NURS 6630 Week 6 Midterm Exam (Uploaded 2022)

(NURS 6630 Week 6 Midterm Exam Spring)

1. Question: Is this a TRUE or FALSE statement? The following patient case is considered an example of treatment-resistant
2. Question: Ronnie presents to your clinic with tremor, bradykinesia, and rigidity. The symptoms are very similar to what you would see in a patient with Parkinson’s disease. The client was … risperidone several weeks ago. What is the reason for Ronnie’s symptoms?
3. Question: Scott is a 70-year-old man that is taking citalopram 40 mg You discuss changing citalopram to another medication or decreasing the dose. He is hesitant to change medications since citalopram works for him. You end up decreasing his dose to 20 mg/day. He asks why you are wanting to change his medication or lower his dose. Which of the following reasons is the main reason you made the decision to decrease his dose.
4. Question: B. was just … with Generalized Anxiety Disorder and pharmacotherapy is needed. Which of the following would be a first-line treatment option for M. B.?
5. Question: Which one of the anticonvulsants … below has sufficient data to support its use in bipolar disorder?
6. Question: A 23-year-old female was just … with major depressive disorder and is being … on escitalopram 10 mg The patient should … about which Black Box warning?
7. Question: Choose the correct option regarding the major classes of GABA receptors and the ions … in inhibition of the neurotransmitter pathway
8. Question: A 32-year-old males calls you complaining of … libido since starting Paroxetine 20 mg 2 weeks He … stopping the medication 1 day ago and is now experiencing extreme irritability and nervousness. He wishes to stop this medication due to side effects. What do you recommend?
9. Question: Which of the following symptoms is NOT part of the diagnostic features for bipolar disorder?
10. Question: An 81-year-old male comes to your clinic today complaining of dry mouth, … vision, and He has a past medical history significant for hypertension, heart failure, and depression. Of the following medications, which one is likely contributing to these side effects?
11. Question: You are currently evaluating a patient with major depressive disorder. One of his major complaints is He states that he is awake all night and cannot get any rest. You decide to prescribe an antidepressant that will help his depression and his insomnia. The best option is .
12. Question: What is the strongest … risk factor for bipolar disorder?
13. Question: Which answer choice includes all the components of patient-focused interventions to enhance adherence?
14. Question: Of the following medications, which ones are … first-line in treatment of an acute manic episode of bipolar disorder (assuming monotherapy)?
15. Question: T. is a 35-year-old woman who was … with Generalized Anxiety Disorder about 4 weeks ago. She was … Clonazepam 2 mg at bedtime but was … to you to determine chronic treatment. K. T. states the new medication has been helping a lot but worries about all the side effects that come with it. She wants to discontinue the medication. What is the appropriate next step to help K. T.?
16. Question: In order for the NMDA receptor to fully open and allow an influx of calcium, both glutamate and glycine must bind to cause a depolarization of the cell that will ultimately displace which ion? Is the NMDA receptor an ionotropic or metabotropic receptor?
17. Question: Which of the following syndromes is … by disorientation + confusion, agitation, fever, diarrhea, and ataxia? This syndrome can occur when an MAOI is given with an SSRI
18. Question: The serotonin system is … in many processes in psychiatry, including, most prominently, mood, sleep, and Of the following neurons listed, from where is serotonin synthesized?
19. Question: A patient presents to your clinic with … anxiety disorder. Her past medical history is significant for type II diabetes and … Which of the following agents would be least appropriate to start her on?
20. Question: Which of the following statements below is NOT … an appropriate treatment strategy for treatment-resistant depression?
21. Question: You have been … to evaluate a 72-year-old male with a past medical history significant for atrial fibrillation and COPD with a new diagnosis of major depression Based on his comorbid conditions, what antidepressant would you recommend as first-line?
22. Question: Which of the following medications is best to AVOID in maintenance treatment of bipolar disorder and why?
23. Question: Which of the following disease states contributes to a greater risk for substance use, violence, and victimization as well as worse overall quality of life?
24. Question: Patient is a 59-year-old male with a past medical history significant for bipolar disorder I, hypertension, and COPD. He calls your clinic today complaining of extreme fatigue and a new tremor in his hand. He reports starting lithium 600 mg at bedtime about 5 days ago and thinks that may be the What is the appropriate next step for this patient?
25. Question: Which of the following medications … for treatment of bipolar disorder may increase stroke risk among older patients, particularly those with dementia?
