2019 NURS-6630N Nursing Diagnosis Week 11 Final Exam With Answers (76 Solved Questions)

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UserCynthia Rochelle ArchieCourseNURS-6630NTestWeek 11 Final ExamStarted2/6/19 9:14 AMSubmitted2/6/19 11:08 AMDue Date2/11/19 1:59 AMStatusCompletedAttempt Score 73 out of 75 pointsTime Elapsed1 hour, 54 minutes out of2 hoursResultsDisplayedSubmitted AnswersQuestion 11 out of 1 pointsMrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What does the PMHNPprescribe for Mrs. Rosen to improve this condition?SelectedAnswer:D.All of theaboveQuestion 20 out of 1 pointsAn elderly woman with a history of Alzheimer’s disease, coronary artery disease, andmyocardial infarction had a fall at home 3 months ago that resulted in her receiving anopen reduction internal fixation. While assessing this patient, the PMHNP is made awarethat the patient continues to experience mild to moderate pain. What is the PMHNP mostlikely to do?SelectedAnswer:A.Order an X-ray because it is possible that shedislocated her hip.Question 31 out of 1 pointsThe PMHNP is caring for a patient who reports excessive arousal at nighttime. What couldthe PMHNP use for a time-limited duration to shift the patient’s brain from a hyperactivestate to a sleep state?SelectedAnswer:B.Benzodiazepi

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nesQuestion 41 out of 1 pointsA patient addicted to heroin is receiving treatment for detoxification. He begins toexperience tachycardia, tremors, and diaphoresis. What medication will the PMHNPprescribe for this patient?SelectedAnswer:D.Clonidine(Catapres)Question 51 out of 1 pointsThe PMHNP prescribes gabapentin (Neurontin) for a patient’s chronic pain. How does thePMHNP anticipate the drug to work?SelectedAnswer:A.It will bind to the alpha-2-delta ligand subunit of voltage-sensitivecalcium channels.Question 61 out of 1 pointsA patient with hypersexual disorder is being assessed for possible pharmacologictreatment. Why does the PMHNP prescribe an antiandrogen for this patient?SelectedAnswer:C.It will blocktestosterone.Question 71 out of 1 pointsWhich statement best describes a pharmacological approach to treating patients forimpulsive aggression?SelectedAnswer:D.Opioid antagonists can be used toreduce drive.

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Question 81 out of 1 pointsA 26-year-old female patient with nicotine dependence and a history of anxiety presentswith symptoms of attention deficit hyperactivity disorder (ADHD). Based on theassessment, what does the PMHNP consider?SelectedAnswer:A.ADHD is often not the focus of treatment in adults withcomorbid conditions.Question 91 out of 1 pointsA patient with irritable bowel syndrome reports chronic stomach pain. The PMHNP wantsto prescribe the patient an agent that will cause irrelevant nociceptive inputs from thepain to be ignored and no longer perceived as painful. Which drug will the PMHNPprescribe?SelectedAnswer:C.Duloxetine(Cymbalta)Question 101 out of 1 pointsParents of a 12-year-old boy want to consider attention deficit hyperactivity disorder(ADHD) medication for their son. Which medication would the PMHNP start?SelectedAnswer:All of the above could potentially treat theirson’s symptoms.Question 111 out of 1 pointsWhich of the following is a true statement regarding the use of stimulants to treatattention deficit hyperactivity disorder (ADHD)?SelectedAnswer:B.Signal strength output is increased by dialing up the release ofdopamine (DA) and norepinephrine (NE).Question 121 out of 1 pointsMr. Peterson is meeting with the PMHNP to discuss healthier dietary habits. With a BMI of

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33, Mr. Peterson is obese and needs to modify his food intake. “Sometimes I think I’maddicted to food the way some people are addicted to drugs,” he says. Which statementbest describes the neurobiological parallels between food and drug addiction?SelectedAnswer:A.There is decreased activation of theprefrontal cortex.Question 131 out of 1 pointsA 72-year-old male patient is in the early stages of Alzheimer’s disease. The PMHNPdetermines that improving memory is a key consideration in selecting a medication.Which of the following would be an appropriate choice?SelectedAnswer:D.All of theaboveQuestion 141 out of 1 pointsA patient is prescribed D-methylphenidate, 10-mg extended-release capsules. Whatshould the PMHNP include when discussing the side effects with the patient?SelectedAnswer:C.The medication can affect your bloodpressure.Question 151 out of 1 pointsThe parents of a 7-year-old patient with ADHD are concerned about the effects ofstimulants on their child. The parents prefer to start pharmacological treatment with anon-stimulant. Which medication will the PMHNP will most likely prescribe?SelectedAnswer:A.StratteraQuestion 161 out of 1 pointsThe PMHNP is assessing a patient who has expressed suicidal intent and is now statingthat he is hearing voices and sees people chasing him. The PMHNP identifies thesesymptoms to be associated with which of the following?

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SelectedAnswer:C.“Bath salt”intoxicationQuestion 171 out of 1 pointsAn 80-year-old female patient diagnosed with Stage II Alzheimer’s has a history ofirritable bowel syndrome. Which cholinergic drug may be the best choice for treatmentgiven the patient’s gastrointestinal problems?SelectedAnswer:A.Donepezil(Aricept)Question 181 out of 1 pointsA 63-year-old patient presents with the following symptoms. The PMHNP determineswhich set of symptoms warrant prescribing a medication? Select the answer that ismatched with an appropriate treatment.SelectedAnswer:B.Impairment in the ability to learn and retain new information is mostproblematic, and an appropriate treatment option would be donepezil.Question 191 out of 1 pointsThe PMHNP is caring for a patient with chronic insomnia who is worried aboutpharmacological treatment because the patient does not want to experiencedependence. Which pharmacological treatment approach will the PMHNP likely select forthis patient for a limited duration, while searching and correcting the underlyingpathology associated with the insomnia?SelectedAnswer:D.Non-benzodiazepinehypnoticsQuestion 201 out of 1 pointsThe 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 carefacility who has chronic insomnia. The chart indicates that the patient has been receivinghypnotics on a nightly basis. What does the PMHNP find problematic about thisdocumentation?

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