Patient presentation possibly common to anxiety and depression includes -
ANSWER agitation
When treating a 25 year old woman for mild anxiety, appropriate initial includes -
ANSWER referral to mental health services including cognitive behavioral therapy
In prescribing benzodiazepines, the NP considers that - ANSWER this drugs have
a high potential abuse and the onset of therapeutic effect is usually rapid
Tx recommendations for depression should always include - ANSWER cognitive
behavioral therapy
The NP knows that the full therapeutic effect of SSRI used for the treatment of
depression/ anxiety may take - ANSWER 12 weeks
When assessing the patient for IVP, the provider should always - ANSWER screen
patients presenting for PCP visit
Appropriate txs for insomnia include all of the following - ANSWER encourage
patients to have a regular bed/ awake times, use of sleep machine that provides
white noise, limiting alcohol and caffeine
In a patient complaining of insomnia, education would include the following
except - ANSWER 1
Evidence based first line pharmacological txs for insomnia includ - ANSWER use
a short acting benzodiazepine receptor agonist
Which class of drug represents the first choice for the management of both
depression and chronic anxiety? - ANSWER SSRI
Which of the following meds can be used in tx a patient in opioid withdrawal -
ANSWER methadone and clonidine
DSM 5 criteria for substance tolerance/ dependence includes - ANSWER
diminished effect with the same amount of substance used
A 34 year old male presenting for a wellness exam admits in the history of
drinking a few drinks now and then, but is vague on how often. You suspect he is
, a frequent alcohol user. Your next action would be to - ANSWER Administer
CAGE questionnaire
The common co morbidity associated with depression is - ANSWER anxiety
A 65 year old female has been on lorazepam for 6 years and wishes to stop. You
advise her that - ANSWER she needs to taper her dose down with supervision
A 52 year old female patient presents to your office and is diagnosed with
depression. You base this diagnosis on which of the following symptoms -
ANSWER 0
A 47 year old male presents to the office with chronic sadness and feelings of
hopelessness since his recent divorce 2 months ago. He admits to occasional
thoughts that the world would be better off without me but denies an active plan
to commit suicide. Appropriate tx for this patient would include all of the
following except - ANSWER immediate referral to the ER for evaluation of suicidal
ideation
A 28 year old male presents to the office stating that he is withdrawing from an
opioid. You would expect to see - ANSWER nausea, vomiting, diarrhea
A maladaptive pattern of substance use that leads to impairment or distress at
work, school, with family and physical or social difficulties defines which of the
following - ANSWER substance use disorder
A 45 year old female presents to the office with chronic racing thoughts, mild
headaches 2-3 days a week, insomnia and difficulty concentrating. Your
diagnosis would include - ANSWER general anxiety disorder
Evidence based first line treatment for bipolar disorder - ANSWER mood
stabilizer
Labs that may be done when assessing a patient for a mental health concern to
rule out a physical illness may include - ANSWER drug screen
Prevention of influenza is best achieved by the administration of the annual flu
vaccine. Contradictions to the vaccine include - ANSWER history of anaphylaxis
to the flu vaccine
You suspect that a patient has vitamin B-12 deficiency anemia and folate
deficiency anemia. In addition to checking vit B12 and folate levels, which other
BW will confirm your diagnosis - ANSWER MMA levels
A 52 year old man presents with a routine work related health assessment. He
has no complaints. His physical exam is normal. His routine CBC reveals HBG