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

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QUESTION 1

1.      A noncompliant unrepining states, "Why do you absence me to put this taint in my association?" Establish the best counterallot made by the psychiatric-mental bloom value practitioner (PMHNP).

A.

"You impress to assume your medication to befit firm."

B.

"Most medications procure growth the enumerate of neurotransmitters that you already impress in the brain."

C.

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

D.

"Why do you regard that your medication is taint?"   I accepted 0/1 for this tally??

1 points  

QUESTION 2

1.      Which announcement encircling neurotransmitters and medications is penny?My chasten tally was multitudinouspsychiatric meds were patent clear succeeding solution of endogenous neurotransmitters.   (The tally wording is unanalogous.

A.

Natural neurotransmitters such as endorphins impress been discovered succeeding the crop of medications.

B.

Some medications were patent clear succeeding the solution and unreserved operation of the neurotransmitters in the brain.

C.

Neurotransmitters hold messages from most medications.

D.

The neurotransmitter serotonin is straightly connected to dip. Aftercited this solution, the antidepressant Prozac was patent clear.

1 points  

QUESTION 3

1.      When an unfirm unrepining asks why it is inevitefficient to add medications to his prevalent sustenance, the PMHNP's best counterallot would be:

A.

"In an utmost circumstance such as yours, past than one medication is usually imperfectioned."

B.

"Due to the unproductiveness of your prevalent medication, we imperfection to try celebrity else that can maybe energeticiate its suitablety.

C.

"Medications are usually favoring to the neurotransmitter(s) they are solemn and, due to past than one neurotransmitter involvement, it is usually inevitefficient to use past than one medication to amend concurrents."

D.

"I avow your affair. We can burst your prevalent medication and switch to a unanalogous one that may ameliorate regulate your concurrents."

1 points  

QUESTION 4  ?

1.      During gene evidence, what must happen exaltedest-mentioned to a gene nature explicit?

A.

Transcription rudiment must fasten to the regulatory portion amid the cell's kernel.

B.

RNA must be converted to mRNA.

C.

The coding portion must incongruous from the regulatory portion.    This is injustice

D.

RNA polymerase must debar the mode of changing RNA to mRNA.

1 points  

QUESTION 5

1.      While genes impress implicit to dissimilate manner, manner can besides dissimilate genes. How do genes application this mode?

A.

Genes application neuron charactering straightly.

B.

Changes made to proteins administer to exchanges in manner.

C.

Neurons are efficient to application protein assemblage.

D.

Genes application the DNA of a cell, administering to exchanges in manner.

1 points  

QUESTION 6

1.      Though medications impress the power to target neurotransmitters in the synapse, it is not constantly inevitable. The PMHNP avows that this is consequently:

A.

Neurotransmission that happens via the axon affords for bliss of a neurotransmitter.

B.

Active bliss is a unanalogous pattern of courage that affords the bliss of assured neurotransmitters.

C.

Neurotransmitters can scatter by colliquation.

D.

The postsynaptic neuron can loose the neurotransmitter.

1 points  

QUESTION 7

1.      Why is the cytochrome P450 enzyme plan of notion to the PMHNP?

A.

The kinsfolks enact a role succeedingcited a space sweating of the medication, and if a unrepining has kinsfolk hurt, the dose must be growthd to be efficacious.

B.

The bioavailpower of the medication succeeding it passes through the stomach and liver can be altered.    Chasten tally

C.

The medication's chemical commutation exchanges when it comes in adjunction succeedingcited a space the pointed in the stomach.

D.

The CYP enzyme plan is a firm and predictefficient mode that enjoinrs must avow to discuss stipulations efficaciously.

1 points  

QUESTION 8

1.      It is influential for the PMHNP to avow contrarietys in pharmacokinetics to safely enjoin and warner medications. Which of the succeedingcited announcements does the adapted PMHNP establish as penny?

A.

About 1 out of 5 Asians claims retireior-than-usual doses of some antidepressants and antipsychotics.

B.

The adproper polymorphic refers to the association's power to burst a medication down multitudinous ways, and this unrepining may claim upper doses of assured antidepressants and antipsychotics.

C.

About 1 out of 30 Caucasians claims retireior doses of some antidepressants and antipsychotics.

D.

Most enzyme tracks do not impress interactions betwixt the newer medications.

1 points  

QUESTION 9

1.      As it relates to G-protein connected receptors, what does the PMHNP avow encircling medications that are used in custom?

A.

Most medications that act on G-protein connected receptors impress repugnant traits.

B.

The preponderance of medications used in custom are bountiful agonists and are used to inflame the association's original neurotransmitters.

C.

Most medications act as inequitoperative agonists consequently they afford the association to use simply what is imperfectioned.

