Podcast
Questions and Answers
What percentage of clients with dementia may experience neuropsychiatric symptoms including behavioral disturbances?
What percentage of clients with dementia may experience neuropsychiatric symptoms including behavioral disturbances?
- Up to 90% (correct)
- Up to 100%
- Up to 70%
- Up to 50%
Why is intervention sometimes necessary for clients with dementia and behavioral disturbances?
Why is intervention sometimes necessary for clients with dementia and behavioral disturbances?
- To enhance their quality of life
- To improve their cognitive function
- To reduce their medication dosage
- For the safety of the client and others (correct)
What is the primary risk associated with using antipsychotic medication for behavioral disturbances in dementia?
What is the primary risk associated with using antipsychotic medication for behavioral disturbances in dementia?
- Cognitive impairment
- Cardiovascular side effects
- Mortality and cardiovascular side effects (correct)
- Weight gain
What is the first-line pharmacologic treatment for aggression and agitation in dementia?
What is the first-line pharmacologic treatment for aggression and agitation in dementia?
Which stage of dementia is characterized by short-term memory deficits and difficulty recalling the date?
Which stage of dementia is characterized by short-term memory deficits and difficulty recalling the date?
Alzheimer's Dz is most prevalent in people over?
Alzheimer's Dz is most prevalent in people over?
What is a common symptom of dementia in the middle stage?
What is a common symptom of dementia in the middle stage?
Alzheimer's Dz affects which ethic group the most at 13.8%?
Alzheimer's Dz affects which ethic group the most at 13.8%?
What is believed to contribute to the formation of toxic amyloid plaques in the brain of clients with AD?
What is believed to contribute to the formation of toxic amyloid plaques in the brain of clients with AD?
What is the result of cell death in the brain due to AD?
What is the result of cell death in the brain due to AD?
What is affected by the atrophy of brain tissue in AD?
What is affected by the atrophy of brain tissue in AD?
What is the result of decreased acetylcholinesterase activity in AD?
What is the result of decreased acetylcholinesterase activity in AD?
What is necessary for processing memory and learning in AD?
What is necessary for processing memory and learning in AD?
What is associated with neurotransmitter failure and neuronal death in AD? Known as Neural networks.
What is associated with neurotransmitter failure and neuronal death in AD? Known as Neural networks.
What is the result of abnormal activation of N-methyl-d-aspartate receptors by glutamate in AD?
What is the result of abnormal activation of N-methyl-d-aspartate receptors by glutamate in AD?
What plays a strong role in late-onset Alzheimer's Dz?
What plays a strong role in late-onset Alzheimer's Dz?
What is the suitable medication for a 65-year-old male with Alzheimer's disease, anxiety, smokes cigarettes, and COPD?
What is the suitable medication for a 65-year-old male with Alzheimer's disease, anxiety, smokes cigarettes, and COPD?
Why is Rivastigmine not an appropriate medication for a pt. with COPD?
Why is Rivastigmine not an appropriate medication for a pt. with COPD?
Genetic coding abnormalities are associated with amyloid precursor protein. What chromosome are affected in early onset AD?
Genetic coding abnormalities are associated with amyloid precursor protein. What chromosome are affected in early onset AD?
Why is Galantamine not an appropriate medication for a pt. with anxiety?
Why is Galantamine not an appropriate medication for a pt. with anxiety?
What is the consequence of discontinuing medication for Alzheimer's disease?
What is the consequence of discontinuing medication for Alzheimer's disease?
Which of the following medications requires tapering?
Which of the following medications requires tapering?
What is the reason why a client might want to stop taking the medication for Alzheimer's disease?
What is the reason why a client might want to stop taking the medication for Alzheimer's disease?
What medication should be eliminated from the treatment plan if a pt. is taking simvastatin and lisinopril due to its ability to increase plasma levels of the statin? This will increase the risk of muscle damage & Rhabdomyolysis.
What medication should be eliminated from the treatment plan if a pt. is taking simvastatin and lisinopril due to its ability to increase plasma levels of the statin? This will increase the risk of muscle damage & Rhabdomyolysis.
Which medication is a good option for a pt. with bipolar disorder who may be forgetful or non-compliant?
Which medication is a good option for a pt. with bipolar disorder who may be forgetful or non-compliant?
Which medication is a good option for a patient who abuses illicit drugs and needs to manage withdrawal symptoms for 24 hrs and provides a steady control of cravings throughout the day?
Which medication is a good option for a patient who abuses illicit drugs and needs to manage withdrawal symptoms for 24 hrs and provides a steady control of cravings throughout the day?
Where is methadone typically administered?
Where is methadone typically administered?
What is a benefit of using methadone in medication-assisted treatment for opioid use disorder?
What is a benefit of using methadone in medication-assisted treatment for opioid use disorder?
What is a characteristic of methadone clinics?
What is a characteristic of methadone clinics?
This term describes two hallmarks of AD (too many or not enough removal of amyloid & neurofibrillary tangles).
