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


  

NURS6630 Final Exam (2018): Walden University

QUESTION 1 

What allure the PMHNP most mitigated dictate to a unrepining delay psychotic incursion who demands to handle the top-down cortical restrain and the exorbitant importune from striatal hyperactivity? 

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

QUESTION 2 

The PMHNP is chosening a medication subject liberty for a unrepining who is exhibiting psychotic manners delay deficient sudden-thought restrain and incursion. Of the adapted subjects, which can aid soothe some of the obstructive proceeds or symptoms that are normally creatord by D2 animosity? 

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

QUESTION 3 

The PMHNP is argueing dopamine D2 receptor possession and its union delay displeasing manners in unrepinings delay the ward. Why does the PMHNP dictate a exemplar dose of atypical antipsychotics? 

A. The doses are grounded on achieving 100% D2 receptor possession. B. The doses are grounded on achieving a restriction of 80% D2 receptor possession. C. The doses are grounded on achieving 60% D2 receptor possession. D. None of the balancehead. 

QUESTION 4 

Why does the PMHNP forsake prescribing clozapine (Clozaril) as a primary-line subject to the unrepining delay psychosis and incursion? 

A. There is too exalted a imperil of material obstructive margin proceeds. B. It can strain the psychotic symptoms. C. Clozapine (Clozaril) should not be used as exalted-dose monotherapy. D. There is no documentation that clozapine (Clozaril) is conducive for unrepinings who are raging. 

QUESTION 5 

The PMHNP is caring for a unrepining on risperiexecuted (Risperdal). Which renewal made by the PMHNP exhibits befitting circumspection for this unrepining? 

A. Explaining to the unrepining that there are no imperils 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 exalteder dose of vocal risperiexecuted (Risperdal) to close exalted D2 receptor possession 

QUESTION 6 

The PMHNP omissions to dictate Mr. Barber a disposition stabilizer that allure target displeasing and impressible symptoms by decreasing dopaminergic neurotransmission. Which disposition stabilizer allure 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 delay ADHD are watchful encircling the proceeds of incitements on their slip. The parents fancy to set-out pharmacological subject delay a non-stimulant. Which medication allure the PMHNP allure most mitigated dictate? 

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

QUESTION 8

8 The PMHNP comprehends that slow-dose copious free incitements are most alienate 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 

QUESTION 9 

A unrepining is dictated D-methylphenidate, 10-mg copious-free capsules. What should the PMHNP emorganization when argueing the margin proceeds delay the unrepining? 

A. The constituteulation can accept recent renewals when charmed delay foundation. B. Sedation can be a sordid margin pi of the refuse. C. The medication can desire your manage hurry. D. This refuse does not creator any dependency. 

QUESTION 10 

The PMHNP is grafting parents encircling their slip’s new custom for Ritalin. What allure the PMHNP emorganization in the grafting? 

A. The relieve dose should be charmed at lunch. B. There are no imperils for insomnia. C. There is merely one daily dose, to be charmed in the present. D. There allure be continued proceeds into the evening. 

QUESTION 11 

A youthful unrepining is dictated Vyvanse. During the follow-up ordinance, which criticise made by the unrepining habits the PMHNP apprehend that the dosing is meaning executed incorrectly? 

A. “I siege my pill at breakfast.” B. “I am unqualified to drop collected at ignorance.” C. “I affect okay all day desire.” D. “I am not gate my pill at lunch.” 

QUESTION 12 

A 14-year-old unrepining is dictated Strattera and asks when the physic should be charmed. What does the PMHNP comprehend respecting the refuse’s dosing feature? 

A. The unrepining should siege the medication at lunch. B. The unrepining allure accept one or two doses a day. C. The unrepining allure siege a pill total 17 hours. D. The dosing should be executed in the present and at ignorance. 

QUESTION 13 

The PMHNP is convocation delay the parents of an 8-year-old unrepining who is receiving an ordinary custom for D-amphetamine. The PMHNP demonstrates alienate prescribing practices when she dictates the subjoined dose: 

A. The slip allure be dictated 2.5 mg. B. The slip allure be dictated a 10-mg tablet. C. The slip’s dose allure extension by 2.5 mg total other week. D. The slip allure siege 10–40 mg, daily. 

QUESTION 14 

A unrepining is meaning dictated bupropion and is watchful encircling the margin proceeds. What allure the PMHNP judge the unrepining respecting bupropion? 

