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NURS 6630 FINAL EXAM 2024/2025 LATEST QUESTIONS INCLUDED
Typology: Exams
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NURS 6630 FINAL EXAM Question 1 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: c. Citalopram (Celexa) or Escitalopram (Lexapro) Question 2 0 out of 1 points All drugs that lead to addiction increase __________________in the ventral striatum, which is also called the _______________. Selected Answer: d. Dopamine / substantia nigra Question 3 1 out of 1 points The PMHNP is attempting to treat a patient’s chronic pain by having the agent bind the open channel conformation of VSCCs to block those channels with a “use-dependent” form of inhibition. Which agent will the PMHNP most likely select? Selected Answer: b. Pregabalin (Lyrica) Question 4 1 out of 1 points
A patient addicted to heroin is receiving treatment for detoxification. He begins to experience autonomic hyperactivity during the drug withdrawal period. What medication will the PMHNP prescribe for this patient? Selected Answer: c. Clonidine (CATAPRES) Question 5 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 c. Answer: “You can get melatonin over the counter, which will help with sleep onset.” Question 6 0 out of 1 points Antipsychotics are doses at a level that blocks ________% of D2 receptors. Selected Answer: c. 20- Question 7 1 out of 1 points A 26-year-old female patient with nicotine dependence and a history of anxiety presents with symptoms of attention deficit hyperactivity disorder (ADHD). Based on the assessment, what does the PMHNP consider? Selected a. Answer: ADHD is often not the focus of treatment in adults with comorbid conditions. Question 8 0 out of 1 points Sandra complains of constipation after being on quetiapine (SEROQUEL) for several weeks. Constipation is likely caused by the binding of quetiapine (SEROQUEL) to which receptor?
Selected Answer: d. 5HT2A Question 9 1 out of 1 points Karen completes the Epworth sleepiness scale and scores abnormally high. She is diagnosed with narcolepsy. The PMHNP prescribes a wake-promoting agent that is a weak dopamine transporter antagonist. Which medication did the PMHNP prescribe? Selected Answer: a. Modafanil (PROVIGIL) Question 10 1 out of 1 points The PMHNP wants to prescribe Mr. Barber a mood stabilizer that will target aggressive and impulsive symptoms by decreasing dopaminergic neurotransmission. Which mood stabilizer will the PMHNP select? Selected Answer: d. Lithium (Lithane) Question 11 1 out of 1 points Which patient will receive a lower dose of guanfacine? Selected Answer: d. Patient with kidney disease Question 12 1 out of 1 points Neal is complaining of restless leg syndrome and insomnia. Which first-line medication should the PMHNP prescribe to treat both? Selected Answer: a. Ripinirole (REQUIP)
Question 13 0 out of 1 points The PMHNP prescribes pregabalin (LYRICA) for a patient with chronic pain. How does pregabalin work to reduce pain? Selected d. Answer: It will increase excitatory neurotransmission by allowing calium influx across the voltate-sensitive calcium channels. Question 14 1 out of 1 points 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)? Selected Answer: b. The patient is somnolent and has 7 respirations per minute. Question 15 1 out of 1 points An opioid-naive patient is taking MS Contin (morphine sulfate) to treat his pain that is secondary to cancer. Under what circumstances would the PMHNP order naloxone (Narcan) IM/SQ? Selected d. Answer: The patient’s vital signs are 98.4F temp, 88 pulse, 104/62 blood pressure, and 8 respirations. Question 16 1 out of 1 points Which statement best describes a pharmacological approach to treating patients for impulsive aggression? Selected Answer: a. Opioid antagonists can be used to reduce drive. Question 17
1 out of 1 points Alcohol enhances inhibition at ____________ synapses and reduces excitation at ______________ synapses. Selected Answer: d. GABA / Glutamate Question 18 1 out of 1 points A patient with gambling disorder and no other psychiatric comorbidities is being treated with pharmacological agents. Which drug is the PMHNP most likely to prescribe? Selected Answer: b. Naltrexone Question 19 1 out of 1 points Harold complains of pain associated with his irritable bowel syndrome with constipation. The PMHNP decides to prescribe a medication that prevents pain signals from reaching the brain. Which agent does the PMHNP prescribe? Selected Answer: c. Duloxetine (CYMBALTA) Question 20 1 out of 1 points The PMHNP understands that bupropion (Wellbutrin) is an effective way to assist patients with smoking cessation. Why is this medication effective for these patients? Selected b. Answer: Bupropion (Wellbutrin) blocks dopamine reuptake, enabling more availability of dopamine. Question 21 1 out of 1 points