D.

Medications used in custom may act as inverse agonists if the dosage is too noble.

1 points  

QUESTION 10

1.      The PMHNP is touching prescribing a 49-year-old manful clozapine (Clozaril) to discuss his schizophrenia and suicidal ideations. The PMHNP is assured that which rudiment may application the dose imperfectioned to efficaciously discuss his temper:

A.

The unrepining smokes cigarettes.    This is chasten!

B.

The unrepining has hypertension.

C.

The unrepining has continuous kinsfolk ailment, grade 2.

D.

The unrepining absorbs a cup of coffee a day.

1 points  

QUESTION 11

1.      A unrepining is diagnosed succeedingcited a space bipolar empiricism and is prevalently initiative carbamazepine (Tegretol), aripiprazole (Abilify), and melatonin. The PMHNP has honest written an adproper to burst the carbamazepine (Tegretol) for offal-induced thrombocytopenia. The PMHNP is assured that his contiguous best operation is to:

A.

Alert staff to practicoperative seizures

B.

Write an adproper for a unanalogous temperstabilizerFor some debate I got 0/1 points for this??

C.

Decrease the equality enjoind for aripiprazole (Abilify)

D.

Explain to the unrepining that it procure be past unamenoperative to guide his temper

1 points  

QUESTION 12

1.      A unrepining lately epidemic succeedingcited a suicide try has a narrative of schizophrenia, dip, and fibromyalgia. He is prevalently initiative Amitriptyline (Elavil), Lisinopril, aspirin, and fluoxetine (Prozac). Which is the best operation for the PMHNP to assume for this unrepining?

A.

Review Amitriptyline (Elavil) level  Chasten tally

B.

Order a liver character test

C.

Check the unrepining's assort constraining and pulse

D.

Order a stat platelet count

1 points  

QUESTION 13

1.      A unrepining succeedingcited a space schizophrenia is furnishn 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 excite the availpower of serotonin

B.

To impoverish serotonin

C.

To instraightly growth the equality of dopamine in the association

D.

To aid impoverish the equality of serotonin and dopamine

1 points  

QUESTION 14

1.      The PMHNP is caring for indelicate unrepinings. Which unrepining announcement designates that benzodiazepines would be salubrious?

A.

"I impress toil staying collected in the average of the extinction."

B.

"My spouse told me that I appear to impress toil remembering things sometimes."

C.

"I truly absence to seal smoking, but the cravings are too fortified."

D.

"I impress terse to go beyond and be in extensive crowds."

1 points  

QUESTION 15

1.      Ms. Harlow is a 42-year-old unrepining who is enjoind a offal that acts on ionotropic receptors. She is peeping encircling the suitablety of the offal and how it procure act on her concurrents. Which announcement made by the PMHNP evinces suitoperative avowing of Ms. Harlow's custom?

A.

"The offal procure impress an closely contiguous equitablety."

B.

"The offal can assume a space to establish up in your plan." 

C.

"The offal is inactive to loose but orderinals for a hanker space."  

D.

"The offal procure produce a astute contrariety in your concurrents." 

1 points  

QUESTION 16

1.      A unrepining is seeking pharmacological matter for smoking halt. Which offal assort does the PMHNP enjoin 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 epidemic from another employment. When parley succeedingcited a space the new unrepining, the unrepining newss, "I impress relish I am equitoperative succeedingcited a space the stabilizers." The PMHNP contiguously avows that the unrepining is describing which bark of offal?

A.

Full agonists

B.

Antagonists

C.

Partial agonists

D.

Inverse agonists

1 points  

QUESTION 18

1.      A unrepining furnishs succeedingcited a space usual episodes of aberration. Which announcement describes an expend matter entrance for this unrepining?

A.

"The unrepining imperfections to impress an inverse agonist."

B.

"The unrepining could advantage from an anticonvulsant."  

C.

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

D.

"The unrepining should impress a offal that acts on ligand-gated ion channels."

1 points  

QUESTION 19

1.      The PHMNP is caring for a unrepining who would advantage from nicotine cholinergic, serotonin 3, or glycine receptors. What bark of delegate does the PHMNP absence to enjoin for this unrepining?

A.

Ligand-gated ion channels succeedingcited a space a pentameric structure

B.

Ligand-gated ion channels succeedingcited a space a tetrameric structure

C.

Voltage-sensitive ion channels

D.

Anticonvulsants

1 points  

QUESTION 20  ?

1.      Which announcement made by the unrepining suggests the unrepining procure imperfection to be discussed succeedingcited a space antipsychotics that target paranoid psychosis?

A.

"It's my omission that all of this is happening. I don't believe I could constantly forego myself."  Not chasten

B.

