Nurs6630 final exam (2018): walden university (already graded a)
NURS6630 Final Exam (2018): Walden University
What conquer the PMHNP most slight enjoin to a unrepining delay psychotic onslaught who omissions to regulate the top-down cortical repress and the exorbitant drive from striatal hyperactivity?
A. Stimulants B. Antidepressants C. Antipsychotics D. SSRIs
The PMHNP is chosening a medication texture non-interference for a unrepining who is exhibiting psychotic bearings delay inconsiderable influence repress and onslaught. Of the serviceable textures, which can succor sfrequently some of the inoperative proceeds or symptoms that are normally wastementd by D2 opposition?
A. First-generation, stipulated antipsychotics B. First-generation, atypical antipsychotics C. Second-generation, stipulated antipsychotics D. Second-generation, atypical antipsychotics
The PMHNP is examineing dopamine D2 receptor possession and its denomination delay fetid bearings in unrepinings delay the tyro. Why does the PMHNP enjoin a rule dose of atypical antipsychotics?
A. The doses are fixed on achieving 100% D2 receptor possession. B. The doses are fixed on achieving a poverty of 80% D2 receptor possession. C. The doses are fixed on achieving 60% D2 receptor possession. D. None of the aloft.
Why does the PMHNP escape prescribing clozapine (Clozaril) as a foremost-line texture to the unrepining delay psychosis and onslaught?
A. There is too noble a promote of thoughtful inoperative margin proceeds. B. It can enlarge the psychotic symptoms. C. Clozapine (Clozaril) should not be used as noble-dose monotherapy. D. There is no documentation that clozapine (Clozaril) is serviceable for unrepinings who are furious.
The PMHNP is caring for a unrepining on risperiperformed (Risperdal). Which resuscitation made by the PMHNP exhibits fair solicitude for this unrepining?
A. Explaining to the unrepining that there are no promotes of EPS B. Prescribing the unrepining 12 mg/dail C. Titrating the dose by increasing it total 5–7 days D. Writing a custom for a nobleer dose of traditional risperiperformed (Risperdal) to total noble D2 receptor possession
The PMHNP omissions to enjoin Mr. Barber a humor stabilizer that conquer target fetid and hasty symptoms by decreasing dopaminergic neurotransmission. Which humor stabilizer conquer the PMHNP chosen? A. Lithium (Lithane) B. Phenytoin (Dilantin) C. Valproate (Depakote) D. Topiramate (Topamax)
The parents of a 7-year-old unrepining delay ADHD are asceticismsful encircling the proceeds of affronts on their offshoot. The parents elect to begin pharmacological texture delay a non-stimulant. Which medication conquer the PMHNP conquer most slight enjoin?
A. Strattera B. Concerta C. Daytrana D. Adderall
8 The PMHNP implys that slow-dose strong quit affronts are most misapply for which unrepining delay ADHD?
A. 8-year-old unrepining B. 24-year-old unrepining C. 55-year-old unrepining D. 82-year-old unrepining
A unrepining is enjoind D-methylphenidate, 10-mg strong-quit capsules. What should the PMHNP grasp when examineing the margin proceeds delay the unrepining?
A. The createulation can accept slow resuscitations when enthralled delay stay. B. Sedation can be a spiritnear margin consequence of the refuse. C. The medication can concern your class urgency. D. This refuse does not wastement any dependency.
The PMHNP is instruction parents encircling their offshoot’s new custom for Ritalin. What conquer the PMHNP grasp in the instruction?
A. The cooperate dose should be enthralled at lunch. B. There are no promotes for insomnia. C. There is singly one daily dose, to be enthralled in the dawning. D. There conquer be continued proceeds into the slumbering.
A cadetish unrepining is enjoind Vyvanse. During the follow-up ordinance, which illustrate made by the unrepining constitutes the PMHNP contemplate that the dosing is entity performed awry?
A. “I use my pill at breakfast.” B. “I am incapable to refuse heednear at extinction.” C. “I impress okay all day crave.” D. “I am not induction my pill at lunch.”
A 14-year-old unrepining is enjoind Strattera and asks when the therapeutics should be enthralled. What does the PMHNP imply respecting the refuse’s dosing mark?
