Question 1 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 Ye Answer: s • Question 2 1 out of 1 points The PMHNP understands that slow-dose extended release stimulants are most appropriate for which patient with ADHD? Selected Answer: c. 8-year-old patient • Question 3 1 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. Maintain the same dose of sertraline and add quetiapine • Question 4 1 out of 1 points The PMHNP is discussing dopamine D2 receptor occupancy and its association with aggressive behaviors in patients with the student. Why does the PMHNP prescribe a standard dose of atypical antipsychotics? Selected Answer: c. The doses are based on achieving 60? receptor occupancy. • Question 5 1 out of 1 points A 72-year-old male patient is in the early stages of Alzheimer’s disease. The PMHNP determines that improving memory is a key consideration in selecting a medication. Which of the following NURS 6630 FINAL EXAM 8 LATEST 2022 A+ GRADED WALDEN UNIVERSITY would be an appropriate choice? Selected Answer: c. All of these are correct • Question 6 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 7 1 out of 1 points The PMHNP is working with the student to care for a patient with diabetic peripheral neuropathic pain. The student asks the PMHNP why SSRIs are not consistently useful in treating this particular patient’s pain. What is the best response by the PMHNP? Selected Answer: b. “SSRIs only increase serotonin levels.” • Question 8 1 out of 1 points 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: Selected Answer: b. Evaluate the patient’s willingness to abstain from alcohol • Question 9 0 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 NURS 6630 FINAL EXAM 8 LATEST 2022 A+ GRADED WALDEN UNIVERSITY prescribes the following dose: Selected Answer: a. The child will take 10–40 mg, daily. • Question 10 The PMHNP is assessing a patient who will be receiving 1 out of 1 points phentermine + topiramate combination (QSYMIA). QSYMIA would be contraindicated in which patient? Selected Answer: d. A 37-year-old female that is being treated with phenelzine • Question 11 0 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: b. Prescribe a methylphenidate alone. • Question 12 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: c. Pregabalin (Lyrica) • Question 13 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 NURS 6630 FINAL EXAM 8 LATEST 2022 A+ GRADED WALDEN UNIVERSITY medications may be the best treatment option? Selected Answer: c. Atomoxetine (Strattera)