NURS 6630 FINAL EXAM / Nurs 6630 Final Exam Walden University

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Course
NURS-6630C-7/NURS-6630N-7-Approaches to Treatment2019 Winter
Qtr 11/25-02/16-PT27
Test
Week 11 Final Exam
Started
2/9/20 10:02 AM
Submitted
2/9/20 11:48 AM
Due Date
2/10/20 1:59 AM
Status
Completed
Attempt Score 62 out of 75 points
Time Elapsed 1 hour, 45 minutes out of 2 hours
Results
Submitted Answers
Displayed
 Question 1
1 out of 1 points
The parents of a 10 year old girl diagnosed with ADHD ask if the PMHNP can prescribe something to help
their daughter’s ADHD that is not a stimulant. Which of the following responses is correct?
Selected
c.
Answer:
"I can prescribe atomoxetine for your daughter. This medication help ADHD symptoms
and is not considered a stimulant."
 Question 2
1 out of 1 points
A patient with chronic insomnia asks the PMHNP if they can first try an over-the-counter (OTC) medication
before one that needs to be prescribed to help the patient sleep. Which is the best response by the PMHNP?
Selected Answer: d.
“You can get melatonin over the counter, which will help with sleep onset.”
 Question 3
0 out of 1 points
Methylphenidate, amphetamine, and cocaine are alike because all three _____________________.
Selected Answer: c.
act as depressants.
 Question 4
0 out of 1 points
An elderly woman with a history of Alzheimer’s disease, coronary artery disease, and myocardial infarction
had a fall at home 3 months ago that resulted in her receiving an open reduction internal fixation. While
assessing this patient, the PMHNP is made aware that the patient continues to experience mild to moderate
pain. What is the PMHNP most likely to do?
Selected Answer: b.
Order an X-ray because it is possible that she dislocated her hip.
 Question 5
1 out of 1 points
The PMHNP is caring for a patient who openly admitted to drinking a quart of vodka daily. Prior to
prescribing this patient disulfiram (Antabuse), it is important for the PMHNP to:
Selected Answer: c.
Evaluate the patient’s willingness to abstain from alcohol
 Question 6
0 out of 1 points
Insomnia is caused by excessive nighttime arousal. The PMHNP is likely to prescribe which of the following
to treat insomnia?
Selected Answer: d.
A negative allosteric modulator of GABA-A receptors
 Question 7
1 out of 1 points
The nursing staff asks the PMHNP for additional education regarding the treatment of agitation in dementia
patients. Which of the following is correct?
Selected
b.
Answer:
The nurse should attempt to determine how the patient's environment may be
impacting the patient's mood.
 Question 8
1 out of 1 points
The PMHNP is evaluating a 30-year-old female patient who states that she notices pain and a drastic change
in mood before the start of her menstrual cycle. The patient states that she has tried diet and lifestyle
changes but nothing has worked. What will the PMHNP most likely do?
Selected Answer: d.
Prescribe desvenlafaxine (Pristiq), 50 mg daily
 Question 9
1 out of 1 points
The PMHNP is caring for a patient who reports excessive arousal at nighttime. What could the PMHNP use
for a time-limited duration to shift the patient’s brain from a hyperactive state to a sleep state?
Selected Answer: b.
Benzodiazepines
 Question 10
1 out of 1 points
Which of these characteristics does NOT meet the criteria for probably Alzheimer's dementia?
Selected Answer: b.
Sudden onset
 Question 11
0 out of 1 points
A patient with a new diagnosis of diabetic peripheral neuropathy is switched from sertraline (ZOLOFT) to
duloxetine (CYMBALTA). The patient asks why they are switching treatment. What is the best response?
Selected
c.
Answer:
Sertraline increases norepinephrine and serotonin. You need a medication that only
increases serotonin.
 Question 12
1 out of 1 points
Daniel is a 33 year old patient with ADHD and multiple comorbidities: mood disorder, alcohol abuse, ADHD,
and nicotine dependence. Which comorbidity should be treated first?
Selected Answer: c.
Alcohol abuse disorder
 Question 13
1 out of 1 points
Parents of a 12-year-old boy want to consider attention deficit hyperactivity disorder (ADHD) medication
for their son. Which medication would the PMHNP start?
Selected Answer: a.
All of these could potentially treat their son’s symptoms.
 Question 14
0 out of 1 points
Which of the following is considered as a disruptive/impulse control behavior?
Selected Answer: a.
Skin picking
 Question 15
1 out of 1 points
The PMHNP is performing a quality assurance peer review of the chart of another PMHNP. Upon review, the
PMHNP reviews the chart of an older adult patient in long-term care facility who has chronic insomnia. The
chart indicates that the patient has been receiving hypnotics on a nightly basis. What does the PMHNP find
problematic about this documentation?
Selected Answer: a.
Hypnotics have prolonged half-lives that can cause drug accumulation in the elderly.
 Question 16
1 out of 1 points
The PMHNP understands that slow-dose extended release stimulants are most appropriate for which
patient with ADHD?
Selected Answer: d.
8-year-old patient
 Question 17
1 out of 1 points
Mr. Peterson is meeting with the PMHNP to discuss healthier dietary habits. With a BMI of 33, Mr. Peterson
is obese and needs to modify his food intake. “Sometimes I think I’m addicted to food the way some people
are addicted to drugs,” he says. Which statement best describes the neurobiological parallels between food
and drug addiction?
Selected Answer: c.

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Specifications

Level: University
School: Chamberlain College Of Nursing
Course: Health Assessment
Subject: NURSING
Subject code: NURSING
Date of exam: 2020
Year of study: 2020-2021
Document
Section: Examinations
Made on: 23-02-2021
Updated on: 23-02-2021
Type: .pdf
Pages: 13
Language: English

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