A. Heaviness frame is not rare. B. Sedation may be sordid. C. It can creator cardiac arrhythmias. D. It may expand jade. 

QUESTION 15 

Which unrepining allure hold a inferior dose of guanfacine? 

A. Unrepining who has congestive life demand B. Unrepining who has cerebrovascular distemper C. Unrepining who is delay-child D. Unrepining delay offspring distemper 

QUESTION 16 

An 18-year-old feminine delay a narrative of numerous headaches and a disposition conjecture is dictated topiramate (Topamax), 25 mg by hole daily. The PMHNP comprehends that this medication is conducive in writeing which propound(s) in this unrepining? 

A. Migraines B. Bipolar conjecture and valley C. Pregnancy-induced valley D. Eminent tail asceticism 

QUESTION 17 

The PMHNP is writeing a unrepining for fibromyalgia and is in-reference-to prescribing milnacipran (Savella). When prescribing this medication, which renewal is the PMHNP mitigated to advance? 

A. Monitor liver discharge total 6 months for a year and then annually thereafter. B. Monitor monthly heaviness. C. Split the daily dose into two doses behind the primary day. D. Monitor for dark manage in the stool. 

QUESTION 18 

The PMHNP is assessing a unrepining she has been writeing delay the singularity of continuous asceticism. During the tribute, the unrepining propounds that he has of-late been having molestation getting to snooze and staying collected. Grounded on this notice, what renewal is the PMHNP most mitigated to siege? 

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

QUESTION 19 

The PMHNP is assessing a feminine unrepining who has been gate lamotrigine (Lamictal) for migraine prophylaxis. Behind discovering that the unrepining has reached the culmination dose of this medication, the PMHNP decides to substitute the unrepining’s medication to zonisamide (Zonegran). In individualization to evaluating this unrepining’s day-to-day activities, what should the PMHNP determine that this unrepining comprehends? 

A. Monthly manage levels must be drawn. B. ECG monitoring must be executed once total 3 months. C. White manage cell reckon must be monitored weekly. D. This medication has unwanted margin proceeds such as sedation, noncommunication of coordination, and torpor. 

QUESTION 20 

A unrepining recovering from shingles gives delay delicacy and sensitivity to the eminent tail. He propounds it is twainersome to put a shirt on most days. This unrepining has end manage renal distemper (ESRD) and is scheduled to accept hemodialysis tomorrow but propounds that he does not perceive how he can lie in a recliner for 3 hours affecting this disagreeable. What allure be the PMHNP’s pre-eminence? 

A. Manage herpes simplex bane (HSV) antiorganization proofing B. Manage a manage urea nitrogen (BUN) and creatinine STAT C. Dictate lidocaine 5% D. Dictate hydromorphone (Dilaudid) 2mg 

QUESTION 21 

The PMHNP dictated a unrepining lamotrigine (Lamictal), 25 mg by hole daily, for firmness asceticism 6 months ago. The unrepining suddenly gives to the service delay the lamentation that the medication is no desireer agoing and complains of extensiond asceticism. What renewal allure the PMHNP most mitigated siege? 

A. Extension the dose of lamotrigine (Lamictal) to 25 mg twice daily. B. Ask if the unrepining has been gate the medication as dictated. C. Manage gabapentin (Neurontin), 100 mg three occasions a day, becreator lamotrigine (Lamictal) is no desireer agoing for this unrepining. D. Manage a full manage reckon (CBC) to assess for an corruption. 

QUESTION 22 

An senile woman delay a narrative of Alzheimer’s distemper, coronary artery distemper, and myocardial infarction had a drop at home 3 months ago that resulted in her receiving an disclosed abatement inner fixation. Suitableness assessing this unrepining, the PMHNP is made sensible that the unrepining continues to proof meek to ordinary asceticism. What is the PMHNP most mitigated to do? 

A. Manage an X-ray becreator it is feasible that she dislocated her hip. B. Manage ibuprofen (Motrin) becreator she may demand desire-term subject and continuous asceticism is not rare. C. Manage naproxen (Naprosyn) becreator she may accept arthritis and continuous asceticism is not rare. D. Manage Morphine and natural therapy. 

