NU664C 2022 May Week 9 Quiz Latest

NU664C Primary Care of the Psychiatric Mental Health Client I

Week 9 Quiz   

Question 1A 34-year-old secretary climbs 12 flights of stairs every day to reach her office because she is terrified by the thought of being trapped in the elevator. She has never had any traumatic event occur in an elevator; nevertheless, she has been terrified of them since childhood. Which of the following is the most likely diagnosis?

 a.Social phobia

 b.Generalized anxiety disorder

 c.Specific phobia

 d.Agorophobia

 e.Adjustment disorder

Question 2A 42-year-old woman is referred to you for psychiatric evaluation and therapy. She believes there’s something “really bad with my heart, a missed diagnosis” and angry medical providers do not believe her. She does not meet diagnosis of delusional disorder; all laboratory values and physical examination are normal. In the psychiatric treatment of this patient, which of the following would be effective?

 a.Short term and brief psychotherapy have been used to treat psychosomatic disorders with efficacy

 b.Bluntly tell her that her claims are unfounded

 c.Try to disprove her claims

 d.Always agree with all her claims

Question 3A 45-year-old male is seen for a follow up visit after starting on an SSRI 2 weeks ago. Which assessment tool would be the best indicator of progress?

 

 

a.Geriatric Depression Scale

 b.The Young Mania Rating Scale

 c.Yale-Brown Obsessive Compulsive Scale

 d.Quick Inventory of Depressive Symptomology

Question 4A patient is demonstrating efficacy to clozapine 600 mg/day. This week’s granulocyte count is less than 500 mm3. What is the most appropriate initial recommendation?

 a.Substitute haloperidol for clozapine.

 b.Discontinue clozapine and do not restart.

 c.Reduce dosage.

 d.Start dyphenhydramine 25 mg po bid.

 e.Restart clozapine in 4 weeks.

Question 5A PMHNP uses cognitive therapy strategies with a patient who has an anxiety disorder. The patient’s homework is to keep a diary of symptoms of anxiety and events that transpired just before the onset of symptoms. What is the rationale for this strategy?

 a.Keep the patient intellectually occupied to prevent dwelling on physiological phenomena

 b.Link symptoms with precipitating events, which provides a basis for discussion and reframing

 c.That anxiety gives rise to automatic, negative, obsessive thoughts that must be analyzed

 d.That antecedent events have less to do with the anxiety onset than internal events

Question 6A tool for suicide assessment called Suicide Safe App include key features such as patient and provider education materials, SAMHSA’s behavioral health treatment services locator, interactive sample cases, and conversation starters. Suicide Safe App is based on SAMHSA’s ________.

 a.SAFE-T Card

 b.Suicide-C App

 c.U.S. Prevention and Safety Tool

 d.Samaritan’s Link

Question 7All of the following are common baseline labs and history that you would obtain before any atypical antipsychotic is initiated except which of the following?

 a.CPK

 b.Family medical history

 c.Fasting blood sugar (FBS)

 d.Fasting lipids

Question 8All of the following are brain structures critical to memory except which one?

 a.Hippocampus

 b.Amygdala

 c.Medial temporal lobe

 d.Substantia nigra

Question 9An 18-year-old young woman was involved in a car accident 2 weeks ago with her family. Since then, she has had flashbacks, difficulty sleeping, and is afraid to drive. What is the most appropriate diagnosis?

 a.PTSD

 b.GAD

 c.Adjustment disorder

 d.Acute stress disorder

Question 10Any court of law that evaluates the standard of care provided by a PMHNP ________.

 a.compares the action to the standard of care provided by a psychiatrist

 b.considers what a reasonably prudent healthcare provider would do

 c.evaluates patient satisfaction data

 d.reviews the nurse practitioner’s charts for similar patients

 e.All of the answers

Question 11Common disadvantages of antihistamines such as diphenhydramine include which of the following?

 a.NMS

 b.EPS

 c.Anticholinergic side effects

 d.Postural hypotension

Question 12Commonly cited predictors of dangerousness to others include which of the following?

 a.Chronic anger or hostility

 b.Making specific verbal threats

 c.Prior acts of violence

 d.All of the answers

Question 13Good adult adjustment despite the experience of adverse childhood experiences (ACEs) is associated with which of the following?

 a.Social support

b.Resilience

c.Structured upbringing

d.All of the answers

Question 14Important issues to consider when using psychological testing or screening tools include which of the following?

 a.Reliability, validity, cultural bias, confidentiality

 b.Maleficence, goodness of fit, scale standards

 c.The Beck inventory, Cage, Safe-T, Tarasoff warnings

 d.Confidentiality, HIPPA, goodness of fit, scale standards

Question 15Increased rates of suicide attempts occur in patients diagnosed with which of the following?

 a.Panic disorder

 b.Personality disorders

c.Substance use disorders

d.All of the answers

Question 16Serotonin is ________.

 a.primarily located in the CNS

b.able to cross the blood brain barrier

c.unaffected by tryptophan ratios

 d.synthesized from the amino acid tryptophan

Question 17Some defense mechanisms employed by the average 50-year-old include all the following except

which one?

a.Repression

 b.Sublimation

 c.Altruism

d.Splitting

Question 18The Conners Rating Scales-Revised (CRS-R) is used to qualify symptoms of alcohol use disorder.

 a.True

 b.False

 Question 19The Mental Status Exam (MSE) includes all of the following except which one?

 a.Appearance and behavior

 b.Insight and judgement

 c.Mood and affect

 d.Cranial nerves and reflexes

Question 20The technique that lets clients know they are heard and understood beyond the level of words requires which of the following?

 a.Active listening

 b.Restating

d) Empathizing

*e) Reflecting feelings

Question 21What can normal adolescence include?

 a.Episodes of depression

 b.Occasional delinquent acts

 c.Vulnerability to crisis

 d.Dissolution of intense ties to parents

 e.All of the answers

Question 22What does the basal ganglia include?

 a.Substantia nigra

 b.Subthalamic nucleus

 c.Caudate nucleus

 d.All of the answers

Question 23When completing the history of present illness (HPI), the PMHNP ________.

 a.attempts to gain a clear understanding of the full history of the person’s problems, such as when they started, what they entail, worsening or associated symptoms to begin formulating a diagnosis

 b.collects basic details about the patient such as name, address, gender, and educational attainment

 c.documents the reason for the person’s presentation in the person’s words

 d.explores surgical, medical diagnoses, and medication history

Question 24When completing the history of present illness (HPI), the PMHNP ________.

 a.attempts to gain a clear understanding of the full history of the person’s problems, such as when they started, what they entail, worsening or associated symptoms to begin formulating a diagnosis

 b.collects basic details about the patient such as name, address, gender, and educational attainment

 c.documents the reason for the person’s presentation in the person’s words

 d.explores surgical, medical diagnoses, and medication history

Question 25Which of the following ethical principles would conflict if the treatment team wished to implement an intervention designed to deceive a patient?

 a.Justice

 b.Beneficence

 c.Nonmaleficence

 d.Veracity

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