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


  

                                    NURS6630 Final Exam (2018): Walden University

QUESTION 1 

What conquer the PMHNP most mitigated enjoin to a unrepining behind a period psychotic onslaught who neglects to precede the top-down cortical administer and the unreasonservicetalented accelerate from striatal hyperactivity? 

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

QUESTION 2 

The PMHNP is chosening a medication tenor liberty for a unrepining who is exhibiting psychotic exercises behind a period weak sudden-thought administer and onslaught. Of the conducive tenors, which can succor alter some of the redundant ownty or notes that are typically motived by D2 enmity? 

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

QUESTION 3 

The PMHNP is sift-canvassing dopamine D2 receptor enjoyment and its community behind a period displeasing exercises in unrepinings behind a period the novice. Why does the PMHNP enjoin a banner dose of atypical antipsychotics? 

A. The doses are domiciled on achieving 100% D2 receptor enjoyment. B. The doses are domiciled on achieving a omission of 80% D2 receptor enjoyment. C. The doses are domiciled on achieving 60% D2 receptor enjoyment. D. None of the balance. 

QUESTION 4 

Why does the PMHNP escape prescribing clozapine (Clozaril) as a foremost-line tenor to the unrepining behind a period psychosis and onslaught? 

A. Tshort is too exalted a facilitate of warinessful redundant benjoin ownty. B. It can balancedraw the psychotic notes. C. Clozapine (Clozaril) should not be used as exalted-dose monotherapy. D. Tshort is no documentation that clozapine (Clozaril) is powerful for unrepinings who are raging. 

QUESTION 5 

The PMHNP is caring for a unrepining on risperimanufactured (Risperdal). Which exercise made by the PMHNP exhibits own wariness for this unrepining? 

A. Explaining to the unrepining that tshort are no facilitates of EPS B. Prescribing the unrepining 12 mg/dail C. Titrating the dose by increasing it bountiful 5–7 days D. Writing a usage for a exalteder dose of unwritten risperimanufactured (Risperdal) to end exalted D2 receptor enjoyment 

QUESTION 6 

The PMHNP absences to enjoin Mr. Barber a forcible stabilizer that conquer target displeasing and hasty notes by decreasing dopaminergic neurotransmission. Which forcible stabilizer conquer the PMHNP chosen? A. Lithium (Lithane) B. Phenytoin (Dilantin) C. Valproate (Depakote) D. Topiramate (Topamax) 

QUESTION 7 

The parents of a 7-year-old unrepining behind a period ADHD are afflictionsful encircling the ownty of provocatives on their branch. The parents advance to prepare pharmacological tenor behind a period a non-stimulant. Which medication conquer the PMHNP conquer most mitigated enjoin? 

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

QUESTION 8

8 The PMHNP distinguishs that inert-dose ample acquit provocatives are most mismiswithhold for which unrepining behind a period 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 enjoind D-methylphenidate, 10-mg ample-acquit capsules. What should the PMHNP emassociation when sift-canvassing the benjoin ownty behind a period the unrepining? 

A. The constructulation can bear past exercises when enslaved behind a period influence. B. Sedation can be a contemptible benjoin becomingty of the offal. C. The medication can influence your adproportioned influence. D. This offal does not motive any dependency. 

QUESTION 10 

The PMHNP is education parents encircling their branch’s new usage for Ritalin. What conquer the PMHNP emassociation in the education? 

A. The succor dose should be enslaved at lunch. B. Tshort are no facilitates for insomnia. C. Tshort is merely one daily dose, to be enslaved in the waking. D. Tshort conquer be endured ownty into the late. 

QUESTION 11 

A youthful unrepining is enjoind Vyvanse. During the follow-up enactment, which observe made by the unrepining forms the PMHNP imagine that the dosing is matter manufactured awry? 

A. “I procure my pill at curbfast.” B. “I am unqualified to drop collected at death.” C. “I desire okay all day crave.” D. “I am not preface my pill at lunch.” 

QUESTION 12 

A 14-year-old unrepining is enjoind Strattera and asks when the antidote should be enslaved. What does the PMHNP distinguish affairing the offal’s dosing feature? 

A. The unrepining should procure the medication at lunch. B. The unrepining conquer bear one or two doses a day. C. The unrepining conquer procure a pill bountiful 17 hours. D. The dosing should be manufactured in the waking and at death. 

QUESTION 13 

The PMHNP is sift-canvassion behind a period the parents of an 8-year-old unrepining who is receiving an primal usage for D-amphetamine. The PMHNP teachs mismiswithhold prescribing exercises when she enjoins the behindcited dose: 

A. The branch conquer be enjoind 2.5 mg. B. The branch conquer be enjoind a 10-mg tablet. C. The branch’s dose conquer acception by 2.5 mg bountiful other week. D. The branch conquer procure 10–40 mg, daily. 

QUESTION 14 

A unrepining is matter enjoind bupropion and is afflictionsful encircling the benjoin ownty. What conquer the PMHNP discern the unrepining affairing bupropion? 

A. Influence form is not proud. B. Sedation may be contemptible. C. It can motive cardiac arrhythmias. D. It may augment harass. 

QUESTION 15 

Which unrepining conquer assent-to a argueior dose of guanfacine? 

A. Unrepining who has congestive nature scarcity B. Unrepining who has cerebrovascular guess-product C. Unrepining who is procreant D. Unrepining behind a period race guess-work 

QUESTION 16 

An 18-year-old dowagerly behind a period a fact of repeated headaches and a forcible guess-product is enjoind topiramate (Topamax), 25 mg by aperture daily. The PMHNP distinguishs that this medication is powerful in discourseing which plight(s) in this unrepining? 

A. Migraines B. Bipolar guess-product and dip C. Pregnancy-induced dip D. Remarktalented tail disinclination 

QUESTION 17 

The PMHNP is discourseing a unrepining for fibromyalgia and is respecting prescribing milnacipran (Savella). When prescribing this medication, which exercise is the PMHNP mitigated to pick-out? 

A. Mentor liver enactment bountiful 6 months for a year and then year-by-year thereafter. B. Mentor monthly influence. C. Split the daily dose into two doses behind the foremost day. D. Mentor for unrevealed adproportioned in the stool. 

QUESTION 18 

The PMHNP is assessing a unrepining she has been discourseing behind a period the singularity of continuous disinclination. During the rate, the unrepining avows that he has of-late been having disaster getting to slumber and staying collected. Domiciled on this notification, what exercise is the PMHNP most mitigated to procure? 

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

QUESTION 19 

The PMHNP is assessing a dowagerly unrepining who has been preface lamotrigine (Lamictal) for migraine prophylaxis. Behind discovering that the unrepining has reached the culmination dose of this medication, the PMHNP decides to transmute the unrepining’s medication to zonisamide (Zonegran). In biasedation to evaluating this unrepining’s day-to-day activities, what should the PMHNP secure that this unrepining distinguishs? 

A. Monthly adproportioned levels must be drawn. B. ECG mentoring must be manufactured unintermittently bountiful 3 months. C. White adproportioned cell estimate must be mentored weekly. D. This medication has unwanted benjoin ownty such as sedation, noncommunication of coordination, and oblivion. 

QUESTION 20 

A unrepining recovering from shingles confer-upons behind a period profit and sensitivity to the remarktalented tail. He avows it is twainersome to put a shirt on most days. This unrepining has end grade renal guess-product (ESRD) and is scheduled to bear hemodialysis tomorrow but avows that he does not distinguish how he can lie in a recliner for 3 hours forcible this miserable. What conquer be the PMHNP’s pre-eminence? 

A. Enjoin herpes simplex virus (HSV) antiassociation experimenting B. Enjoin a adproportioned urea nitrogen (BUN) and creatinine STAT C. Enjoin lidocaine 5% D. Enjoin hydromorphone (Dilaudid) 2mg 

QUESTION 21 

The PMHNP enjoind a unrepining lamotrigine (Lamictal), 25 mg by aperture daily, for resolution disinclination 6 months ago. The unrepining suddenly confer-upons to the enactment behind a period the expostulation that the medication is no craveer set-on-footed and complains of acceptiond disinclination. What exercise conquer the PMHNP most mitigated procure? 

A. Acception the dose of lamotrigine (Lamictal) to 25 mg twice daily. B. Ask if the unrepining has been preface the medication as enjoind. C. Enjoin gabapentin (Neurontin), 100 mg three occasions a day, bemotive lamotrigine (Lamictal) is no craveer set-on-footed for this unrepining. D. Enjoin a distant adproportioned estimate (CBC) to assess for an contamination. 

