal cortex. C. Noradrenergic proxys improve diminutions in dopamine (DA) in the decorate road innate to acceptiond power to support observation to repetitive or boring tasks and rebuff distractions. D. All of the balancehead. 

QUESTION 54 

A 43-year-old hardy enduring is seeking sinoculation environing bargaining observation arrears hyperdisembodiment assumption (ADHD) in adults and how it differs from bargaining cadetren, gone his son is on medication to bargain ADHD. The PMHNP bears a main variety is which of the forthcoming? 

A. Stimulus direction is exalt spiritnear in adults. B. Comorbid requisites are exalt spiritnear in cadetren, impressioning the use of stimuluss in cadetren. C. Atomoxetine (Strattera) use is not advised in cadetren. D. Comorbidities are exalt spiritnear in adults, impressioning the direction of enumeintelligent proxys. 

QUESTION 55 

A 26-year-old effeminate enduring delay nicotine trust and a narrative of eagerness gives delay symptoms of observation arrears hyperdisembodiment assumption (ADHD). Naturalized on the tribute, what does the PMHNP deem? 

A. ADHD is repeatedly not the centre of composition in adults delay comorbid requisites. B. ADHD should frequently be bargained primitive when comorbid requisites rest. C. Nicotine has no reputed impression on ADHD symptoms. D. Symptoms are repeatedly unconstrained to bargain delay stimuluss, loving the noncommunication of comorbidity delay other requisites. 

QUESTION 56 

Which of the forthcoming is a gentleman proposition respecting the use of stimuluss to bargain observation arrears hyperdisembodiment assumption (ADHD)? 

A. In adults delay twain ADHD and eagerness, bargaining the eagerness delay primeive serotonin reupinterest restrainors (SSRIs), serotonin-norepinephrine reupinterest restrainors (SNRIs), or benzodiazepines and the ADHD delay stimuluss is most serviceable in bargaining twain requisites. B. Illustrious power output is acceptiond by dialing up the acquit of dopamine (DA) and norepinephrine (NE). C. In requisites where exorbitant DA activation is give, such as psychosis or aberration, comorbid ADHD should never be bargained delay stimuluss. D. Exalted dose and pulsatile offer of stimuluss that are incomplete acting are excellentedred to bargain ADHD. 

QUESTION 57 

The PMHNP is providing a is-sueshop for pediatric nurses, and a doubt is posed environing noradrenergic proxys to bargain ADHD. Which of the forthcoming noradrenergic proxys own norepinephrine reupinterest restrainor (NRI) constitutionalties that can bargain ADHD? 

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

QUESTION 58 

A 71-year-old hardy enduring comes to an proanticipation delay his 65-year-old spouse. They are twain having concerns allied to her fame and power to avow faces. The PMNHP is owing prescribing memantine (Namenda) naturalized on the forthcoming symptoms: 

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

QUESTION 59 

The PMHNP evaluates a enduring giveing delay symptoms of dementia. Precedently the PMHNP deems composition discretions, the enduring must be assessed for other potential wastements of dementia. Which of the forthcoming responses addresses twain potential other wastements of dementia and a intelligent composition discretion for Dementia? 

A. Potential other wastements: hypothyroidism, Cushing’s syndrome, multiple sclerosis Potential composition discretion: memantine B. Potential other wastements: hypothyroidism, adrenal scantiness, hyperparathyroidism Potential composition discretion: effectedpezil C. Potential other wastements: hypothyroidism, adrenal scantiness, niacin shortcoming Potential composition discretion: risperieffected D. Potential other wastements: hypothyroidism, Cushing’s syndrome, lupus erythematosus Potential composition discretion: effectedpezil 

QUESTION 60 

A clump of nursing wards seeks exalt sinoculation from the PMHNP on how cholinesterase restrainors are salutary for Alzheimer’s distemper endurings. What is the expend defense? 

A. Acetylcholine (ACh) damnation is restrained by filling the enzyme acetylcholinesterase. B. Effectiveness of these proxys occurs in all quantitys of Alzheimer’s distemper. C. By increasing acetylcholine, the discard in some endurings may be near quick. D. Twain “A” & “C.” 

QUESTION 61 

The PMHNP is assessing a enduring who gives delay influential levels of brain amyloid as illustrious by positron address tomography (PET). What other factors obtain the PMHNP deem precedently prescribing medication for this enduring, and what medication would the PMHNP neglect to dodge loving these other factors? 

A. ApoE4 genoarchefashion and dodge antihistamines if potential B. Archefashion 2 diabetes and dodge olanzapine C. Eagerness and dodge methylphenidate D. Twain “A” & “B” 

QUESTION 62 

A 72-year-old hardy enduring is in the existing quantitys of Alzheimer’s distemper. The PMHNP determines that decent fame is a key deemation in primeing a medication. Which of the forthcoming would be an expend valuable? 

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

QUESTION 63 

A 63-year-old enduring gives delay the forthcoming symptoms. The PMHNP determines which set of symptoms engage prescribing a medication? Prime the response that is matched delay an expend composition. 

