Nursing

Diagnoses For Clients Receiving Psychotherapy
Diagnoses For Clients Receiving Psychotherapy
Learning Objectives
Students will:
· Develop diagnoses for clients receiving psychotherapy*
· Evaluate the efficacy of cognitive behavioral therapy for clients*
· Analyze legal and ethical implications of counseling clients with psychiatric disorders*
Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:
· Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
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· Using the Diagnostic and Statistical Manual of Mental Health Disorders, 5th edition (DSM-5), explain and justify your diagnosis for this client.
· Explain whether cognitive behavioral therapy would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature.
· Explain any legal and/or ethical implications related to counseling this client.
· NOTE: PLEASE SEE THE ATTACHED Practicum Journal Template AND JOURNAL SAMPLE (TIME LOG & JOURNAL ENTRIES) FOR WRITING THIS ASSIGNMENT…..ALSO FOR THE TIME LOG AND JOURNAL ENTRIES, JUST MAKE UP A REASONABLE INFORMATION AND CLIENT INFORMATION
Assignment: Practicum – Week 4 Journal Entry
Learning Objectives
Students will:
· Develop diagnoses for clients receiving psychotherapy*
· Evaluate the efficacy of cognitive behavioral therapy for clients*
· Analyze legal and ethical implications of counseling clients with psychiatric disorders*
Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:
· Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
· Using the Diagnostic and Statistical Manual of Mental Health Disorders, 5th edition (DSM-5), explain and justify your diagnosis for this client.
· Explain whether cognitive behavioral therapy would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature.
· Explain any legal and/or ethical implications related to counseling this client.
· NOTE: PLEASE SEE THE ATTACHED Practicum Journal Template AND JOURNAL SAMPLE (TIME LOG & JOURNAL ENTRIES) FOR WRITING THIS ASSIGNMENT…..ALSO FOR THE TIME LOG AND JOURNAL ENTRIES, JUST MAKE UP A REASONABLE INFORMATION AND CLIENT INFORMATION

Generating And Assessing Evidence
Generating And Assessing Evidence
The Collaborative Learning Community: EBP Identification of Clinical Question assignment is due.
Prepare for your upcoming Topic 5 assignment, Collaborative Learning Community: EBP Literature Search/Appraisal of Evidence. Remember to record all communication in the CLC Forum.
Use the evidence hierarchy pyramid provided in Figure 2.1 in the Nursing Research: Generating and Assessing Evidence for Nursing Practice textbook as a guide for the levels of evidence in your reference list.
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Locate case studies, relevant clinical articles written by experts, research articles, evidence-based guidelines, protocols, and theories that may guide the identification of appropriate solutions. This can include the articles reviewed in Topic 3. Note: Not all theories will have research that allows them to have a level assigned to them. This does not mean they are not good theories. A true proposal would require a comprehensive review of the literature and inclusion of all relevant works.
Appraise the evidence using the guidelines provided in the Nursing Research: Generating and Assessing Evidence for Nursing Practice textbook. Use these guidelines to discard references that are untrustworthy or irrelevant. Box 2.2 can help with this decision-making process. Chapter 5 provides guidance on how to synthesize the article findings.
Use the assigned Topic Material, “CLC EBP Research Table,” to consolidate and present the findings. Limit the articles to no more than 10 (two per student in the CLC group would be reasonable). Choose one group member to submit the completed assignment by the end of Topic 5.
The Collaborative Learning Community: EBP Identification of Clinical Question assignment is due.
Prepare for your upcoming Topic 5 assignment, Collaborative Learning Community: EBP Literature Search/Appraisal of Evidence. Remember to record all communication in the CLC Forum.
Use the evidence hierarchy pyramid provided in Figure 2.1 in the Nursing Research: Generating and Assessing Evidence for Nursing Practice textbook as a guide for the levels of evidence in your reference list.
Locate case studies, relevant clinical articles written by experts, research articles, evidence-based guidelines, protocols, and theories that may guide the identification of appropriate solutions. This can include the articles reviewed in Topic 3. Note: Not all theories will have research that allows them to have a level assigned to them. This does not mean they are not good theories. A true proposal would require a comprehensive review of the literature and inclusion of all relevant works.
Appraise the evidence using the guidelines provided in the Nursing Research: Generating and Assessing Evidence for Nursing Practice textbook. Use these guidelines to discard references that are untrustworthy or irrelevant. Box 2.2 can help with this decision-making process. Chapter 5 provides guidance on how to synthesize the article findings.