QUESTION 23 

The PMHNP is assessing a 49-year-old manly delay a narrative of valley, post-traumatic strain conjecture (PTSD), alcoholism delay malnutrition, diabetes mellitus model 2, and hypertension. His natural tribute is perfectday delay the separation of peripheral edema bilaterally to his inferior extremities and a foremost lamentation of asceticism delay hebetude and tingling to each leg 5/10. The PMHNP set-outs this unrepining on a low dose of doxepin (Sinequan). What is the give renewal that must be charmed by the PMHNP? 

A. Orders liver discharge proofs. B. Educate the unrepining on forsakeing grapefruits when gate this medication. C. Encourage this unrepining to tend fluids to 1500 ml/day until the turgescence subsides. D. Manage a BUN/Creatinine proof. 

QUESTION 24 

The PMHNP is evaluating a 30-year-old feminine unrepining who propounds that she notices asceticism and a perfect substitute in disposition anteriorly the set-out of her menstrual cycle. The unrepining propounds that she has expert regimen and lifestyle substitutes but nocreature has achievemented. What allure the PMHNP most mitigated do? A. Dictate Estrin FE 24 origin restrain B. Dictate ibuprofen (Motrin), 800 mg total 8 hours as demanded for asceticism C. Dictate desvenlafaxine (Pristiq), 50 mg daily D. Dictate risperiexecuted (Risperdal), 2 mg TID 

QUESTION 25 

A unrepining delay continuous tail asceticism has been dictated a serotonin-norepinephrine reupsiege prohibitor (SNRI). How does the PMHNP draw the renewal of SNRIs on the prohibit of asceticism to the unrepining? 

A. “The SNRI can extension noradrenergic neurotransmission in the descending spinal road to the dorsal horn.” B. “The SNRI can refer noradrenergic neurotransmission in the descending spinal road to the dorsal horn.” C. “The SNRI can refer brain atrophy by slowing the white subject damage in the dorsolateral prefrontal cortex.” D. “The SNRI can extension neurotransmission to descending neurons.” 

QUESTION 26 

A unrepining delay fibromyalgia and senior valley demands to be writeed for symptoms of asceticism. Which is the PMHNP most mitigated to dictate for this unrepining? 

Venlafaxine (Effexor) 

Duloxetine (Cymbalta) 

Clozapine (Clozaril) 

Phenytoin (Dilantin) 

QUESTION 27 

The PMHNP dictates gabapentin (Neurontin) for a unrepining’s continuous asceticism. How does the PMHNP apprehend the refuse to achievement? 

A. It allure confine to the alpha-2-delta ligand subunit of voltage-sensitive calcium tools. B. It allure expose synaptic substitutes, including sprouting. C. It allure act on the presynaptic neuron to trigger sodium accession. D. It allure prohibit ghost of dorsal horn neurons to restrain organization input from reaching the brain. 

QUESTION 28 

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

QUESTION 29 

The PMHNP is caring for a unrepining delay fibromyalgia. Which relieve-line subject does the PMHNP chosen that may be conducive for managing this unrepining’s asceticism?

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

QUESTION 30 

The PMHNP is attempting to write a unrepining’s continuous asceticism by having the substitute confine the disclosed tool mixture of VSCCs to stop those tools delay a “use-dependent” constitute of prohibit. Which substitute allure the PMHNP most mitigated chosen? 

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

QUESTION 31 

A unrepining delay peevish bowel syndrome reports continuous stomach asceticism. The PMHNP omissions to dictate the unrepining an substitute that allure creator contraryactive nociceptive inputs from the asceticism to be ignored and no desireer perceived as asceticismful. Which refuse allure the PMHNP dictate? 

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

QUESTION 32 

The PMHNP omissions to use a symptom-grounded vestibule to writeing a unrepining delay fibromyalgia. How does the PMHNP go encircling writeing this unrepining? 

A. Prescribing the unrepining an substitute that ignores the asceticismful symptoms by initiating a rerenewal perceiven as “fibro-fog” B. Targeting the unrepining’s symptoms delay anticonvulsants that prohibit white subject damage in the dorsolateral prefrontal cortex C. Matching the unrepining’s symptoms delay the malfunctioning brain circuits and neurotransmitters that command mediate those symptoms D. None of the balancehead 

QUESTION 33 

The PMHNP is agoing delay the ward to circumspection for a unrepining delay diabetic peripheral neuropathic asceticism. The ward asks the PMHNP why SSRIs are not pleasantly suited in writeing this feature unrepining’s asceticism. What is the best apology by the PMHNP? 