A. The unrepining should use the medication at lunch. B. The unrepining conquer accept one or two doses a day. C. The unrepining conquer use a pill total 17 hours. D. The dosing should be performed in the dawning and at extinction.
The PMHNP is parley delay the parents of an 8-year-old unrepining who is receiving an judicious custom for D-amphetamine. The PMHNP demonstrates misapply prescribing practices when she enjoins the forthcoming dose:
A. The offshoot conquer be enjoind 2.5 mg. B. The offshoot conquer be enjoind a 10-mg tablet. C. The offshoot’s dose conquer growth by 2.5 mg total other week. D. The offshoot conquer use 10–40 mg, daily.
A unrepining is entity enjoind bupropion and is asceticismsful encircling the margin proceeds. What conquer the PMHNP ascertain the unrepining respecting bupropion?
A. Consequence compel is not singular. B. Sedation may be spiritless. C. It can wastement cardiac arrhythmias. D. It may unfold tire.
Which unrepining conquer accept a inferior dose of guanfacine?
A. Unrepining who has congestive kernel lack B. Unrepining who has cerebrovascular sickness C. Unrepining who is fruitful D. Unrepining delay race sickness
An 18-year-old womanly delay a fact of repeated headaches and a humor quackery is enjoind topiramate (Topamax), 25 mg by hole daily. The PMHNP implys that this medication is serviceable in discourseing which stipulation(s) in this unrepining?
A. Migraines B. Bipolar quackery and debasement C. Pregnancy-induced debasement D. Conspicuous end asceticism
The PMHNP is discourseing a unrepining for fibromyalgia and is touching prescribing milnacipran (Savella). When prescribing this medication, which resuscitation is the PMHNP slight to excellent?
A. Monitor liver administration total 6 months for a year and then per-annum thereafter. B. Monitor monthly consequence. C. Split the daily dose into two doses succeeding the foremost day. D. Monitor for latent class in the stool.
The PMHNP is assessing a unrepining she has been discourseing delay the speciality of constant asceticism. During the impost, the unrepining particularizes that he has recently been having tribulation getting to doze and staying heedless. Fixed on this notice, what resuscitation is the PMHNP most slight to use?
A. Regulate hydroxyzine (Vistaril), 50 mg PRN or as omissioned B. Regulate zolpidem (Ambien), 5mg at bedspan C. Regulate melatonin, 5mg at bedspan D. Regulate quetiapine (Seroquel), 150 mg at bedtime
The PMHNP is assessing a womanly unrepining who has been induction lamotrigine (Lamictal) for migraine prophylaxis. Succeeding discovering that the unrepining has reached the consummation dose of this medication, the PMHNP decides to alter the unrepining’s medication to zonisamide (Zonegran). In abstracted to evaluating this unrepining’s day-to-day activities, what should the PMHNP determine that this unrepining implys?
A. Monthly class levels must be drawn. B. ECG monitoring must be performed uninterruptedly total 3 months. C. White class cell compute must be monitored weekly. D. This medication has unwanted margin proceeds such as sedation, failure of coordination, and oblivion.
A unrepining recovering from shingles introduces delay humanity and sensitivity to the conspicuous end. He particularizes it is twainersome to put a shirt on most days. This unrepining has end rank renal sickness (ESRD) and is scheduled to accept hemodialysis tomorrow but particularizes that he does not perceive how he can lie in a recliner for 3 hours impressing this wretched. What conquer be the PMHNP’s guidance?
A. Regulate herpes simplex poison (HSV) anticollectiveness cupeling B. Regulate a class urea nitrogen (BUN) and creatinine STAT C. Enjoin lidocaine 5% D. Enjoin hydromorphone (Dilaudid) 2mg
The PMHNP enjoind a unrepining lamotrigine (Lamictal), 25 mg by hole daily, for firmness asceticism 6 months ago. The unrepining suddenly introduces to the business-post delay the murmur that the medication is no craveer instituted and complains of growthd asceticism. What resuscitation conquer the PMHNP most slight use?
A. Growth the dose of lamotrigine (Lamictal) to 25 mg twice daily. B. Ask if the unrepining has been induction the medication as enjoind. C. Regulate gabapentin (Neurontin), 100 mg three spans a day, beinducement lamotrigine (Lamictal) is no craveer instituted for this unrepining. D. Regulate a total class compute (CBC) to assess for an taint.
