May 30, | nursing, med, NURS, Paper
NURS-6630 Final Exam Question and Answers
NURS-6630 Final Exam Question and Answers
Final Exam – Week 11
INSTRUCTIONS
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Question 1
Patient is a 75-year-old female with a confirmed diagnosis of Alzheimer’s Disease. She is currently on Donepezil 10 mg daily. She is accompanied to your clinic today by her daughter, who informs you that her mother has recently had an increase in depressive symptoms. NURS-6630 Final Exam Question and Answers She has no history of mood disorders. She has a history of hypertension and tonic-clonic seizures, but both are controlled. Assuming this patient will be thoroughly evaluated for the diagnosis of depression, what would you recommend as initial therapy?
A.
Amitriptyline
B.
Doxepin
C.
Fluoxetine
D.
Bupropion
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Question 2
Which club drug is structurally similar to GABA?
A.
3,4 – methylendedioxy-methamphetamine
B.
Ketamine
C.
γ-hydroxybutyrate
D.
Ecstasy
NURS-6630 Final Exam Question and Answers Question 3
B. is a 55-year-old male who has diagnosed with type 2 diabetes 10+ years ago. He has since had complications from the disease and is suffering from severe neuropathy. On top of that, T. B. is struggling with his mental health and was recently told he could be depressed but he had refused treatment at that time. Besides getting his blood sugar under control, what medication(s) can we use that may be useful in helping T. B.?
Nortriptyline
Venlafaxine
Duloxetine
Fluoxetine
A.
I, II, and III
B.
I and II
C.
II and III
D.
IV only
Question 4
What baseline levels should you perform before initiating an anti-ADHD medication? NURS-6630 Final Exam Question and Answers
Electrolytes, height, weight, white-blood cells
ECHO, heart rate, pulse
Height, weight, blood pressure, pulse
Blood pressure and pulse
Question 5
Which of the following alcohol screening tools lack sensitivity to detect hazardous/problem drinking?
A.
AUDIT
B.
AUDIT-C
C.
SASQ
D.
CAGE
Question 6
Of the following neurotransmitters, which one(s) are known to be severely disrupted in the disease Dementia with Lewy Bodies?
Acetylcholine
Glutamate
Dopamine
GABA
Norepinephrine
A.
II only
B.
III only
C.
I and II
D.
I and III
Question 7
NURS-6630 Final Exam Question and Answers If a patient is being managed for chronic pain and is not getting better after months of therapy with multiple agents (i.e., NSAIDs with opioids, muscle relaxants with NSAIDs, etc.), what should be your next step in helping the patient?
Add a high-dose opioid if patient is not already on the maximum dose.
Assess for a co-morbid psychiatric condition.
Tell the patient you have exhausted all your options and there is nothing more you can do.
Refer the patient for a second opinion.
A.
I and II
B.
II and IV
C.
III only
D.
IV only
B
Question 8
Drug addiction includes many prescription medications and illegal substances. Of the drugs listed, which ones can be withdrawn abruptly WITHOUT medical intervention to prevent withdraw seizures?
A.
Alcohol
B.
Adderall
C.
Lorazepam
D.
Butalbital
Question 9
Select all the criteria for what is considered “At-Risk Drinking.”
Women: > 7 drinks in any given week
Men: > 4 drinks per day
Women: > 4 drinks per day
Men: > 14 drinks per week
A.
I, and II
B.
I, II, and IV
C.
I, II, and III
D.
III and IV
Question 41
B., a 55-year-old female, is a patient at your clinic today who has a past medical history significant for breast cancer, hypertension, hepatic cirrhosis, type 2 diabetes, and a recent diagnosis of alcohol use disorder. She has no known drug allergies. She states she is ready to quit drinking but fears the cravings that it may bring. Which medication would you recommend for E. B. to begin? NURS-6630 Final Exam Question and Answers
A.
Naltrexone
B.
Acamprosate
C.
Any benzodiazepine
D.
Thiamine
Question 42
Disulfiram has been proven effective in the treatment of alcoholism, but recently it has been trialed in the management of cocaine addiction. NURS-6630 Final Exam Question and Answers What is the mechanism of action that likely helps produce these aversive effects?
A.
Inhibition on dopamine beta-hydroxylase
B.
Inhibition on aldehyde dehydrogenase
C.
Inhibition on alcohol dehydrogenase
D.
Inhibition on aldehyde reductase
Question 43
Which neurotransmitters are likely involved in the pathophysiology of withdrawal seizures?
Serotonin
Endorphins
Glutamate
GABA
Dopamine
A.
I and II
B.
II and V
C.
I and III
D.
III and IV
Question 44
Of the following neurotransmitters, which ones play a critical role in modulating attention in ADHD?
Dopamine
Epinephrine
GABA
Norepinephrine
Glutamate
A.
II, III, and V
B.
II and IV
C.
I and IV
D.
III only
Question 45
Which of the following drugs is structurally similar to tramadol; thus, its opioid-mediated analgesia can be reversed by naloxone in mice?