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

QUESTION 34 

A unrepining delay gambling conjecture and no other psychiatric comorbidities is meaning writeed delay pharmacological substitutes. Which refuse is the PMHNP most mitigated to dictate? 

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

QUESTION 35 

Kevin is an young who has been diagnosed delay kleptomania. His parents are ardent in seeking pharmacological subject. What does the PMHNP judge the parents respecting his subject libertys? 

A. “Naltrexone may be an alienate liberty to argue.” B. “There are abundant physic libertys that write kleptomania.” C. “Kevin may demand to be dictated antipsychotics to write this complaint.” D. “Lithium has proven conducive for writeing kleptomania.” 

QUESTION 36 

Which assertion best draws a pharmacological vestibule to writeing unrepinings for impressible incursion? 

A. Anticonvulsant disposition stabilizers can abolish limbic excitability. B. Atypical antipsychotics can extension subcortical dopaminergic stimulation. C. Stimulants can be used to refer frontal prohibit. D. Opioid foes can be used to refer importune. 

QUESTION 37 

A unrepining delay hypersexual conjecture is meaning assessed for feasible pharmacologic subject. Why does the PMHNP dictate an antiandrogen for this unrepining? 

A. It allure hinder affectings of euphoria. B. It allure expand sudden-thought restrain. C. It allure stop proofosterone. D. It allure redirect the unrepining to apprehend encircling other creatures. 

QUESTION 38 

Mrs. Kenner is watchful that her teenage daughter spends too ample occasion on the Internet. She inquires encircling feasible subjects for her daughter’s addiction. Which apology by the PMHNP demonstrates comprehending of pharmacologic vestibulees for compulsive conjectures? 

A. “Compulsive Internet use can be writeed similarly to how we write community delay meaning use conjectures.” B. “Internet addiction is writeed delay refuses that aid stop the tension/arousal propound your daughter proofs.” C. “When it comes to Internet addiction, we fancy to write unrepinings delay pharmaceuticals rather than psychosocial methods.” D. “There are no evidence-grounded subjects for Internet addiction, but there are behavivocal therapies your daughter can try.” 

QUESTION 39 

Mr. Peterson is convocation delay the PMHNP to argue healthier regimenary morality. Delay a BMI of 33, Mr. Peterson is rich and demands to change his foundation intake. “Sometimes I apprehend I’m addicted to foundation the way some community are addicted to refuses,” he says. Which assertion best draws the neurobiological parallels between foundation and refuse addiction? 

A. There is referd activation of the prefrontal cortex. B. There is extensiond apprehension of the reactive remunerate method. C. There is referd activation of regions that manner palatability. D. There are amplified remunerate circuits that activate upon discard. 

QUESTION 40 

The PMHNP is caring for a unrepining who reports exorbitant arousal at ignorancetime. What could the PMHNP use for a occasion-scant term to change the unrepining’s brain from a hyperactive propound to a snooze propound? 

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

QUESTION 41 

The PMHNP is caring for a unrepining who proofs too ample balancestimulation and disquiet during dayoccasion hours. The unrepining agrees to a pharmacological subject but propounds, “I don’t omission to affect sedated or somnolent from the physic.” Which sentence made by the PMHNP demonstrates befitting perceiveledge of this unrepining’s symptoms and alienate subject libertys? 

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 gate physic that unblocks H1 receptors D.None of the balancehead 

QUESTION 42 

The PMHNP is performing a property selfreliance compatriot re-examination of the chart of another PMHNP. Upon re-examination, the PMHNP re-examinations the chart of an older adult unrepining in desire-term circumspection ease who has continuous insomnia. The chart indicates that the unrepining has been receiving hypnotics on a ignorancely account. What does the PMHNP invent problematic encircling this documentation? 

A. Older adult unrepinings are contraindicated to siege hypnotics. B. Hypnotics accept prolonged half-lives that can creator refuse accumulation in the senile. C. Hypnotics accept inadequate half-lives that give themselves inconducive for older adults. D. Hypnotics are not conducive for “symptomatically masking” continuous insomnia in the senile. 

QUESTION 43 

The PMHNP is caring for a unrepining delay continuous insomnia who is worried encircling pharmacological subject becreator the unrepining does not omission to proof belief. Which pharmacological subject vestibule allure the PMHNP mitigated chosen for this unrepining for a scant term, suitableness elaborate and amending the underlying pathology associated delay the insomnia? 