An span-honored woman delay a fact of Alzheimer’s sickness, coronary artery sickness, and myocardial infarction had a refuse at abode 3 months ago that resulted in her receiving an disclosed curtail interior fixation. Period assessing this unrepining, the PMHNP is made informed that the unrepining continues to proof soft to temperate asceticism. What is the PMHNP most slight to do?
A. Regulate an X-ray beinducement it is potential that she dislocated her hip. B. Regulate ibuprofen (Motrin) beinducement she may omission crave-term texture and constant asceticism is not unusual. C. Regulate naproxen (Naprosyn) beinducement she may accept arthritis and constant asceticism is not unusual. D. Regulate Morphine and natural therapy.
The PMHNP is assessing a 49-year-old manful delay a fact of debasement, post-traumatic emphasis quackery (PTSD), alcoholism delay malnutrition, diabetes mellitus cast 2, and hypertension. His natural impost is beggarlyplace delay the exclusion of peripheral edema bilaterally to his inferior extremities and a highest murmur of asceticism delay insensibility and tingling to each leg 5/10. The PMHNP begins this unrepining on a low dose of doxepin (Sinequan). What is the contiguous resuscitation that must be enthralled by the PMHNP?
A. Orders liver administration cupels. B. Educate the unrepining on escapeing grapefruits when induction this medication. C. Encourage this unrepining to keep fluids to 1500 ml/day until the protuberance subsides. D. Regulate a BUN/Creatinine cupel.
The PMHNP is evaluating a 30-year-old womanly unrepining who particularizes that she notices asceticism and a powerful alter in humor antecedently the begin of her menstrual cycle. The unrepining particularizes that she has adept fare and lifestyle alters but nonentity has labored. What conquer the PMHNP most slight do? A. Enjoin Estrin FE 24 rise repress B. Enjoin ibuprofen (Motrin), 800 mg total 8 hours as omissioned for asceticism C. Enjoin desvenlafaxine (Pristiq), 50 mg daily D. Enjoin risperiperformed (Risperdal), 2 mg TID
A unrepining delay constant end asceticism has been enjoind a serotonin-norepinephrine reupuse hinderor (SNRI). How does the PMHNP delineate the resuscitation of SNRIs on the discountenance of asceticism to the unrepining?
A. “The SNRI can growth noradrenergic neurotransmission in the descending spinal footpath to the dorsal horn.” B. “The SNRI can curtail noradrenergic neurotransmission in the descending spinal footpath to the dorsal horn.” C. “The SNRI can subjugate brain atrophy by slowing the frosty stuff privation in the dorsolateral prefrontal cortex.” D. “The SNRI can growth neurotransmission to descending neurons.”
A unrepining delay fibromyalgia and main debasement omissions to be discourseed for symptoms of asceticism. Which is the PMHNP most slight to enjoin for this unrepining?
The PMHNP enjoins gabapentin (Neurontin) for a unrepining’s constant asceticism. How does the PMHNP meet the refuse to labor?
A. It conquer secure to the alpha-2-delta ligand subunit of voltage-sensitive calcium tools. B. It conquer waste synaptic alters, including sprouting. C. It conquer act on the presynaptic neuron to trigger sodium accession. D. It conquer hinder energy of dorsal horn neurons to restrain collectiveness input from reaching the brain.
Mrs. Rosen is a 49-year-old unrepining who is experiencing fibro-fog. What does the PMHNP enjoin for Mrs. Rosen to emend this stipulation? A. Venlafaxine (Effexor) B. Armodafinil (Nuvigil) C. Bupropion (Wellbutrin) D. All of the aloft
The PMHNP is caring for a unrepining delay fibromyalgia. Which cooperate-line texture does the PMHNP chosen that may be serviceable for managing this unrepining’s asceticism?
A. Methylphenidate (Ritalin) B. Viloxazine (Vivalan) C. Imipramine (Tofranil) D. Bupropion (Wellbutrin
The PMHNP is attempting to discourse a unrepining’s constant asceticism by having the vicegerent secure the disclosed tool commutation of VSCCs to stop those tools delay a “use-dependent” create of discountenance. Which vicegerent conquer the PMHNP most slight chosen?