A patient with irritable bowel syndrome reports chronic stomach pain. The PMHNP wants to prescribe the patient an agent that will cause irrelevant nociceptive inputs from the pain to be ignored and no longer perceived as painful. Which drug will the PMHNP prescribe? Selected Answer: c. Duloxetine (Cymbalta) Question 22 1 out of 1 points Naltrexone (Revia), an opioid antagonist, is a medication that is used for which of the following conditions? Selected Answer: c. Alcoholism Question 23 1 out of 1 points A patient with chronic back pain has been prescribed a serotonin-norepinephrine reuptake inhibitor (SNRI). How does the PMHNP describe the action of SNRIs on the inhibition of pain to the patient? Selected a. Answer: “The SNRI can increase noradrenergic neurotransmission in the descending spinal pathway to the dorsal horn.” Question 24 1 out of 1 points Methylphenidate, amphetamine, and cocaine are alike because all three _____________________. Selected Answer: d. inhibit the dopamine transporter. Question 25 0 out of 1 points
An interneuron is a neuron that has its cell body, dendrites, and axon within the spinal cord. The neuron can be considered excitatory if it contains ____________ or inhibitory if it contains ____________. Selected Answer: b. Dopamine / Seratonin Question 26 1 out of 1 points Which of these characteristics does NOT meet the criteria for probably Alzheimer's dementia? Selected Answer: d. Sudden onset Question 27 1 out of 1 points An 80-year-old female patient diagnosed with Stage II Alzheimer’s has a history of irritable bowel syndrome. Which cholinergic drug may be the best choice for treatment given the patient’s gastrointestinal problems? Selected Answer: a. Donepezil (Aricept) Question 28 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 following dose: Selected Answer: a. The child will be prescribed 2.5 mg. Question 29 1 out of 1 points
The PMHNP is assessing a patient who has expressed suicidal intent and is now stating that he is hearing voices and sees people chasing him. The PMHNP identifies these symptoms to be associated with which of the following? Selected Answer: b. “Bath salt” intoxication Question 30 1 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 to make? Selected Answer: d. Triazolam (Halcion) Question 31 1 out of 1 points The PMHNP is treating a patient for fibromyalgia and is considering prescribing milnacipran (Savella). When prescribing this medication, which action is the PMHNP likely to choose? Selected Answer: c. Split the daily dose into two doses after the first day. Question 32 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: b. There is decreased activation of the prefrontal cortex. Question 33 1 out of 1 points
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? Selected Answer: a. Avoiding prescribing the patient a drug that blocks H1 receptors Question 34 1 out of 1 points The PMHNP is teaching a patient with a sleep disorder about taking diphenhydramine (Benadryl). The patient is concerned about the side effects of the drug. What can the PMHNP teach the patient about this treatment approach? Selected Answer: d. “It can cause blurred vision.” Question 35 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 a. Answer: ApoE4 genotype and avoid antihistamines if possible and Type 2 diabetes and avoid olanzapine Question 36 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 a. Answer:
“There are no evidence-based treatments for Internet addiction, but there are behavioral therapies your daughter can try.” Question 37 1 out of 1 points The PMHNP is caring for a patient with chronic insomnia who would benefit from taking hypnotics. The PMHNP wants to prescribe the patient a drug with an ultra-short half-life (1– 3 hours). Which drug will the PMHNP prescribe? Selected Answer: c. Triazolam (Halcion) Question 38 1 out of 1 points The PMHNP wants to use a symptom-based approach to treating a patient with fibromyalgia. How does the PMHNP go about treating this patient? Selected d. Answer: Matching the patient’s symptoms with the malfunctioning brain circuits and neurotransmitters that might mediate those symptoms. Question 39 1 out of 1 points 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? Selected Answer: c. “Naltrexone may be an appropriate option to discuss.” Question 40 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: c. There is too high a risk of serious adverse side effects. Question 41 1 out of 1 points A 43-year-old male patient is seeking clarification about treating attention deficit hyperactivity disorder (ADHD) in adults and how it differs from treating children, since