QUESTION 1 1. A noncompliant patient states, “Why do you want me to put this poison in my body?” Identify the best response made by the psychiatric-mental health nurse practitioner (PMHNP). A. “Y 1

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QUESTION 1

1.      A noncompliant unrepining states, "Why do you neglect me to put this vitiate in my association?" Authenticate the best repartee made by the psychiatric-mental sanity nourish practitioner (PMHNP).

A.

"You keep to convoy your medication to grace certain."

B.

"Most medications procure extension the estimate of neurotransmitters that you already keep in the brain."

C.

"Most medications used in tenor are either increasing or decreasing neurotransmitters that your association already has."

D.

"Why do you venerate that your medication is vitiate?"   I accepted 0/1 for this defense??

1 points  

QUESTION 2

1.      Which assertion encircling neurotransmitters and medications is penny?My ameliorate defense was divergentpsychiatric meds were apprehendn succeeding solution of endogenous neurotransmitters.   (The defense wording is unanalogous.

A.

Natural neurotransmitters such as endorphins keep been discovered succeeding the harvest of medications.

B.

Some medications were apprehendn succeeding the solution and apprehendn operation of the neurotransmitters in the brain.

C.

Neurotransmitters hold messages from most medications.

D.

The neurotransmitter serotonin is undeviatingly coupleed to valley. Forthcoming this solution, the antidepressant Prozac was apprehendn.

1 points  

QUESTION 3

1.      When an variable unrepining asks why it is essential to add medications to his ordinary victuals, the PMHNP's best repartee would be:

A.

"In an remote engage-placerence such as yours, prefer than one medication is generally insufficiencyed."

B.

"Due to the unproductiveness of your ordinary medication, we insufficiency to try colossus else that can maybe efficaciousiate its possessions.

C.

"Medications are generally inequittelling to the neurotransmitter(s) they are feigning and, due to prefer than one neurotransmitter involvement, it is generally essential to use prefer than one medication to ameliorate signs."

D.

"I perceive your sorrow. We can disestablish your ordinary medication and switch to a unanalogous one that may emend contrive your signs."

1 points  

QUESTION 4  ?

1.      During gene look, what must engage-place earlier to a gene nature explicit?

A.

Transcription rudiment must restrain to the regulatory multiply unformed the cell's central-part.

B.

RNA must be converted to mRNA.

C.

The coding multiply must disjoined from the regulatory multiply.    This is wickedness

D.

RNA polymerase must prohibit the way of changing RNA to mRNA.

1 points  

QUESTION 5

1.      While genes keep virtual to alter operation, operation can too alter genes. How do genes application this way?

A.

Genes application neuron capacitying undeviatingly.

B.

Changes made to proteins administer to diversifys in operation.

C.

Neurons are mentioning to application protein organization.

D.

Genes application the DNA of a cell, administering to diversifys in operation.

1 points  

QUESTION 6

1.      Though medications keep the force to target neurotransmitters in the synapse, it is not regularly essential. The PMHNP perceives that this is consequently:

A.

Neurotransmission that engage-places via the axon tolerates for enravishment of a neurotransmitter.

B.

Active enravishment is a unanalogous fashion of enthusiasm that tolerates the enravishment of certain neurotransmitters.

C.

Neurotransmitters can unfurl by colliquation.

D.

The postsynaptic neuron can quit the neurotransmitter.

1 points  

QUESTION 7

1.      Why is the cytochrome P450 enzyme regularity of consciousness to the PMHNP?

A.

The regulates delineate a role succeeding a occasion sweating of the medication, and if a unrepining has regulate damage, the dose must be extensiond to be operative.

B.

The bioavailforce of the medication succeeding it passes through the stomach and liver can be altered.    Ameliorate defense

C.

The medication's chemical combination diversifys when it comes in touch succeeding a occasion the spirited in the stomach.

D.

The CYP enzyme regularity is a constant and predicttelling way that designaters must perceive to use provisions operatively.

1 points  

QUESTION 8

1.      It is main for the PMHNP to tolerate multiformitys in pharmacokinetics to safely designate and warner medications. Which of the forthcoming assertions does the contendnt PMHNP authenticate as penny?

A.

About 1 out of 5 Asians insist-upons retireior-than-recognized doses of some antidepressants and antipsychotics.

B.

The message polymorphic refers to the association's force to smash a medication down divergent ways, and this unrepining may insist-upon excellent doses of certain antidepressants and antipsychotics.

C.

About 1 out of 30 Caucasians insist-upons retireior doses of some antidepressants and antipsychotics.

D.

Most enzyme roads do not keep interactions unformed the newer medications.

1 points  

QUESTION 9

1.      As it relates to G-protein coupleed receptors, what does the PMHNP perceive encircling medications that are used in exercitation?

A.

Most medications that act on G-protein coupleed receptors keep obstructive traits.

B.

The preponderance of medications used in exercitation are ample agonists and are used to embitter the association's smoothtual neurotransmitters.

C.

Most medications act as favoring agonists consequently they tolerate the association to use singly what is insufficiencyed.

D.

Medications used in exercitation may act as inverse agonists if the dosage is too lofty.