26. Question: Which statement is TRUE regarding the use of selective serotonin reuptake inhibitors (SSRI)/serotonin-norepinephrine reuptake inhibitors (SNRI) in patients with … Anxiety Disorder?
27. Question: John presents with both autonomic symptoms and physical hyperarousal after abruptly stopping his chronic opioid He claims that he is afraid of taking his medication because of what he is seeing on the news regarding opioid-… deaths. You know that John is experiencing symptoms due to an increase in norepinephrine. You decide to treat John with a medication to dampen the symptoms of opioid withdrawal. Which medication do you prescribe John?
28. Question: Choose the correct statement(s) regarding lithium SELECT ALL THAT APPLY.
29. Question: J. never felt relief from his depressive symptoms, even after appropriate time and dose titration of Venlafaxine. He was … to Bupropion 150 mg about 2 months ago and is following up with you today. He … feeling “great” and that his relationship with his girlfriend is “better than ever now.” Because he is feeling so well at this time, he is wondering when he can stop taking Bupropion. How long must the patient be symptom- free before he may begin a trial to taper off the antidepressant therapy?
30. Question: A 27-year-old female presents to your emergency room today with a rash that … about 1 week ago and has now spread to covering her whole She has a past medical history significant for type 2 diabetes, hypertension, and bipolar disorder. The patient reports, “The only thing that is different is that I’ve been on this new medication for my bipolar for a few weeks.” Of the following medications, which one is likely to be causing this severe rash?
31. Question: Close-ended questions will help identify when patients are taking medications
32. Question: It is appropriate to start lamotrigine in combination with another atypical antipsychotic in treatment of an acute manic episode in bipolar
33. Question: M. is 27-year-old female student pharmacist who presents to the ER after experiencing extreme lightheadedness during her fourth-year seminar presentation. Her vitals are as follows: BP (107/65) and HR of 45. What medication below is likely the cause of these symptoms?
34. Question: B. is a 28-year-old male who was … on Venlafaxine 75 mg about 2 weeks ago and is now calling you asking how long it should take for this medication to begin to work. He is … his girlfriend will leave him if he doesn’t get better quickly. What is the appropriate amount of time to allot to see a therapeutic response?
35. Question: Which amino acid is … in the synthesis of both norepinephrine and dopamine?
36. Question: Jamie has major depressive disorder and you decide to prescribe an Jamie wants to make sure her medication is … by her insurance plan. You review a list of SSRIs and notice that one medication … on the list is not FDA-approved for the treatment of depression. Which of the following medications do you decide to NOT prescribe for Jamie’s depression?
37. Question: Alprazolam, phenobarbital, and alcohol all bind allosterically to GABA_A What occurs to the GABA_A receptor when these substances bind to the receptor?
38. Question: When initiating lithium, how long should you wait before checking a lithium level? What is the therapeutic goal level of lithium?
39. Question: Which of the following medications are known as selective serotonin re-uptake inhibitors (SSRIs)?
40. 40.   Question: Austin is one of your clients and he asks you why exercise makes him feel better and lifts his mood. You tell him that his body is releasing                                                       which you know is a naturally occurring     .
41. Question: A 25-year-old female comes into your clinic today informing you she is ready to have a baby and wishes to discontinue her birth control at this time. After reviewing her chart, you notice she has a history of bipolar disorder and was previously … valproic acid by another doctor. What is your concern with this medication in this specific patient?
42. Question: Choose the appropriate statement regarding lamotrigine
43. Question: Which neurotransmitter is … the major inhibitory neurotransmitter?
44. Question: Which medication has been … in patients with a social anxiety disorder who also suffer from an alcohol use disorder?
45. Question: What is the therapeutic plasma level of carbamazepine?
46. Question: Glia cells play a supportive role in the neuron. A few of the functions of the glial cells include providing nutrition, maintaining homeostasis, stabilizing synapses, and myelinating axons. The glial cells are … as microglia or Of the macroglia cells, which one plays a role in myelinating axons, which may contribute to mood disorders if altered?
47. Question: Which of the following is an appropriate strategy for managing treatment-resistant depression?
48. Question: Of the following medications … in the treatment of social anxiety disorder, which one would you AVOID in a patient who has … hypertension?
49. Question: Choose the appropriate pair regarding acetylcholine
50. Question: Which anticonvulsant below induces its own metabolism over time?
51. Question: When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

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