his son is on medication to treat ADHD. The PMHNP conveys a major difference is which of the following? Selected a. Answer: Comorbidities are more common in adults, impacting the prescription of additional agents. Question 42 0 out of 1 points The PMHNP is assessing a patient who will be receiving phentermine + topiramate combination (QSYMIA). QSYMIA would be contraindicated in which patient? Selected Answer: b. A 45-year-old male with Type II diabetes Question 43 1 out of 1 points An 18-year-old female with a history of frequent headaches and a mood disorder is prescribed topiramate (Topamax), 25 mg by mouth daily. The PMHNP understands that this medication is effective in treating which condition(s) in this patient? Selected Answer: d. Migraines Question 44 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 45 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) Question 46 0 out of 1 points Jordan is diagnosed with obsessive compulsive disorder. He has been trialed on several different SSRIs and is currently on high dose sertraline. He reports an inability to carry out responsibilities because of an obsession with handwashing. Which is the best treatment option for Jordan? Selected Answer: a. Decrease his sertraline Question 47 1 out of 1 points A nursing students asks the PMHNP the difference between impulsivity and compulsivity. Which of the following responses is correct? Selected b. Answer: Impulsivity is defined as acting without forethought and compulsivity is defined as actions that are inappropriate to the situation but persist. Question 48 1 out of 1 points
A patient diagnosed with obsessive compulsive disorder has been taking a high-dose SSRI and is participating in therapy twice a week. He reports an inability to carry out responsibilities due to consistent interferences of his obsessions and compulsions. The PMHNP knows that the next step would be which of the following? Selected Answer: a. Decrease his SSRI and add buspirone (Buspar). Question 49 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: a. Alcohol abuse disorder Question 50 1 out of 1 points The PMHNP prescribes gabapentin (Neurontin) for a patient’s chronic pain. How does the PMHNP anticipate the drug to work? Selected d. Answer: It will bind to the alpha-2-delta ligand subunit of voltage-sensitive calcium channels. Question 51 0 out of 1 points A patient presents with psychotic aggression. Which treatment option is best for a patient presenting with psychotic aggression due to impaired top-down cortical control and excessive drive from striatal hyperactivity? Selected Answer: b. Antipsychotics Question 52 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 a. Answer: "I can prescribe atomoxetine for your daughter. This medication help ADHD symptoms and is not considered a stimulant." Question 53 0 out of 1 points Which medication below inhibits serotonin and norepinephrine reuptake and is an antagonist of histamine 1, muscarinic 1, and alpha-1 adrenergic receptors at high doses, but only retains activity for histamine 1 receptors at very low doses? Selected Answer: b. Trazodone (DESYREL) Question 54 1 out of 1 points The PMHNP is assessing a 49-year-old male with a history of depression, post-traumatic stress disorder (PTSD), alcoholism with malnutrition, diabetes mellitus type 2, and hypertension. His physical assessment is unremarkable with the exception of peripheral edema bilaterally to his lower extremities and a chief complaint of pain with numbness and tingling to each leg 5/10. The PMHNP starts this patient on a low dose of doxepin (Sinequan). What is the next action that must be taken by the PMHNP? Selected Answer: b. Order liver function tests. Question 55 1 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 d. Answer: Sertraline only increases serotonin levels. You need a medication that increases both serotonin and norepinephrine.
Question 56 1 out of 1 points A patient calls the clinic to ask about an over-the-counter sleep aid. What is the best response? Selected Answer: b. "Certain first-generation antihistamines may be used to help you sleep." Question 57 0 out of 1 points Sharon is a 56-year-old female that presents to the clinic with pain after suffering a back injury several years ago. The patient states she feels a tingling sensation in her legs. What type of pain is Sharon likely experiencing? Selected Answer: a. Fibromyalgia Question 58 1 out of 1 points The PMHNP understands that slow-dose extended release stimulants are most appropriate for which patient with ADHD? Selected Answer: b. 8-year-old patient Question 59 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 c. Answer: Hypnotics have prolonged half-lives that can cause drug accumulation in the elderly.