1 points  

QUESTION 10

1.      The PMHNP is owing prescribing a 49-year-old hardy clozapine (Clozaril) to use his schizophrenia and suicidal ideations. The PMHNP is cognizant that which rudiment may application the dose insufficiencyed to operatively use his qualification:

A.

The unrepining smokes cigarettes.    This is ameliorate!

B.

The unrepining has hypertension.

C.

The unrepining has continuous regulate sickness, mark 2.

D.

The unrepining swallows a cup of coffee a day.

1 points  

QUESTION 11

1.      A unrepining is diagnosed succeeding a occasion bipolar guess-work and is ordinaryly commencement carbamazepine (Tegretol), aripiprazole (Abilify), and melatonin. The PMHNP has lawful written an adequitserviceable to disestablish the carbamazepine (Tegretol) for refuse-induced thrombocytopenia. The PMHNP is cognizant that his direct best operation is to:

A.

Alert staff to feasible seizures

B.

Write an adequitserviceable for a unanalogous statestabilizerFor some argue I got 0/1 points for this??

C.

Decrease the totality designated for aripiprazole (Abilify)

D.

Explain to the unrepining that it procure be prefer perplexing to curb his temper

1 points  

QUESTION 12

1.      A unrepining newly infections forthcoming a suicide try has a truth of schizophrenia, valley, and fibromyalgia. He is ordinaryly commencement Amitriptyline (Elavil), Lisinopril, aspirin, and fluoxetine (Prozac). Which is the best operation for the PMHNP to convoy for this unrepining?

A.

Review Amitriptyline (Elavil) level  Ameliorate defense

B.

Order a liver capacity test

C.

Check the unrepining's regulate hurry and pulse

D.

Order a stat platelet count

1 points  

QUESTION 13

1.      A unrepining succeeding a occasion schizophrenia is abandoned an inverse agonist that acts on the receptor 5HT and neurotransmitter serotonin. What is the rationale for prescribing a medication such as this?

A.

To advance the availforce of serotonin

B.

To retrench serotonin

C.

To inundeviatingly extension the totality of dopamine in the association

D.

To acceleration retrench the totality of serotonin and dopamine

1 points  

QUESTION 14

1.      The PMHNP is caring for immodest unrepinings. Which unrepining assertion designates that benzodiazepines would be advantageous?

A.

"I keep sorrow staying collected in the average of the tenebrosity."

B.

"My coadjutor told me that I look to keep sorrow remembering things honorablely."

C.

"I indeed neglect to plug smoking, but the cravings are too hale."

D.

"I feign laconic to go beyond and be in abundant crowds."

1 points  

QUESTION 15

1.      Ms. Harlow is a 42-year-old unrepining who is designated a refuse that acts on ionotropic receptors. She is peeping encircling the possessions of the refuse and how it procure act on her signs. Which assertion made by the PMHNP reveals own perceiveing of Ms. Harlow's direction?

A.

"The refuse procure keep an closely instant issue."

B.

"The refuse can convoy a occasion to institute up in your regularity." 

C.

"The refuse is dull to quit but lasts for a covet span."  

D.

"The refuse procure frame a cunning multiformity in your signs." 

1 points  

QUESTION 16

1.      A unrepining is seeking pharmacological tenor for smoking lull. Which refuse assort does the PMHNP designate to the unrepining?

A.

Benzodiazepine

B.

Mirtazapine (Remeron)

C.

Ketamine

D.

Varenicline (Chantix)

1 points  

QUESTION 17

1.      The PMHNP is caring for a new unrepining who has been infections from another multiply. When disroad succeeding a occasion the new unrepining, the unrepining rumors, "I feign feign I am improving succeeding a occasion the stabilizers." The PMHNP instantly tolerates that the unrepining is describing which peel of refuse?

A.

Full agonists

B.

Antagonists

C.

Partial agonists

D.

Inverse agonists

1 points  

QUESTION 18

1.      A unrepining confer-upons succeeding a occasion general episodes of hallucination. Which assertion describes an alienate tenor bearing for this unrepining?

A.

"The unrepining insufficiencys to keep an inverse agonist."

B.

"The unrepining could service from an anticonvulsant."  

C.

"The unrepining's calcium, sodium, chloride, and potassium levels must be regulated." 

D.

"The unrepining should keep a refuse that acts on ligand-gated ion channels."

1 points  

QUESTION 19

1.      The PHMNP is caring for a unrepining who would service from nicotine cholinergic, serotonin 3, or glycine receptors. What peel of vicar does the PHMNP neglect to designate for this unrepining?

A.

Ligand-gated ion channels succeeding a occasion a pentameric structure

B.

Ligand-gated ion channels succeeding a occasion a tetrameric structure

C.

Voltage-sensitive ion channels

D.

Anticonvulsants

1 points  

QUESTION 20  ?

1.      Which assertion made by the unrepining suggests the unrepining procure insufficiency to be useed succeeding a occasion antipsychotics that target paranoid psychosis?

A.

"It's my defect that all of this is happening. I don't gard I could constantly resign myself."  Not ameliorate

B.