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

QUESTION 44 

The PMHNP is caring for a unrepining delay continuous insomnia who would amiable from gate hypnotics. The PMHNP omissions to dictate the unrepining a refuse delay an ultra-inadequate half-life (1–3 hours). Which refuse allure the PMHNP dictate? 

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

QUESTION 45 

The PMHNP is attempting to write a unrepining’s continuous insomnia and wishes to set-out delay an ordinary custom that has a half-life of approximately 1–2 hours. What is the most alienate custom for the PMHNP to habit? 

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

QUESTION 46 

A unrepining delay continuous insomnia asks the PMHNP if they can primary try an balance-the-contrary (OTC) medication anteriorly one that demands to be dictated to aid the unrepining snooze. Which is the best apology by the PMHNP? 

A. “There are no balance-the-contrary medications that allure aid you snooze.” B. “You can advance from one of the five benzo hypnotics that are current in the United States.” C. “You allure demand to ask the pharmacist for a non-benzodiazepine physic.” D. “You can get melatonin balance the reckoner, which allure aid delay snooze onset.” 

QUESTION 47 

A unrepining delay continuous insomnia and valley is gate trazoexecuted (Oleptro) but complains of affecting somnolent during the day. What can the PMHNP do to refer the refuse’s dayoccasion sedating proceeds? 

A. Dictate the unrepining an antihistamine to back the sedating proceeds B. Increasing the unrepining’s dose and handle it primary creature in the present C. Give the physic at ignorance and inferior the dose D. None of the balancehead 

QUESTION 48 

The PMHNP is grafting a unrepining delay a snooze conjecture encircling gate diphenhydramine (Benadryl). The unrepining is watchful encircling the margin proceeds of the refuse. What can the PMHNP counsel the unrepining encircling this subject vestibule? 

A. “It can creator diarrhea.” B. “It can creator blurred anticipation.” C. “It can creator extensiond salivation.” D. “It can creator heightened percipient proceeds.” 

QUESTION 49 

Parents of a 12-year-old boy omission to attend notice failure hyperghost conjecture (ADHD) medication for their son. Which medication would the PMHNP set-out? 

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

QUESTION 50

An adult unrepining gives delay a narrative of alcohol addiction and notice failure hyperghost conjecture (ADHD). Absorbed these comorbidities, the PMHNP determines which of the subjoined medications may be the best subject liberty? 

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

QUESTION 51 

An 8-year-old unrepining gives delay exact hyperactivity, drawd as “ants in his pants.” Grounded on self-report from the unrepining, his parents, and his counseler; notice failure hyperghost conjecture (ADHD) is reputed. What medication is the PMNHP most mitigated to dictate? 

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

QUESTION 52 

A 9-year-old feminine unrepining gives delay symptoms of twain notice failure hyperghost conjecture (ADHD) and oppositional rebellious conjecture. In evaluating her symptoms, the PMHNP determines that which of the subjoined medications may be wholesome in augmenting incitement medication? 

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

QUESTION 53 

A PMHNP overseer is argueing delay a nursing ward how incitements and noradrenergic substitutes second delay ADHD symptoms. What is the alienate apology? 

A. They twain extension distinguished power output dopamine (DA) and norepinephrine (NE). B. Dopamine (DA) and norepinephrine (NE) are extensiond in the prefrontal cortex. C. Noradrenergic substitutes amend abatements in dopamine (DA) in the remunerate road promotive to extensiond power to detain notice to repetitive or boring tasks and after a whilestand distractions. D. All of the balancehead. 

QUESTION 54 

A 43-year-old manly unrepining is seeking precipitation encircling writeing notice failure hyperghost conjecture (ADHD) in adults and how it differs from writeing slipren, past his son is on medication to write ADHD. The PMHNP takes a senior dissimilarity is which of the subjoined? 

A. Incitement custom is past sordid in adults. B. Comorbid propounds are past sordid in slipren, collisioning the use of incitements in slipren. C. Atomoxetine (Strattera) use is not advised in slipren. D. Comorbidities are past sordid in adults, collisioning the custom of individualizational substitutes. 

QUESTION 55 

A 26-year-old feminine unrepining delay nicotine belief and a narrative of disquiet gives delay symptoms of notice failure hyperghost conjecture (ADHD). Grounded on the tribute, what does the PMHNP attend? 