Question 60 1 out of 1 points Brandon is a non-compliant patient that presents to the clinic asking for help with his alcohol dependence. The PMHNP evaluates the patient and determines a long-acting injection that blocks the mu-receptors would be the best treatment option for Brandon. Which medication should the PMHNP prescribe? Selected Answer: b. Naltrexone (VIVITROL) Question 61 0 out of 1 points The PMHNP is selecting a medication treatment option for a patient who is exhibiting psychotic behaviors with poor impulse control and aggression. Of the available treatments, which can help temper some of the adverse effects or symptoms that are normally caused by D2 antagonism? Selected Answer: a. Second-generation, conventional antipsychotics Question 62 1 out of 1 points Jacob is a 7-year-old pediatric patient who has significant oppositional symptoms associated with his ADHD diagnosis. What is the best treatment for this patient? Selected Answer: a. Prescribe methylphenidate and augment with guanfacine. Question 63 1 out of 1 points A 9-year-old female patient presents with symptoms of both attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder. In evaluating her symptoms, the PMHNP determines that which of the following medications may be beneficial in augmenting stimulant medication? Selected Answer: a. Guanfacine ER (Intuniv)
Question 64 1 out of 1 points Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What does the PMHNP prescribe for Mrs. Rosen to improve this condition? Selected Answer: a. All of these are correct Question 65 1 out of 1 points Antihistamines may cause side effects such as blurred vision, constipation, memory problems, and dry mouth. This is due to the _______________ effects of antihistamines. Selected Answer: c. Anticholinergic Question 66 1 out of 1 points Which medication is an irreversible inhibitor of aldehyde dehydrogenase that creates a negative and aversive response following ingestion of alcohol? Selected Answer: b. Disulfiram (ANTABUSE) Question 67 1 out of 1 points The PMHNP prescribes an obese patient phentermine (Adipex-p)/topiramate ER (Topamax) (Qsymia), Why is topiramate (Topamax) often prescribed with phentermine (Adipex-P)? Selected c. Answer: Phentermine (Adipex-P) works by suppressing appetite while topiramate (Topamax) acts by inhibiting appetite. Question 68
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 Question 69 1 out of 1 points The PMHNP prescribed a patient lamotrigine (Lamictal), 25 mg by mouth daily, for nerve pain 6 months ago. The patient suddenly presents to the office with the complaint that the medication is no longer working and complains of increased pain. What action will the PMHNP most likely take? Selected Answer: c. Increase the dose of lamotrigine (Lamictal) to 25 mg twice daily. Question 70 1 out of 1 points You have been consulted to evaluate a patient who presents with symptoms of dementia. The patient is experiencing memory deficit, aphasia, apraxia, and agnosia. Which treatment option is best for this patient? Selected Answer: b. Donepezil (ARICEPT) Question 71 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: c. Duloxetine (Cymbalta) Question 72
0 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 d. Answer: Acetylcholine (ACh) destruction is inhibited by blocking the enzyme acetylcholinesterase. Question 73 1 out of 1 points What will the PMHNP most likely prescribe to a patient with psychotic aggression who needs to manage the top- down cortical control and the excessive drive from striatal hyperactivity? Selected Answer: a. Antipsychotics Question 74 1 out of 1 points A patient addicted to heroin is receiving treatment for detoxification. He begins to experience tachycardia, tremors, and diaphoresis. What medication will the PMHNP prescribe for this patient? Selected Answer: b. Clonidine (Catapres) Question 75 1 out of 1 points Individuals who suffer from an addiction often increase the dose of medication to achieve the desired effect. The need to increase the dose to reach the safe effect is due to __________________. Selected Answer: b. tolerance Question 76 0 out of 0 points
When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answer: Yes Friday, May 1, 2020 4:33:43 AM EDT Review Test Submission: Week 11 Final Exam User Course NURS-6630C-8/NURS-6630N-8-Approaches to Treatment2020 Spring Qtr 02/24-05/17-PT27 Test Week 11 Final Exam Started 5/6/20 5:30 AM Submitted 5/6/20 7:30 AM Due Date 5/11/20 1:59 AM Status Completed Attempt 74 out of 75 points Score Time Elapsed 2 hours, 0 minute out of 2 hours Results Submitted Answers Displayed
1 out of 1 points Brandon is a non-compliant patient that presents to the clinic asking for help with his alcohol dependence. The PMHNP evaluates the patient and determines a long-acting injection that blocks the mu-receptors would be the best treatment option for Brandon. Which medication should the PMHNP prescribe? Selected c. Answer: Naltrexone (VIVITROL)
1 out of 1 points Sandra complains of constipation after being on quetiapine (SEROQUEL) for several weeks. Constipation is likely caused by the binding of quetiapine (SEROQUEL) to which receptor? Selected b. Answer: D 1
1 out of 1 points Even though both of these medications are useful in the treatment of ADHD, their actions are different. Atomoxetine is a selective ______________________ reuptake inhibitor, while bupropion is a selective __________________ reuptake inhibitor. Selected d. Answer: Norepinephrine / norepinephrinedopamine
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 the best treatment option? Selected d. Answer: Atomoxetine (Strattera)
1 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 to make? Selected b. Answer: Triazolam (Halcion)
1 out of 1 points A patient with chronic insomnia and depression is taking trazodone (Oleptro) but complains of feeling drowsy during the day. What can the PMHNP do to reduce the drug’s daytime sedating effects?