"I keep to converse to the President consequently I'm the singly one who can acceleration him."

C.

"I'm not fast why that lady is wearing a red jacket past it's the dogs who insufficiency influence."

D.

"I don't apprehend that I smooth neglect to go to that discourse. It doesn't look excellence it anymore."

1 points  

QUESTION 21

1.      A unrepining has been useed succeeding a occasion a estimate of fantastic psychotropic refuses. How is it hypothetically feasible to authenticate apprehensive amelioratement in the unrepining using neuropsychological rate batteries succeeding the pharmacologic therapy?    I did not keep this topic

A.

Obtaining raw normative metrics and using them to assess capacityality

B.

Having the unrepining rumor on apprehensive capacity inveterate on indivisible proofs

C.

Monitoring the unrepining in a curbled setting 

D.

Measuring signs of psychosis

1 points  

QUESTION 22

1.      Mr. McCullin is 64 years old succeeding a occasion Parkinson's sickness. The PMHNP caring for Mr. McCullin neglects to initiate him on a dopamine agonist to acceleration contrive and use his qualification. The PHMNP selects this vicar consequently of which operation it has on unrepinings feign Mr. McCullin?

A.

Dopamine is messageinated through multiple arrangements.

B.

The D2 autoreceptor regulates quit of dopamine from the presynaptic neuron.

C.

MAO-B confer-upons in the mitochondria unformed the presynaptic neuron.

D.

D2 receptors are the principal restraining predicament for dopamine agonists.   Ameliorate defense

1 points  

QUESTION 23

1.      Mrs. Trevor is a 44-year-old unrepining who does not keep a idiosyncrasy of schizophrenia but casually rumors signs of psychosis, followed by forcible jade. Mrs. Trevor inquires encircling the use of amphetamines to acceleration succeeding a occasion her enthusiasm levels. Which repartee made by the PMHNP is most alienate?

A.

"Amphetamines may acceleration you, as they can succor psychotic provisions."

B.

"Amphetamines can prohibit disclaiming signs of schizophrenia, so this susceptibility be a good-tempered-tempered exquisite for you."

C.

"Amphetamines can motive hallucinations, so I would instruct aggravate this fashion of direction."Correct

D.

"Amphetamines can administer to a dopamine want, so I procure not designate this for you."

1 points  

QUESTION 24

1.      The PMHNP is caring for a unrepining succeeding a occasion schizophrenia and is owing a multiformity of tenor bearinges. The PHMNP selects a vitelling tenor that is harmonious succeeding a occasion the "dopamine supposition of schizophrenia." What operation does the PMHNP forestall this tenor having on the unrepining?

A.

Blocking the quit of dopamine facilitates the aggression of substantial schizophrenia signs.

B.

Hyperactivity in the mesolimbic dopamine road convenients the substantial signs of schizophrenia.

C.

Antipsychotic refuses that apprehendn D2 receptor roads can use schizophrenia.

D.

The neuroanatomy of dopamine neuronal roads can illustrate signs of schizophrenia.

1 points  

QUESTION 25

1.      A unrepining is diagnosed succeeding a occasion schizophrenia. What extensions the unrepining's virtual to convenient the apprehensive signs of the sickness?

A.

Achieving underactivity of the mesocorticol projections to the prefrontal cortex

B.

Achieving aggravateactivity of the mesocorticol projections to the ventromedial prefrontal cortex

C.

Achieving underactivity of the mesocortical projections to the ventromedial prefrontal cortex

D.

Achieving aggravateactivity of the mesocorticol projections to the prefrontal cortex

1 points  

QUESTION 26

1.      The PMNHP is assessing a 29-year-old unrepining who convoys antipsychotics that stop D2 receptors. What unrepining training should the PMHNP grasp connected to the feasible verge possessions of this fashion of refuse?

A.

Hypersexuality

B.

Amenorrhea

C.

Dystonia

D.

Tardive dyskinesia   ameliorate defense

A.

1 points  

QUESTION 27

1.      The PMHNP is caring for a unrepining who is commencement antipsychotics heard the psychiatrist mention the unrepining that the unrepining would be placed on a unanalogous antipsychotic vicar. Which of the forthcoming insist-upons the covetest transition span for hygienic service?Not on my test

Olanzapine to clozapine

B.

Asenapine to Risperidone

C.

Aripripazole to ziprasidone

D.

Aripripazole to clozapine

1 points  

QUESTION 28

1.      The PMHNP is assessing a unrepining who has cirrhosis of the liver and forestalls that the unrepining procure be designated an antipsychotic. Which medication does the PMHNP mistrust procure be adjusted for this unrepining?Not on my test

A.

Quetiapine

B.

Paliperidone

C.

Lurasidone

D.

Clozapine

1 points  

QUESTION 29

1.      Which assertion made by the PMHNP exemplifies ameliorate training of physiological possessions in the association?

A.

Muscarinic antagonists are prefer feignly to motive retrenchd prolactin levels.

B.

D2 antagonists retrench the feignlihood of EPS signs.

C.

D2 hostility is coupleed to antidepressant ownties.

D.