"I impress to colloquy to the President consequently I'm the simply one who can aid him."

C.

"I'm not indisputoperative why that lady is wearing a red jacket gone it's the dogs who imperfection influence."

D.

"I don't apprehend that I equoperative absence to go to that parley. It doesn't appear price it anymore."

1 points  

QUESTION 21

1.      A unrepining has been discussed succeedingcited a space a enumerate of upset-out psychotropic offals. How is it theoretically practicoperative to establish apprehensive amendment in the unrepining using neuropsychological tribute batteries succeeding the pharmacologic therapy?    I did not impress this interrogation

A.

Obtaining raw normative metrics and using them to assess characterality

B.

Having the unrepining news on apprehensive character grounded on identical trials

C.

Monitoring the unrepining in a guideled setting 

D.

Measuring concurrents of psychosis

1 points  

QUESTION 22

1.      Mr. McCullin is 64 years old succeedingcited a space Parkinson's ailment. The PMHNP caring for Mr. McCullin absences to set-out him on a dopamine agonist to aid regulate and discuss his temper. The PHMNP selects this delegate consequently of which operation it has on unrepinings relish Mr. McCullin?

A.

Dopamine is adjustinated through multiple contrivances.

B.

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

C.

MAO-B furnishs in the mitochondria amid the presynaptic neuron.

D.

D2 receptors are the influential fastening birth for dopamine agonists.   Chasten tally

1 points  

QUESTION 23

1.      Mrs. Trevor is a 44-year-old unrepining who does not impress a peculiarity of schizophrenia but sometimes newss concurrents of psychosis, followed by critical tire. Mrs. Trevor inquires encircling the use of amphetamines to aid succeedingcited a space her courage levels. Which counterallot made by the PMHNP is most expend?

A.

"Amphetamines may aid you, as they can closeen psychotic stipulations."

B.

"Amphetamines can debar indirect concurrents of schizophrenia, so this strength be a good-tempered-tempered precious for you."

C.

"Amphetamines can source hallucinations, so I would admonish counter this pattern of custom."Correct

D.

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

1 points  

QUESTION 24

1.      The PMHNP is caring for a unrepining succeedingcited a space schizophrenia and is touching a multiplicity of matter entrancees. The PHMNP selects a viefficient matter that is congruous succeedingcited a space the "dopamine conjecture of schizophrenia." What operation does the PMHNP meet this matter having on the unrepining?

A.

Blocking the loose of dopamine facilitates the onslaught of express schizophrenia concurrents.

B.

Hyperactivity in the mesolimbic dopamine track convenients the express concurrents of schizophrenia.

C.

Antipsychotic offals that unreserved D2 receptor tracks can discuss schizophrenia.

D.

The neuroanatomy of dopamine neuronal tracks can clear-up concurrents of schizophrenia.

1 points  

QUESTION 25

1.      A unrepining is diagnosed succeedingcited a space schizophrenia. What growths the unrepining's implicit to convenient the apprehensive concurrents of the ailment?

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 assumes antipsychotics that obstruct D2 receptors. What unrepining training should the PMHNP embrace connected to the practicoperative aspect suitablety of this pattern of offal?

A.

Hypersexuality

B.

Amenorrhea

C.

Dystonia

D.

Tardive dyskinesia   chasten tally

A.

1 points  

QUESTION 27

1.      The PMHNP is caring for a unrepining who is initiative antipsychotics heard the psychiatrist mention the unrepining that the unrepining would be placed on a unanalogous antipsychotic delegate. Which of the succeedingcited claims the hankerest transition space for remedial advantage?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 meets that the unrepining procure be enjoind an antipsychotic. Which medication does the PMHNP doubt procure be adjusted for this unrepining?Not on my test

A.

Quetiapine

B.

Paliperidone

C.

Lurasidone

D.

Clozapine

1 points  

QUESTION 29

1.      Which announcement made by the PMHNP exemplifies chasten training of physiological suitablety in the association?

A.

Muscarinic antagonists are past relishly to source declining prolactin levels.

B.

D2 antagonists impoverish the relishlihood of EPS concurrents.

C.

D2 animosity is connected to antidepressant suitableties.

D.

D2 inequitoperative agonists are associated succeedingcited a space growthd emulatency in discussing express concurrents of schizophrenia.

1 points  

QUESTION 30

1.      Mrs. Schwartzman is a 52-year-old unrepining succeedingcited a space schizophrenia and no periodical narrative of dip. When parley succeedingcited a space the PMHNP, she furnishs succeedingcited a space indifference and succeedingcited a spacedrawn political manner, and she newss a privation of joy from enjoyefficient activities. What does the PMHNP retire from this confront succeedingcited a space the unrepining?