A. Pregabalin (Lyrica) B. Duloxetine (Cymbalta) C. Modafinil (Provigil) D. Atomoxetine (Strattera)
A unrepining delay fretful bowel syndrome reports constant stomach asceticism. The PMHNP omissions to enjoin the unrepining an vicegerent that conquer wastement obstructive nociceptive inputs from the asceticism to be ignored and no craveer perceived as asceticismful. Which refuse conquer the PMHNP enjoin?
A. Pregabalin (Lyrica) B. Gabapentin (Neurontin) C. Duloxetine (Cymbalta) D. B and C
The PMHNP omissions to use a symptom-fixed way to discourseing a unrepining delay fibromyalgia. How does the PMHNP go encircling discourseing this unrepining?
A. Prescribing the unrepining an vicegerent that ignores the asceticismful symptoms by initiating a reresuscitation perceiven as “fibro-fog” B. Targeting the unrepining’s symptoms delay anticonvulsants that hinder frosty stuff privation in the dorsolateral prefrontal cortex C. Matching the unrepining’s symptoms delay the malfunctioning brain circuits and neurotransmitters that rule mediate those symptoms D. None of the aloft
The PMHNP is instituted delay the tyro to solicitude for a unrepining delay diabetic peripheral neuropathic asceticism. The tyro asks the PMHNP why SSRIs are not acceptably available in discourseing this detail unrepining’s asceticism. What is the best reply by the PMHNP?
A. “SSRIs singly growth norepinephrine levels.” B. “SSRIs singly growth serotonin levels.” C. “SSRIs growth serotonin and norepinephrine levels.” D. “SSRIs do not growth serotonin or norepinephrine levels.”
A unrepining delay gambling quackery and no other psychiatric comorbidities is entity discourseed delay pharmacological vicegerents. Which refuse is the PMHNP most slight to enjoin?
A. Antipsychotics B. Lithium C. SSRI D. Naltrexone
Kevin is an boyish who has been diagnosed delay kleptomania. His parents are economyful in seeking pharmacological texture. What does the PMHNP ascertain the parents respecting his texture non-interferences?
A. “Naltrexone may be an misapply non-interference to examine.” B. “There are divers therapeutics non-interferences that discourse kleptomania.” C. “Kevin may omission to be enjoind antipsychotics to discourse this malady.” D. “Lithium has proven serviceable for discourseing kleptomania.”
Which proposition best delineates a pharmacological way to discourseing unrepinings for hasty onslaught?
A. Anticonvulsant humor stabilizers can excise limbic excitability. B. Atypical antipsychotics can growth subcortical dopaminergic stimulation. C. Stimulants can be used to curtail frontal discountenance. D. Opioid enemys can be used to subjugate drive.
A unrepining delay hypersexual quackery is entity assessed for potential pharmacologic texture. Why does the PMHNP enjoin an antiandrogen for this unrepining?
A. It conquer anticipate impressings of euphoria. B. It conquer unfold influence repress. C. It conquer stop cupelosterone. D. It conquer redirect the unrepining to contemplate encircling other arts.
Mrs. Kenner is asceticismsful that her teenage daughter spends too abundantly span on the Internet. She inquires encircling potential textures for her daughter’s addiction. Which reply by the PMHNP demonstrates implying of pharmacologic wayes for compulsive quackerys?
A. “Compulsive Internet use can be discourseed similarly to how we discourse beggarlyalty delay essential use quackerys.” B. “Internet addiction is discourseed delay refuses that succor stop the tension/arousal particularize your daughter proofs.” C. “When it comes to Internet addiction, we elect to discourse unrepinings delay pharmaceuticals rather than psychosocial methods.” D. “There are no evidence-fixed textures for Internet addiction, but there are behavitraditional therapies your daughter can try.”
Mr. Peterson is parley delay the PMHNP to examine healthier fareary conduct. Delay a BMI of 33, Mr. Peterson is corpulent and omissions to alter his stay intake. “Sometimes I contemplate I’m addicted to stay the way some beggarlyalty are addicted to refuses,” he says. Which proposition best delineates the neurobiological parallels between stay and refuse addiction?
A. There is curtaild activation of the prefrontal cortex. B. There is growthd sentiment of the reactive pay arrangement. C. There is subjugated activation of regions that regulate palatability. D. There are amplified pay circuits that activate upon decrease.
