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NR 607 Common Adult & Geriatric Disorders Quiz with answers

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NR 607 Common Adult & Geriatric Disorders Quiz with answers

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NR 607
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NR 607

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NR 607 Common Adult & Geriatric Disorders Quiz with
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answers
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Memantine has FDA approval for which of the following in Alzheimer's disease? - || || || || || || || || || || || || ||




✔✔Memantine is approved for use in moderate to severe Alzheimer's disease. || || || || || || || || || ||




Which of the following is true with insomnia disorder? - ✔✔Individuals with Insomnia disorder
|| || || || || || || || || || || || || ||




are dissatisfied with sleep quality or quantity. Insomnia is a more prevalent complaint amongst
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females than males. The first episode is more common in young adulthood compared to
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childhood.


The experience of depersonalization is ego_________ and reality testing is ___________? -
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✔✔Ego-dysntonic and reality testing is intact. Clients are disturbed by depersonalization and || || || || || || || || || || || ||




reality testing remains intact. || || ||




Mikey complains of a new tingling sensation in both of his hands and feels his hands are now
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"weak". This occurred 4 days after his partner abruptly ended their 5 year relationship. Mikey
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became very distressed and booked an urgent appointment with his primary care provider. He has
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no other complaints, rarely calls his primary care provider and denies any recent injury. Upon
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exam, Mikey has no evidence of a medical condition other than his new sensory function
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complaint. Given the limited information in this scenario, this is likely an example of what? -
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✔✔Conversion disorder (Functional Neurological Symptom Disorder). One or more symptoms || || || || || || || || || ||




of altered voluntary motor or sensory function, incompatibility between the symptoms and the
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exam, not better explained by another medical condition and the deficit causes significant
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distress.


A 15-year-old boy has refused to go to school for the past month. Every morning he has a new
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symptom or develops one and has to be picked up from school. When he is home, the symptoms
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disappear. On weekends the symptoms never present. What is the most likely diagnosis? -
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✔✔Separation anxiety ||

, 2


Jeremy is a 62 year old male who attended a family gathering with the assistance of his son.
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Simon was diagnosed with a major neurocognitive disorder 4 years ago. Jeremy could not
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remember how he arrived at the party and told several guests that a train brought him. There is no || || || || || || || || || || || || || || || || || || ||




train station within 45 miles of the party location. What else in Jeremy's past medical history
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would help better explain the above presentation? - ✔✔20 years of heavy alcohol use
|| || || || || || || || || || || || ||




Substance/Medication-induced Major Neurocognitive disorder includes alcohol, amnestic || || || || || || ||




confabulatory type. Heavy, prolonged alcohol consumption may lead to a major neurocognitive || || || || || || || || || || || ||




disorder in which both amnesia and confabulation are prominent. Confabulation is the creation of
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false memories in the absence of the intention to deceive.
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Which of the following are considered vegetative signs of depression? - ✔✔The vegetative signs
|| || || || || || || || || || || || || ||




of depression include alterations in activities that support life. For example: sleeping, eating,
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elimination and sex. || ||




Jesse is a 72 year old male with major neurocognitive disorder with Lewy bodies. His family
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noted that Jesse had a sleep wake disorder which became prominent in his late 60's. Which sleep
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wake disorder did Jesse likely have - ✔✔Over 50% of individuals with REM sleep behavior will
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go on to develop a neurodegenerative disease.
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Which of the following are true regarding dissociative amnesia? - ✔✔The amnesia is selective for
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specific events which should be successfully recalled in stored memory and readily remembered.
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A 26 year old male with a former history of testicular cancer developed low back pain after a flag
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football game. Over the next year, he focuses continuously on sensations in his back and groin
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area and repeatedly seeks multiple health care providers for his ongoing symptoms. He checks
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himself daily for changes in lymph nodes or skin changes. He continues to call on more
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physicians despite a negative work up for testicular cancer or injury to his spine. Which diagnosis || || || || || || || || || || || || || || || ||




best fits this clinical scenario? - ✔✔Somatic symptom disorder. The patient's somatic symptoms
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are distressing enough to disrupt his daily life. The symptoms are persistent for more than 6
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months. He is not concerned with his appearance of his physical features, but rather abnormal
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focus and appraisal regarding the seriousness of the symptoms. Additionally, his persistent high
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level of anxiety regarding the symptoms and excessive time and energy devoted to the symptoms
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help support the diagnosis. || || ||

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