A.

An underlying depressive empiricism

B.

The late exextransmute of a 2nd offspring antipsychotic to a social one   This is chasten

C.

The late exextransmute of a 1st offspring antipsychotic to a 2nd offspring antipsychotic

D.

All of the over

1 points  

QUESTION 31

1.      The PMHNP is initiative a narrative on a unrepining who has been on antipsychotics for manifold years. Which principle rudiments are most relishly to co-operate to a individual lay-opening tardive dyskinesia (TD)?Not on mytest

A.

Long-adproper 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 novice inquires encircling antipsychotic medications. Which counterallot by the PMHNP describes nthe rudiments that co-operate to declining principle of extrapyramidal concurrents (EPS) for unrepinings who assume antipsychotics?

A.

Those that are energetic D2 antagonists

B.

Those that are energetic D2 antagonists succeedingcited a space 5HT2A animosity suitableties

C.

D2 receptors that are obstructed in the nigrostriatal track

D.

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

1 points  

QUESTION 33

1.      Mr. Gordon is a average-old unrepining who is initiative antipsychotics. When parley succeedingcited a space the PMHNP, he newss express countercompatability to the medication, stating, "I truly impress as though the suitablety of my dip are going abroad." Which receptor operation in antipsychotic medications is regardd to be the most salubrious in submissive the suitablety pictorial by Mr. Gordon?

A.

5HT2 animosity

B.

D2 animosityThis was injustice  0/1

C.

Alpha-2 animosity

D.

D2 inequitoperative agonist

1 points  

QUESTION 34

1.      A unrepining who was lately admitted to the psychiatric nursing allot is nature discussed for bipolar empiricism. Which neurotransmitter is the PMHNP most relishly to target succeedingcited a space 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 succeedingcited a space a temper empiricism. She lately requested to alienate to a new PMHNP, succeeding not getting ahanker well-mannered-mannered succeedingcited a space her anterior provider. The new PHMNP is re-examinationing Ms. Ryerson's medical chart exaltedest-mentioned to their primitive ordinance. Upon re-examination, the PMHNP sees that the exaltedest-mentioned provider orderinal instrumented "unrepining had quick poop out." What does the PMHNP retire encircling the unrepining's custom grounded on this instrumentation?

A.

The unrepining has an unsustained counterallot to antidepressants.

B.

The unrepining has antidepressant-induced hypomania. 

C.

The unrepining has a depletion of monoamine neurotransmitters.

D.

The unrepining has an inoperative equitablety to atypical antipsychotics.

1 points  

QUESTION 36

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

A.

Patient succeedingcited a space a bipolar I designationI don’t apprehend why but this was notoperative 0/1 for me

B.

Patient succeedingcited a space a bipolar II designation

C.

Patient succeedingcited a space a bipolar III designation

D.

None of the over

1 points  

QUESTION 37

1.      Why does the PMHNP quit discussing a unrepining succeedingcited a space cyclothymia, and has superior depressive episodes, succeedingcited a space antidepressant monotherapy?Not on my test

A.

The unrepining may trial paranoid quitant manner.

B.

The unrepining may trial critical dip.

C.

The unrepining may trial conference hallucinations.

D.

The unrepining may trial growthd temper cycling.

1 points  

QUESTION 38

1.      The PMHNP is caring for a unrepining succeedingcited a space the s genopattern of SERT. What does the PMHNP avow touching this unrepining's counterallot to exceptive serotonin reupassume debaror (SSRI)/SNRI matter?

A.

The unrepining has a upper accident of tolerating SSRI/SNRI matter.

B.

The unrepining procure impress a express counterallot to SSRI/SNRI matter.

C.

The unrepining procure lay-open critical temper cycling in counterallot to matter.

D.

The unrepining may be close obedient or indulgent to the matter.

1 points  

QUESTION 39

1.      Ms. Boeckh is a 42-year-old unrepining succeedingcited a space superior dip. The PMHNP avows that which operation of norepinephrine procure interest Ms. Boeckh's serotonin levels?

A.

Norepinephrine energeticiates 5HT loose through a2 postsynaptic receptors.

B.

Norepinephrine debars 5HT loose through a2 receptors.

C.

Norepinephrine debars α2 receptors on axon adjustinals.

D.

Norepinephrine energeticiates 5HT loose through a1 and a2 receptors.

1 points  

QUESTION 40

1.      Which announcement made by the PMHNP chastenly describes the analogy betwixt NE neurons and pharmaceutical matter?

A.

"Drugs debar the loose of NE."

B.

"Drugs can imitate the original charactering of the NE neuron."

C.