The PMHNP is caring for a unrepining who reports exorbitant arousal at extinctiontime. What could the PMHNP use for a span-scant prolongation to alter the unrepining’s brain from a hyperactive particularize to a doze particularize?
A. Histamine 2 receptor enemy B. Benzodiazepines C. Stimulants D. Caffeine
The PMHNP is caring for a unrepining who proofs too abundantly aggravatestimulation and solicitude during dayspan hours. The unrepining agrees to a pharmacological texture but particularizes, “I don’t omission to impress sedated or somnolent from the therapeutics.” Which judgment made by the PMHNP demonstrates fair perceiveledge of this unrepining’s symptoms and misapply texture non-interferences?
A. Avoiding prescribing the unrepining a refuse that stops H1 receptors B. Prescribing the unrepining a refuse that acts on H2 receptors C. Stopping the unrepining from induction therapeutics that unblocks H1 receptors D.None of the aloft
The PMHNP is performing a character presumption fellow resubsidy of the chart of another PMHNP. Upon reconsideration, the PMHNP reconsiderations the chart of an older adult unrepining in crave-term solicitude address who has constant insomnia. The chart indicates that the unrepining has been receiving hypnotics on a extinctisingly foundation. What does the PMHNP discaggravate problematic encircling this documentation?
A. Older adult unrepinings are contraindicated to use hypnotics. B. Hypnotics accept prolonged half-lives that can wastement refuse fund in the span-honored. C. Hypnotics accept abrupt half-lives that assign themselves inserviceable for older adults. D. Hypnotics are not serviceable for “symptomatically masking” constant insomnia in the span-honored.
The PMHNP is caring for a unrepining delay constant insomnia who is worried encircling pharmacological texture beinducement the unrepining does not omission to proof reliance. Which pharmacological texture way conquer the PMHNP slight chosen for this unrepining for a scant prolongation, period minute and chastening the underlying pathology associated delay the insomnia?
A. Serotonergic hypnotics B. Antihistamines C. Benzodiazepine hypnotics D. Non-benzodiazepine hypnotics
The PMHNP is caring for a unrepining delay constant insomnia who would service from induction hypnotics. The PMHNP omissions to enjoin the unrepining a refuse delay an ultra-abrupt half-life (1–3 hours). Which refuse conquer the PMHNP enjoin?
A. Flurazepam (Dalmane) B. Estazolam (ProSom) C. Triazolam (Halcion) D. Zolpidem CR (Ambien)
The PMHNP is attempting to discourse a unrepining’s constant insomnia and wishes to begin delay an judicious custom that has a half-life of closely 1–2 hours. What is the most misapply custom for the PMHNP to constitute?
A. Triazolam (Halcion) B. Quazepam (Doral) C. Temazepam (Restoril) D. Flurazepam (Dalmane)
A unrepining delay constant insomnia asks the PMHNP if they can foremost try an aggravate-the-opposed (OTC) medication antecedently one that omissions to be enjoind to succor the unrepining doze. Which is the best reply by the PMHNP?
A. “There are no aggravate-the-opposed medications that conquer succor you doze.” B. “You can excellent from one of the five benzo hypnotics that are beggarly in the United States.” C. “You conquer omission to ask the pharmacist for a non-benzodiazepine therapeutics.” D. “You can get melatonin aggravate the computeer, which conquer succor delay doze onslaught.”
A unrepining delay constant insomnia and debasement is induction trazoperformed (Oleptro) but complains of impressing somnolent during the day. What can the PMHNP do to subjugate the refuse’s dayspan sedating proceeds?
A. Enjoin the unrepining an antihistamine to derangement the sedating proceeds B. Increasing the unrepining’s dose and control it foremost art in the dawning C. Give the therapeutics at extinction and inferior the dose D. None of the aloft
The PMHNP is instruction a unrepining delay a doze quackery encircling induction diphenhydramine (Benadryl). The unrepining is asceticismsful encircling the margin proceeds of the refuse. What can the PMHNP advise the unrepining encircling this texture way?
A. “It can wastement diarrhea.” B. “It can wastement blurred desire.” C. “It can wastement growthd salivation.” D. “It can wastement heightened cognitive proceeds.”
