NR547 2026/2027 || Most Recent Exam Actual
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A client who has been diagnosed with mild neurocognitive
disorder asks what he can do to improve his prognosis.
What is the best response? - Answer-Begin a regular
exercise program,
A 50-year-old client presents with fatigue and poor
motivation to the point that she is avoiding work. She
reports that for the past several weeks she has a poor
appetite and sleeps over 14 hours per day. She notesthat
last month,she felt "much better" had lots of energy and
didn't need much sleep. She went on several shopping
sprees that caused her checking account to be overdrawn.
Which diagnosis is most consistent with the
client'ssymptoms? - Answer-Bipolar I disorder
Inattention and a variable level of consciousness are the
hallmark symptoms of which condition? - Answer-Delirium
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What statement describes clients with personality
disorders? - Answer-They are resistant to
behavioral change,
When conducting a cognitive assessment, what doesthe
question "what did you have for dinner last night" assess?
- Answer-Recent memory,
A 25-year-old presents with irritability, insomnia, and
excessive energy. She states that she has felt this way for
about a week. Last month she reports that she felt really
down and slept most of the time. She endorses a pattern
of ups and downs in her mood at least half the time over
the past few years. Which diagnosis is most consistent
with this clients' symptoms? - Answer-Cyclothymia,
A 17-year-old who presents with symptoms of decreased
energy and loss of interest in activities reports that a few
weeks ago she went through an episode in which she
experienced racing thoughts, easy distractibility, and
decreased need for sleep. Which screening tool is most
appropriate for the PMHNP to use? - Answer-Mood
disorder questionnaire,
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A client was diagnosed with major neurocognitive disorder
due to Alzheimer's disease. What pharmacologic therapy
would be anticipated? - Answer-Memantine
An 89-year-old presents with symptoms of dementia.
Which diagnostic test should be performed initially to rule
out treatable causes of symptoms? - Answer-D-Cobalamin
level
What information can assist the clinician in differentiate
dementia from depression? - Answer-A-A patient with
dementia has symptoms for a long time before seeking
medical help.
A client presents with concerns about difficulties at work.
He states that he has trouble speaking up when things
aren't going well because he is afraid that others won't like
him or will think he is stupid. He is not in a relationship
because he can't imagine anyone wanting to be with him.
The clients symptoms are consistent with which disorder?
- Answer-Avoidant personality disorder
A client presents with ataxia, short-term memory loss, and
nystagmus. The client has a history of prolonged, heavy
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alcohol use. What is the most likely diagnosis? - Answer-
B. Wernicke Encephalopathy,
A client presents to the emergency department following a
nonfatal suicide attempt. She states that her boyfriend just
broke up with her bad temper and due to constant
moodiness, and she can't be alone. Her forearms and
thighs show thin cuts and scars at various stages of
healing. What is the client's most likely diagnosis? -
Answer-Borderline Personality disorder,
A 44-year-old client is presenting for court-mandated
treatment following an attempt to extort money from a
local politician. When he was apprehended, he was
aggressive with the arresting officers. He initially lied about
his crime, then tried to blame the politician. He states he
doesn't feel guilty for his crime. What is the client's most
likely diagnosis? - Answer-Antisocial Personality disorder
A client who uses recreational oxycodone presents for
treatment. He states that he has tried to reduce his use,
but he often takes more than he planned to, and he finds
himself thinking about using quite a bit. He maintains to
weekends when he has time to relax. What is the clients
most likely diagnosis? - Answer-Mild Opioid Use disorder,