Use the assigned Topic Material, “CLC EBP Research Table,” to consolidate and present the findings. Limit the articles to no more than 10 (two per student in the CLC group would be reasonable). Choose one group member to submit the completed assignment by the end of Topic 5.

Assignment: Immigration US Controversial Issue
Assignment: Immigration US Controversial Issue
CHOOSE ONE of the following options, responding and providing feedback to others according to the rubrics. Original posts must be between 350 and 500 words and a minimum of 100-150 words for a response post. You must include quotes and reference citations from an assigned reading for the week in your original post.
1. Discuss the principle of utility. Is happiness a sufficient criterion for moral worth? If it isn’t, can you name a better or more appropriate criterion?
2. Immigration has been and continues to be a controversial issue in the U.S., as well as in other countries. Large numbers of refugees have fled from war, persecution, oppression, famine, and drought. Hundreds of thousands of people migrate to the U.S. and Europe to perform agricultural and low-paying jobs, often jobs that locals refuse to do. Given its history and social evolution, what should be the criteria, for the U.S., on Immigration? On what premises would you fashion U.S. policy on Immigration, which includes those who arrive or remain in country without proper documentation? What social, economic, ethical and humanitarian factors should be taken into account? And what should be done regarding the millions of undocumented immigrants currently in the U.S.? Go to for a fun cartoon.
3. Consider the charge that utilitarianism is too “backwards looking.” Another way to put this might be that it sounds too much like “the ends justify the means.” Do you find the theory susceptible to this criticism? Why or why not?
4. Using the Utilitarian approach, should the drinking age in the US be lowered to 18? Why? Why not?
5. A SCENARIO OF UTILITARIANISM: ADRIFT!
· Imagine a lifeboat adrift at sea.
· In it are
o a physician
o a police officer, accused of corruption, who’s been suspended from the police force,
o a young mother and her nursing infant
o an unemployed carpenter who volunteers twice a week at the local homeless shelter
o a teenager who performs on stage with a band
o a retired kindergarten teacher
o and you.
· Also in the boat are food and water, but not enough to last long–and the castaways do not know how long (if ever) before they’ll find land or be rescued.
· The longer they wait, the less food and water they will have left, and the weaker they become. What should they do? What would YOU do?
· This discussion is devoted to utilitarianism
–the lifeboat scenario is an example to make the ideas of the theory more real. Be sure to use utilitarian concepts in your discussion, regardless of whether you find them appealing. Be on the lookout for utilitarian ideas and principles, identify them when they pop up, and offer an assessment of how well utilitarian thinking helps you with this “lifeboat problem.”

Pathophysiological Phenomena Assignment
Pathophysiological Phenomena Assignment
Question 28
A 14-year-old boy has been diagnosed with infectious mononucleosis. Which of the following pathophysiological phenomena is most responsible for his symptoms?
Answers:
A. Viruses are killing some of his B cells and becoming incorporated into the genome of others.
B. The Epstein-Barr virus (EBV) is lysing many of the boy’s neutrophils.
C. The virus responsible for mononucleosis inhibits the maturation of myeloblasts into promyelocytes.
D. The EBV inhibits the maturation of white cells within his peripheral lymph nodes.
Question 29
A 16-year-old female has been brought to her primary care physician by her mother due to the girl’s persistent sore throat and malaise. Which of the following facts revealed in the girl’s history and examination would lead the physician to rule out infectious mononucleosis?
Answers:
A. Chest auscultation reveals crackles in her lower lung fields bilaterally.
B. Her liver and spleen are both enlarged.
C. Blood work reveals an increased white blood cell count.
D. The girl has a temperature of 38.1°C (100.6°F) and has enlarged lymph nodes.
Question 30
A 30-year-old woman who has given birth 12 hours prior is displaying signs and symptoms of disseminated intravascular coagulation (DIC). The client’s husband is confused as to why a disease of coagulation can result in bleeding. Which of the nurse’s following statements best characterizes DIC?
Answers:
A. “The same hormones and bacteria that cause clotting also cause bleeding.”
B. “Massive clotting causes irritation, friction, and bleeding in the small blood vessels.”
C. “So much clotting takes place that there are no available clotting components left, and bleeding ensues.”
D. “Excessive activation of clotting causes an overload of vital organs, resulting in bleeding.”
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Question 31
A 20-year-old has been diagnosed with an astrocytic brain tumor located in the brain stem. Which of the following statements by the oncologist treating the client is most accurate?