Parents of a 12-year-old boy omission to ponder regard failure hyperenergy quackery (ADHD) medication for their son. Which medication would the PMHNP begin?
Methylphenidate Amphetamine salts Atomoxetine All of the aloft could hypothetically discourse their son’s symptoms.
An adult unrepining introduces delay a fact of alcohol addiction and regard failure hyperenergy quackery (ADHD). Consecrated these comorbidities, the PMHNP determines which of the forthcoming medications may be the best texture non-interference?
A. Methylphenidate (Ritalin, Concerta) B. Amphetamine C. Atomoxetine (Strattera) D. Fluoxetine (Prozac)
An 8-year-old unrepining introduces delay critical hyperactivity, delineated as “ants in his pants.” Fixed on self-report from the unrepining, his parents, and his adviseer; regard failure hyperenergy quackery (ADHD) is reputed. What medication is the PMNHP most slight to enjoin?
A. Methylphenidate (Ritalin, Concerta) B. Clonidine (Catapres) C. Bupropion (Wellbutrin) D. Desipramine (Norpramin)
A 9-year-old womanly unrepining introduces delay symptoms of twain regard failure hyperenergy quackery (ADHD) and oppositional fractions quackery. In evaluating her symptoms, the PMHNP determines that which of the forthcoming medications may be profitable in augmenting affront medication?
A. Bupropion (Wellbutrin) B. Methylphenidate (Ritalin, Concerta) C. Guanfacine ER (Intuniv) D. Atomoxetine (Strattera)
A PMHNP director is examineing delay a nursing tyro how affronts and noradrenergic vicegerents aid delay ADHD symptoms. What is the misapply reply?
A. They twain growth conspicuous force output dopamine (DA) and norepinephrine (NE). B. Dopamine (DA) and norepinephrine (NE) are growthd in the prefrontal cortex. C. Noradrenergic vicegerents chasten curtails in dopamine (DA) in the pay footpath inherent to growthd force to practise regard to repetitive or boring tasks and rebuff distractions. D. All of the aloft.
A 43-year-old manful unrepining is seeking tenuity encircling discourseing regard failure hyperenergy quackery (ADHD) in adults and how it differs from discourseing offshootren, gone his son is on medication to discourse ADHD. The PMHNP removes a main unlikeness is which of the forthcoming?
A. Affront custom is past spiritnear in adults. B. Comorbid stipulations are past spiritnear in offshootren, contacting the use of affronts in offshootren. C. Atomoxetine (Strattera) use is not advised in offshootren. D. Comorbidities are past spiritnear in adults, contacting the custom of abstractedal vicegerents.
A 26-year-old womanly unrepining delay nicotine reliance and a fact of solicitude introduces delay symptoms of regard failure hyperenergy quackery (ADHD). Fixed on the impost, what does the PMHNP ponder?
A. ADHD is frequently not the centre of texture in adults delay comorbid stipulations. B. ADHD should frequently be discourseed foremost when comorbid stipulations continue. C. Nicotine has no reported contact on ADHD symptoms. D. Symptoms are frequently self-possessed to discourse delay affronts, consecrated the failure of comorbidity delay other stipulations.
Which of the forthcoming is a penny proposition respecting the use of affronts to discourse regard failure hyperenergy quackery (ADHD)?
A. In adults delay twain ADHD and solicitude, discourseing the solicitude delay chosenive serotonin reupuse hinderors (SSRIs), serotonin-norepinephrine reupuse hinderors (SNRIs), or benzodiazepines and the ADHD delay affronts is most serviceable in discourseing twain stipulations. B. Conspicuous force output is growthd by dialing up the quit of dopamine (DA) and norepinephrine (NE). C. In stipulations where exorbitant DA activation is introduce, such as psychosis or aberration, comorbid ADHD should never be discourseed delay affronts. D. Noble dose and pulsatile bestowal of affronts that are abrupt acting are electred to discourse ADHD.
The PMHNP is providing a laborshop for pediatric nurses, and a inquiry is posed encircling noradrenergic vicegerents to discourse ADHD. Which of the forthcoming noradrenergic vicegerents accept norepinephrine reupuse hinderor (NRI) fairties that can discourse ADHD?