QUESTION 22 

An primeval dowager behind a period a fact of Alzheimer’s guess-work, coronary artery guess-work, and myocardial infarction had a drop at home 3 months ago that producted in her receiving an disclosed contrexercise inaspect fixation. Period assessing this unrepining, the PMHNP is made informed that the unrepining endures to proof lenient to calm disinclination. What is the PMHNP most mitigated to do? 

A. Enjoin an X-ray bemotive it is slight that she dislocated her hip. B. Enjoin ibuprofen (Motrin) bemotive she may neglect crave-voctalented tenor and continuous disinclination is not proud. C. Enjoin naproxen (Naprosyn) bemotive she may bear arthritis and continuous disinclination is not proud. D. Enjoin Morphine and visible therapy. 

QUESTION 23 

The PMHNP is assessing a 49-year-old hardy behind a period a fact of dip, post-traumatic constraining guess-product (PTSD), alcoholism behind a period malnutrition, diabetes mellitus construct 2, and hypertension. His visible rate is baseplace behind a period the separation of peripheral edema bilaterally to his argueior extremities and a main expostulation of disinclination behind a period insensibility and tingling to each leg 5/10. The PMHNP prepares this unrepining on a low dose of doxepin (Sinequan). What is the contiguous exercise that must be enslaved by the PMHNP? 

A. Orders liver enactment experiments. B. Educate the unrepining on escapeing grapefruits when preface this medication. C. Encourage this unrepining to sustain fluids to 1500 ml/day until the turgescence subsides. D. Enjoin a BUN/Creatinine experiment. 

QUESTION 24 

The PMHNP is evaluating a 30-year-old dowagerly unrepining who avows that she notices disinclination and a entire transmute in forcible anteriorly the prepare of her menstrual cycle. The unrepining avows that she has familiar victuals and lifestyle transmutes but dot has producted. What conquer the PMHNP most mitigated do? A. Enjoin Estrin FE 24 lineage administer B. Enjoin ibuprofen (Motrin), 800 mg bountiful 8 hours as neglected for disinclination C. Enjoin desvenlafaxine (Pristiq), 50 mg daily D. Enjoin risperimanufactured (Risperdal), 2 mg TID 

QUESTION 25 

A unrepining behind a period continuous tail disinclination has been enjoind a serotonin-norepinephrine reupprocure hinderor (SNRI). How does the PMHNP illustrate the exercise of SNRIs on the prohibit of disinclination to the unrepining? 

A. “The SNRI can acception noradrenergic neurotransmission in the descending spinal method to the dorsal horn.” B. “The SNRI can diminish noradrenergic neurotransmission in the descending spinal method to the dorsal horn.” C. “The SNRI can convert brain atrophy by inerting the gray stuff missing in the dorsolateral prefrontal cortex.” D. “The SNRI can acception neurotransmission to descending neurons.” 

QUESTION 26 

A unrepining behind a period fibromyalgia and superior dip neglects to be discourseed for notes of disinclination. Which is the PMHNP most mitigated to enjoin for this unrepining? 

Venlafaxine (Effexor) 

Duloxetine (Cymbalta) 

Clozapine (Clozaril) 

Phenytoin (Dilantin) 

QUESTION 27 

The PMHNP enjoins gabapentin (Neurontin) for a unrepining’s continuous disinclination. How does the PMHNP apprehend the offal to product? 

A. It conquer restrain to the alpha-2-delta ligand subindividual of voltage-sensitive calcium machines. B. It conquer exalt synaptic transmutes, including sprouting. C. It conquer act on the presynaptic neuron to trigger sodium influx. D. It conquer hinder earnestness of dorsal horn neurons to hu-n association input from reaching the brain. 

QUESTION 28 

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

QUESTION 29 

The PMHNP is caring for a unrepining behind a period fibromyalgia. Which succor-line tenor does the PMHNP chosen that may be powerful for managing this unrepining’s disinclination?

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

QUESTION 30 

The PMHNP is perplexing to dismanner a unrepining’s continuous disinclination by having the commissioner restrain the disclosed machine structure of VSCCs to fill those machines behind a period a “use-dependent” construct of prohibit. Which commissioner conquer the PMHNP most mitigated chosen? 

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

QUESTION 31 

A unrepining behind a period petulant bowel syndrome fames continuous stomach disinclination. The PMHNP absences to enjoin the unrepining an commissioner that conquer motive inoperative nociceptive inputs from the disinclination to be ignored and no craveer perceived as disinclinationful. Which offal conquer the PMHNP enjoin? 

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

QUESTION 32 

The PMHNP absences to use a note-domiciled entrance to discourseing a unrepining behind a period fibromyalgia. How does the PMHNP go encircling discourseing this unrepining? 

A. Prescribing the unrepining an commissioner that ignores the disinclinationful notes by initiating a reexercise distinguishn as “fibro-fog” B. Targeting the unrepining’s notes behind a period anticonvulsants that hinder gray stuff missing in the dorsolateral prefrontal cortex C. Matching the unrepining’s notes behind a period the malfunctioning brain circuits and neurotransmitters that susceptibility accessible those notes D. None of the balance 

QUESTION 33 

The PMHNP is set-on-footed behind a period the novice to wariness for a unrepining behind a period diabetic peripheral neuropathic disinclination. The novice asks the PMHNP why SSRIs are not pleasantly adapted in discourseing this feature unrepining’s disinclination. What is the best tally by the PMHNP? 

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

QUESTION 34 

A unrepining behind a period gambling guess-product and no other psychiatric comorbidities is matter discourseed behind a period pharmacological commissioners. Which offal is the PMHNP most mitigated to enjoin? 

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

QUESTION 35 

Kevin is an branchish who has been diagnosed behind a period kleptomania. His parents are assiduous in seeking pharmacological tenor. What does the PMHNP discern the parents affairing his tenor libertys? 

A. “Naltrexone may be an mismiswithhold liberty to sift-canvass.” B. “Tshort are manifold antidote libertys that dismanner kleptomania.” C. “Kevin may neglect to be enjoind antipsychotics to dismanner this conjecture.” D. “Lithium has proven powerful for discourseing kleptomania.” 

QUESTION 36 

Which proposition best illustrates a pharmacological entrance to discourseing unrepinings for hasty onslaught? 

A. Anticonvulsant forcible stabilizers can root-out limbic irritability. B. Atypical antipsychotics can acception subcortical dopaminergic stimulation. C. Stimulants can be used to diminish frontal prohibit. D. Opioid enemys can be used to convert accelerate. 

QUESTION 37 

A unrepining behind a period hypersexual guess-product is matter assessed for slight pharmacologic tenor. Why does the PMHNP enjoin an antiandrogen for this unrepining? 

A. It conquer forefend forcibles of euphoria. B. It conquer augment sudden-thought administer. C. It conquer fill experimentosterone. D. It conquer redirect the unrepining to imagine encircling other monstrositys. 

QUESTION 38 

Mrs. Kenner is afflictionsful that her teenage daughter spends too plenteous occasion on the Internet. She inquires encircling slight tenors for her daughter’s addiction. Which tally by the PMHNP teachs distinguishing of pharmacologic entrancees for compulsive guess-works? 

A. “Compulsive Internet use can be discourseed alikely to how we dismanner race behind a period matter use guess-works.” B. “Internet addiction is discourseed behind a period offals that succor fill the tension/arousal avow your daughter proofs.” C. “When it comes to Internet addiction, we advance to dismanner unrepinings behind a period pharmaceuticals rather than psychogregarious methods.” D. “Tshort are no evidence-domiciled tenors for Internet addiction, but tshort are behaviunwritten therapies your daughter can try.” 

QUESTION 39 

Mr. Peterson is sift-canvassion behind a period the PMHNP to sift-canvass vigorier victualsary manners. Behind a period a BMI of 33, Mr. Peterson is unctuous and neglects to alter his influence intake. “Sometimes I imagine I’m addicted to influence the way some race are addicted to offals,” he says. Which proposition best illustrates the neurobiological parallels between influence and offal addiction? 

A. Tshort is diminishd activation of the prefrontal cortex. B. Tshort is acceptiond desireion of the reactive honor method. C. Tshort is convertd activation of tract-of-lands that scheme palatability. D. Tshort are amplified honor circuits that activate upon decrement. 

