2021 NURS6630 Psychopathology Final Exam With Answers (76 Solved Questions)

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NURS 6630 FINAL EXAM–VERIFIED QUESTIONS WITH ANSWERS•Question 11 out of 1 pointsThe parents of a 10 year old girl diagnosed with ADHD ask if the PMHNP can prescribesomething to help theirdaughter’sADHD that is not a stimulant. Which of the followingresponses is correct?SelectedAnswer:c."I can prescribe atomoxetine for your daughter. This medication help ADHDsymptoms and is not considered a stimulant."•Question 21 out of 1 pointsA 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 isthe best response by the PMHNP?SelectedAnswer:d.“Youcan get melatonin over the counter, which will help withsleeponset.”•Question 3Methylphenidate, amphetamine, and cocaine are alike because all three.0 out of 1 pointsSelectedAnswer:c.act asdepressants.•Question 40out of 1 pointsAn elderly woman with a history ofAlzheimer’sdisease, 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?

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SelectedAnswer:b.Order an X-ray because it is possible that shedislocated her hip.•Question 51out of 1 pointsThe 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:SelectedAnswer:c.Evaluate thepatient’swillingness to abstainfrom alcohol•Question 60out of 1 pointsInsomnia is caused by excessive nighttime arousal. The PMHNP is likely to prescribe whichof the following to treat insomnia?SelectedAnswer:d.A negative allosteric modulator of GABA-Areceptors•Question 71out of 1 pointsThe nursing staff asks the PMHNP for additional education regarding the treatment ofagitation in dementia patients. Which of the following is correct?SelectedAnswer:b.The nurse should attempt to determine how the patient's environmentmay be impacting the patient's mood.•Question 81 out of 1 pointsThe PMHNP is evaluating a 30-year-old female patient who states that she notices pain anda drastic change in mood before the start of her menstrual cycle. The patient states thatshe has tried diet and lifestyle changes but nothing has worked. What will the PMHNP mostlikely do?SelectedAnswer:d.Prescribe desvenlafaxine (Pristiq), 50mg daily•Question 91 out of 1 pointsThe PMHNP is caring for a patient who reports excessive arousal at nighttime. What couldthe PMHNP use for a time-limitedduration to shift the patient’s brain from a hyperactivestate to a sleep state?SelectedAnswer:b.Benzodiazepines•Question 101 out of 1 points

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Which of these characteristics does NOT meet the criteria for probably Alzheimer'sdementia?SelectedAnswer:b.Suddenonset•Question 110out of 1 pointsA 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?SelectedAnswer:c.Sertraline increases norepinephrine and serotonin. You need a medicationthat only increases serotonin.•Question 121out of 1 pointsDaniel 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?SelectedAnswer:c.Alcohol abusedisorder•Question 131 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:a.All of these could potentially treat theirson’ssymptoms.•Question 140out of 1 pointsWhich of the following is considered as a disruptive/impulse control behavior?SelectedAnswer:a.Skinpicking•Question 151out 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?SelectedAnswer:a.Hypnotics have prolonged half-lives that can cause drug accumulationin the elderly.

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•Question 161 out of 1 pointsThe PMHNP understands that slow-dose extended release stimulants are most appropriatefor which patient with ADHD?SelectedAnswer:d.8-year-oldpatient•Question 171 out of 1 pointsMr. Peterson is meeting with the PMHNP to discuss healthier dietary habits. With a BMI of33, Mr. Peterson is obese and needs to modify his food intake.“SometimesI thinkI’maddicted to food the way some people are addicted todrugs,”he says. Which statementbest describes the neurobiological parallels between food and drug addiction?SelectedAnswer:c.There is decreased activation of theprefrontal cortex.•Question 180out of 1 pointsWhich of the following substances has the highest probability of becoming dependent aftera single use?SelectedAnswer:a.Heroin•Question 191out of 1 pointsA patient recovering from shingles presents with tenderness and sensitivity to the upperback. He states it is bothersome to put a shirt on most days. This patient has end stagerenal disease (ESRD) and is scheduled to have hemodialysis tomorrow but states that hedoes not know how he can lie in a recliner for 3 hours feeling this uncomfortable. What willbe thePMHNP’spriority?SelectedAnswer:d.Prescribe lidocaine5%•Question 201 out of 1 pointsA patient is prescribed D-methylphenidate, 10-mg extended-release capsules. What shouldthe PMHNP include when discussing the side effects with the patient?SelectedAnswer:a.The medication can affect your bloodpressure.•Question 210out of 1 pointsAn interneuron is a neuron that has its cell body, dendrites, and axon within the spinal

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