A. Desipramine (Norpramin) B. Methylphenidate (Ritalin, Concerta) C. Atomoxetine (Strattera) D. Twain “A” & “C” E. “C” singly
A 71-year-old manful unrepining comes to an ordinance delay his 65-year-old helpmate. They are twain having concerns kindred to her remembrance and force to avow faces. The PMNHP is touching prescribing memantine (Namenda) fixed on the forthcoming symptoms:
A. Amnesia, aphasia, apnea B. Aphasia, apraxia, diplopia C. Amnesia, apraxia, agnosia D. Aphasia, agnosia, arthralgia
The PMHNP evaluates a unrepining introduceing delay symptoms of dementia. Antecedently the PMHNP ponders texture non-interferences, the unrepining must be assessed for other potential wastements of dementia. Which of the forthcoming tallys addresses twain potential other wastements of dementia and a reasoning texture non-interference for Dementia?
A. Potential other wastements: hypothyroidism, Cushing’s syndrome, multiple sclerosis Potential texture non-interference: memantine B. Potential other wastements: hypothyroidism, adrenal scantiness, hyperparathyroidism Potential texture non-interference: performedpezil C. Potential other wastements: hypothyroidism, adrenal scantiness, niacin lack Potential texture non-interference: risperiperformed D. Potential other wastements: hypothyroidism, Cushing’s syndrome, lupus erythematosus Potential texture non-interference: performedpezil
A clump of nursing tyros seeks advance tenuity from the PMHNP on how cholinesterase hinderors are profitable for Alzheimer’s sickness unrepinings. What is the misapply reply?
A. Acetylcholine (ACh) damnation is hindered by stoping the enzyme acetylcholinesterase. B. Effectiveness of these vicegerents occurs in all ranks of Alzheimer’s sickness. C. By increasing acetylcholine, the refuse in some unrepinings may be near flying. D. Twain “A” & “C.”
The PMHNP is assessing a unrepining who introduces delay influential levels of brain amyloid as illustrious by positron emission tomography (PET). What other factors conquer the PMHNP ponder antecedently prescribing medication for this unrepining, and what medication would the PMHNP omission to escape consecrated these other factors?
A. ApoE4 genocast and escape antihistamines if potential B. Cast 2 diabetes and escape olanzapine C. Solicitude and escape methylphenidate D. Twain “A” & “B”
A 72-year-old manful unrepining is in the coming ranks of Alzheimer’s sickness. The PMHNP determines that neat remembrance is a key ponderation in chosening a medication. Which of the forthcoming would be an misapply excellent?
A. Rivastigmine (Exelon) B. Donepezil (Aricept) C. Galantamine (Razadyne) D. All of the aloft
A 63-year-old unrepining introduces delay the forthcoming symptoms. The PMHNP determines which set of symptoms support prescribing a medication? Chosen the tally that is matched delay an misapply texture.
A. Inaudible force to recall names is most problematic, and an misapply texture non-interference is memantine. B. Impairment in the force to acquire and keep new notice is most problematic, and an misapply texture non-interference would be performedpezil. C. Inaudible force to discaggravate the chasten signal is most problematic, and an misapply texture non-interference would be memantine. D. Inaudible force to recall where objects are most problematic, and an misapply texture non-interference would be performedpezil.
A 75-year-old manful unrepining diagnosed delay Alzheimer’s sickness introduces delay turmoil and fetid bearing. The PMHNP determines which of the forthcoming to be the best texture non-interference?
A. Immunotherapy B. Donepezil (Aricept) C. Haloperidol (Haldol) D. Citalopram (Celexa) or Escitalopram (Lexapro)
The PMHNP has been asked to furnish an in-service trailing to grasp regard to the use of antipsychotics to discourse Alzheimer’s. What does the PMHNP remove to staff?
A. The use of antipsychotics may wastement growthd cardiovascular events and death. B. A good-natured-natured non-interference in discourseing turmoil and psychosis in Alzheimer’s unrepinings is haloperidol (Haldol). C. Antipsychotics are frequently used as “chemical straightjackets” to aggravate-tranquilize unrepinings. D. Twain “A” & “C.”
An 80-year-old womanly unrepining diagnosed delay Rank II Alzheimer’s has a fact of fretful bowel syndrome. Which cholinergic refuse may be the best excellent for texture consecrated the unrepining’s gastrointestinal problems?
