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NURS 6630 Exam Study Guide for Success

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 36 pages. Originally published on StudyMerit.

Pages
36
Academic year
2025/2026
Language
English

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NURS 6630 FINAL EXAM STUDY GUIDE: COMPLETE SOLUTIONS AND IN - DEPTH EXPLANATIONS FOR OPTI MAL EXAM PERFORMAN CE 2025 VERSION A+ GUARANTEED. Query1 When an unstable sick person asks why it is necessary to add medications to his current regimen, the PMH NP’s best response would be: Selected C. Answer: “M any psychiatric illnesses involve several dys - functioning neurotransmitter systems in the brain. Often, a single medication may only effect one or two of the dys - functioning systems. The addition of anoth er medication can work with the current medication in stabilizing multiple neurotransmitter systems and help to alleviate your symptoms.” Query 2 The PMHNP is meeting with a new mother who would like to begin taking medication again to treat her bipolar depression; she is breastfeeding her 2 - month old daughter. The PMHNP recognizes that which of the following medications is contraindicated for this sick person? Selected C. Answer: Lithium (Lithobid) Query 3 Mr. Gordon is a middle - aged client who was started on antidepressant monotherapy for depression. After beginning this medication, the PMHNP noticed that this client seemed to swing into a hypomanic episode. What can the PMHNP infer from this behavior change? Selected A. Answer: This client may have Bipolar III disorder Query 4

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A sick person presents with frequent episodes of mania. Which statement describes an appropriate treatment approach for this sick person? Selected B. Answer: “The sick person could benefit from an anticonvulsant.” Query 5 The student inquires about antipsychotic medications. Which response by the PMHNP describes the factors that contribute to reduced risk of extrapyramidal symptoms (EPS) for sick persons who take antipsychotics? Selected B. Answer: Those that are potent D2 antagonists with 5HT2A antagonism properties Query 6 After ordering flumazenil (Rumazicon) the PMHNP cautions the staff to monitor for which possi ble effect? Selected D. Answer: All of the above Query 7 The PMHNP is caring for a sick person who is taking antipsychotics heard the psychiatrist tell the sick person that the sick person would be placed on a different antipsychotic agent called an atypical antipsychotic . What neurotransmitters will this new medication work on? Selected A. Answer: dopamine and serotonin Query 8 While genes have potential to modify behavior, behavior can also modify genes. How do genes impact this process? Selected B. Answer: Changes made to proteins lead to changes in behavior. Query 9

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Mrs. Schwartzman is a 52 - year - old client with schizophrenia and no established history of depression. When meeting with the PMHNP, she presents with apathy and withdrawn social behavior, and she reports a loss of joy from enjoyable activities since starting her new medication. What does the PMHNP infer from this encounter with the client? Selected C. Answer: The new medi cation is blocking D2 receptors in the mesolimbic system Query 10 A nursing student is seeking clarification on the use of anticonvulsants to treat depression and is unclear about most effective outcomes. Which of the following agents d oes the PMHNP convey as having uncertain outcomes? Selected B. Answer: Gabapentin (Neurontin) Query 11 As it relates to G - protein linked receptors, what does the PMHNP understand about medications that are used in practice? Select ed A. Answer: Most medications that act on G - protein linked receptors have antagonistic traits. Query 12 A sick person is seeking pharmacological treatment for smoking cessation. Which drug class does the PMHNP prescribe to the sick p erson? Selected D. Answer: Varenicline (Chantix) Query 13 The PMHNP is caring for a sick person with schizophrenia and is considering a variety of treatment approaches. The PHMNP selects a viable treatment that is consistent with t he “dopamine hypothesis of schizophrenia.” What action does the PMHNP anticipate this treatment having on the sick person?

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