Answers:
A. “Our treatment plan will depend on whether your tumor is malignant or benign.”
B. “This is likely a result of a combination of heredity and lifestyle.”
C. “The major risk that you face is metastases to your lungs, liver, or bones.”
D. “Your prognosis will depend on whether we can surgically resect your tumor.”
Question 32
A patient diagnosed with low-risk chronic lymphocytic leukemia (CLL) has recently developed thrombocytopenia. One of the medications utilized to treat this would be Answers:
A. cisplatin, a chemotherapeutic.
B. vincristine, a Vinca alkaloid.
C. dexamethasone, a corticosteroid.
D. doxorubicin, a cytotoxic antibiotic.

Discussion: Impulsive Aggression
Discussion: Impulsive Aggression
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QUESTION 36
Which statement best describes a pharmacological approach to treating patients for impulsive aggression?
A. Anticonvulsant mood stabilizers can eradicate limbic irritability. B. Atypical antipsychotics can increase subcortical dopaminergic stimulation. C. Stimulants can be used to decrease frontal inhibition. D. Opioid antagonists can be used to reduce drive.
QUESTION 37
A patient with hypersexual disorder is being assessed for possible pharmacologic treatment. Why does the PMHNP prescribe an antiandrogen for this patient?
A. It will prevent feelings of euphoria. B. It will amplify impulse control. C. It will block testosterone. D. It will redirect the patient to think about other things.
QUESTION 38
Mrs. Kenner is concerned that her teenage daughter spends too much time on the Internet. She inquires about possible treatments for her daughter’s addiction. Which response by the PMHNP demonstrates understanding of pharmacologic approaches for compulsive disorders?
A. “Compulsive Internet use can be treated similarly to how we treat people with substance use disorders.” B. “Internet addiction is treated with drugs that help block the tension/arousal state your daughter experiences.” C. “When it comes to Internet addiction, we prefer to treat patients with pharmaceuticals rather than psychosocial methods.” D. “There are no evidence-based treatments for Internet addiction, but there are behavioral therapies your daughter can try.”
QUESTION 39
Mr. Peterson is meeting with the PMHNP to discuss healthier dietary habits. With a BMI of 33, Mr. Peterson is obese and needs to modify his food intake. “Sometimes I think I’m addicted to food the way some people are addicted to drugs,” he says. Which statement best describes the neurobiological parallels between food and drug addiction?
A. There is decreased activation of the prefrontal cortex. B. There is increased sensation of the reactive reward system. C. There is reduced activation of regions that process palatability. D. There are amplified reward circuits that activate upon consumption.
QUESTION 40
The PMHNP is caring for a patient who reports excessive arousal at nighttime. What could the PMHNP use for a time-limited duration to shift the patient’s brain from a hyperactive state to a sleep state?
A. Histamine 2 receptor antagonist B. Benzodiazepines C. Stimulants D. Caffeine
QUESTION 41
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?
A. Avoiding prescribing the patient a drug that blocks H1 receptors B. Prescribing the patient a drug that acts on H2 receptors C. Stopping the patient from taking medicine that unblocks H1 receptors D.None of the above
QUESTION 42
The PMHNP is performing a quality assurance peer review of the chart of another PMHNP. Upon review, the PMHNP reviews the chart of an older adult patient in long-term care facility who has chronic insomnia. The chart indicates that the patient has been receiving hypnotics on a nightly basis. What does the PMHNP find problematic about this documentation?
A. Older adult patients are contraindicated to take hypnotics. B. Hypnotics have prolonged half-lives that can cause drug accumulation in the elderly. C. Hypnotics have short half-lives that render themselves ineffective for older adults. D. Hypnotics are not effective for “symptomatically masking” chronic insomnia in the elderly.