"Drugs are unefficient to counterfeit the suitablety of NE neurons."

D.

"Drugs nullify the original charactering of the NE neuron by sealping the presynaptic a2 neuron."

1 points  

QUESTION 41

1.      The PMHNP is assessing a unrepining in the psychiatric embarrassment avenue. The unrepining mentions the PMHNP that he does not avow why his dip has not lifted succeeding nature on indelicate unanalogous antidepressants aggravate the direction of a year. Which of the succeedingcited concurrents can be residual concurrents for unrepinings who do not consummate remission succeedingcited a space superior depressive empiricism?

A.

Insomnia

B.

Suicidal ideation

C.

Problems concentrating

D.

A and C

1 points  

QUESTION 42

1.      Fluoxetine (Prozac) has been enjoind for a unrepining. Which of the succeedingcited announcements is penny touching the operation of this medication?

A.

Neuronal firing rates are not dysregulated in dip.

B.

Blocking the presynaptic SERT procure contiguously administer to a grand communicate of serotonin in manifold synapses.

C.

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

D.

The operation at the somatodendritic end of the serotonin neuron may best clear-up the remedial operation of SSRIs.   Correct

1 points  

QUESTION 43

1.      The value schoolmaster apprehends that training was efficacious when one of the novices compares fluvoxamine to sertraline and notes which of the succeedingcited congruousities?I had unanalogous tally precioussthe chasten tally was  Twain impress operations at sigma receptors that co-operate to twain anxiolytic and antipsychotic suitablety

A.

Both impress a sedative-like, calming equitablety. 

B.

Both co-operate to antipsychotic operations.

C.

Both evince favorefficient findings in discussing dip in the old.

D.

Both are unreserved for causing critical succeedingcited a spacedrawal concurrents such as dizziness, perturbation, and akathisia.

1 points  

QUESTION 44

1.      A 45-year-old femanful unrepining succeedingcited a space allergic rhinitis and usual assort constraining has had no decrease in depressive concurrents succeeding involved bupropion, paroxetine, and venlafaxine. What prefrugal are imperfectioned in touching monoamine oxidase debarors (MAOI) in discussing her dip?

A.

Since all MAOIs claim dietary restrictions, the unrepining procure imperfection to quit all cheeses and old, smoked, or fermented meats.

B.

The unrepining cannot assume any antihistamines. 

C.

The unrepining cannot impress two information teeth extracted space on a MAnOI.

D.

The unrepining procure imperfection to minimize dietary inassume of influences such as tap and unpasteurized beer, old cheeses, and soy products/tofu. 

1 points  

QUESTION 45

1.      After sitting in on an interdisciplinary matter team parley, the novice value asks the professor to clear-up a plan-grounded entrance to the matter of dip. What is the expend counterpart?

A.

Symptoms aid constitute a peculiarity, then concurrents are deconstructed into a roll of favoring concurrents triald by a unrepining. 

B.

Symptoms are matched primitive succeedingcited a space the brain circuits that hypothetically convenient them and then succeedingcited a space the unreserved neuropharmacological canon of these circuits by neurotransmitters.

C.

Treatment non-interferences that target neuropharmacological contrivances are chosen to exclude concurrents one by one.

D.

All of the over.

1 points  

QUESTION 46

1.      A 51-year-old femanful unrepining furnishs succeedingcited a space concurrents of dip, including failure of motivation and unamenabley latent. What principle rudiments would growth her vulnerpower for a peculiarity of dip?

A.

First onslaught in puberty or future adulthood

B.

Late onslaught of menses  

C.

Premenstrual syndrome

D.

A and C

1 points  

QUESTION 47

1.      A value aggravatehears that a unrepining has failed sole therapy succeedingcited a space an SSRI and SNRI. She besides gathers that the unrepining has been on dual SSRI/SNRI therapy succeedingcited a spaceout exceeding concurrent guide. She entrancees the PMHNP and asks what the contiguous matter non-interference could be in this appearingly matter-resistant unrepining. The PMHNP mentions the value she procure discuss the unrepining succeedingcited a space the succeedingcited sustenance:

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 touching sealping paroxetine. Why does her PMHNP admonish counter this hasty discontinuation of the physic?

A.

She may trial succeedingcited a spacedrawal concurrents.

B.

She may trial growthd trauma.

C.

Effects of hasty halt are obscure.

D.

It can administer to unamenableies succeedingcited a space strain.

1 points  

QUESTION 49

1.      A unrepining is enjoind fluoxetine but is affaired encircling the aspect suitablety. Which announcement evinces obsequious unrepining training when discussing the aspect suitablety associated succeedingcited a space fluoxetine?

A.

Weight find can be problematic.

B.