QUESTION 40 

The PMHNP is caring for a unrepining who fames unreasonservicetalented arousal at deathtime. What could the PMHNP use for a occasion-poor prolongation to shelve the unrepining’s brain from a hyperactive avow to a slumber avow? 

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

QUESTION 41 

The PMHNP is caring for a unrepining who proofs too plenteous balancestimulation and apprehension during dayoccasion hours. The unrepining agrees to a pharmacological tenor but avows, “I don’t absence to desire sedated or stupid from the antidote.” Which conclusion made by the PMHNP teachs own distinguishledge of this unrepining’s notes and mismiswithhold tenor libertys? 

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

QUESTION 42 

The PMHNP is performing a temper self-confidence fellow reinducement of the chart of another PMHNP. Upon reconsideration, the PMHNP reconsiderations the chart of an older adult unrepining in crave-voctalented wariness dexterity who has continuous insomnia. The chart betrays that the unrepining has been receiving hypnotics on a deathly plea. What does the PMHNP trial problematic encircling this documentation? 

A. Older adult unrepinings are contraindicated to procure hypnotics. B. Hypnotics bear prolonged half-lives that can motive offal fund in the primeval. C. Hypnotics bear weak half-lives that afford themselves inpowerful for older adults. D. Hypnotics are not powerful for “symptomatically masking” continuous insomnia in the primeval. 

QUESTION 43 

The PMHNP is caring for a unrepining behind a period continuous insomnia who is worried encircling pharmacological tenor bemotive the unrepining does not absence to proof assurance. Which pharmacological tenor entrance conquer the PMHNP mitigated chosen for this unrepining for a poor prolongation, period elaborate and amending the underlying pathology associated behind a period the insomnia? 

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

QUESTION 44 

The PMHNP is caring for a unrepining behind a period continuous insomnia who would profit from preface hypnotics. The PMHNP absences to enjoin the unrepining a offal behind a period an ultra-weak half-life (1–3 hours). Which offal conquer the PMHNP enjoin? 

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

QUESTION 45 

The PMHNP is perplexing to dismanner a unrepining’s continuous insomnia and wishes to prepare behind a period an primal usage that has a half-life of closely 1–2 hours. What is the most mismiswithhold usage for the PMHNP to form? 

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

QUESTION 46 

A unrepining behind a period continuous insomnia asks the PMHNP if they can foremost try an balance-the-athwart (OTC) medication anteriorly one that neglects to be enjoind to succor the unrepining slumber. Which is the best tally by the PMHNP? 

A. “Tshort are no balance-the-athwart medications that conquer succor you slumber.” B. “You can pick-out from one of the five benzo hypnotics that are desired in the United States.” C. “You conquer neglect to ask the pharmacist for a non-benzodiazepine antidote.” D. “You can get melatonin balance the estimateer, which conquer succor behind a period slumber aggression.” 

QUESTION 47 

A unrepining behind a period continuous insomnia and dip is preface trazomanufactured (Oleptro) but complains of forcible stupid during the day. What can the PMHNP do to convert the offal’s dayoccasion sedating ownty? 

A. Enjoin the unrepining an antihistamine to derangement the sedating ownty B. Increasing the unrepining’s dose and administer it foremost monstrosity in the waking C. Afford the antidote at death and argueior the dose D. None of the balance 

QUESTION 48 

The PMHNP is education a unrepining behind a period a slumber guess-product encircling preface diphenhydramine (Benadryl). The unrepining is afflictionsful encircling the benjoin ownty of the offal. What can the PMHNP direct the unrepining encircling this tenor entrance? 

A. “It can motive diarrhea.” B. “It can motive blurred confidence.” C. “It can motive acceptiond salivation.” D. “It can motive heightened apprehensive ownty.” 

QUESTION 49 

Parents of a 12-year-old boy absence to deem observeation arrears hyperearnestness guess-product (ADHD) medication for their son. Which medication would the PMHNP prepare? 

Methylphenidate Amphetamine salts Atomoxetine All of the balance could theoretically dismanner their son’s notes. 

QUESTION 50

An adult unrepining confer-upons behind a period a fact of alcohol addiction and observeation arrears hyperearnestness guess-product (ADHD). Consecrated these comorbidities, the PMHNP determines which of the behindcited 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 behind a period cruel hyperactivity, illustrated as “ants in his pants.” Domiciled on self-fame from the unrepining, his parents, and his directer; observeation arrears hyperearnestness guess-product (ADHD) is fameed. What medication is the PMNHP most mitigated to enjoin? 

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

QUESTION 52 

A 9-year-old dowagerly unrepining confer-upons behind a period notes of twain observeation arrears hyperearnestness guess-product (ADHD) and oppositional fractions guess-work. In evaluating her notes, the PMHNP determines that which of the behindcited medications may be salubrious in augmenting provocative medication? 

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

QUESTION 53 

A PMHNP supervisor is sift-canvassing behind a period a nursing novice how provocatives and noradrenergic commissioners succor behind a period ADHD notes. What is the mismiswithhold tally? 

A. They twain acception saline power output dopamine (DA) and norepinephrine (NE). B. Dopamine (DA) and norepinephrine (NE) are acceptiond in the prefrontal cortex. C. Noradrenergic commissioners amend contractions in dopamine (DA) in the honor method qualitative to acceptiond power to maintain observeation to repetitive or boring tasks and hinder distractions. D. All of the balance. 

QUESTION 54 

A 43-year-old hardy unrepining is seeking percolation encircling discourseing observeation arrears hyperearnestness guess-product (ADHD) in adults and how it differs from discourseing branchren, past his son is on medication to dismanner ADHD. The PMHNP transmits a superior dissent is which of the behindcited? 

A. Provocative usage is aggravate contemptible in adults. B. Comorbid plights are aggravate contemptible in branchren, collisioning the use of provocatives in branchren. C. Atomoxetine (Strattera) use is not admonishd in branchren. D. Comorbidities are aggravate contemptible in adults, collisioning the usage of biasedational commissioners. 

QUESTION 55 

A 26-year-old dowagerly unrepining behind a period nicotine assurance and a fact of apprehension confer-upons behind a period notes of observeation arrears hyperearnestness guess-product (ADHD). Domiciled on the rate, what does the PMHNP deem? 

A. ADHD is continually not the standpoint of tenor in adults behind a period comorbid plights. B. ADHD should regularly be discourseed foremost when comorbid plights halt. C. Nicotine has no fameed collision on ADHD notes. D. Symptoms are continually quiet to dismanner behind a period provocatives, consecrated the noncommunication of comorbidity behind a period other plights. 

QUESTION 56 

Which of the behindcited is a gentleman proposition affairing the use of provocatives to dismanner observeation arrears hyperearnestness guess-product (ADHD)? 

A. In adults behind a period twain ADHD and apprehension, discourseing the apprehension behind a period chosenive serotonin reupprocure hinderors (SSRIs), serotonin-norepinephrine reupprocure hinderors (SNRIs), or benzodiazepines and the ADHD behind a period provocatives is most powerful in discourseing twain plights. B. Saline power output is acceptiond by dialing up the acquit of dopamine (DA) and norepinephrine (NE). C. In plights wshort unreasonservicetalented DA activation is confer-upon, such as psychosis or insanity, comorbid ADHD should neternally be discourseed behind a period provocatives. D. Exalted dose and pulsatile gift of provocatives that are weak acting are advancered to dismanner ADHD. 

QUESTION 57 

The PMHNP is providing a productshop for pediatric entertains, and a doubt is posed encircling noradrenergic commissioners to dismanner ADHD. Which of the behindcited noradrenergic commissioners bear norepinephrine reupprocure hinderor (NRI) ownties that can dismanner ADHD? 

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

QUESTION 58 

A 71-year-old hardy unrepining comes to an enactment behind a period his 65-year-old consort. They are twain having affairs cognate to her remembrance and power to authorize faces. The PMNHP is respecting prescribing memantine (Namenda) domiciled on the behindcited notes: 

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 behind a period notes of dementia. Anteriorly the PMHNP deems tenor libertys, the unrepining must be assessed for other slight motives of dementia. Which of the behindcited tallys addresses twain slight other motives of dementia and a fair tenor liberty for Dementia? 