This term describes two hallmarks of AD (too many or not enough removal of amyloid & neurofibrillary tangles).
What is a risk associated with stopping methadone treatment?
What is a risk associated with stopping methadone treatment?
Which medication might be prescribed to a patient trying to get pregnant?
Which medication might be prescribed to a patient trying to get pregnant?
Acetylcholine (ACh) is an NTM necessary for processing memory & learning, decreased cholinergic function is linked to memory dysfunction (esp. short-term). This is known as?
Acetylcholine (ACh) is an NTM necessary for processing memory & learning, decreased cholinergic function is linked to memory dysfunction (esp. short-term). This is known as?
Which medication is the safest option for a patient who takes a daily aspirin, atorvastatin, and digoxin?
Which medication is the safest option for a patient who takes a daily aspirin, atorvastatin, and digoxin?
Which medication can help alleviate anxiety and excessive sleepiness in a patient with depression?
Which medication can help alleviate anxiety and excessive sleepiness in a patient with depression?
Which MDD medication is effective for a 75-year-old patient with urinary retention and chronic pain related to fibromyalgia?
Which MDD medication is effective for a 75-year-old patient with urinary retention and chronic pain related to fibromyalgia?
What is a characteristic of SNRIs?
What is a characteristic of SNRIs?
Which medication should be considered for a patient who has concerns about the sexual side effects of antidepressants?
Which medication should be considered for a patient who has concerns about the sexual side effects of antidepressants?
Which medication is suitable for a patient with anorexia related to MDD?
Which medication is suitable for a patient with anorexia related to MDD?
Statin is a CYP450 3A4 _________ & Prozac is a CYP450 ____________.
Statin is a CYP450 3A4 _________ & Prozac is a CYP450 ____________.
Which medication inhibits both dopamine and norepinephrine?
Which medication inhibits both dopamine and norepinephrine?
What is a correct intervention for a patient who took haloperidol and suddenly experiences a fever, muscle rigidity, and altered mental status?
What is a correct intervention for a patient who took haloperidol and suddenly experiences a fever, muscle rigidity, and altered mental status?
What should the PMHNP consider when prescribing valproic acid with Lamotrigine (Lamictal) for a patient with bipolar type II disorder?
What should the PMHNP consider when prescribing valproic acid with Lamotrigine (Lamictal) for a patient with bipolar type II disorder?
Which laboratory values need to be monitored for a patient on lithium?
Which laboratory values need to be monitored for a patient on lithium?
What is a characteristic of a pt. who has lost his ability to speak and requires around-the-clock care for ADLs?
What is a characteristic of a pt. who has lost his ability to speak and requires around-the-clock care for ADLs?
How does nicotine affect the clearance of medication?
How does nicotine affect the clearance of medication?
What is a characteristic of a pt. who is unable to recall who they are, the date or time, or where they are?
What is a characteristic of a pt. who is unable to recall who they are, the date or time, or where they are?
What is a characteristic of a pt. who is withdrawn, closed off, and moody?
What is a characteristic of a pt. who is withdrawn, closed off, and moody?
Which stimulant medication should be avoided in a patient with a past medical history of MDD treated with Selegiline, a MAOI?
Which stimulant medication should be avoided in a patient with a past medical history of MDD treated with Selegiline, a MAOI?
A patient taking IR dextroamphetamine (Adderall) states they feel great after taking their morning dose but notice their ADHD symptoms come back in the evening. Which intervention is correct?
A patient taking IR dextroamphetamine (Adderall) states they feel great after taking their morning dose but notice their ADHD symptoms come back in the evening. Which intervention is correct?
Which stimulant medication is the safest option to prescribe to a patient with a past medical history of obesity, alcohol abuse, and substance abuse?
Which stimulant medication is the safest option to prescribe to a patient with a past medical history of obesity, alcohol abuse, and substance abuse?
A patient who takes Acamprosate (Campral) for alcohol abuse informs the PMHNP that she recently found out she was pregnant. The patient is compliant with the medication, and she has not had a drink in over 6 months. Which response by the PMHP is correct?
A patient who takes Acamprosate (Campral) for alcohol abuse informs the PMHNP that she recently found out she was pregnant. The patient is compliant with the medication, and she has not had a drink in over 6 months. Which response by the PMHP is correct?
Methadone is a full u-receptor agonist with a ____half life?
Methadone is a full u-receptor agonist with a ____half life?
All of the following are correct about memantine EXCEPT?
All of the following are correct about memantine EXCEPT?
Which medication inhibits the presynaptic reuptake of both DA & NE, leading to increased levels of both NTM in the synaptic cleft?
Which medication inhibits the presynaptic reuptake of both DA & NE, leading to increased levels of both NTM in the synaptic cleft?
Why does the patient taking IR dextroamphetamine (Adderall) experience a return of ADHD symptoms in the evening?