Sedation is very vulgar.

C.

Induction of aberration is honorable.

D.

Seizures are not uncommon.

1 points  

QUESTION 50

1.      The PMHNP is caring for a unrepining succeedingcited a space disquiet who lay-opens lenient to dispassionate hepatic enervation. Which operation does the PMHNP assume touching 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 femanful unrepining is nature enjoind milnacipran to discuss fibromyalgia, and expresses affair touching "how she procure impress and look" from initiative the physic. Which announcement chastenly describes the aspect suitablety as a commodities of initiative this medication?

A.

It can interest her menstruation. 

B.

Suicidality can be vulgar unarranged youthful adults.

C.

Sedation may be problematic.

D.

Weight find is uncommon.

1 points  

QUESTION 52

1.      Mr. Ruby is a 33-year-old sole father who is requesting pharmacological agency to discuss his fibromyalgia. The PMHNP sees in the medical chart that he has a late peculiarity of arrhythmia and a BMI of 29. During his tribute, the PMHNP gathers 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 absorbs 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 enjoind sertraline to discuss tremor empiricism. Knowing that sertraline can initially source disquiet or insomnia, what should the PMHNP do?

A.

Prescribe hanker-acting benzodiazepine for 2 weeks, then growth the dose.

B.

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

C.

Prescribe hanker-acting benzodiazepine for 2 weeks, then burst.

D.

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

1 points  

QUESTION 54

1.      A unrepining is enjoind 50 mg of desvenlafaxine to assume constantlyy other day for superior depressive empiricism. What does the PMHNP avow encircling this unrepining?

A.

The unrepining has hepatic enervation.

B.

The unrepining has dispassionate renal enervation.

C.

The unrepining has critical renal enervation.

D.

The unrepining has cardiac enervation.

1 points  

QUESTION 55

1.      The PMHNP avows that which contrivance co-operates to a worse tolerpower profile for unrepinings initiative tricyclic antidepressants (TCAs)?

A.

Histamine H1 receptor obstructade can source insomnia.

B.

Muscarinic M1 receptor obstructade sources blurred trust.

C.

Alpha 1 adrenergic receptor obstructade sources influence find.

D.

Muscarinic M3 receptor obstructade sources sedation.

1 points  

QUESTION 56

1.      A unrepining who was enjoind an MAO debaror is erudition encircling dietary modifications. Which announcement made by the PMHNP evinces suitoperative training of the influence-offal interactions for MAO debarors?

A.

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

B.

"You should not spoil modeed meats."

C.

"You may spoil fermented influences, relish sauerkraut."

D.

"You may abide to absorb beers on tap."

1 points  

QUESTION 57

1.      A unrepining who is enjoind MAO debarors asks encircling whether he can abide initiative pseudoephedrine to succor his redundancy. Which counterallot by the PMHNP designates suitoperative avowing of offal-offal interactions?  

A.

"Decongestants are keen to abide initiative succeedingcited a space MAO debarors." 

B.

"Decongestants are okay to assume succeedingcited a space MAO debarors in sedateness."

C.

"Decongestants should be quited due to principle of serotonin syndrome." 

D.

"Decongestants should be quited due to principle of hypertensive crisis." Correct

1 points  

QUESTION 58

1.      Ms. Skidpast furnishs for a follow-up ordinance succeeding nature enjoind phenelzine (Nardil), and newss "I assume my 45 mg pill, three spaces a day, honest relish I'm deemed to." What does the PMHNP avow encircling this unrepining?

A.

Ms. Skidpast is initiative the chasten dose of phenelzine (Nardil).This was notoperative 0/1 for me

B.

Ms. Skidpast is not initiative sufficient of the phenelzine (Nardil); she should be initiative three spaces that equality. 

C.

Ms. Skidpast is initiative too ample of the phenelzine (Nardil); she should be initiative the 45 mg in three doses.This is probably the equitoperative tally  

D.

Ms. Skidpast is initiative too ample of the phenelzine (Nardil); she is deemed to assume 45 mg constantlyy 24 hours.

1 points  

QUESTION 59

1.      The PMHNP is caring for multitudinous unrepinings who furnish succeedingcited a space multitudinous concurrents and bloom issues. For which unrepining does the PMHNP enjoin pregabalin (Lyrica)?

A.

Patient succeedingcited a space PTSD

B.

Patient succeedingcited a space inequitoperative seizures

C.

Patient succeedingcited a space galactose intolerance  

D.

Patient succeedingcited a space Lapp lactase imperfection

1 points  

QUESTION 60

1.      Mr. Gutier is 72 years old succeedingcited a space disquiet and depressive concurrents. His PMHNP is prescribing lorazepam (Ativan). What does the PMHNP avow touching this custom?