A. Abated power to recall names is most problematic, and an expend composition discretion is memantine. B. Impairment in the power to acquire and restrain new notification is most problematic, and an expend composition discretion would be effectedpezil. C. Abated power to perceive the improve term is most problematic, and an expend composition discretion would be memantine. D. Abated power to recall where objects are most problematic, and an expend composition discretion would be effectedpezil. 

QUESTION 64 

A 75-year-old hardy enduring diagnosed delay Alzheimer’s distemper gives delay turmoil and displeasing action. The PMHNP determines which of the forthcoming to be the best composition discretion? 

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

QUESTION 65 

The PMHNP has been asked to prepare an in-service inoculation to conceive observation to the use of antipsychotics to bargain Alzheimer’s. What does the PMHNP bear to staff? 

A. The use of antipsychotics may wastement acceptiond cardiovascular events and torpor. B. A good-natured-natured discretion in bargaining turmoil and psychosis in Alzheimer’s endurings is haloperidol (Haldol). C. Antipsychotics are repeatedly used as “chemical straightjackets” to balance-tranquilize endurings. D. Twain “A” & “C.” 

QUESTION 66 

An 80-year-old effeminate enduring diagnosed delay Quantity II Alzheimer’s has a narrative of fault-finding bowel syndrome. Which cholinergic offal may be the best valuable for composition loving the enduring’s gastrointestinal problems? 

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

QUESTION 67 

The PMHNP perceives that bupropion (Wellbutrin) is an serviceable way to succor endurings delay smoking pause. Why is this medication serviceable for these endurings? 

A. Bupropion (Wellbutrin) acquits the dopamine that the enduring would normally assent-to through smoking. B. Bupropion (Wellbutrin) succors endurings delay their cravings by changing the way that tobacco tastes. C. Bupropion (Wellbutrin) fills dopamine reuptake, enabling exalt availpower of dopamine. D. Bupropion (Wellbutrin) is-sues on the mesolimbic neurons to acception the availpower of dopamine. 

QUESTION 68 

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

A. Alcoholism B. Constant suffering C. Abuse of inhalants D. Gentle to ordinary heroin delaydrawal 

QUESTION 69 

A enduring addicted to heroin is receiving composition for detoxification. He begins to proof tachycardia, tremors, and diaphoresis. What medication obtain the PMHNP decree for this enduring? 

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

QUESTION 70 

A enduring diagnosed delay obsessive compulsive assumption has been gate a exalted-dose SSRI and is participating in therapy twice a week. He reports an inpower to convey out responsibilities due to compatible interferences of his obsessions and compulsions. The PMHNP understands that the give tread 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 discontinued then try an antipsychotic to direct his symptoms. D. Conceal his SSRI dosage the corresponding and add a low-dose TCA. 

QUESTION 71 

The PMHNP is assessing a enduring who obtain be receiving phentermine (Adipex-P)/topiramate (Topamax) (Qsymia). Which of the forthcoming requisites/diseases obtain exact exalt evaluation precedently this medication can be decreed? 

A. Relationship distemper quantity II B. Obesity C. Cardiovascular distemper D. Diabetes archearchefashion II 

QUESTION 72 

The PMHNP decrees an stout enduring phentermine (Adipex-p)/topiramate ER (Topamax) (Qsymia), Why is topiramate (Topamax) repeatedly decreed delay phentermine (Adipex-P)? 

A. Phentermine (Adipex-P) dose can be acceptiond safely when fascinated delay an anticonvulsant. B. Phentermine (Adipex-P) is-sues by smothering appetency timeliness topiramate (Topamax) acts by resinoculation appetency. C. Topiramate (Topamax) potentiates appetency smotherion closed by phentermine (Adipex-P). D. Topiramate (Topamax) aids checkmate the unwanted verge possessions of phentermine (Adipex-P). 

QUESTION 73 

The PMHNP is assessing a enduring who has explicit suicidal eager and is now stating that he is hearing voices and sees populace chasing him. The PMHNP identifies these symptoms to be associated delay which of the forthcoming? 

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

QUESTION 74 

The PMHNP is caring for a enduring who disclosedly admitted to drinking a quart of vodka daily. Prior to prescribing this enduring disulfiram (Antabuse), it is great for the PMHNP to: 

A. Evaluate the enduring’s obtainingness to stop from alcohol B. Counsel the enduring on fareary restrictions C. Obtain liver administration touchstones D. Assess for addiction to opioids 

QUESTION 75 An opioid-naive enduring is gate MS Contin (morphine sulfate) to bargain his suffering that is unimportant to cancer. Under what situation would the PMHNP prescribe naloxone (Narcan) IM/SQ? 

A. The enduring’s discourse is slurred, and he is in and out of snooze. B. The enduring’s appetency has inferiord from eating 100% of his abstinence to 50% of his abstinence. C. The enduring complains of not having a bowel move for 4 days. D. The enduring’s animate signs are 98.4F temp, 88 pulse, 104/62 class influence, and 8 respirations. 

QUESTION 76 

When completing this exam, did you furnish delay Walden University’s Code of Conduct including the expectations for academic parity? 

Yes No

 

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