AND AGED FAMILY PRACTICUM WITH
DETAILED ANSWERS
Which of the following is the most appropriate
screening tool for delirium?
a. St Louis University Mental Status Exam
(SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of
Daily Living
d. Confusion Assessment Model - answer-d.
Confusion Assessment Model
Mr. A, experienced a brief onset of right sided
weakness, slurred speech and confusion
yesterday. The symptoms have resolved and the
CT is normal. What is the next step of the plan
for Mr. A?
,a. assure the patient that he will not experience
the symptoms again
b. identify modifiable cardiovascular risk
factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask -
answer-b. identify modifiable cardiovascular
risk factors
A 56-year old male patient screened for
diabetes has a fasting plasma glucose level of
96mg/dl. The nurse practitioner management
plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam -
answer-a. repeat fasting plasma glucose in
three years
,RW, a 57 year old native American female,
presents to the office. RW states she feels
irritable and has difficulty concentrating as well
as fallingn asleep and staying aleep. She states
she is worried about her finances, her husband
has just lost his job. The NP diagnoses anxiety.
The NP prescribes a first line treatment which is
a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxetine - answer-d. Paroxetine
The most common sustained rhythmic disorder,
which consists of fibrillatory p waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter - answer-c. atrial fibrillation
, According to the Sexually presentation,
atrophic vaginitis
a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary
tract infections
d. is not treated with vaginal lubricants -
answer-c. is a contributing factor for frequent
urinary tract infections
A drug that can be used to treat two very
common symptoms in a dying patient (pain and
dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine - answer-d. Morphine