D2 favoring agonists are associated succeeding a occasion extensiond capability in useing substantial signs of schizophrenia.

1 points  

QUESTION 30

1.      Mrs. Schwartzman is a 52-year-old unrepining succeeding a occasion schizophrenia and no certain truth of valley. When disroad succeeding a occasion the PMHNP, she confer-upons succeeding a occasion insusceptibility and succeeding a occasiondrawn gregarious operation, and she rumors a damage of joy from enjoytelling activities. What does the PMHNP retire from this confront succeeding a occasion the unrepining?

A.

An underlying depressive guess-work

B.

The new diversify of a 2nd race antipsychotic to a prevalent one   This is ameliorate

C.

The new diversify of a 1st race antipsychotic to a 2nd race antipsychotic

D.

All of the over

1 points  

QUESTION 31

1.      The PMHNP is commencement a truth on a unrepining who has been on antipsychotics for abundant years. Which destroy rudiments are most feignly to tend to a idiosyncratic lay-opening tardive dyskinesia (TD)?Not on mytest

A.

Long-message use of antipsychotics

B.

Genetic disposition

C.

Age

D.

A and C

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E.

All of the over

1 points  

QUESTION 32

1.      The ward inquires encircling antipsychotic medications. Which repartee by the PMHNP describes nthe rudiments that tend to mean destroy of extrapyramidal signs (EPS) for unrepinings who convoy antipsychotics?

A.

Those that are efficacious D2 antagonists

B.

Those that are efficacious D2 antagonists succeeding a occasion 5HT2A hostility ownties

C.

D2 receptors that are stoped in the nigrostriatal road

D.

Potent D2 antagonists that stop the muscarinic anti-M1 cholinergic receptors

1 points  

QUESTION 33

1.      Mr. Gordon is a average-elderly unrepining who is commencement antipsychotics. When disroad succeeding a occasion the PMHNP, he rumors substantial repartees to the medication, stating, "I indeed feign as though the possessions of my valley are going detached." Which receptor operation in antipsychotic medications is venerated to be the most advantageous in pliant the possessions illustrative by Mr. Gordon?

A.

5HT2 hostility

B.

D2 hostilityThis was wickedness  0/1

C.

Alpha-2 hostility

D.

D2 favoring agonist

1 points  

QUESTION 34

1.      A unrepining who was newly admitted to the psychiatric nursing individual is nature useed for bipolar guess-work. Which neurotransmitter is the PMHNP most feignly to target succeeding a occasion pharmaceuticals?

A.

Norepinephrine

B.

Dopamine

C.

Serotonin

D.

A and C

E.

All of the over

1 points  

QUESTION 35

1.      Ms. Ryerson is a 28-year-old unrepining succeeding a occasion a state guess-work. She newly requested to sell to a new PMHNP, succeeding not getting acovet polite succeeding a occasion her earlier provider. The new PHMNP is revisaling Ms. Ryerson's medical chart earlier to their foremost Nursing Assignment. Upon revisal, the PMHNP sees that the antecedent provider last munimented "unrepining had flying poop out." What does the PMHNP retire encircling the unrepining's direction inveterate on this munimentation?

A.

The unrepining has an unsustained repartee to antidepressants.

B.

The unrepining has antidepressant-induced hypomania. 

C.

The unrepining has a depletion of monoamine neurotransmitters.

D.

The unrepining has an obstructive issue to atypical antipsychotics.

1 points  

QUESTION 36

1.      The PMHNP tolerates that which unrepining would be contraindicated for antidepressant monotherapy?

A.

Patient succeeding a occasion a bipolar I designationI don’t apprehend why but this was notserviceable 0/1 for me

B.

Patient succeeding a occasion a bipolar II designation

C.

Patient succeeding a occasion a bipolar III designation

D.

None of the over

1 points  

QUESTION 37

1.      Why does the PMHNP shirk useing a unrepining succeeding a occasion cyclothymia, and has superior depressive episodes, succeeding a occasion antidepressant monotherapy?Not on my test

A.

The unrepining may proof paranoid shirkant operation.

B.

The unrepining may proof forcible valley.

C.

The unrepining may proof hearers hallucinations.

D.

The unrepining may proof extensiond state cycling.

1 points  

QUESTION 38

1.      The PMHNP is caring for a unrepining succeeding a occasion the s genofashion of SERT. What does the PMHNP perceive respecting this unrepining's repartee to broad serotonin reupconvoy prohibitor (SSRI)/SNRI tenor?

A.

The unrepining has a excellent casualty of tolerating SSRI/SNRI tenor.

B.

The unrepining procure keep a substantial repartee to SSRI/SNRI tenor.

C.

The unrepining procure lay-open forcible state cycling in repartee to tenor.

D.

The unrepining may be near correspondent or indulgent to the tenor.

1 points  

QUESTION 39

1.      Ms. Boeckh is a 42-year-old unrepining succeeding a occasion superior valley. The PMHNP perceives that which operation of norepinephrine procure feign Ms. Boeckh's serotonin levels?

A.

Norepinephrine efficaciousiates 5HT quit through a2 postsynaptic receptors.

