NURS 6630 FINAL EXAM

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NURS 6630 FINAL EXAM

ACTUAL EXAM WITH CORRECT SOLUTIONS.

What is the strongest established risk factor for bipolar disorder? - correct answer- Family history

which of the following medications are known as selective serotonin re-uptake inibitors (SSRIs)? - correct answer- Nortriptyline Citalopram Duloxetine fluoxetine venlafaxine

Which disease state o a non-adherent patient is at greater risk for substance use violence, and victimization as well as worse overall quality of life? - correct answer- Schizophrenia

Patient is a 72 year old male with a past medical history significant for the atrial fibrillation and COPD with a new diagnosis of major depression disorder. Based on his comorbid conditions, what antidepressant would you recommend as first- line? - correct answer- not TCA due to fib and age, not ADHD med 1 / 4

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which of the following is an appropriate strategy for managing treatment resistant depression - correct answer- SSRI and SNRI

which of the following medications is best to AVOID in maintenance treatment of bipolar disorder and why - correct answer- antidepressants might contribute to an increase in mood episode freq1uency

An 8-year-old patient presents with severe hyperactivity, described as "ants in his pants." Based on self-report from the patient, his parents, and his teacher; attention deficit hyperactivity disorder (ADHD) is suspected. What medication is

the PMNHP most likely to prescribe? - correct answer- ANS: b.

Methylphenidate (Ritalin, Concerta)

Kevin is an adolescent who has been diagnosed with kleptomania. His parents are interested in seeking pharmacological treatment. What does the PMHNP tell the parents regarding his treatment options? - correct answer-

ANS: d.

"Naltrexone may be an appropriate option to discuss."

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Which of the following substances has the highest probability of

becoming dependent after a single use? - correct answer- ANS:

c.Nicotine

The nursing staff asks the PMHNP for additional education regarding the treatment of agitation in dementia patients. Which

of the following is correct? - correct answer- ANS: c.

The nurse should attempt to determine how the patient's environment may be impacting the patient's mood.

A patient on chronic opioids is currently on oxycodone ER (OxyContin). The PMHNP is consulted to treat underlying depression. Under which circumstance should the PMHNP

order naloxone (NARCAN)? - correct answer- ANS: c.

The patient is somnolent and has 7 respirations per minute.

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? - correct answer- ANS: a.

"You can get melatonin over the counter, which will help with sleep onset."

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The PMHNP is caring for a patient who experiences too much overstimulation and anxiety during daytime hours. The patient agrees to a pharmacological treatment but states, "I don't want to feel sedated or drowsy from the medicine." Which decision made by the PMHNP demonstrates proper knowledge of this patient's symptoms and appropriate treatment options? -

correct answer- ANS: b.

Avoiding prescribing the patient a drug that blocks H1 receptors

Which of these statements is correct? - correct answer- ANS: d.

Sedation is unusual with aripiprazole (ABILIFY)

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: -

correct answer- ANS: d.

Evaluate the patient's willingness to abstain from alcohol

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? - correct answer-

ANS: d.

There is decreased activation of the prefrontal cortex.

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