Why does the patient taking IR dextroamphetamine (Adderall) experience a return of ADHD symptoms in the evening?
What is the first-line treatment for restless leg syndrome?
What is the first-line treatment for restless leg syndrome?
A patient with alcohol abuse disorder is actively drinking and using opiates but wishes to participate in MAT to change their lifestyle. Which of the following medications is appropriate to prescribe this patient?
A patient with alcohol abuse disorder is actively drinking and using opiates but wishes to participate in MAT to change their lifestyle. Which of the following medications is appropriate to prescribe this patient?
Which of the following statements is true about galantamine?
Which of the following statements is true about galantamine?
Increased irritability and insomnia can be treated with what class medication which will allow the client to fall asleep.
Increased irritability and insomnia can be treated with what class medication which will allow the client to fall asleep.
What is the primary concern when using stimulants in clients with no prior history?
What is the primary concern when using stimulants in clients with no prior history?
A 27-year-old patient presents to the clinic with symptoms of ADHD and requests to be started on clonidine. Which medicaiton is most appropriate?
A 27-year-old patient presents to the clinic with symptoms of ADHD and requests to be started on clonidine. Which medicaiton is most appropriate?
What is the most appropriate medication for a dementia patient with dementia and tobacco use?
What is the most appropriate medication for a dementia patient with dementia and tobacco use?
What does Suboxone (buprenorphine/naloxone) increase the risk of in pregnant women?
What does Suboxone (buprenorphine/naloxone) increase the risk of in pregnant women?
Which medication is contraindicated for a patient with a HgB A1C of 8 who has bipolar disorder?
Which medication is contraindicated for a patient with a HgB A1C of 8 who has bipolar disorder?
What is the advantage of Suboxone for a client who may not be able to leave work for medication dosing?
What is the advantage of Suboxone for a client who may not be able to leave work for medication dosing?
Why is Suboxone a less desirable street drug?
Why is Suboxone a less desirable street drug?
What is the increased risk associated with buprenorphine use during pregnancy?
What is the increased risk associated with buprenorphine use during pregnancy?
John is a prescription drug abuser who wishes to partake in MAT, however, he has a history of abusing and selling street drugs. Which medication option would be most appropriate for him?
John is a prescription drug abuser who wishes to partake in MAT, however, he has a history of abusing and selling street drugs. Which medication option would be most appropriate for him?
Why is naloxone added to buprenorphine in Suboxone?
Why is naloxone added to buprenorphine in Suboxone?
A patient undergoing MAT for alcohol abuse presents with palpations, headache, vomiting, and flushing. The patient states she had a glass of wine last night at dinner. Which medication is this patient most likely taking?
A patient undergoing MAT for alcohol abuse presents with palpations, headache, vomiting, and flushing. The patient states she had a glass of wine last night at dinner. Which medication is this patient most likely taking?
Which of the following statements is true?
A)Patents who take medications for AD can reverse the presence of amyloid plaques in the brain.
B) Clozapine is a first-line medication for the treatment of agitation and behavioral symptoms in patients
with dementia .
C) Patients who take medication for AD will have an increased life expectancy.
D) Galantamine is safe to be used during pregnancy.
Which of the following statements is true? A)Patents who take medications for AD can reverse the presence of amyloid plaques in the brain. B) Clozapine is a first-line medication for the treatment of agitation and behavioral symptoms in patients with dementia . C) Patients who take medication for AD will have an increased life expectancy. D) Galantamine is safe to be used during pregnancy.
What is a key teaching point for a patient prescribed memantine and donepezil?
What is a key teaching point for a patient prescribed memantine and donepezil?
A patient presents with dementia associated with Parkinson’s disease. Which medication would be the best to prescribe to this patient?
A patient presents with dementia associated with Parkinson’s disease. Which medication would be the best to prescribe to this patient?
A patient with GAD presents with new onset insomnia and states she has an uncomfortable urge to move her legs at night. Which of the following medications is the first line treatment for restless leg syndrome?
A patient with GAD presents with new onset insomnia and states she has an uncomfortable urge to move her legs at night. Which of the following medications is the first line treatment for restless leg syndrome?
Which medication is not safe to use during pregnancy?
Which medication is not safe to use during pregnancy?
What medication relieves spasms, cramping, & tightness of muscles in conditions such as MS?
What medication relieves spasms, cramping, & tightness of muscles in conditions such as MS?
What med is approved in pregnancy for heroin-addicted women?
What med is approved in pregnancy for heroin-addicted women?
How soon will treatment efficacy be seen with stimulants?
How soon will treatment efficacy be seen with stimulants?
A patient presents to the PMHNP with the following symptoms of dementia: disorientation to date, trouble learning new skills, and newly onset difficulties with cooking and grooming. Which stage of dementia is the patient in?
A patient presents to the PMHNP with the following symptoms of dementia: disorientation to date, trouble learning new skills, and newly onset difficulties with cooking and grooming. Which stage of dementia is the patient in?
