NSC 880 QUIZ 2 WITH 100% CORRECT
ANSWERS
Which of the following statements regarding caffeine is INCORRECT:
a. caffeine intoxication can occur after consuming 2 energy drinks in a short time
b. caffeine withdrawal typically begins within 18-24 hours and lasts for a week
c. use of over 10g in one sitting has been known to cause seizures and death
d. caffeine intake should be stopped immediately if the patient is reporting anxiety -
Answer- d. caffeine intake should be stopped immediately if the patient is reporting
anxiety
A client discloses that their PCP has been prescribing them Xanax and that when they
run out early, having a few shots of whiskey throughout the day helps them make it to
their next refill. This is best explained by: - Answer- cross tolerance
A 65 yo male client is accompanied to medication follow up by their significant other
who reports that several nights/week the patient has terrifying episodes of yelling,
screaming, kicking, and thrashing about. He has punched walls, the dog, and the
significant other during these episodes and they are frightened the sleep with him. This
has been going on for 6 months. What is the best recommendation by the PMHNP? -
Answer- neurology referral to assess for any brain insults
A patient with bipolar II disorder has never been consistently adherent to treatment
since first diagnosed 12 years ago. They now report that their mood episodes have
been increasing in frequency and intensity in the past few years. This could be
explained by what? - Answer- Kindling effect
During an initial assessment a client admits to daily use of heroin. Which of the following
would be PRIORITY for the PMHNP to ask in order to assess for immediate care need?
a. how they use heroin
b. last use of heroin
c. frequency of heroin use - Answer- b. last use of heroin
In order to meet diagnostic criteria for MDD, one of the reported symptoms must be
either depressed mood or what? - Answer- Anhedonia
Long term opiate use has been most closely linked to which sleep disorder? - Answer-
Central sleep apnea
Which is often the first substance that children/teens experiment with? - Answer- alcohol
ANSWERS
Which of the following statements regarding caffeine is INCORRECT:
a. caffeine intoxication can occur after consuming 2 energy drinks in a short time
b. caffeine withdrawal typically begins within 18-24 hours and lasts for a week
c. use of over 10g in one sitting has been known to cause seizures and death
d. caffeine intake should be stopped immediately if the patient is reporting anxiety -
Answer- d. caffeine intake should be stopped immediately if the patient is reporting
anxiety
A client discloses that their PCP has been prescribing them Xanax and that when they
run out early, having a few shots of whiskey throughout the day helps them make it to
their next refill. This is best explained by: - Answer- cross tolerance
A 65 yo male client is accompanied to medication follow up by their significant other
who reports that several nights/week the patient has terrifying episodes of yelling,
screaming, kicking, and thrashing about. He has punched walls, the dog, and the
significant other during these episodes and they are frightened the sleep with him. This
has been going on for 6 months. What is the best recommendation by the PMHNP? -
Answer- neurology referral to assess for any brain insults
A patient with bipolar II disorder has never been consistently adherent to treatment
since first diagnosed 12 years ago. They now report that their mood episodes have
been increasing in frequency and intensity in the past few years. This could be
explained by what? - Answer- Kindling effect
During an initial assessment a client admits to daily use of heroin. Which of the following
would be PRIORITY for the PMHNP to ask in order to assess for immediate care need?
a. how they use heroin
b. last use of heroin
c. frequency of heroin use - Answer- b. last use of heroin
In order to meet diagnostic criteria for MDD, one of the reported symptoms must be
either depressed mood or what? - Answer- Anhedonia
Long term opiate use has been most closely linked to which sleep disorder? - Answer-
Central sleep apnea
Which is often the first substance that children/teens experiment with? - Answer- alcohol