A.

The PMHNP procure enjoin close than 2-6 mg for Mr. Gutier to assume daily.

B.

The PMHNP procure claim Mr. Gutier to assume 2-4 doses of lorazepam (Ativan) per day.

C.

The PMHNP procure enjoin past than 2-6 mg for Mr. Gutier to assume daily.

D.

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

1 points  

QUESTION 61

1.      A unrepining is nature enjoind a sedating antidepressant, but is affaired encircling influence find. Which medication is most relishly to be enjoind to addresses the unrepining's affairs? 

A.

mirtazapine (Remeron)

B.

doxepin (Silenor)

C.

alprazolam (Xanax)

D.

trazadone (Oleptro)

1 points  

QUESTION 62

1.      A unrepining who was diagnosed succeedingcited a space bipolar empiricism succeedingcited a spaceout aberration, asks the PMHNP why he is nature enjoind a temper stabilizer. What is the expend counterpart?

A.

Mood stabilizers are simply enjoind to discuss manic phases of bipolar dip

B.

Mood stabilizers can congruously discuss twain aberration and bipolar dip

C.

Mood stabilizers can target aberration and aberration retrogression and besides impoverish concurrents of bipolar dip and retrogression of bipolar dip concurrents but no offal has been proven to target all indelicate remedial operations

D.

Certain temper stabilizers, such as lithium, are efficient to congruously target aberration and bipolar dip

1 points  

QUESTION 63

1.      The PMHNP is assessing a unrepining in the embarrassment avenue. The unrepining shares that he has been on lithium (Lithobid) for manifold years. What assort tests does the PMHMP adjust?

A.

Thyroid Stimulating Hormone (TSH)

B.

Complete Assort Count (CBC)

C.

Erythrocyte Sedimentation Rate

D.

Platelet Count

1 points  

QUESTION 64

1.      A 39-year old femanful unrepining furnishly on lithium would relish to try a new medication to discuss her bipolar empiricism. She has had affairs encircling aspect suitablety from lithium and absences to gather past encircling Lamotrigine (Lamictal) as a matter non-interference. The PMHNP transmits some of the unbeggarly aspects of this delegate, including which of the succeedingcited?   I don’t believe I had this interrogation

A.

Thither is some evidence lamotrigine can nullify series from lenient apprehensive enervation to Alzheimer's ailment

B.

Lamotrigine may source rashes, including the vitality-threatening Stevens-Johnson syndrome

C.

It was one of the primitive anticonvulsants beggarly by the FDA to discuss bipolar dip

D.

Thither is a principle for amenorrhea and polycystic ovarian ailment in women of branchbearing age

1 points  

QUESTION 65

1.      A nursing novice is seeking percolation on the use of anticonvulsants to discuss dip and is unclear encircling most efficacious outcomes. Which of the succeedingcited delegates does the PMHNP transmit as having unassured outcomes?

A.

Carbamazepine (Tegretol)

B.

Gabapentin (Neurontin)

C.

Valporoic Pointed (Depakene)

D.

All of the over

1 points  

QUESTION 66

1.      A 46-year old manful unrepining mentions multitudinous opinion matters to Carbamazepine (Tegretol) as a way to regulate concurrents of his bipolar dip. Which of the succeedingcited does the PMHNP designate would not be an delegate to discuss bipolar dip?didn’t impress this interrogation I

A.

Omega-3-fatty-acids

B.

Soybean lecithin

C.

Inositol

D.

L-methylfolate

1 points  

QUESTION 67

1.      The PMHNP is parley succeedingcited a space a new dame who would relish to arise initiative medication afind to discuss her bipolar dip; she is breastfeeding her 2-month old daughter. The PMHNP avows that which of the succeedingcited medications is contraindicated for this unrepining?

A.

Valporic Pointed (Depakene)

B.

Carbamazepine (Tegretol)

C.

Lithium (Lithobid)This interrogation is continual and on one I got 1/1 and the other I got 0/1 for this correspondingexact interrogation.

D.

Lamotrigine (Lamictal)

1 points  

QUESTION 68

1.      The PMHNP assesses a 10-year old manful branch in the ER and doubts aberration. Which of the succeedingcited concurrents and recommendations for follow-up evaluation are expend?

A.

Irritability, euphoria, anger; the branch should be evaluated exalt for persuade empiricism. 

B.

Irritability, forcible outbursts, hyperactivity; the branch should besides be evaluated exalt for ADHD

C.

Irritability, oblivion, anger; the branch should be evaluated exalt for ADHD.  

D.

Irritability, intelligent aberration, hyperactivity; the branch should be evaluated exalt for persuade empiricism. 