B.

Norepinephrine prohibits 5HT quit through a2 receptors.

C.

Norepinephrine prohibits α2 receptors on axon messageinals.

D.

Norepinephrine efficaciousiates 5HT quit through a1 and a2 receptors.

1 points  

QUESTION 40

1.      Which assertion made by the PMHNP ameliorately describes the kindred unformed NE neurons and pharmaceutical tenor?

A.

"Drugs prohibit the quit of NE."

B.

"Drugs can follow the smoothtual capacitying of the NE neuron."

C.

"Drugs are untelling to feign the possessions of NE neurons."

D.

"Drugs neutralize the smoothtual capacitying of the NE neuron by plugping the presynaptic a2 neuron."

1 points  

QUESTION 41

1.      The PMHNP is assessing a unrepining in the psychiatric pitch compass. The unrepining mentions the PMHNP that he does not perceive why his valley has not lifted succeeding nature on immodest unanalogous antidepressants aggravate the road of a year. Which of the forthcoming signs can be residual signs for unrepinings who do not finish absolution succeeding a occasion superior depressive guess-work?

A.

Insomnia

B.

Suicidal ideation

C.

Problems concentrating

D.

A and C

1 points  

QUESTION 42

1.      Fluoxetine (Prozac) has been designated for a unrepining. Which of the forthcoming assertions is penny respecting the operation of this medication?

A.

Neuronal firing rates are not dysregulated in valley.

B.

Blocking the presynaptic SERT procure instantly administer to a grand communicate of serotonin in abundant synapses.

C.

Upon the intelligent government of a SSRI, 5HT retrenchs. 

D.

The operation at the somatodendritic end of the serotonin neuron may best illustrate the hygienic operation of SSRIs.   Correct

1 points  

QUESTION 43

1.      The nourish tutor apprehends that training was operative when one of the wards compares fluvoxamine to sertraline and notes which of the forthcoming resemblingities?I had unanalogous defense exquisitesthe ameliorate defense was  Twain keep operations at sigma receptors that tend to twain anxiolytic and antipsychotic possessions

A.

Both keep a sedative-like, calming issue. 

B.

Both tend to antipsychotic operations.

C.

Both reveal favortelling findings in useing valley in the olden.

D.

Both are apprehendn for causing forcible succeeding a occasiondrawal signs such as dizziness, perturbation, and akathisia.

1 points  

QUESTION 44

1.      A 45-year-old fehardy unrepining succeeding a occasion allergic rhinitis and recognized regulate hurry has had no decrease in depressive signs succeeding intricate bupropion, paroxetine, and venlafaxine. What presparing are insufficiencyed in owing monoamine oxidase prohibitors (MAOI) in useing her valley?

A.

Since all MAOIs insist-upon dietary restrictions, the unrepining procure insufficiency to shirk all cheeses and elderly, smoked, or fermented meats.

B.

The unrepining cannot convoy any antihistamines. 

C.

The unrepining cannot keep two prudence teeth extracted occasion on a MAnOI.

D.

The unrepining procure insufficiency to minimize dietary inconvoy of influences such as tap and unpasteurized beer, elderly cheeses, and soy products/tofu. 

1 points  

QUESTION 45

1.      After sitting in on an interdisciplinary tenor team discourse, the ward nourish asks the tutor to illustrate a regularity-inveterate bearing to the tenor of valley. What is the alienate repartee?

A.

Symptoms acceleration engender a idiosyncrasy, then signs are deconstructed into a schedule of inequittelling signs proofd by a unrepining. 

B.

Symptoms are matched foremost succeeding a occasion the brain circuits that hypothetically convenient them and then succeeding a occasion the apprehendn neuropharmacological decision of these circuits by neurotransmitters.

C.

Treatment discretions that target neuropharmacological arrangements are clarified to reject signs one by one.

D.

All of the over.

1 points  

QUESTION 46

1.      A 51-year-old fehardy unrepining confer-upons succeeding a occasion signs of valley, including failure of motivation and perplexingy undeveloped. What destroy rudiments would extension her vulnerforce for a idiosyncrasy of valley?

A.

First aggression in puberty or confer-upon adulthood

B.

Late aggression of menses  

C.

Premenstrual syndrome

D.

A and C

1 points  

QUESTION 47

1.      A nourish aggravatehears that a unrepining has failed uncompounded therapy succeeding a occasion an SSRI and SNRI. She too acquires that the unrepining has been on dual SSRI/SNRI therapy succeeding a occasionout expanded sign curb. She bearinges the PMHNP and asks what the direct tenor discretion could be in this lookingly tenor-resistant unrepining. The PMHNP mentions the nourish she procure use the unrepining succeeding a occasion the forthcoming victuals:

A.

MAOI plus SNRI

B.

SSRI/SNRI plus NDRI 

C.

NDRI/SNRI plus mirtazapine

D.

NDRI plus modafinil

1 points  

*Q/UESTION 48

1.      Mrs. Radcliff is a 42-year-old unrepining who is owing plugping paroxetine. Why does her PMHNP instruct aggravate this hasty discontinuation of the antidote?

A.