Theories Development Of Cognitive Behavioral
Theories Development Of Cognitive Behavioral
QUESTION 20
1. Which of the following theories influenced the development of Cognitive Behavioral Therapy?
A. Classical Conditioning
B. Operant Conditioning
C. Psychodynamic Therapy
D. A and B Only
0.5 points
QUESTION 21
1. In regard to client types in Solution Focused Therapy, the “Customer”,
A. Is usually there because someone forced him/her to be there
B. Is usually there to obtain a diagnosis for purposes of going on disability
C. Is usually resistant or non-compliant
D. Is highly cooperative and willing to make changes
0.5 points
QUESTION 22
1. Which of the following is true during the baseline assessment phase of Cognitive Behavioral Couple Therapy?
A. Assessment only focuses on the individual
B. Assessment only focuses on the family system
C. The Family Assessment Scale is administered to the family as a whole
D. Both individual and family functioning is assessed
0.5 points
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QUESTION 23
1. In Narrative Therapy, “deconstructive questions” are used to:
A. Tear down the client, so they can rebuild themselves into a new person
B. Help people unpack their stories so that they may gain additional perspectives on the presenting problem
C. Plot the story in the landscape of consciousness
D. Critically analyze the treatment plan
0.5 points
QUESTION 24
1. The client who has been identified as a “Visitor”:
A. May be resistant and noncompliant
B. Is ready to make changes in their behavior
C. Is often asked to complete behavioral tasks
D. Has a clear understanding of the problem
QUESTION 20
1. Which of the following theories influenced the development of Cognitive Behavioral Therapy?
A. Classical Conditioning
B. Operant Conditioning
C. Psychodynamic Therapy
D. A and B Only
0.5 points
QUESTION 21
1. In regard to client types in Solution Focused Therapy, the “Customer”,
A. Is usually there because someone forced him/her to be there
B. Is usually there to obtain a diagnosis for purposes of going on disability
C. Is usually resistant or non-compliant
D. Is highly cooperative and willing to make changes
0.5 points
QUESTION 22
1. Which of the following is true during the baseline assessment phase of Cognitive Behavioral Couple Therapy?
A. Assessment only focuses on the individual
B. Assessment only focuses on the family system
C. The Family Assessment Scale is administered to the family as a whole
D. Both individual and family functioning is assessed
0.5 points
QUESTION 23
1. In Narrative Therapy, “deconstructive questions” are used to:
A. Tear down the client, so they can rebuild themselves into a new person
B. Help people unpack their stories so that they may gain additional perspectives on the presenting problem
C. Plot the story in the landscape of consciousness
D. Critically analyze the treatment plan
0.5 points
QUESTION 24
1. The client who has been identified as a “Visitor”:
A. May be resistant and noncompliant
B. Is ready to make changes in their behavior
C. Is often asked to complete behavioral tasks
D. Has a clear understanding of the problem

Evolutionary Approach To Psychopathology
Evolutionary Approach To Psychopathology
The Final Exam consists of eight (8) Essay questions. Use the reading assignments thoroughly in an integrative discussion of your own understanding of the questions posed. Remember to reference all work cited or quoted by the text author. You should be doing this often in your responses. If you use outside resources, they should support the text information, but not replace the text.
All discussions must take into account the legal and ethical considerations, as well as issues of culture and human diversity that may pertain to the questions below. Legal and Ethical information is in Chapter 16 of the course text. Cultural information is covered throughout the course text and DSM 5. You may use alternative cultural resources to enhance your work.
Your response to each question should be approx. 1 page per question.
Your total assignment should be 8-9 pages plus a title and reference page.
Due Week 8
1. What is meant by the notion that mental illness is a social construction? How does cross-cultural research suggest that psychopathology is universal rather than a social construction?
2. It is widely recognized that people with autism spectrum disorder display deficits in communication and social behavior. It is perhaps less often noted that in some areas, their abilities may surpass those of people without autism spectrum disorder. What is your understanding if this theory? How do the enhanced abilities of those with autism spectrum disorder lend credence to an evolutionary approach to psychopathology?
3. Phrases such as “broken hearts” and “hurt feelings” liken emotional pain to physical pain. To what extent is the metaphor implied in these phrases supported neuroscientifically?
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Begin Final Exam
The Final Exam consists of eight (8) Essay questions. Use the reading assignments thoroughly in an integrative discussion of your own understanding of the questions posed. Remember to reference all work cited or quoted by the text author. You should be doing this often in your responses. If you use outside resources, they should support the text information, but not replace the text.
All discussions must take into account the legal and ethical considerations, as well as issues of culture and human diversity that may pertain to the questions below. Legal and Ethical information is in Chapter 16 of the course text. Cultural information is covered throughout the course text and DSM 5. You may use alternative cultural resources to enhance your work.