A. Slight other motives: hypothyroidism, Cushing’s syndrome, multiple sclerosis Slight tenor liberty: memantine B. Slight other motives: hypothyroidism, adrenal omission, hyperparathyroidism Slight tenor liberty: manufacturedpezil C. Slight other motives: hypothyroidism, adrenal omission, niacin neglect Slight tenor liberty: risperimanufactured D. Slight other motives: hypothyroidism, Cushing’s syndrome, lupus erythematosus Slight tenor liberty: manufacturedpezil 

QUESTION 60 

A assembly of nursing novices seeks advance percolation from the PMHNP on how cholinesterase hinderors are salubrious for Alzheimer’s guess-product unrepinings. What is the mismiswithhold tally? 

A. Acetylcholine (ACh) damnation is hindered by filling the enzyme acetylcholinesterase. B. Effectiveness of these commissioners befalls in all grades of Alzheimer’s guess-work. C. By increasing acetylcholine, the discard in some unrepinings may be close flying. D. Twain “A” & “C.” 

QUESTION 61 

The PMHNP is assessing a unrepining who confer-upons behind a period raised levels of brain amyloid as distinguished by positron oration tomography (PET). What other rudiments conquer the PMHNP deem anteriorly prescribing medication for this unrepining, and what medication would the PMHNP absence to escape consecrated these other rudiments? 

A. ApoE4 genoconstruct and escape antihistamines if slight B. Construct 2 diabetes and escape olanzapine C. Apprehension and escape methylphenidate D. Twain “A” & “B” 

QUESTION 62 

A 72-year-old hardy unrepining is in the confer-upon grades of Alzheimer’s guess-work. The PMHNP determines that suittalented remembrance is a key deemation in chosening a medication. Which of the behindcited would be an mismiswithhold dainty? 

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

QUESTION 63 

A 63-year-old unrepining confer-upons behind a period the behindcited notes. The PMHNP determines which set of notes support prescribing a medication? Chosen the tally that is matched behind a period an mismiswithhold tenor. 

A. Gentle power to bear-in-mind names is most problematic, and an mismiswithhold tenor liberty is memantine. B. Imbecility in the power to acquire and hold new notification is most problematic, and an mismiswithhold tenor liberty would be manufacturedpezil. C. Gentle power to trial the amend account is most problematic, and an mismiswithhold tenor liberty would be memantine. D. Gentle power to bear-in-mind wshort objects are most problematic, and an mismiswithhold tenor liberty would be manufacturedpezil. 

QUESTION 64 

A 75-year-old hardy unrepining diagnosed behind a period Alzheimer’s guess-product confer-upons behind a period tumult and displeasing exercise. The PMHNP determines which of the behindcited 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 furnish an in-service luxuriance to emassociation observeation to the use of antipsychotics to dismanner Alzheimer’s. What does the PMHNP transmit to staff? 

A. The use of antipsychotics may motive acceptiond cardiovascular uniformts and decease. B. A amiservicetalented liberty in discourseing tumult and psychosis in Alzheimer’s unrepinings is haloperidol (Haldol). C. Antipsychotics are continually used as “chemical straightjackets” to balance-tranquilize unrepinings. D. Twain “A” & “C.” 

QUESTION 66 

An 80-year-old dowagerly unrepining diagnosed behind a period Grade II Alzheimer’s has a fact of petulant bowel syndrome. Which cholinergic offal may be the best dainty 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 distinguishs that bupropion (Wellbutrin) is an powerful way to succor unrepinings behind a period smoking quiescence. Why is this medication powerful for these unrepinings? 

A. Bupropion (Wellbutrin) acquits the dopamine that the unrepining would typically assent-to through smoking. B. Bupropion (Wellbutrin) succors unrepinings behind a period their cravings by changing the way that tobacco tastes. C. Bupropion (Wellbutrin) fills dopamine reuptake, enabling aggravate availpower of dopamine. D. Bupropion (Wellbutrin) products 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 behindcited plights? 

A. Alcoholism B. Continuous disinclination C. Affront of inhalants D. Lenient to calm heroin behind a perioddrawal 

QUESTION 69 

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

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

QUESTION 70 

A unrepining diagnosed behind a period obsessive compulsive guess-product has been preface a exalted-dose SSRI and is participating in therapy twice a week. He fames an inpower to consign out responsibilities due to congruous interferences of his obsessions and compulsions. The PMHNP distinguishs that the contiguous tramp would be which of the behindcited? 

A. Diminish his SSRI and add buspirone (Buspar). B. Diminish his SSRI and add an MAOI. C. Diminish his SSRI steadily until it can be canceld then try an antipsychotic to precede his notes. D. Sustain his SSRI dosage the alike and add a low-dose TCA. 

QUESTION 71 

The PMHNP is assessing a unrepining who conquer be receiving phentermine (Adipex-P)/topiramate (Topamax) (Qsymia). Which of the behindcited plights/diseases conquer exact advance evaluation anteriorly this medication can be enjoind? 

A. Race guess-product grade II B. Obesity C. Cardiovascular guess-product D. Diabetes construct II 

QUESTION 72 

The PMHNP enjoins an unctuous unrepining phentermine (Adipex-p)/topiramate ER (Topamax) (Qsymia), Why is topiramate (Topamax) continually enjoind behind a period phentermine (Adipex-P)? 

A. Phentermine (Adipex-P) dose can be acceptiond safely when enslaved behind a period an anticonvulsant. B. Phentermine (Adipex-P) products by hu-ning shortness period topiramate (Topamax) acts by hindering shortness. C. Topiramate (Topamax) activeiates shortness hu-nion endd by phentermine (Adipex-P). D. Topiramate (Topamax) succors forefend the unwanted benjoin ownty of phentermine (Adipex-P). 

QUESTION 73 

The PMHNP is assessing a unrepining who has explicit suicidal urgent and is now stating that he is hearing voices and sees race chasing him. The PMHNP identifies these notes to be associated behind a period which of the behindcited? 

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

QUESTION 74 

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

A. Evaluate the unrepining’s conqueringness to bung from alcohol B. Counsel the unrepining on victualsary restrictions C. Obtain liver enactment experiments D. Assess for addiction to opioids 

QUESTION 75 An opioid-naive unrepining is preface MS Contin (morphine sulfate) to dismanner his disinclination that is succorary to cancer. Under what plight would the PMHNP enjoin naloxone (Narcan) IM/SQ? 

A. The unrepining’s oration is slurred, and he is in and out of slumber. B. The unrepining’s shortness has diminishd from eating 100% of his asceticism to 50% of his asceticism. C. The unrepining complains of not having a bowel motion for 4 days. D. The unrepining’s transmiting signs are 98.4F temp, 88 pulse, 104/62 adproportioned influence, and 8 respirations. 

QUESTION 76 

When completing this exam, did you submit behind a period Walden University’s Code of Precede including the expectations for academic honor? 

Yes No

  

                         NURS 6630 Midvoctalented Exam (2018): Walden University

QUESTION 1

1.      A noncompliant unrepining avows, "Why do you absence me to put this envenom in my association?" Substantiate the best tally made by the psychiatric-mental vigor entertain practitioner (PMHNP).

A.

"You bear to procure your medication to befit solid."

B.

"Most medications conquer acception the estimate of neurotransmitters that you already bear in the brain."

C.

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

D.

"Why do you appreciate that your medication is envenom?" 

QUESTION 2

1.      Which proposition encircling neurotransmitters and medications is gentleman?

A.

Natural neurotransmitters such as endorphins bear been discovered behind the harvest of medications.

B.

Some medications were public behind the thread and distinguishn exercise of the neurotransmitters in the brain.

C.

Neurotransmitters assent-to messages from most medications.

D.

The neurotransmitter serotonin is quickly incorporateed to dip. Aftercited this thread, the antidepressant Prozac was public.

1 points  

QUESTION 3

1.      When an unsolid unrepining asks why it is expedient to add medications to his exoteric victuals, the PMHNP's best tally would be:

A.

"In an ultimate contingency such as yours, aggravate than one medication is continually neglected."

B.

"Due to the undignifiedness of your exoteric medication, we neglect to try somemonstrosity else that can perhaps activeiate its ownty.

C.

"Medications are continually biased to the neurotransmitter(s) they are influenceing and, due to aggravate than one neurotransmitter involvement, it is continually expedient to use aggravate than one medication to emend notes."

D.

"I distinguish your affair. We can cancel your exoteric medication and switch to a divergent one that may reform precede your notes."

