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MSN572 PPSYCHIATRY 2023-2024 EXAM |ACTUAL EXAM
QUESTIONS WITH CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS )ALREADY GRADED A+.
It is imperative to assess for suicidality and bipolar disorder in patients suspected of experiencing - ANSWER - Depression Depression is more common in individuals with significant medical conditions, including several neurologic disorders - Demential, epilepsy, MS, and parkinson disease. Patients who present with depression may actually have bipolar disorder and so screening should always take place. Patients who are depressed may be suicidal. Consequently, in order for appropriate treatment to occur, appropriate diagnosis must occur.
What is the leading cause of serious injury among U.S. women of reproductive age. - ANSWER - Intimate partner and domestic violence Intimate partner and domestic violence is the leading cause of serious injury and the second leading cause of death among U.S. women of reproductive age. The U.S. preventive services task force recommends routine screening of all women of childbearing age for intimate partner violence and referring those who screen positive to intervention services. Which one of the following findings is not typical in a patient who has delirium? - ANSWER - Intact attention and concentration Delirium is an acute, abrupt-onset confusional state characterized by the symptoms listed below as well as disorientation, disturbed perception, and emotional disturbances. Attention and concentration are also affected.
combat or physical assault. Adjustment, panic, and depression are symptoms related to PTSD. Which of the following symptoms would be consistent with attention deficit hyperactivity disorder? - ANSWER - Child unable to sit still in the desk and often blurts out the answer before the teacher finishes asking the question. Symptoms of ADD or ADHD are inattention, daydreaming, inability to stay focused or follow multiple steps in directions/instructions. These children commonly engage in risk taking and so accidents are common. Other symptoms include constant motion without purpose, hyperactivity, impulsivity, poor school performance and poor self esteem. During which part of the routine office visit should a person be asked questions related to physical and sexual abuse. - ANSWER - During the physical exam, when others are asked to leave the room
The personality disorder characterized by patterns of attention- seeking, often dramatic behavior to cain the approval of others is - ANSWER - Histrionic - Histrionic personality disorder is a diagnosis assigned to patients who display patterns of attention seeking, often dramatic behavior to gain the approval of others. Characteristics of histrionic personality disorder include over the top behavior, such as emotional outbursts, noisy displays of temper, compulsive attention seeking and self centered actions. Antisocial personality disorder is a diagnosis given to patients who habitually and pervasively disregard or violate the rights and considerations of others without remorse. Borderline personality disorder is defined as a pervasive pattern of instability with interpersonal relationships, self image, and affect, and marked impusivity. An intermediate state between the expected cognitive decline of normal aging and the more serious decline of dementia is known as - ANSWER - Cognitive impairment
Which of the following statements made by a parent would alert the nurse practitioner to suspect autism spectrum disorder? - ANSWER - He seems to be speaking less and less Communication difficulties in the child with autism spectrum disorder. They often speak very little or lose language abilities if early interventions are not started that encourage and build language/communication abilities. A serious disturbance in a person's mental abilities that results in a decreased awareness of one's environment and confused thinking is referred to as - ANSWER - Delirium A 25 year old with the mental age of a toddler, who exhibits limited language skills and can be trained in very basic activities of daily living, such as dressing, hygiene and feeding, would be classified as - ANSWER - Severely mentally retarded A mildly mentally retarded person is educable with a mental age of 8- 12 years old.
A severely mentally retarded person has an IQ between 25-40, limited communication, capable of learning certain self care activities, and the mental age of a toddler. A moderately mentally retarded personal is trainable with a mental age of a 3-7 year old and an IQ of 35-55. A profoundly mentally retarded person has an IQ less than 20, the mental age of an infant, and requires complete custodial care. Which one of the following choices would not be recommended for effective communication for an older adult? - ANSWER - Face the patient and speak in high tones Facing the patient when communicating with the older adult is an effective technique, however a low tone should be used rather than a high tone. Other techniques may include: providing a well lit, moderately warm setting with minimal background noise, carefully
The Columbia Suicide Severity Rating Scale (C-SSRS) is a questionnaire used for suicide assessment. What geriatric condition is characterized by reduction in physical or mental capacity sufficient to interfere with managing day to day tasks
- ANSWER - Functional impairment Functional impairment is a health condition in which the normal function of a part of the body is less than full capacity. One of the defining characteristics of functional impairment is that the reduction in physical or mental capacity is sufficient to interfere with managing day to day tasks. During the mental status examination, a 45 year old woman is easily distractible and seems to have difficulty responding to each question. This is an assessment of - ANSWER - Attention The mental status examination assesses attention, memory, orientation, perception, thought process, though content, insight, judgment, affect, mood, language, and cognitive function
The 10 minute geriatric screener is a tool used to assess - ANSWER - Functionality This assessment screens vision, hearing, urinary incontinence, nutrition, and weight loss, memory, depression and physical disability. Which mental health disorder is characterized by reoccurring thoughts, feelings, images, and sensations that lead to repetitive behaviors? - ANSWER - OCD Major depressive disorder is characterized by an overwhelming feeling of sadness, isolation, and despair lasting 2 weeks or longer. Generalized anxiety disorder is characterized by persistent and excessive worry about a number of different things. People with GAD may anticipate disaster and may be overly concerned about money, health, family, work, or other issues. They find it hard to control their worry.
abilities. It is important to assist the family and child through this developmental stage. Social phobia, panic disorder, and selective mutism are all classified under the DSM-5 category of - ANSWER - anxiety disorders Basic self care activities are referred to as - ANSWER - activities of daily living Mood disorders include all of the following except - ANSWER - Agoraphobia Which one of the following is at the highest risk for suicide - ANSWER
- a 52 year old white man The goal of palliative care is to - ANSWER - Relieve suffering and improve quality of life A flat affect can be an identifiable finding in an older adult who has - ANSWER - Depression
Which behavior is NOT an observation of a patient's affect - ANSWER
- Dysphoric mood Mood is a separate observation Symptoms of sundown syndrome may include - ANSWER - Cyclic alternating periods of coherence with periods of confusion extreme anxiety about physical symptoms (pain or fatigue) that causes intense thoughts and behaviors that interfere with daily life is classified as - ANSWER - Somatic symptom disorder Assessment findings of russells sign is not indiative of - ANSWER - Body dysmorphic disorder Russells sign is where callouses form on the back of the knuckles from self induced vomiting.
Higher level self care functioning activities are referred to as - ANSWER - Instrumental activities of daily living (phone, shopping, preparing food, laundry, and taking medicine)