She may proof succeeding a occasiondrawal signs.

B.

She may proof extensiond trauma.

C.

Effects of hasty lull are obscure.

D.

It can administer to perplexingies succeeding a occasion concentration.

1 points  

QUESTION 49

1.      A unrepining is designated fluoxetine but is sorrowed encircling the verge possessions. Which assertion reveals considerate unrepining training when discussing the verge possessions associated succeeding a occasion fluoxetine?

A.

Weight frame can be problematic.

B.

Sedation is very despicable.

C.

Induction of hallucination is honorable.

D.

Seizures are not extraordinary.

1 points  

QUESTION 50

1.      The PMHNP is caring for a unrepining succeeding a occasion care who lay-opens soft to temperate hepatic debility. Which operation does the PMHNP convoy respecting the use of venlafaxine?

A.

Stop the venlafaxine

B.

Lower the dose of venlafaxine by 50%

C.

Lower the dose of venlafaxine by 25-40%

D.

Increase the dose of venlafaxine by 50%

1 points  

QUESTION 51

1.      A 25-year-old fehardy unrepining is nature designated milnacipran to use fibromyalgia, and expresses sorrow respecting "how she procure feign and look" from commencement the antidote. Which assertion ameliorately describes the verge possessions as a remainder of commencement this medication?

A.

It can feign her menstruation. 

B.

Suicidality can be despicserviceable unformed branchish adults.

C.

Sedation may be problematic.

D.

Weight frame is extraordinary.

1 points  

QUESTION 52

1.      Mr. Ruby is a 33-year-old uncompounded senior who is requesting pharmacological intrusion to use his fibromyalgia. The PMHNP sees in the medical chart that he has a new idiosyncrasy of arrhythmia and a BMI of 29. During his rate, the PMHNP acquires that Mr. Ruby works 40-50 hours a week as a contractor and "manages his stress" by smoking 3-4 cigarettes a day and having 8-10 swallows of alcohol each week. Why would duloxetine be contraindicated for Mr. Ruby?

A.

He has fibromyalgia.

B.

He has arrhythmia.

C.

He uses alcohol.

D.

He is aggravateweight.

1 points  

QUESTION 53

1.      A unrepining is designated sertraline to use agitation guess-work. Knowing that sertraline can initially motive care or insomnia, what should the PMHNP do?

A.

Prescribe covet-acting benzodiazepine for 2 weeks, then extension the dose.

B.

Prescribe short-acting benzodiazepine for 2 weeks, then disestablish.

C.

Prescribe covet-acting benzodiazepine for 2 weeks, then disestablish.

D.

Prescribe short-acting benzodiazepine for 2 weeks, then extension the dose. 

1 points  

QUESTION 54

1.      A unrepining is designated 50 mg of desvenlafaxine to convoy constantlyy other day for superior depressive guess-work. What does the PMHNP perceive encircling this unrepining?

A.

The unrepining has hepatic debility.

B.

The unrepining has temperate renal debility.

C.

The unrepining has forcible renal debility.

D.

The unrepining has cardiac debility.

1 points  

QUESTION 55

1.      The PMHNP perceives that which arrangement tends to a worse tolerforce feature for unrepinings commencement tricyclic antidepressants (TCAs)?

A.

Histamine H1 receptor stopade can motive insomnia.

B.

Muscarinic M1 receptor stopade motives blurred vision.

C.

Alpha 1 adrenergic receptor stopade motives ponderosity frame.

D.

Muscarinic M3 receptor stopade motives sedation.

1 points  

QUESTION 56

1.      A unrepining who was designated an MAO prohibitor is culture encircling dietary modifications. Which assertion made by the PMHNP reveals own training of the influence-refuse interactions for MAO prohibitors?

A.

"You must shirk soy products, such as tofu."

B.

"You should not delayer wayed meats."

C.

"You may delayer fermented influences, feign sauerkraut."

D.

"You may remain to swconfess beers on tap."

1 points  

QUESTION 57

1.      A unrepining who is designated MAO prohibitors asks encircling whether he can remain commencement pseudoephedrine to succor his glomeration. Which repartee by the PMHNP designates own perceiveing of refuse-refuse interactions?  

A.

"Decongestants are noble to remain commencement succeeding a occasion MAO prohibitors." 

B.

"Decongestants are okay to convoy succeeding a occasion MAO prohibitors in coolness."

C.

"Decongestants should be shirked due to destroy of serotonin syndrome." 

D.

"Decongestants should be shirked due to destroy of hypertensive opportunity." Correct

1 points  

QUESTION 58

1.      Ms. Skidprefer confer-upons for a follow-up Nursing Assignment succeeding nature designated phenelzine (Nardil), and rumors "I convoy my 45 mg pill, three spans a day, lawful feign I'm reputed to." What does the PMHNP perceive encircling this unrepining?

A.

Ms. Skidprefer is commencement the ameliorate dose of phenelzine (Nardil).This was notserviceable 0/1 for me

B.

Ms. Skidprefer is not commencement abundance of the phenelzine (Nardil); she should be commencement three spans that totality. 

C.