1 points  

QUESTION 4 ?

1.      During gene look, what must befall foregoing to a gene matter explicit?

A.

Transcription rudiment must restrain to the regulatory tract-of-land behind a periodin the cell's kernel.

B.

RNA must be converted to mRNA.

C.

The coding tract-of-land must unconnected from the regulatory tract-of-land. This is wickedness

D.

RNA polymerase must hinder the scheme of changing RNA to mRNA.

1 points  

QUESTION 5

1.      While genes bear virtual to alter exercise, exercise can too alter genes. How do genes collision this scheme?

A.

Genes collision neuron enactmenting quickly.

B.

Changes made to proteins wield to transmutes in exercise.

C.

Neurons are serviceservicetalented to collision protein collectiveness.

D.

Genes collision the DNA of a cell, qualitative to transmutes in exercise.

1 points  

QUESTION 6

1.      Though medications bear the power to target neurotransmitters in the synapse, it is not regularly expedient. The PMHNP distinguishs that this is owing:

A.

Neurotransmission that befalls via the axon authorizes for ecstasy of a neurotransmitter.

B.

Active ecstasy is a divergent construct of ardor that authorizes the ecstasy of undoubtful neurotransmitters.

C.

Neurotransmitters can diffuse by evacuation.

D.

The postsynaptic neuron can acquit the neurotransmitter.

1 points  

QUESTION 7

1.      Why is the cytochrome P450 enzyme method of implying to the PMHNP?

A.

The races idiosyncraticate a role behind a period excretion of the medication, and if a unrepining has race missing, the dose must be acceptiond to be powerful.

B.

The bioavailpower of the medication behind it passes through the stomach and liver can be altered. Amend tally

C.

The medication's chemical mixture transmutes when it comes in contiguity behind a period the harsh in the stomach.

D.

The CYP enzyme method is a undeviating and predictservicetalented scheme that enjoinrs must distinguish to dismanner plights powerfully.

1 points  

QUESTION 8

1.      It is powerful for the PMHNP to authorize dissents in pharmacokinetics to safely enjoin and mentor medications. Which of the behindcited propositions does the fitted PMHNP substantiate as gentleman?

A.

About 1 out of 5 Asians exacts argueior-than-typical doses of some antidepressants and antipsychotics.

B.

The voctalented polymorphic refers to the association's power to curb a medication down separate ways, and this unrepining may exact exalteder doses of undoubtful antidepressants and antipsychotics.

C.

About 1 out of 30 Caucasians exacts argueior doses of some antidepressants and antipsychotics.

D.

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

1 points  

QUESTION 9

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

A.

Most medications that act on G-protein incorporateed receptors bear enemyic traits.

B.

The superiority of medications used in exercise are bountiful agonists and are used to inflame the association's regular neurotransmitters.

C.

Most medications act as inequittalented agonists bemotive they authorize the association to use merely what is neglected.

D.

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

1 points  

QUESTION 10

1.      The PMHNP is respecting prescribing a 49-year-old hardy clozapine (Clozaril) to dismanner his schizophrenia and suicidal ideations. The PMHNP is informed that which rudiment may collision the dose neglected to powerfully dismanner his plight:

A.

The unrepining smokes cigarettes. 

B.

The unrepining has hypertension.

C.

The unrepining has continuous race guess-work, grade 2.

D.

The unrepining draughts a cup of coffee a day.

1 points  

QUESTION 11

1.      A unrepining is diagnosed behind a period bipolar guess-product and is exotericly preface carbamazepine (Tegretol), aripiprazole (Abilify), and melatonin. The PMHNP has penny written an enjoin to cancel the carbamazepine (Tegretol) for offal-induced thrombocytopenia. The PMHNP is informed that his contiguous best exercise is to:

A.

Alert staff to slight seizures

B.

Write an enjoin for a divergent forciblestabilizer 

C.

Decrease the quantity enjoind for aripiprazole (Abilify)

D.

Explain to the unrepining that it conquer be aggravate perplexing to administer his alter

1 points  

QUESTION 12

1.      A unrepining of-late epidemic behindcited a suicide try has a fact of schizophrenia, dip, and fibromyalgia. He is exotericly preface Amitriptyline (Elavil), Lisinopril, aspirin, and fluoxetine (Prozac). Which is the best exercise for the PMHNP to procure for this unrepining?

A.

Review Amitriptyline (Elavil) level 

B.

Order a liver enactment experiment

C.

Check the unrepining's adproportioned influence and pulse

D.

Order a stat platelet estimate

1 points  

QUESTION 13

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

A.

To exalt the availpower of serotonin

B.

To diminish serotonin

C.

To inquickly acception the quantity of dopamine in the association

D.

To succor diminish the quantity of serotonin and dopamine

1 points  

QUESTION 14

1.      The PMHNP is caring for indelicate unrepinings. Which unrepining proposition betrays that benzodiazepines would be salubrious?

A.

"I bear disaster staying collected in the interaccessible of the death."

B.

"My participator told me that I look to bear disaster bear-in-minding monstrositys casually."

C.

"I indeed absence to bung smoking, but the cravings are too forcible."

D.

"I desire laconic to go outbenjoin and be in liberal crowds."

1 points  

QUESTION 15

1.      Ms. Harlow is a 42-year-old unrepining who is enjoind a offal that acts on ionotropic receptors. She is meddling encircling the ownty of the offal and how it conquer act on her notes. Which proposition made by the PMHNP teachs own distinguishing of Ms. Harlow's usage?

A.

"The offal conquer bear an almost imaccessible becomingty."

B.

"The offal can procure a period to build up in your method." 

C.

"The offal is inert to acquit but engagementinals for a crave occasion."  

D.

"The offal conquer form a astute dissent in your notes." 

1 points  

QUESTION 16

1.      A unrepining is seeking pharmacological tenor for smoking quiescence. Which offal adproportioned does the PMHNP enjoin 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 epidemic from another enactment. When sift-canvassion behind a period the new unrepining, the unrepining fames, "I desire desire I am suittalented behind a period the stabilizers." The PMHNP proximately authorizes that the unrepining is describing which peel of offal?

A.

Full agonists

B.

Antagonists

C.

Partial agonists

D.

Inverse agonists

1 points  

QUESTION 18

1.      A unrepining confer-upons behind a period repeated episodes of insanity. Which proposition illustrates an mismiswithhold tenor entrance for this unrepining?

A.

"The unrepining neglects to bear an inverse agonist."

B.

"The unrepining could profit 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 machines."

1 points  

QUESTION 19

1.      The PHMNP is caring for a unrepining who would profit from nicotine cholinergic, serotonin 3, or glycine receptors. What peel of commissioner does the PHMNP absence to enjoin for this unrepining?

A.

Ligand-gated ion machines behind a period a pentameric structure

B.

Ligand-gated ion machines behind a period a tetrameric structure

C.

Voltage-sensitive ion machines

D.

Anticonvulsants

1 points  

QUESTION 20 ?

1.      Which proposition made by the unrepining suggests the unrepining conquer neglect to be discourseed behind a period antipsychotics that target paranoid psychosis?

A.

"It's my drawback that all of this is happening. I don't imagine I could eternally absolve myself." 

B.

"I bear to colloquy to the President bemotive I'm the merely one who can succor him."

C.

"I'm not abiding why that lady is wearing a red jacket past it's the dogs who neglect influence."

D.

"I don't distinguish that I uniform absence to go to that sift-canvassion. It doesn't look price it anymore."

1 points  

QUESTION 21

1.      A unrepining has been discourseed behind a period a estimate of novel psychotropic offals. How is it theoretically slight to substantiate apprehensive emendment in the unrepining using neuropsychological rate batteries behind the pharmacologic therapy? I did not bear this doubt

A.

Obtaining raw normative metrics and using them to assess enactmentality

B.

Having the unrepining fame on apprehensive enactment domiciled on peculiar proofs

C.

Monitoring the unrepining in a administerled setting 

D.

Measuring notes of psychosis

1 points  

QUESTION 22

1.      Mr. McCullin is 64 years old behind a period Parkinson's guess-work. The PMHNP caring for Mr. McCullin absences to prepare him on a dopamine agonist to succor precede and dismanner his plight. The PHMNP chosens this commissioner bemotive of which exercise it has on unrepinings desire Mr. McCullin?

A.

Dopamine is vocableinated through multiple contrivances.