A. Donepezil (Aricept) B. Rivastigmine (Exelon) C. Memantine (Namenda) D. All of the aloft
The PMHNP implys that bupropion (Wellbutrin) is an serviceable way to aid unrepinings delay smoking discontinuance. Why is this medication serviceable for these unrepinings?
A. Bupropion (Wellbutrin) quits the dopamine that the unrepining would normally accept through smoking. B. Bupropion (Wellbutrin) aids unrepinings delay their cravings by changing the way that tobacco tastes. C. Bupropion (Wellbutrin) stops dopamine reuptake, enabling past availforce of dopamine. D. Bupropion (Wellbutrin) labors on the mesolimbic neurons to growth the availforce of dopamine.
Naltrexone (Revia), an opioid enemy, is a medication that is used for which of the forthcoming stipulations?
A. Alcoholism B. Constant asceticism C. Abuse of inhalants D. Soft to temperate heroin delaydrawal
A unrepining addicted to heroin is receiving texture for detoxification. He begins to proof tachycardia, tremors, and diaphoresis. What medication conquer the PMHNP enjoin for this unrepining?
A. Phenobarbital (Luminal) B. Methaperformed (Dolophine) C. Naloxone (Narcan) D. Clonidine (Catapres)
A unrepining diagnosed delay obsessive compulsive quackery has been induction a noble-dose SSRI and is participating in therapy twice a week. He reports an inforce to push out responsibilities due to agreeing interferences of his obsessions and compulsions. The PMHNP perceives that the contiguous stalk would be which of the forthcoming?
A. Curtail his SSRI and add buspirone (Buspar). B. Curtail his SSRI and add an MAOI. C. Curtail his SSRI steadily until it can be discontinued then try an antipsychotic to regulate his symptoms. D. Keep his SSRI dosage the identical and add a low-dose TCA.
The PMHNP is assessing a unrepining who conquer be receiving phentermine (Adipex-P)/topiramate (Topamax) (Qsymia). Which of the forthcoming stipulations/diseases conquer insist-upon advance evaluation antecedently this medication can be enjoind?
A. Race sickness rank II B. Obesity C. Cardiovascular sickness D. Diabetes cast II
The PMHNP enjoins an corpulent unrepining phentermine (Adipex-p)/topiramate ER (Topamax) (Qsymia), Why is topiramate (Topamax) frequently enjoind delay phentermine (Adipex-P)?
A. Phentermine (Adipex-P) dose can be growthd safely when enthralled delay an anticonvulsant. B. Phentermine (Adipex-P) labors by restrailing craving period topiramate (Topamax) acts by hindering craving. C. Topiramate (Topamax) potentiates craving restrainion totald by phentermine (Adipex-P). D. Topiramate (Topamax) succors anticipate the unwanted margin proceeds of phentermine (Adipex-P).
The PMHNP is assessing a unrepining who has explicit suicidal eager and is now stating that he is hearing voices and sees beggarlyalty chasing him. The PMHNP identifies these symptoms to be associated delay which of the forthcoming?
A. Barbiturate inebriety B. Marijuana inebriety C. “Bath salt” inebriety D. Cocaine inebriety
The PMHNP is caring for a unrepining who disclosedly admitted to drinking a quart of vodka daily. Prior to prescribing this unrepining disulfiram (Antabuse), it is weighty for the PMHNP to:
A. Evaluate the unrepining’s conqueringness to forbear from alcohol B. Counsel the unrepining on fareary restrictions C. Obtain liver administration cupels D. Assess for addiction to opioids
QUESTION 75 An opioid-naive unrepining is induction MS Contin (morphine sulfate) to discourse his asceticism that is cooperateary to cancer. Under what proviso would the PMHNP regulate naloxone (Narcan) IM/SQ?
A. The unrepining’s oration is slurred, and he is in and out of doze. B. The unrepining’s craving has curtaild from eating 100% of his asceticism to 50% of his asceticism. C. The unrepining complains of not having a bowel move for 4 days. D. The unrepining’s indispensable signs are 98.4F temp, 88 pulse, 104/62 class urgency, and 8 respirations.
When completing this exam, did you relinquish delay Walden University’s Code of Conduct including the expectations for academic probity?
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