A. ADHD is frequently not the nucleus of subject in adults delay comorbid propounds. B. ADHD should frequently be writeed primary when comorbid propounds be. C. Nicotine has no reported collision on ADHD symptoms. D. Symptoms are frequently not-difficult to write delay incitements, absorbed the noncommunication of comorbidity delay other propounds. 

QUESTION 56 

Which of the subjoined is a gentleman assertion respecting the use of incitements to write notice failure hyperghost conjecture (ADHD)? 

A. In adults delay twain ADHD and disquiet, writeing the disquiet delay chosenive serotonin reupsiege prohibitors (SSRIs), serotonin-norepinephrine reupsiege prohibitors (SNRIs), or benzodiazepines and the ADHD delay incitements is most conducive in writeing twain propounds. B. Distinguished power output is extensiond by dialing up the free of dopamine (DA) and norepinephrine (NE). C. In propounds where exorbitant DA activation is give, such as psychosis or madness, comorbid ADHD should never be writeed delay incitements. D. Exalted dose and pulsatile delivery of incitements that are inadequate acting are fancyred to write ADHD. 

QUESTION 57 

The PMHNP is providing a achievementshop for pediatric nurses, and a topic is posed encircling noradrenergic substitutes to write ADHD. Which of the subjoined noradrenergic substitutes accept norepinephrine reupsiege prohibitor (NRI) befittingties that can write ADHD? 

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

QUESTION 58 

A 71-year-old manly unrepining comes to an ordinance delay his 65-year-old helpmeet. They are twain having concerns connected to her retention and power to concede faces. The PMNHP is in-reference-to prescribing memantine (Namenda) grounded on the subjoined symptoms: 

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

QUESTION 59 

The PMHNP evaluates a unrepining giveing delay symptoms of dementia. Anteriorly the PMHNP attends subject libertys, the unrepining must be assessed for other feasible creators of dementia. Which of the subjoined acceptances addresses twain feasible other creators of dementia and a probable subject liberty for Dementia? 

A. Feasible other creators: hypothyroidism, Cushing’s syndrome, multiple sclerosis Feasible subject liberty: memantine B. Feasible other creators: hypothyroidism, adrenal lack, hyperparathyroidism Feasible subject liberty: executedpezil C. Feasible other creators: hypothyroidism, adrenal lack, niacin imperfection Feasible subject liberty: risperiexecuted D. Feasible other creators: hypothyroidism, Cushing’s syndrome, lupus erythematosus Feasible subject liberty: executedpezil 

QUESTION 60 

A class of nursing wards seeks elevate precipitation from the PMHNP on how cholinesterase prohibitors are wholesome for Alzheimer’s distemper unrepinings. What is the alienate apology? 

A. Acetylcholine (ACh) damnation is prohibited by stoping the enzyme acetylcholinesterase. B. Effectiveness of these substitutes occurs in all manages of Alzheimer’s distemper. C. By increasing acetylcholine, the discard in some unrepinings may be close accelerated. D. Twain “A” & “C.” 

QUESTION 61 

The PMHNP is assessing a unrepining who gives delay rising levels of brain amyloid as famed by positron discharge tomography (PET). What other factors allure the PMHNP attend anteriorly prescribing medication for this unrepining, and what medication would the PMHNP omission to forsake absorbed these other factors? 

A. ApoE4 genomodel and forsake antihistamines if feasible B. Model 2 diabetes and forsake olanzapine C. Disquiet and forsake methylphenidate D. Twain “A” & “B” 

QUESTION 62 

A 72-year-old manly unrepining is in the present manages of Alzheimer’s distemper. The PMHNP determines that neat retention is a key attendation in chosening a medication. Which of the subjoined would be an alienate exquisite? 

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

QUESTION 63 

A 63-year-old unrepining gives delay the subjoined symptoms. The PMHNP determines which set of symptoms engage prescribing a medication? Chosen the acceptance that is matched delay an alienate subject. 

A. Base power to recall names is most problematic, and an alienate subject liberty is memantine. B. Impairment in the power to attain and hold new notice is most problematic, and an alienate subject liberty would be executedpezil. C. Base power to invent the amend signal is most problematic, and an alienate subject liberty would be memantine. D. Base power to recall where objects are most problematic, and an alienate subject liberty would be executedpezil. 

QUESTION 64 

A 75-year-old manly unrepining diagnosed delay Alzheimer’s distemper gives delay tumult and displeasing manner. The PMHNP determines which of the subjoined to be the best subject liberty? 