B.

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

C.

MAO-B confer-upons in the mitochondria behind a periodin the presynaptic neuron.

D.

D2 receptors are the foremost resluxuriance aspect for dopamine agonists. 

1 points  

QUESTION 23

1.      Mrs. Trevor is a 44-year-old unrepining who does not bear a singularity of schizophrenia but sometimes fames notes of psychosis, followed by cruel harass. Mrs. Trevor inquires encircling the use of amphetamines to succor behind a period her ardor levels. Which tally made by the PMHNP is most misappropriate?

A.

"Amphetamines may succor you, as they can succor psychotic plights."

B.

"Amphetamines can hinder indirect notes of schizophrenia, so this susceptibility be a amiservicetalented dainty for you."

C.

"Amphetamines can motive hallucinations, so I would admonish athwart this construct of usage."

D.

"Amphetamines can wield to a dopamine neglect, so I conquer not enjoin this for you."

1 points  

QUESTION 24

1.      The PMHNP is caring for a unrepining behind a period schizophrenia and is respecting a multiplicity of tenor entrancees. The PHMNP chosens a viservicetalented tenor that is congruous behind a period the "dopamine fancy of schizophrenia." What exercise does the PMHNP apprehend this tenor having on the unrepining?

A.

Blocking the acquit of dopamine facilitates the aggression of aggravatebearing schizophrenia notes.

B.

Hyperearnestness in the mesolimbic dopamine method accessibles the aggravatebearing notes of schizophrenia.

C.

Antipsychotic offals that disclosed D2 receptor methods can dismanner schizophrenia.

D.

The neuroanatomy of dopamine neuronal methods can clear-up notes of schizophrenia.

1 points  

QUESTION 25

1.      A unrepining is diagnosed behind a period schizophrenia. What acceptions the unrepining's virtual to accessible the apprehensive notes of the guess-work?

A.

Achieving underearnestness of the mesocorticol projections to the prefrontal cortex

B.

Achieving balanceearnestness of the mesocorticol projections to the ventromedial prefrontal cortex

C.

Achieving underearnestness of the mesocortical projections to the ventromedial prefrontal cortex

D.

Achieving balanceearnestness of the mesocorticol projections to the prefrontal cortex

1 points  

QUESTION 26

1.      The PMNHP is assessing a 29-year-old unrepining who procures antipsychotics that fill D2 receptors. What unrepining education should the PMHNP emassociation cognate to the slight benjoin ownty of this construct 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 preface antipsychotics heard the psychiatrist discern the unrepining that the unrepining would be placed on a divergent antipsychotic commissioner. Which of the behindcited exacts the craveest transition occasion for sanative profit?

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 apprehends that the unrepining conquer be enjoind an antipsychotic. Which medication does the PMHNP augur conquer be enjoined 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 ownty in the association?

A.

Muscarinic enemys are aggravate mitigated to motive diminishd prolactin levels.

B.

D2 enemys diminish the desirelihood of EPS notes.

C.

D2 enmity is incorporateed to antidepressant ownties.

D.

D2 inequittalented agonists are associated behind a period acceptiond usefulness in discourseing aggravatebearing notes of schizophrenia.

1 points  

QUESTION 30

1.      Mrs. Schwartzman is a 52-year-old unrepining behind a period schizophrenia and no directly fact of dip. When sift-canvassion behind a period the PMHNP, she confer-upons behind a period sluggishness and behind a perioddrawn gregarious exercise, and she fames a missing of joy from enjoyservicetalented activities. What does the PMHNP argue from this enathwart behind a period the unrepining?

A.

An underlying depressive guess-work

B.

The late transmute of a 2nd lifetime antipsychotic to a stipulated one 

C.

The late transmute of a 1st lifetime antipsychotic to a 2nd lifetime antipsychotic

D.

All of the balance

1 points  

QUESTION 31

1.      The PMHNP is preface a fact on a unrepining who has been on antipsychotics for manifold years. Which facilitate rudiments are most mitigated to conduce to a idiosyncratic enlargeing tardive dyskinesia (TD)?

A.

Long-voctalented use of antipsychotics

B.

Genetic disposition

C.

Age

D.

A and C

E.

All of the balance

1 points  

QUESTION 32

1.      The novice inquires encircling antipsychotic medications. Which tally by the PMHNP illustrates nthe rudiments that conduce to convertd facilitate of extrapyramidal notes (EPS) for unrepinings who procure antipsychotics?

A.

Those that are active D2 enemys

B.

Those that are active D2 enemys behind a period 5HT2A enmity ownties

C.

D2 receptors that are filled in the nigrostriatal method

D.

Potent D2 enemys that fill the muscarinic anti-M1 cholinergic receptors

1 points  

QUESTION 33

1.      Mr. Gordon is a intermediate-olden unrepining who is preface antipsychotics. When sift-canvassion behind a period the PMHNP, he fames aggravatebearing tallys to the medication, stating, "I indeed desire as though the ownty of my dip are going loose." Which receptor exercise in antipsychotic medications is appreciated to be the most salubrious in submissive the ownty illustrated by Mr. Gordon?

A.

5HT2 enmity

B.

D2 enmity

C.

Alpha-2 enmity

D.

D2 inequittalented agonist

1 points  

QUESTION 34

1.      A unrepining who was of-late admitted to the psychiatric nursing individual is matter discourseed for bipolar guess-work. Which neurotransmitter is the PMHNP most mitigated to target behind a period 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 behind a period a forcible guess-work. She of-late requested to transmit to a new PMHNP, behind not getting acrave well-behaved-behaved behind a period her preceding furnishr. The new PHMNP is reconsiderationing Ms. Ryerson's medical chart foregoing to their foremost enactment. Upon reconsideration, the PMHNP sees that the constructer furnishr engagementinal documented "unrepining had flying poop out." What does the PMHNP argue encircling the unrepining's usage domiciled on this documentation?

A.

The unrepining has an unsustained tally to antidepressants.

B.

The unrepining has antidepressant-induced hypomania. 

C.

The unrepining has a depletion of monoamine neurotransmitters.

D.

The unrepining has an redundant becomingty to atypical antipsychotics.

1 points  

QUESTION 36

1.      The PMHNP authorizes that which unrepining would be contraindicated for antidepressant monotherapy?

A.

Patient behind a period a bipolar I designation

B.

Patient behind a period a bipolar II designation

C.

Patient behind a period a bipolar III designation

D.

None of the balance

1 points  

QUESTION 37

1.      Why does the PMHNP escape discourseing a unrepining behind a period cyclothymia, and has superior depressive episodes, behind a period antidepressant monotherapy?

A.

The unrepining may proof paranoid escapeant exercise.

B.

The unrepining may proof cruel dip.

C.

The unrepining may proof interview hallucinations.

D.

The unrepining may proof acceptiond forcible cycling.

1 points  

QUESTION 38

1.      The PMHNP is caring for a unrepining behind a period the s genoconstruct of SERT. What does the PMHNP distinguish affairing this unrepining's tally to chosenive serotonin reupprocure hinderor (SSRI)/SNRI tenor?

A.

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

B.

The unrepining conquer bear a aggravatebearing tally to SSRI/SNRI tenor.

C.

The unrepining conquer enlarge cruel forcible cycling in tally to tenor.

D.

The unrepining may be close echoing or large-minded to the tenor.

1 points  

QUESTION 39

1.      Ms. Boeckh is a 42-year-old unrepining behind a period superior dip. The PMHNP distinguishs that which exercise of norepinephrine conquer influence Ms. Boeckh's serotonin levels?

A.

Norepinephrine activeiates 5HT acquit through a2 postsynaptic receptors.

B.

Norepinephrine hinders 5HT acquit through a2 receptors.

C.

Norepinephrine hinders α2 receptors on axon vocableinals.

D.

Norepinephrine activeiates 5HT acquit through a1 and a2 receptors.

1 points  

QUESTION 40

1.      Which proposition made by the PMHNP amendly illustrates the relationship between NE neurons and pharmaceutical tenor?

A.

"Drugs hinder the acquit of NE."

B.

"Drugs can mock the regular enactmenting of the NE neuron."

C.

"Drugs are unqualified to feign the ownty of NE neurons."

D.

"Drugs forefend the regular enactmenting of the NE neuron by bungping the presynaptic a2 neuron."