Your response to each question should be approx. 1 page per question.
Your total assignment should be 8-9 pages plus a title and reference page.
Due Week 8
1. What is meant by the notion that mental illness is a social construction? How does cross-cultural research suggest that psychopathology is universal rather than a social construction?
2. It is widely recognized that people with autism spectrum disorder display deficits in communication and social behavior. It is perhaps less often noted that in some areas, their abilities may surpass those of people without autism spectrum disorder. What is your understanding if this theory? How do the enhanced abilities of those with autism spectrum disorder lend credence to an evolutionary approach to psychopathology?
3. Phrases such as “broken hearts” and “hurt feelings” liken emotional pain to physical pain. To what extent is the metaphor implied in these phrases supported neuroscientifically?

Assignment: Ophthalmic Disorders
Assignment: Ophthalmic Disorders
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Mr. Ally went to the eye doctor and complained about dark areas in his vision. He had never noticed it before. There is no pain.
What is the diagnosis?
Explain the reason behind floaters and dark areas in the visual field.
How should the doctor treat Mr. Ally?
Question 2
Case Analysis:
Ear Disorders
A 32-year-old man has vertigo, nausea, and hearing problems. He was diagnosed with Meniere’s syndrome.
What causes the vertigo in this patient?
How should this patient be treated?
Why might there be permanent loss of hearing and loss of equilibrium?
Ophthalmic Disorders
Mr. Ally went to the eye doctor and complained about dark areas in his vision. He had never noticed it before. There is no pain.
What is the diagnosis?
Explain the reason behind floaters and dark areas in the visual field.
How should the doctor treat Mr. Ally?
Question 2
Case Analysis:
Ear Disorders
A 32-year-old man has vertigo, nausea, and hearing problems. He was diagnosed with Meniere’s syndrome.
What causes the vertigo in this patient?
How should this patient be treated?
Why might there be permanent loss of hearing and loss of equilibrium?
Ophthalmic Disorders
Mr. Ally went to the eye doctor and complained about dark areas in his vision. He had never noticed it before. There is no pain.
What is the diagnosis?
Explain the reason behind floaters and dark areas in the visual field.
How should the doctor treat Mr. Ally?
Question 2
Case Analysis:
Ear Disorders
A 32-year-old man has vertigo, nausea, and hearing problems. He was diagnosed with Meniere’s syndrome.
What causes the vertigo in this patient?
How should this patient be treated?
Why might there be permanent loss of hearing and loss of equilibrium?
Ophthalmic Disorders
Mr. Ally went to the eye doctor and complained about dark areas in his vision. He had never noticed it before. There is no pain.
What is the diagnosis?
Explain the reason behind floaters and dark areas in the visual field.
How should the doctor treat Mr. Ally?
Question 2
Case Analysis:
Ear Disorders
A 32-year-old man has vertigo, nausea, and hearing problems. He was diagnosed with Meniere’s syndrome.
What causes the vertigo in this patient?
How should this patient be treated?
Why might there be permanent loss of hearing and loss of equilibrium?

Assignment: Columnist Behave Ethically
Assignment: Columnist Behave Ethically
Collaborate with your team, using Cisco Spark, email, phone meetings, or any collaboration tool you find useful or prefer. In your collaboration, consider the ethical dilemmas below and select 1 in which to conduct a deep drill.
Ethical Dilemma 1: A newspaper columnist signs a contract with a newspaper chain. Several months later, she is offered a position with another newspaper chain, offering a higher salary. Because she would prefer making more money, she notifies the first chain that she is breaking her contract. The courts will decide the legality of her action, but what of the morality? Did the columnist behave ethically?
Ethical Dilemma 2: An airline pilot receives his regular medical checkup. The doctor discovers that he has developed a heart murmur. The pilot only has a month to go before he is eligible for retirement. The doctor knows this and wonders whether, under these unusual circumstances, she is justified in withholding information from the company regarding the pilot’s condition.
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Ethical Dilemma 3: An office worker has had a record of frequent absence. He has used all his vacation and sick-leave days, and has frequently requested additional leave without pay. His supervisor and co-workers have expressed great frustration because his absenteeism has caused bottlenecks in paperwork, created low morale in the office, and required others to do his work in addition to their own. However, the individual believes he is entitled to take his earned time and additional time off without pay. Is he right?