Ms. Skidprefer is commencement too ample of the phenelzine (Nardil); she should be commencement the 45 mg in three doses.This is probably the suitserviceable defense  

D.

Ms. Skidprefer is commencement too ample of the phenelzine (Nardil); she is reputed to convoy 45 mg constantlyy 24 hours.

1 points  

QUESTION 59

1.      The PMHNP is caring for divergent unrepinings who confer-upon succeeding a occasion sundry signs and sanity issues. For which unrepining does the PMHNP designate pregabalin (Lyrica)?

A.

Patient succeeding a occasion PTSD

B.

Patient succeeding a occasion favoring seizures

C.

Patient succeeding a occasion galactose intolerance  

D.

Patient succeeding a occasion Lapp lactase want

1 points  

QUESTION 60

1.      Mr. Gutier is 72 years old succeeding a occasion care and depressive signs. His PMHNP is prescribing lorazepam (Ativan). What does the PMHNP perceive respecting this direction?

A.

The PMHNP procure designate near than 2-6 mg for Mr. Gutier to convoy daily.

B.

The PMHNP procure insist-upon Mr. Gutier to convoy 2-4 doses of lorazepam (Ativan) per day.

C.

The PMHNP procure designate prefer than 2-6 mg for Mr. Gutier to convoy daily.

D.

The PMHNP procure keep Mr. Gutier convoy 6 mg of lorazepam (Ativan) as a PRN.

1 points  

QUESTION 61

1.      A unrepining is nature designated a sedating antidepressant, but is sorrowed encircling ponderosity frame. Which medication is most feignly to be designated to addresses the unrepining's sorrows? 

A.

mirtazapine (Remeron)

B.

doxepin (Silenor)

C.

alprazolam (Xanax)

D.

trazadone (Oleptro)

1 points  

QUESTION 62

1.      A unrepining who was diagnosed succeeding a occasion bipolar guess-work succeeding a occasionout hallucination, asks the PMHNP why he is nature designated a state stabilizer. What is the alienate repartee?

A.

Mood stabilizers are singly designated to use manic phases of bipolar valley

B.

Mood stabilizers can harmoniously use twain hallucination and bipolar valley

C.

Mood stabilizers can target hallucination and hallucination falling-back and too subdue signs of bipolar valley and falling-back of bipolar valley signs but no refuse has been proven to target all immodest hygienic operations

D.

Certain state stabilizers, such as lithium, are mentioning to harmoniously target hallucination and bipolar valley

1 points  

QUESTION 63

1.      The PMHNP is assessing a unrepining in the pitch compass. The unrepining shares that he has been on lithium (Lithobid) for abundant years. What regulate tests does the PMHMP adjust?

A.

Thyroid Stimulating Hormone (TSH)

B.

Complete Regulate Count (CBC)

C.

Erythrocyte Sedimentation Rate

D.

Platelet Count

1 points  

QUESTION 64

1.      A 39-year old fehardy unrepining confer-upsimply on lithium would feign to try a new medication to use her bipolar guess-work. She has had sorrows encircling verge possessions from lithium and neglects to acquire prefer encircling Lamotrigine (Lamictal) as a tenor discretion. The PMHNP transmits some of the matchshort aspects of this vicar, including which of the forthcoming?   I don’t gard I had this topic

A.

Tnear is some symptom lamotrigine can neutralize rate from soft apprehensive debility to Alzheimer's sickness

B.

Lamotrigine may motive rashes, including the condition-threatening Stevens-Johnson syndrome

C.

It was one of the foremost anticonvulsants prevailing by the FDA to use bipolar valley

D.

Tnear is a destroy for amenorrhea and polycystic ovarian sickness in women of branchbearing age

1 points  

QUESTION 65

1.      A nursing ward is seeking precipitation on the use of anticonvulsants to use valley and is unclear encircling most operative outcomes. Which of the forthcoming vicars does the PMHNP transmit as having variable outcomes?

A.

Carbamazepine (Tegretol)

B.

Gabapentin (Neurontin)

C.

Valporoic Spirited (Depakene)

D.

All of the over

1 points  

QUESTION 66

1.      A 46-year old hardy unrepining mentions divergent resource tenors to Carbamazepine (Tegretol) as a way to contrive signs of his bipolar valley. Which of the forthcoming does the PMHNP designate would not be an vicar to use bipolar valley?didn’t keep this topic I

A.

Omega-3-fatty-acids

B.

Soybean lecithin

C.

Inositol

D.

L-methylfolate

1 points  

QUESTION 67

1.      The PMHNP is disroad succeeding a occasion a new dowager who would feign to initiate commencement medication aframe to use her bipolar valley; she is breastfeeding her 2-month old daughter. The PMHNP tolerates that which of the forthcoming medications is contraindicated for this unrepining?

A.

Valporic Spirited (Depakene)

B.

Carbamazepine (Tegretol)

C.

Lithium (Lithobid)This topic is many and on one I got 1/1 and the other I got 0/1 for this selfsameexact topic.

D.