Selected d. Answer: Give the medicine at night and lower the dose
1 out of 1 points A young patient is prescribed Vyvanse. During the follow-up appointment, which comment made by the patient makes the PMHNP think that the dosing is being done incorrectly? Selected b. Answer: “I am unable to fall asleep at night.”
1 out of 1 points Alcohol enhances inhibition at ____________ synapses and reduces excitation at ______________ synapses. Selected c. Answer: Dopeminergic / Glugamate
1 out of 1 points A patient’s daughter calls your office with concerns that her mother is having significant gastrointestinal side effects. You review the patient’s chart and realize she is having side effects from donepezil (ARICEPT). What is the mechanism of the gastrointestinal disturbances? Selected b. Answer: Donepezil increases the activity of acetylcholinesterase in the peripheral acetylcholine neurons and the decline in acetylcholine causes increased side effects.
1 out of 1 points Which of the following anticonvulsants increases serotonergic neurotransmission and GABAergic transmission, while decreasing glutamatergic neurotransmission? Selected a. Answer: Topiramate (TOPAMAX)
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 c. Answer: Citalopram (Celexa) or Escitalopram (Lexapro)
1 out of 1 points An interneuron is a neuron that has its cell body, dendrites, and axon within the spinal cord. The neuron can be considered excitatory if it contains ____________ or inhibitory if it contains ____________. Selected d. Answer: Glutamate / GABA
1 out of 1 points Which patient will receive a lower dose of guanfacine? Selected c. Answer: Patient with kidney disease
1 out of 1 points Mike wants to quit smoking. He has tried nicotine replacement and varenicline without success. He has asked for another medication to help him kick his habit. The PMHNP decides to try a medication that increases dopamine by prescribing a medications that can increase both norepinephrine and dopamine. Which medication did the PMHNP prescribe? Selected d. Answer: Bupropion (ZYBAN)
1 out of 1 points A patient with irritable bowel syndrome reports chronic stomach pain. The PMHNP wants to prescribe the patient an agent that will cause irrelevant nociceptive inputs from the pain to be ignored and no longer perceived as painful. Which drug will the PMHNP prescribe? Selected c. Answer: Duloxetine (Cymbalta)
1 out of 1 points The PMHNP prescribes gabapentin (Neurontin) for a patient’s chronic pain. How does the PMHNP anticipate the drug to work? Selected d. Answer: It will bind to the alpha-2-delta ligand subunit of voltage-sensitive calcium channels.
1 out of 1 points The PMHNP is assessing a patient she has been treating with the diagnosis of chronic pain. During the assessment, the patient states that he has recently been having trouble getting to sleep and staying asleep. Based on this information, what action is the PMHNP most likely to take? Selected a. Answer: Order hydroxyzine (Vistaril), 50 mg PRN or as needed
1 out of 1 points A patient with hypersexual disorder is being assessed for possible pharmacologic treatment. Why does the PMHNP prescribe an antiandrogen for this patient? Selected d. Answer: It will block testosterone.
1 out of 1 points The PMHNP is teaching a patient with a sleep disorder about taking diphenhydramine (Benadryl). The patient is concerned about the side effects of the drug. What can the PMHNP teach the patient about this treatment approach? Selected a. Answer: “It can cause blurred vision.”
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 a.