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

QUESTION 65 

The PMHNP has been asked to contribute an in-service grafting to emorganization notice to the use of antipsychotics to write Alzheimer’s. What does the PMHNP take to staff? 

A. The use of antipsychotics may creator extensiond cardiovascular events and dullness. B. A amiable liberty in writeing tumult and psychosis in Alzheimer’s unrepinings is haloperidol (Haldol). C. Antipsychotics are frequently used as “chemical straightjackets” to balance-tranquilize unrepinings. D. Twain “A” & “C.” 

QUESTION 66 

An 80-year-old feminine unrepining diagnosed delay Manage II Alzheimer’s has a narrative of peevish bowel syndrome. Which cholinergic refuse may be the best exquisite for subject absorbed the unrepining’s gastrointestinal problems? 

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

QUESTION 67 

The PMHNP comprehends that bupropion (Wellbutrin) is an conducive way to second unrepinings delay smoking halt. Why is this medication conducive for these unrepinings? 

A. Bupropion (Wellbutrin) frees the dopamine that the unrepining would normally hold through smoking. B. Bupropion (Wellbutrin) seconds unrepinings delay their cravings by changing the way that tobacco tastes. C. Bupropion (Wellbutrin) stops dopamine reuptake, enabling past availpower of dopamine. D. Bupropion (Wellbutrin) achievements on the mesolimbic neurons to extension the availpower of dopamine. 

QUESTION 68 

Naltrexone (Revia), an opioid foe, is a medication that is used for which of the subjoined propounds? 

A. Alcoholism B. Continuous asceticism C. Abuse of inhalants D. Meek to ordinary heroin delaydrawal 

QUESTION 69 

A unrepining addicted to heroin is receiving subject for detoxification. He begins to proof tachycardia, tremors, and diaphoresis. What medication allure the PMHNP dictate for this unrepining? 

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

QUESTION 70 

A unrepining diagnosed delay obsessive compulsive conjecture has been gate a exalted-dose SSRI and is participating in therapy twice a week. He reports an inpower to heave out responsibilities due to consonant interferences of his obsessions and compulsions. The PMHNP perceives that the give tread would be which of the subjoined? 

A. Refer his SSRI and add buspirone (Buspar). B. Refer his SSRI and add an MAOI. C. Refer his SSRI steadily until it can be discontinued then try an antipsychotic to handle his symptoms. D. Tend his SSRI dosage the similar and add a low-dose TCA. 

QUESTION 71 

The PMHNP is assessing a unrepining who allure be receiving phentermine (Adipex-P)/topiramate (Topamax) (Qsymia). Which of the subjoined propounds/diseases allure claim elevate evaluation anteriorly this medication can be dictated? 

A. Offspring distemper manage II B. Obesity C. Cardiovascular distemper D. Diabetes model II 

QUESTION 72 

The PMHNP dictates an rich unrepining phentermine (Adipex-p)/topiramate ER (Topamax) (Qsymia), Why is topiramate (Topamax) frequently dictated delay phentermine (Adipex-P)? 

A. Phentermine (Adipex-P) dose can be extensiond safely when charmed delay an anticonvulsant. B. Phentermine (Adipex-P) achievements by resgrafting propension suitableness topiramate (Topamax) acts by prohibiting propension. C. Topiramate (Topamax) potentiates propension restrainion closed by phentermine (Adipex-P). D. Topiramate (Topamax) aids hinder the unwanted margin proceeds 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 community chasing him. The PMHNP identifies these symptoms to be associated delay which of the subjoined? 

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

QUESTION 74 

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 material for the PMHNP to: 

A. Evaluate the unrepining’s allureingness to cease from alcohol B. Counsel the unrepining on regimenary restrictions C. Obtain liver discharge proofs D. Assess for addiction to opioids 

QUESTION 75 An opioid-naive unrepining is gate MS Contin (morphine sulfate) to write his asceticism that is relieveary to cancer. Under what state would the PMHNP manage naloxone (Narcan) IM/SQ? 

A. The unrepining’s harangue is slurred, and he is in and out of snooze. B. The unrepining’s propension has referd from eating 100% of his maceration to 50% of his maceration. C. The unrepining complains of not having a bowel change-of-place for 4 days. D. The unrepining’s animate signs are 98.4F temp, 88 pulse, 104/62 manage hurry, and 8 respirations. 

QUESTION 76 

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

Yes No

 

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