Description
• Question 68
1 out of 1 points
The PMHNP is assessing a 49-year-old male with a history of depression, post-traumatic
stress disorder (PTSD), alcoholism with malnutrition, diabetes mellitus type 2, and
hypertension. His physical assessment is unremarkable with the exception of peripheral
edema bilaterally to his lower extremities and a chief complaint of pain with numbness and
tingling to each leg 5/10. The PMHNP starts this patient on a low dose of doxepin
(Sinequan). What is the next action that must be taken by the PMHNP?
Selected
Answer:
a.
Order liver function
tests.
• Question 69
1 out of 1 points
Why does the PMHNP avoid prescribing clozapine (Clozaril) as a first-line treatment to the
patient with psychosis and aggression?
Selected
Answer:
c.
There is too high a risk of serious adverse
side effects.
• Question 70
1 out of 1 points
Kevin is an adolescent who has been diagnosed with kleptomania. His parents are
interested in seeking pharmacological treatment. What does the PMHNP tell the parents
regarding his treatment options?
Selected
Answer:
b.
“Naltrexone may be an appropriate option to
discuss.”
• Question 71
0 out of 1 points
Jerry presents to the clinic for his four-week follow-up after starting trazodone for insomnia.
How does trazodone help with insomnia?
Selected
Answer:
d.
Trazodone increases the level of serotonin in the brain at
low doses.
• Question 72
1 out of 1 points
The PMHNP is caring for a patient who experiences too much overstimulation and anxiety
during daytime hours. The patient agrees to a pharmacological treatment but states, “I
don’t want to feel sedated or drowsy from the medicine.” Which decision made by the
PMHNP demonstrates proper knowledge of this patient’s symptoms and appropriate
treatment options?
Selected
Answer:
b.
Avoiding prescribing the patient a drug that blocks H1
receptors
• Question 73
1 out of 1 points
The PMHNP is assessing a patient who will be receiving phentermine (Adipex-P)/topiramate
(Topamax) (Qsymia). Which of the following conditions/diseases will require further
evaluation before this medication can be prescribed?
Selected
Answer:
b.
Cardiovascular
disease
• Question 74
1 out of 1 points
The parents of a 7-year-old patient with ADHD are concerned about the effects of
stimulants on their child. The parents prefer to start pharmacological treatment with a nonstimulant. Which medication will the PMHNP will most likely prescribe?
Selected
Answer:
c.
Stratte
ra
• Question 75
1 out of 1 points
The PMHNP is caring for a patient with fibromyalgia. Which second-line treatment does the
PMHNP select that may be effective for managing this patient’s pain?
Selected a.
Answer: Imipramine
(Tofranil)
• Question 76
0 out of 0 points
When completing this exam, did you comply with Walden University’s Code of
Conduct including the expectations for academic integrity?
Selected Ye