A.
Venlafaxine
B.
Ketorolac
C.
Duloxetine
D.
Gabapentin
Question 46
Which of the following psychiatric conditions is present in both domains (i.e., core psychopathology & pain-related psychological symptoms) of chronic pain that will likely lead to an outcome of disability, pain, and poor quality of life?
A.
Major depression
B.
Personality disorder
C.
Anger
D.
Anxiety
NURS-6630 Final Exam Question and Answers Question 47
Which features are consistent with delirium?
Acute onset
Gradual onset
Course of disease fluctuates
Course of diseases does not fluctuate
Impaired attention
Normal attention
A.
II, IV, and VI
B.
I and III
C.
II and IV
D.
I, III, and V
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Question 48
NURS-6630 Final Exam Question and Answers Select the correct treatment regarding drugs involved in addiction management and their corresponding mechanism of action.
A.
Benzodiazepines – GABA antagonist
B.
Buprenorphine – opioid antagonist
C.
Naltrexone – partial opiate agonist
D.
Flumazenil – GABA antagonist
Question 49
Benzodiazepines can be withdrawn abruptly despite duration of therapy/abuse.
A.
True
B.
False
Question 50
Which medication(s) requires a test dose to determine accurate use of the drug (i.e., how addicted the patient truly is on a certain drug) before beginning a titration schedule to withdrawal the patient? NURS-6630 Final Exam Question and Answers
Butalbital
Lorazepam
Hydrocodone
A.
I only
B.
II only
C.
III only
D.
I and II
NURS-6630 Final Exam Question and Answers
May 30, | nursing, med, NURS, Paper
GCU RN-to-BSN Domains & Competencies and NRS-493 Individual Success Plan
GCU RN-to-BSN Domains & Competencies and NRS-493 Individual Success Plan
APPENDIX A:
GCU RN-to-BSN Domains & Competencies
University’s Mission Critical Competencies
How does this Individual Success Plan support the GCU Mission?
MC1: Effective Communication: Therapeutic communication is central to baccalaureate nursing practice. Students gain an understanding of their ethical responsibility and how verbal and written communication affects others intellectually and emotionally. Students begin to use nursing terminology and taxonomies within the practice of professional and therapeutic communication. Courses require students to write scholarly papers, prepare presentations, develop persuasive arguments, and engage in discussion that is clear, assertive, and respectful GCU RN-to-BSN Domains & Competencies and NRS-493 Individual Success Plan.
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MC2: Critical Thinking: Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice.
MC3: Christian Worldview: Students will apply a Christian worldview within a global society and examine ethical issues from the framework of a clearly articulated system of professional values. Students will engage in discussion of values-based decisions made from a Christian perspective.
MC4: Global Awareness, Perspectives, and Ethics: The concept of global citizenship is introduced to baccalaureate students in the foundational curriculum. Some courses will focus on the human experience across the world health continuum. The World Health Organization (WHO) definitions of health, health disparities, and determinants of health are foundational to nursing practice.
MC5: Leadership: Students are required to develop skills and knowledge associated with their professional role. Courses require students to develop self-leadership skills such as time management, setting priorities, self-control, and evaluation of their abilities and performance.
Domains and Competencies
How does this Individual Success Plan support the Program Domains and Competencies?
Domain 1: Professional Role
Graduates of Grand Canyon University’s RN-BSN program will be able to incorporate professional values to advance the nursing profession through leadership skills, political involvement, and life-long learning.
Competencies:
1.1: Exemplify professionalism in diverse health care settings.
1.2: Manage patient care within the changing environment of the health care system.
1.3: Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.
1.4: Participate in health care policy development to influence nursing practice and health care.
1.5: Advocate for autonomy and social justice for individuals and diverse populations.
GCU RN-to-BSN Domains & Competencies and NRS-493 Individual Success Plan
Domain 2: Theoretical Foundations of Nursing Practice
Graduates of Grand Canyon University’s RN-BSN program will have acquired a body of nursing knowledge built on a theoretical foundation of liberal arts, science, and nursing concepts that will guide professional practice.
Competencies:
2.1: Incorporate liberal arts and science studies into nursing knowledge.
2.2: Comprehend nursing concepts and health theories.
2.3: Understand and value the processes of critical thinking, ethical reasoning, and decision making.
Domain 3: Nursing Practice
Graduates of Grand Canyon University’s RN-BSN program will be able to utilize the nursing process to provide safe quality care based on nursing best practices.
Competencies:
3.1: Utilize the nursing process to provide safe and effective care for patients across the lifespan
3.2: Implement patient care decisions based on evidence-based practice.
3.3: Provide individualized education to diverse patient populations in a variety of health care settings.
3.4: Demonstrate professional standards of practice.
Domain 4: Communication/Informatics
Graduates of Grand Canyon University’s RN-BSN program will be able to manage information and technology to provide safe quality care in a variety of settings. In addition, graduates will be able to communicate therapeutically and professionally to produce positive working relationships with patients and health care team members.
