NURS 6630 / NURS6630N WEEK 11 FINAL EXAM. QUESTIONS AND ANSWERS. GRADED A.

ï‚· Question 1

1 out of 1 points

Why does the PMHNP avoid prescribing clozapine (Clozaril) as a first-line treatment to the 

patient with psychosis and aggression?

Selected 

Answer:

A.

There is too high a risk of serious adverse 

side effects.

ï‚· Question 2

1 out of 1 points

A 75-year-old male patient diagnosed with Alzheimer’s disease presents with agitation and 

aggressive behavior. The PMHNP determines which of the following to be the best 

treatment option?

Selected 

Answer:

D.

Citalopram (Celexa) or Escitalopram 

(Lexapro)

ï‚· Question 3

1 out of 1 points

A group of nursing students seeks further clarification from the PMHNP on how 

cholinesterase inhibitors are beneficial for Alzheimer’s disease patients. What is the 

appropriate response?

Selected Answer: D.

Both 

“A” & 

“C.”

A. Acetylcholine (ACh) destruction is inhibited by blocking the enzyme 

acetylcholinesterase. B. Effectiveness of these agents occurs in all stages of 

Alzheimer’s disease. C. By increasing acetylcholine, the decline in some patients may 

be less rapid.

ï‚· Question 4

1 out of 1 points

The PMHNP understands that slow-dose extended release stimulants are most appropriate 

for which patient with ADHD?

Selected 

Answer:

A.

8-year-old 

patient

ï‚· Question 5

1 out of 1 points

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?

Selected 

Answer:

A.

Methylphenidate (Ritalin, 

Concerta)

ï‚· Question 6

1 out of 1 points

A patient with fibromyalgia and major depression needs to be treated for symptoms of 

pain. Which is the PMHNP most likely to prescribe for this patient?

Selected 

Answer:

Duloxetine 

(Cymbalta)

ï‚· Question 7

1 out of 1 points

Mrs. Kenner is concerned that her teenage daughter spends too much time on the Internet. 

She inquires about possible treatments for her daughter’s addiction. Which response by 

the PMHNP demonstrates understanding of pharmacologic approaches for compulsive 

disorders?

Selected 

Answer:

D.

“There are no evidence-based treatments for Internet addiction, but there 

are behavioral therapies your daughter can try.”

ï‚· Question 8

1 out of 1 points

An adult patient presents with a history of alcohol addiction and attention deficit 

hyperactivity disorder (ADHD). Given these comorbidities, the PMHNP determines which of 

the following medications may be thebest treatment option?

Selected 

Answer:

C.

Atomoxetine 

(Strattera)

ï‚· Question 9

1 out of 1 points

Which of the following is a true statement regarding the use of stimulants to treat 

attention deficit hyperactivity disorder (ADHD)?

Selected 

Answer:

B.

Signal strength output is increased by dialing up the release of dopamine

(DA) and norepinephrine (NE).

ï‚· Question 10

1 out of 1 points

A 71-year-old male patient comes to an appointment with his 65-year-old wife. They are 

both having concerns related to her memory and ability to recognize faces. The PMNHP is 

considering prescribing memantine (Namenda) based on the following symptoms:

Selected 

Answer:

C.

Amnesia, apraxia, 

agnosia

ï‚· Question 11

1 out of 1 points

The PMHNP is meeting with the parents of an 8-year-old patient who is receiving an initial 

prescription for D-amphetamine. The PMHNP demonstrates appropriate prescribing 

practices when she prescribes the followingdose:

Selected 

Answer:

A.

The child will be prescribed

2.5 mg.

ï‚· Question 12

1 out of 1 points

The PMHNP is assessing a patient who presents with elevated levels of brain amyloid as 

noted by positron emission tomography (PET). What other factors will the PMHNP consider 

before prescribing medication for this patient, and what medication would the PMHNP want 

to avoid given these other factors?

Selected Answer: D.

Both “A” 

& “B”

A. ApoE4 genotype and avoid antihistamines if possible B. Type 2 diabetes and 

avoid olanzapine C. Anxiety and avoid methylphenidate

ï‚· Question 13

0 out of 1 points 

The PMHNP is attempting to treat a patient’s chronic insomnia and wishes to start with an 

initial prescription that has a half-life of approximately 1–2 hours. What is the most 

appropriate prescription for the PMHNP tomake?

Selected 

Answer:

B.

Quazepam (Doral)

A. Triazolam 

(Halcion)correct