1 points  

QUESTION 41

1.      The PMHNP is assessing a unrepining in the psychiatric opportunity locality. The unrepining discerns the PMHNP that he does not distinguish why his dip has not lifted behind matter on indelicate divergent antidepressants balance the manner of a year. Which of the behindcited notes can be residual notes for unrepinings who do not end roration behind a period superior depressive guess-work?

A.

Insomnia

B.

Suicidal ideation

C.

Problems concentrating

D.

A and C

1 points  

QUESTION 42

1.      Fluoxetine (Prozac) has been enjoind for a unrepining. Which of the behindcited propositions is gentleman affairing the exercise of this medication?

A.

Neuronal firing rates are not dysregulated in dip.

B.

Blocking the presynaptic SERT conquer proximately wield to a powerful communicate of serotonin in manifold synapses.

C.

Upon the intelligent government of a SSRI, 5HT diminishs. 

D.

The exercise at the somatodendritic end of the serotonin neuron may best clear-up the sanative exercise of SSRIs. 

1 points  

QUESTION 43

1.      The entertain professor distinguishs that education was powerful when one of the novices compares fluvoxamine to sertraline and notes which of the behindcited alikeities?

A.

Both bear a sedative-like, calming becomingty. 

B.

Both conduce to antipsychotic exercises.

C.

Both teach favorservicetalented trialings in discourseing dip in the primeval.

D.

Both are distinguishn for causing cruel behind a perioddrawal notes such as dizziness, perturbation, and akathisia.

1 points  

QUESTION 44

1.      A 45-year-old dowagerly unrepining behind a period allergic rhinitis and typical adproportioned influence has had no contrexercise in depressive notes behind perplexing bupropion, paroxetine, and venlafaxine. What precautions are neglected in respecting monoamine oxidase hinderors (MAOI) in discourseing her dip?

A.

Since all MAOIs exact victualsary restrictions, the unrepining conquer neglect to escape all cheeses and olden, smoked, or fermented meats.

B.

The unrepining cannot procure any antihistamines. 

C.

The unrepining cannot bear two education teeth extracted period on a MAnOI.

D.

The unrepining conquer neglect to minimize victualsary inprocure of influences such as tap and unpasteurized beer, olden cheeses, and soy products/tofu. 

1 points  

QUESTION 45

1.      After sitting in on an interdisciplinary tenor team sift-canvassion, the novice entertain asks the professor to clear-up a method-domiciled entrance to the tenor of dip. What is the mismiswithhold tally?

A.

Symptoms succor form a singularity, then notes are deconstructed into a schedule of biased notes proofd by a unrepining. 

B.

Symptoms are matched foremost behind a period the brain circuits that theoretically accessible them and then behind a period the distinguishn neuropharmacological practice of these circuits by neurotransmitters.

C.

Treatment libertys that target neuropharmacological contrivances are chosened to eject notes one by one.

D.

All of the balance.

1 points  

QUESTION 46

1.      A 51-year-old dowagerly unrepining confer-upons behind a period notes of dip, including noncommunication of motivation and perplexingy slumbering. What facilitate rudiments would acception her vulnerpower for a singularity of dip?

A.

First aggression in puberty or confer-upon adulthood

B.

Late aggression of menses  

C.

Premenstrual syndrome

D.

A and C

1 points  

QUESTION 47

1.      A entertain balancehears that a unrepining has failed unmarried therapy behind a period an SSRI and SNRI. She too acquires that the unrepining has been on dual SSRI/SNRI therapy behind a periodout distant note administer. She entrancees the PMHNP and asks what the contiguous tenor liberty could be in this lookingly tenor-resistant unrepining. The PMHNP discerns the entertain she conquer dismanner the unrepining behind a period the behindcited victuals:

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 respecting bungping paroxetine. Why does her PMHNP admonish athwart this unexpected discontinuation of the antidote?

A.

She may proof behind a perioddrawal notes.

B.

She may proof acceptiond trauma.

C.

Effects of unexpected quiescence are mysterious.

D.

It can wield to perplexingies behind a period eagerness.

1 points  

QUESTION 49

1.      A unrepining is enjoind fluoxetine but is afflictionsful encircling the benjoin ownty. Which proposition teachs obsequious unrepining education when sift-canvassing the benjoin ownty associated behind a period fluoxetine?

A.

Weight form can be problematic.

B.

Sedation is very contemptible.

C.

Induction of insanity is proud.

D.

Seizures are not proud.

1 points  

QUESTION 50

1.      The PMHNP is caring for a unrepining behind a period apprehension who enlarges lenient to calm hepatic imbecility. Which exercise does the PMHNP procure affairing 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 dowagerly unrepining is matter enjoind milnacipran to dismanner fibromyalgia, and expresses affair affairing "how she conquer desire and look" from preface the antidote. Which proposition amendly illustrates the benjoin ownty as a product of preface this medication?

A.

It can influence her menstruation. 

B.

Suicidality can be contemptible unordered youthful adults.

C.

Sedation may be problematic.

D.

Weight form is proud.

1 points  

QUESTION 52

1.      Mr. Ruby is a 33-year-old unmarried senior who is requesting pharmacological intercession to dismanner his fibromyalgia. The PMHNP sees in the medical chart that he has a late singularity of arrhythmia and a BMI of 29. During his rate, the PMHNP acquires that Mr. Ruby products 40-50 hours a week as a contractor and "manages his constraining" by smoking 3-4 cigarettes a day and having 8-10 draughts 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 enjoind sertraline to dismanner fright guess-work. Knowing that sertraline can primally motive apprehension or insomnia, what should the PMHNP do?

A.

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

B.

Prescribe weak-acting benzodiazepine for 2 weeks, then cancel.

C.

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

D.

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

1 points  

QUESTION 54

1.      A unrepining is enjoind 50 mg of desvenlafaxine to procure bountiful other day for superior depressive guess-work. What does the PMHNP distinguish encircling this unrepining?

A.

The unrepining has hepatic imbecility.

B.

The unrepining has calm renal imbecility.

C.

The unrepining has cruel renal imbecility.

D.

The unrepining has cardiac imbecility.

1 points  

QUESTION 55

1.      The PMHNP distinguishs that which contrivance conduces to a worse tolerpower feature for unrepinings preface tricyclic antidepressants (TCAs)?

A.

Histamine H1 receptor fillade can motive insomnia.

B.

Muscarinic M1 receptor fillade motives blurred confidence.

C.

Alpha 1 adrenergic receptor fillade motives influence form.

D.

Muscarinic M3 receptor fillade motives sedation.

1 points  

QUESTION 56

1.      A unrepining who was enjoind an MAO hinderor is acquireing encircling victualsary modifications. Which proposition made by the PMHNP teachs own education of the influence-offal interactions for MAO hinderors?

A.

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

B.

"You should not use schemeed meats."

C.

"You may use fermented influences, desire sauerkraut."

D.

"You may endure to draught beers on tap."

1 points  

QUESTION 57

1.      A unrepining who is enjoind MAO hinderors asks encircling whether he can endure preface pseudoephedrine to succor his congeries. Which tally by the PMHNP betrays own distinguishing of offal-offal interactions?  

A.

"Decongestants are subtle to endure preface behind a period MAO hinderors." 

B.

"Decongestants are okay to procure behind a period MAO hinderors in temperance."

C.

"Decongestants should be escapeed due to facilitate of serotonin syndrome." 

D.

"Decongestants should be escapeed due to facilitate of hypertensive opportunity."  

1 points  

QUESTION 58

1.      Ms. Skidaggravate confer-upons for a follow-up enactment behind matter enjoind phenelzine (Nardil), and fames "I procure my 45 mg pill, three occasions a day, penny desire I'm reputed to." What does the PMHNP distinguish encircling this unrepining?

A.

Ms. Skidaggravate is preface the amend dose of phenelzine (Nardil).

B.

Ms. Skidaggravate is not preface plenty of the phenelzine (Nardil); she should be preface three occasions that quantity. 

C.

Ms. Skidaggravate is preface too plenteous of the phenelzine (Nardil); she should be preface the 45 mg in three doses.

D.

Ms. Skidaggravate is preface too plenteous of the phenelzine (Nardil); she is reputed to procure 45 mg bountiful 24 hours.

1 points  

QUESTION 59

1.      The PMHNP is caring for separate unrepinings who confer-upon behind a period manifold notes and vigor issues. For which unrepining does the PMHNP enjoin pregabalin (Lyrica)?

A.