Competencies:
4.1: Utilize patient care technology and information management systems.
4.2: Communicate therapeutically with patients.
4.3: Promote interprofessional collaborative communication with health care teams to provide safe and effective care.
Domain 5: Holistic Patient Care
Graduates of Grand Canyon University’s RN-BSN program will be able to provide holistic individualized care that is sensitive to cultural and spiritual aspects of the human experience.
Competencies:
5.1: Understand the human experience across the health-illness continuum.
5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.
5.3: Provide culturally sensitive care.
5.4: Preserve the integrity and human dignity in the care of all patients.
NRS-493 Individual Success Plan
REQUIRED PRACTICE HOURS: 100 Direct Clinical Experience (50 hours community/50 hours leadership) – 25 Indirect Clinical Experience Hours.
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Complete Contact Information
Student Information
GCU
Name:
E-mail:
Phone Number:
Course Faculty Information
GCU
Name:
GCU RN-to-BSN Domains & Competencies and NRS-493 Individual Success Plan
E-mail:
Phone Number:
Practicum Preceptor Information
Practice Setting
Name:
E-mail:
Phone Number:
ISP Instructions
Use this form to develop your Individual Success Plan (ISP) for NRS-493, the Professional Capstone and Practicum course. An individual success plan maps out what you, the RN-to-BSN student, needs to accomplish in order to be successful as you work through this course and complete your overall program of study. You will also share this with your preceptor at the beginning and end of this course so that he or she will know what you need to accomplish.
In this ISP, you will identify all of the objectives and assignments relating to the 100 direct clinical practice experience hours and the 25 indirect clinical practice hours you need to complete by the end of this course. Use this template to specify the date by which you will complete each assignment. Your plan should include a self-assessment of how you met all applicable GCU RN-to-BSN Domains & Competencies (see Appendix A).
General Requirements
Use the following information to ensure successful completion of each assignment as it pertains to deliverables due in this course:
Use the Individual Success Plan to develop a personal plan for completing your clinical practice experience hours and self-assess how you will meet the GCU RN-to-BSN University Mission Critical Competencies and the Programmatic Domains & Competencies (Appendix A) related to that course.
Show all of the major deliverables in the course, the topic/course objectives that apply to each deliverable, and lastly, align each deliverable to the applicable University Mission Critical Competencies and the course-specific Domains and Competencies (see Appendix A).
Completing your ISP does not earn clinical practice experience hours, nor does telephone conference time, or time spent with your preceptor.
Within the Individual Success Plan, ensure you identify all graded course assignments and indirect clinical assignments listed in the table on the next page.
Topic
Graded Assignment
Indirect Clinical Assignments
Topic 1
1. Individual Success Plan
2. Reflection Journal Entry
1. List of potential topics for the change proposal
Topic 2
1. Topic Selection Approval Paper
2. Reflection Journal Entry
1. Search the literature for supporting journal articles
2. Summary of topic category; community or leadership
Topic 3
1. PICOT Question Paper
2. Reflection Journal Entry
1. List of objectives
GCU RN-to-BSN Domains & Competencies and NRS-493 Individual Success Plan
Topic 4
1. Literature Evaluation Table
2. Reflection Journal Entry
1. List of measurable outcomes
Topic 5
1. Reflection Journal Entry
1. Summary of the strategic plan
2. Midterm Evaluation Tool
Topic 6
1. Literature Review Table
2. Reflection Journal Entry
1. List of resources
Topic 7
1. Reflection Journal Entry
1. Summary of the evaluation plan
2. Remediation-if required
Topic 8
1. Benchmark Written Capstone Project Change Proposal
2. Reflection Journal Entry
Topic 9
1. Reflection Journal Entry
1. Professional Presentation
Topic 10
1. Finalized ISP
2. Scholarly Activity Summary
3. Benchmark-Reflection Journal Summary
1. Summary of presentation
2. Final Clinical Evaluation Tool
3. Practice Clinical Evaluation Tool-Agency
4. Practice Clinical Evaluation Tool-Preceptor
Application-based Learning Course Assignments
List of Current Course Objectives
Assignment
Date Due
Self-Assessment:
Programmatic Domains & Competencies
(see Appendix A)
Self-Assessment:
GCU RN-to-BSN
University Mission Critical Competencies
(see Appendix A)
Date
Assignment
Completed
GCU RN-to-BSN Domains & Competencies and NRS-493 Individual Success Plan
By typing in his/her signature below, the student agrees to have read, understood, and be accountable for the instructions, assignments, and hours shown above and that all questions have been satisfactorily answered by the faculty.
Preceptors will sign upon initial receipt and at the end of the course to confirm that assignments have been complete with your guidance.
Student Signature
Name:
Date:
Preceptor Signature [Upon Initiation of Course]
Name:
Date:
Preceptor Signature [Upon Completion of Course]
Name:
Date:
GCU RN-to-BSN Domains & Competencies and NRS-493 Individual Success Plan
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