1 points  

QUESTION 69

1.      A unrepining was diagnosed succeedingcited a space GAD 4 weeks ago and was placed on Clonazepam (klonopin) twice a day and citalopram (citalopram (celexa)) uniformly daily. When he asks the PMHNP why it is inevitefficient to estrange him off of the Clonazepam (klonopin) the best counterallot is:

A.

Clonazepam (klonopin) may clash succeedingcited a space citalopram (celexa)s targeted areas in the brain

B.

Clonazepam (klonopin) is not recommended for hanker adproper use due to practicoperative sedation

C.

Clonazepam (klonopin) was used as an aid to discuss your temper space you were adjusting to citalopram (celexa)

D.

Clonazepam (klonopin) and citalopram (celexa) target the corresponding area in the brain and succeeding hanker-adproper use they procure arise to emulate making one past or close efficacious than the other

1 points  

QUESTION 70

1.      During tribute a unrepining states "Why are you scrutiny me encircling my hardihood, I am hither for my head", the PMHNP's best counterallot is:

A.

"Some medications can source hardihood issues so it is inevitefficient to government those out anteriorly you arise medication."I got 0/1 for this tally I don’t apprehend why??

B.

"This is a allot of our system avenue and it is influential that you furnish me sincere tallys."

C.

"Chronic stipulations such as Lupus can source an area in your brain to malfunction, favoringally your hippocampus."

D.

 "Anxiety can source cortisol levels to growth and when this happens usually it puts you at principle for comorbidities such as pattern 2 diabetes."

1 points  

QUESTION 71

1.      The PMHNP avows that the implicit of alcohol affront in the concerned unrepining is upper for the succeedingcited debate:The tallys are phrased unanalogously..  The chasten tally is that alcohol works onthe GABA A receptor

A.

Alcohol is legitimate and is a vulgar way that most tribe communicate succeedingcited a space their problems.

B.

Alcohol works congruous to benzodiazepines

C.

Up to 30% of tribe succeedingcited a space disquiet use alcohol to self-medicate

D.

Alcohol growths serotonin at the synapse and the unrepining may temporarily impress happy

1 points  

QUESTION 72

1.      After adjusting flumazenil (Rumazicon) the PMHNP frugal the staff to warner for which practicoperative equitablety?

a.

Respiratory dip

b.

Sedation and perturbation

c.

Sweating and nausea   (This interrogation was notoperative injustice but I believe the tallys are unanalogous too)

d.

Bradycardia and tachypnea

1 points  

QUESTION 73

1.      A unrepining  is enjoind escitalopram (Lexapro) for his disquiet. When he asks why he was furnishn an antidepressant the PMHNP's best counterallot is:  I didn’t impress this interrogation

A.

"SSRIs are used to discuss disquiet consequently serotonin has been proven to aid succeedingcited a space impressings of misgiving and plague."

B.

"Even though you were diagnosed succeedingcited a space disquiet thither is a very noble accident that you besides impress dip due to the congruousities of twain ailments."

C.

"Antidepressants are enjoind prophylactically to nullify concurrents of dip."

D.

"Escitalopram (Lexapro) is very efficacious succeedingcited a space discussing the tremor attacks that can happen succeedingcited a space disquiet."

1 points  

QUESTION 74  ?

1.      The PMHNP evaluates the unrepining for "misgiving tempering" when he asks:

A.

Have you constantly triald any pattern of trauma?

B.

What do you do when you impress misgiving?

C.

Does your dame or father impress a narrative of misgiving and/or plagueing?

D.

What produces your misgiving ameliorate?

1 points  

QUESTION 75

1.      A unrepining diagnosed succeedingcited a space PTSD is enjoind propranolol (Inderal) and the PMHNP avows that he was enjoind this medication for what purpose:

A.

He has stormy noble assort constraining and this must be discussed anteriorly focusing on his PTSD.

B.

Beta obstructers are connected to reconsolidation.

C.

This medication procure afford the unrepining to repose throughout the extinction.

D.

This medication is connected to the growth of serotonin in the brain.

1 points  

Click Rescue and Surrender to rescue and surrender. Click Rescue All Answers to rescue all tallys.

Here are some allots of other interrogations I had that I jotted down a sufficient of the ? so you apprehend what Its encircling and my tallys and if they were equitoperative or injustice:

What is an obsequious name of psychosis?   It’s a syndrome associated succeedingcited a space a enumerate of psychiatric empiricisms  (Correct)

Mrs. Schwalzman 52 has schizophrenia and has no narrative of dip.  She has indifference and no joy in vitality.  What can the PMHNP retire?Her new medication is obstructing D2 receptors in the mesolimbic plan &a


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