Lamotrigine (Lamictal)

1 points  

QUESTION 68

1.      The PMHNP assesses a 10-year old hardy branch in the ER and mistrusts hallucination. Which of the forthcoming signs and recommendations for follow-up evaluation are alienate?

A.

Irritability, euphoria, anger; the branch should be evaluated prefer for convoy guess-work. 

B.

Irritability, forcible outbursts, hyperactivity; the branch should too be evaluated prefer for ADHD

C.

Irritability, swoon, anger; the branch should be evaluated prefer for ADHD.  

D.

Irritability, intelligent hallucination, hyperactivity; the branch should be evaluated prefer for convoy guess-work. 

1 points  

QUESTION 69

1.      A unrepining was diagnosed succeeding a occasion GAD 4 weeks ago and was placed on Clonazepam (klonopin) twice a day and citalopram (citalopram (celexa)) uninterruptedly daily. When he asks the PMHNP why it is essential to transfer him off of the Clonazepam (klonopin) the best repartee is:

A.

Clonazepam (klonopin) may quarrel succeeding a occasion citalopram (celexa)s targeted areas in the brain

B.

Clonazepam (klonopin) is not recommended for covet message use due to feasible sedation

C.

Clonazepam (klonopin) was used as an aid to use your qualification occasion you were adjusting to citalopram (celexa)

D.

Clonazepam (klonopin) and citalopram (celexa) target the selfselfsame area in the brain and succeeding covet-message use they procure initiate to contend making one prefer or near operative than the other

1 points  

QUESTION 70

1.      During rate a unrepining states "Why are you exploration me encircling my courage, I am near for my head", the PMHNP's best repartee is:

A.

"Some medications can motive courage issues so it is essential to administration those out precedently you initiate medication."I got 0/1 for this defense I don’t apprehend why??

B.

"This is a multiply of our method adit and it is main that you furnish me accurate defenses."

C.

"Chronic provisions such as Lupus can motive an area in your brain to malfunction, inequitableally your hippocampus."

D.

 "Anxiety can motive cortisol levels to extension and when this happens generally it puts you at destroy for comorbidities such as fashion 2 diabetes."

1 points  

QUESTION 71

1.      The PMHNP perceives that the virtual of alcohol abuse in the solicitous unrepining is excellent for the forthcoming argue:The defenses are phrased unanalogously..  The ameliorate defense is that alcohol works onthe GABA A receptor

A.

Alcohol is juridical and is a despicserviceable way that most nation communicate succeeding a occasion their problems.

B.

Alcohol works resembling to benzodiazepines

C.

Up to 30% of nation succeeding a occasion care use alcohol to self-medicate

D.

Alcohol extensions serotonin at the synapse and the unrepining may temporarily feign happy

1 points  

QUESTION 72

1.      After adjusting flumazenil (Rumazicon) the PMHNP sparing the staff to warner for which feasible issue?

a.

Respiratory valley

b.

Sedation and perturbation

c.

Sweating and nausea   (This topic was notserviceable wickedness but I gard the defenses are unanalogous too)

d.

Bradycardia and tachypnea

1 points  

QUESTION 73

1.      A unrepining  is designated escitalopram (Lexapro) for his care. When he asks why he was abandoned an antidepressant the PMHNP's best repartee is:  I didn’t keep this topic

A.

"SSRIs are used to use care consequently serotonin has been proven to acceleration succeeding a occasion feignings of horror and plague."

B.

"Even though you were diagnosed succeeding a occasion care tnear is a very lofty casualty that you too keep valley due to the resemblingities of twain sicknesss."

C.

"Antidepressants are designated prophylactically to neutralize signs of valley."

D.

"Escitalopram (Lexapro) is very operative succeeding a occasion useing the agitation attacks that can engage-place succeeding a occasion care."

1 points  

QUESTION 74  ?

1.      The PMHNP evaluates the unrepining for "horror qualificationing" when he asks:

A.

Have you constantly proofd any fashion of trauma?

B.

What do you do when you feign horror?

C.

Does your dowager or senior keep a truth of horror and/or plagueing?

D.

What frames your horror emend?

1 points  

QUESTION 75

1.      A unrepining diagnosed succeeding a occasion PTSD is designated propranolol (Inderal) and the PMHNP perceives that he was designated this medication for what purpose:

A.

He has intemperate lofty regulate hurry and this must be useed precedently focusing on his PTSD.

B.

Beta stopers are coupleed to reconsolidation.

C.

This medication procure tolerate the unrepining to snooze throughout the tenebrosity.

D.

This medication is coupleed to the extension of serotonin in the brain.

1 points  

Click Prevent and Comply to prevent and comply. Click Prevent All Answers to prevent all defenses.

Here are some multiplys of other topics I had that I jotted down a abundance of the ? so you apprehend what Its encircling and my defenses and if they were suitserviceable or wickedness:

What is an considerate patronymic of psychosis?   It’s a syndrome associated succeeding a occasion a estimate of psychiatric guess-works  (Correct)

Mrs. Schwalzman 52 has schizophrenia and has no truth of valley.  She has insusceptibility and no joy in condition.  What can the PMHNP retire?Her new medication is stoping D2 receptors in the mesolimbic regularity   corre


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