Ethical Dilemma 4: Rhonda enjoys socializing with fellow employees at work, but their discussions usually consist of gossiping about other people, including several of her friends. At first, Rhonda feels uncomfortable talking in this way about people she is close to; but then she decides it does no real harm, and she feels no remorse for joining in.
In conjunction with the readings, and within your teams, decide which ethical dilemma you believe is most problematic and why. In your teams, discuss the ideas of “good vs. evil,” “wrong vs. right,” and “ought/should be vs. what is.” Form the readings, discuss the ways in which Augustine and Aquinas would have solved the problem based on lecture and course reading material. In what ways do Augustine and Aquinas differ and why?
You may wish to meet throughout the week to share ideas. Create a report of your findings as individuals and as a team. The report should be approximately 2 pages accompanied by a 2-minute oral presentation, using VoiceThread or a PowerPoint narrated slide show.
Rubric
Ethical Dilemma AnalysisEthical Dilemma AnalysisCriteriaRatingsPtsThis criterion is linked to a Learning OutcomePurposeFull Marks20.0 ptsNo Marks0.0 pts20.0 pts
This criterion is linked to a Learning OutcomeSupport/DevelopmentFull Marks30.0 ptsNo Marks0.0 pts30.0 pts
This criterion is linked to a Learning OutcomeGrammar, Mechanics, StyleFull Marks25.0 ptsNo Marks0.0 pts25.0 pts
This criterion is linked to a Learning OutcomeSlidesFull Marks15.0 ptsNo Marks0.0 pts15.0 pts
This criterion is linked to a Learning OutcomeOral NarrationFull Marks10.0 ptsNo Marks0.0 pts10.0 pts
Total Points: 100.0

Discussion: Nicotine Dependence
Discussion: Nicotine Dependence
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QUESTION 55
A 26-year-old female patient with nicotine dependence and a history of anxiety presents with symptoms of attention deficit hyperactivity disorder (ADHD). Based on the assessment, what does the PMHNP consider?
A. ADHD is often not the focus of treatment in adults with comorbid conditions. B. ADHD should always be treated first when comorbid conditions exist. C. Nicotine has no reported impact on ADHD symptoms. D. Symptoms are often easy to treat with stimulants, given the lack of comorbidity with other conditions.
QUESTION 56
Which of the following is a true statement regarding the use of stimulants to treat attention deficit hyperactivity disorder (ADHD)?
A. In adults with both ADHD and anxiety, treating the anxiety with selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), or benzodiazepines and the ADHD with stimulants is most effective in treating both conditions. B. Signal strength output is increased by dialing up the release of dopamine (DA) and norepinephrine (NE). C. In conditions where excessive DA activation is present, such as psychosis or mania, comorbid ADHD should never be treated with stimulants. D. High dose and pulsatile delivery of stimulants that are short acting are preferred to treat ADHD.
QUESTION 57
The PMHNP is providing a workshop for pediatric nurses, and a question is posed about noradrenergic agents to treat ADHD. Which of the following noradrenergic agents have norepinephrine reuptake inhibitor (NRI) properties that can treat ADHD?
A. Desipramine (Norpramin) B. Methylphenidate (Ritalin, Concerta) C. Atomoxetine (Strattera) D. Both “A” & “C” E. “C” only
QUESTION 58
A 71-year-old male patient comes to an appointment with his 65-year-old wife. They are both having concerns related to her memory and ability to recognize faces. The PMNHP is considering prescribing memantine (Namenda) based on the following symptoms:
A. Amnesia, aphasia, apnea B. Aphasia, apraxia, diplopia C. Amnesia, apraxia, agnosia D. Aphasia, agnosia, arthralgia
QUESTION 59
The PMHNP evaluates a patient presenting with symptoms of dementia. Before the PMHNP considers treatment options, the patient must be assessed for other possible causes of dementia. Which of the following answers addresses both possible other causes of dementia and a rational treatment option for Dementia?
A. Possible other causes: hypothyroidism, Cushing’s syndrome, multiple sclerosis Possible treatment option: memantine B. Possible other causes: hypothyroidism, adrenal insufficiency, hyperparathyroidism Possible treatment option: donepezil C. Possible other causes: hypothyroidism, adrenal insufficiency, niacin deficiency Possible treatment option: risperidone D. Possible other causes: hypothyroidism, Cushing’s syndrome, lupus erythematosus Possible treatment option: donepezil