Patient behind a period PTSD

B.

Patient behind a period inequittalented seizures

C.

Patient behind a period galactose pharisaism  

D.

Patient behind a period Lapp lactase neglect

1 points  

QUESTION 60

1.      Mr. Gutier is 72 years old behind a period apprehension and depressive notes. His PMHNP is prescribing lorazepam (Ativan). What does the PMHNP distinguish affairing this usage?

A.

The PMHNP conquer enjoin close than 2-6 mg for Mr. Gutier to procure daily.

B.

The PMHNP conquer exact Mr. Gutier to procure 2-4 doses of lorazepam (Ativan) per day.

C.

The PMHNP conquer enjoin aggravate than 2-6 mg for Mr. Gutier to procure daily.

D.

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

1 points  

QUESTION 61

1.      A unrepining is matter enjoind a sedating antidepressant, but is afflictionsful encircling influence form. Which medication is most mitigated to be enjoind to addresses the unrepining's affairs? 

A.

mirtazapine (Remeron)

B.

doxepin (Silenor)

C.

alprazolam (Xanax)

D.

trazamanufactured (Oleptro)

1 points  

QUESTION 62

1.      A unrepining who was diagnosed behind a period bipolar guess-product behind a periodout insanity, asks the PMHNP why he is matter enjoind a forcible stabilizer. What is the mismiswithhold tally?

A.

Mood stabilizers are merely enjoind to dismanner manic phases of bipolar dip

B.

Mood stabilizers can pleasantly dismanner twain insanity and bipolar dip

C.

Mood stabilizers can target insanity and insanity retrogression and too convert notes of bipolar dip and retrogression of bipolar dip notes but no offal has been proven to target all indelicate sanative exercises

D.

Certain forcible stabilizers, such as lithium, are serviceservicetalented to pleasantly target insanity and bipolar dip

1 points  

QUESTION 63

1.      The PMHNP is assessing a unrepining in the opportunity locality. The unrepining shares that he has been on lithium (Lithobid) for manifold years. What adproportioned experiments does the PMHMP enjoin?

A.

Thyroid Stimulating Hormone (TSH)

B.

Complete Adproportioned Estimate (CBC)

C.

Erythrocyte Sedimentation Rate

D.

Platelet Count

1 points  

QUESTION 64

1.      A 39-year old dowagerly unrepining confer-upbarely on lithium would desire to try a new medication to dismanner her bipolar guess-work. She has had affairs encircling benjoin ownty from lithium and absences to acquire aggravate encircling Lamotrigine (Lamictal) as a tenor liberty. The PMHNP transmits some of the choice aspects of this commissioner, including which of the behindcited?  I don’t imagine I had this doubt

A.

Tshort is some note lamotrigine can forefend series from lenient apprehensive imbecility to Alzheimer's guess-work

B.

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

C.

It was one of the foremost anticonvulsants desired by the FDA to dismanner bipolar dip

D.

Tshort is a facilitate for amenorrhea and polycystic ovarian guess-product in women of branchbearing age

1 points  

QUESTION 65

1.      A nursing novice is seeking percolation on the use of anticonvulsants to dismanner dip and is unclear encircling most powerful outcomes. Which of the behindcited commissioners does the PMHNP transmit as having unundoubtful outcomes?

A.

Carbamazepine (Tegretol)

B.

Gabapentin (Neurontin)

C.

Valporoic Harsh (Depakene)

D.

All of the balance

1 points  

QUESTION 66

1.      A 46-year old hardy unrepining mentions separate resource tenors to Carbamazepine (Tegretol) as a way to precede notes of his bipolar dip. Which of the behindcited does the PMHNP betray would not be an commissioner to dismanner bipolar dip?

A.

Omega-3-fatty-acids

B.

Soybean lecithin

C.

Inositol

D.

L-methylfolate

1 points  

QUESTION 67

1.      The PMHNP is sift-canvassion behind a period a new dowager who would desire to prepare preface medication aform to dismanner her bipolar dip; she is breastfeeding her 2-month old daughter. The PMHNP authorizes that which of the behindcited medications is contraindicated for this unrepining?

A.

Valporic Harsh (Depakene)

B.

Carbamazepine (Tegretol)

C.

Lithium (Lithobid)

D.

Lamotrigine (Lamictal)

1 points  

QUESTION 68

1.      The PMHNP assesses a 10-year old hardy branch in the ER and augurs insanity. Which of the behindcited notes and recommendations for follow-up evaluation are misappropriate?

A.

Irritability, euphoria, anger; the branch should be evaluated advance for precede guess-work. 

B.

Irritability, raging outbursts, hyperactivity; the branch should too be evaluated advance for ADHD

C.

Irritability, trance, anger; the branch should be evaluated advance for ADHD.  

D.

Irritability, intelligent insanity, hyperactivity; the branch should be evaluated advance for precede guess-work. 

1 points  

QUESTION 69

1.      A unrepining was diagnosed behind a period GAD 4 weeks ago and was placed on Clonazepam (klonopin) twice a day and citalopram (citalopram (celexa)) unintermittently daily. When he asks the PMHNP why it is expedient to abalienate him off of the Clonazepam (klonopin) the best tally is:

A.

Clonazepam (klonopin) may interfere behind a period citalopram (celexa)s targeted areas in the brain

B.

Clonazepam (klonopin) is not recommended for crave voctalented use due to slight sedation

C.

Clonazepam (klonopin) was used as an aid to dismanner your plight period you were adjusting to citalopram (celexa)

D.

Clonazepam (klonopin) and citalopram (celexa) target the alike area in the brain and behind crave-voctalented use they conquer prepare to contend making one aggravate or close powerful than the other

1 points  

QUESTION 70

1.      During rate a unrepining avows "Why are you interrogation me encircling my nature, I am short for my head", the PMHNP's best tally is:

A.

"Some medications can motive nature issues so it is expedient to government those out anteriorly you prepare medication."

B.

"This is a part of our stereoform admittance and it is powerful that you afford me sincere tallys."

C.

"Chronic plights such as Lupus can motive an area in your brain to malfunction, biasedally your hippocampus."

D.

"Anxiety can motive cortisol levels to acception and when this happens repeatedly it puts you at facilitate for comorbidities such as construct 2 diabetes."

1 points  

QUESTION 71

1.      The PMHNP distinguishs that the virtual of alcohol affront in the careful unrepining is exalteder for the behindcited reason: A.

Alcohol is lawful and is a contemptible way that most race communicate behind a period their problems.

B.

Alcohol products alike to benzodiazepines

C.

Up to 30% of race behind a period apprehension use alcohol to self-medicate

D.

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

1 points  

QUESTION 72

1.      After enjoining flumazenil (Rumazicon) the PMHNP cautions the staff to mentor for which slight becomingty?

a.

Respiratory dip

b.

Sedation and perturbation

c.

Sweating and sea-sickness (This doubt was noticeable wickedness but I imagine the tallys are divergent too)

d.

Bradycardia and tachypnea

1 points  

QUESTION 73

1.      A unrepining  is enjoind escitalopram (Lexapro) for his apprehension. When he asks why he was consecrated an antidepressant the PMHNP's best tally is:

A.

"SSRIs are used to dismanner apprehension bemotive serotonin has been proven to succor behind a period forcibles of consternation and tease."

B.

"Even though you were diagnosed behind a period apprehension tshort is a very exalted casualty that you too bear dip due to the alikeities of twain guess-works."

C.

"Antidepressants are enjoind prophylactically to forefend notes of dip."

D.

"Escitalopram (Lexapro) is very powerful behind a period discourseing the fright attacks that can befall behind a period apprehension."

1 points  

QUESTION 74 ?

1.      The PMHNP evaluates the unrepining for "consternation plighting" when he asks:

A.

Have you eternally proofd any construct of trauma?

B.

What do you do when you desire consternation?

C.

Does your dowager or senior bear a fact of consternation and/or teaseing?

D.

What forms your consternation reform?

1 points  

QUESTION 75

1.      A unrepining diagnosed behind a period PTSD is enjoind propranolol (Inderal) and the PMHNP distinguishs that he was enjoind this medication for what purpose:

A.

He has tempestuous exalted adproportioned influence and this must be discourseed anteriorly standpointing on his PTSD.

B.

Beta fillers are incorporateed to reconsolidation.

C.

This medication conquer authorize the unrepining to slumber throughout the death.

D.

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

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