NUR 631 Exam 3 Nervous, Musculoskeletal, and Mental Health
Study online at https://quizlet.com/_j8i1i1
1. 19 yr old college student, Todd, brought to clinic by D) Schizophrenia
mother. States for past 6 months behavior become
peculiar and flunked out of college. PMH remarkable
only for broken foot. Paternal uncle had similar symp-
toms in college. Patient admits smoking cigarettes
and drinking. Admits to marijuana use but not in last
week. When you ask how hes feeling he states wor-
ried that microsoft has stolen his software, has seen
a black van at night full of computer tech workers
stealing his work. While arranging for a psychiatric
consult, what psychotic disorder do you think Todd
has?
A) Schizoaffective disorder
B) Psychotic disorder due to a medical illness
C) Substance-induced psychotic disorder
D) Schizophrenia
2. 24 yr old secretary comes to your clinic, complaining C) Post traumatic stress
difficulty sleeping, severe nightmares, and irritability. disorder
States began 6 months ago when she went to fast
food restaurant at midnight. While waiting a man en-
tered through the passenger door and put a gun to
her head. Had her drive to remote area, took her mon-
ey and threatened to kill her. Gun jammed he panicked
and ran off. She jumps at every noise and refuses to
drive at night. Her anxiety has had marked influence
on her job performance, she is afraid she will be fired.
On examination woman is nervous. You recommend-
ed medication and counseling. What anxiety disorder
does this young woman have?
, NUR 631 Exam 3 Nervous, Musculoskeletal, and Mental Health
Study online at https://quizlet.com/_j8i1i1
A) Specific phobia
B) Acute stress disorder
C) Post-traumatic stress disorder
D) Generalized anxiety disorder
3. 75 yr old homemaker brings in 76 yr old husband. 4 A) Wernicke's aphasia
months ago he had stroke and is frustrated with prob-
lems communicating. At a restaurant after church he
suddenly became quiet. Spent 2 weeks in hospital with
right-sided weakness and difficulty speaking. He was
in rehab where he regained ability to walk and most
use of his right hand. He speaks more but most of
the time doesn't make sense. she says the sayings are
frustrating and wants you to tell her what is wrong.
While you write up a neuro consult, you describe syn-
drome to her. What type of aphasia does he have?
A) Wernicke's aphasia
B) Broca's aphasia
C) Dysarthria
4. 32 yr old female comes to clinic, complaining of C) Major depressive
overwhelming sadness. Past 2 months has had cry- episode
ing episodes, difficulty sleeping, and problems with
overeating. Used to go out with her friends from work
but now just wants to go home and be alone. Work
productivity has been dropping because too tired
to care or concentrate. PMH appendectomy when
she was teenager. Mother has high blood pressure
and father has hx mental health. During examination
woman seems quite sad and makes little eye con-
tact, speaks so softly you can't always understand her.
, NUR 631 Exam 3 Nervous, Musculoskeletal, and Mental Health
Study online at https://quizlet.com/_j8i1i1
What type of mood disorder do you think she has?
A) Dysthymic disorder
B) Manic (bipolar) disorder
C) Major depressive episode
5. 27 yr old woman brought by mother. Daughter has A) Illusion
been schizophrenic for last 8 years and is starting to
decompensate despite medication. Patient states has
been taking antipsychotic and is doing fine. Daughter
has become paranoid she microwaves the mail be-
cause she has seen the mailman putting anthrax on
the letters. Which best describes the patients abnor-
mality of perception?
A) Illusion
B) Hallucination
C) Fugue state
6. 22 yr old man brought by father. Patient diagnosed B) Hallucination
with schizophrenia 6 months ago and has been taking
medications since. Father states son's dose isn't high
enough and you need to raise it. Son has been hear-
ing things that don't exist. Young man says father is
jealous because sister only talks to him, father yells
"you know your sister died 2 years ago!" Son says "Well
she talks to me in my head all the time!" Which best
describes this patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state
, NUR 631 Exam 3 Nervous, Musculoskeletal, and Mental Health
Study online at https://quizlet.com/_j8i1i1
7. 26 yr old violinist complains of anxiety. During per- C) Social phobia
formances sweating, shaking, and hyperventilating.
Its gotten so bad he has thought about giving up his
first chair status to avoid playing his solo. Does not
have symptoms when practicing or rehearsing. On
examination he seems worried. What type of anxiety
disorder best describes his situation?
A) Panic disorder
B) Specific phobia
C) Social phobia
D) Generalized anxiety disorder
8. 23 yr old ticket agent brought in by husband con- B) Manic episode
cerned about recent behavior. Last 2 weeks has been
completely out of control. Has not showered in days,
stays awake cleaning apartment, run up over $1,000
on credit cards. Patient interrupts and says its untrue
and she's never been happier, speaking quickly and
changing subject often. Husband heard about aunt
with similar symptoms. Smokes one pack of cigarettes
a day, drinks four to six drinks a week, and marijuana
occasionally. On examination very loud and outspo-
ken. Which mood disorder does she most likely have?
A) Major depressive episode
B) Manic episode
C) Dysthymic disorder
9. 72 yr old African-American male brought to your clinic B) Broca's aphasia
for follow up after recent hospitalization. Was admit-
ted for speech problems and weakness in right arm
Study online at https://quizlet.com/_j8i1i1
1. 19 yr old college student, Todd, brought to clinic by D) Schizophrenia
mother. States for past 6 months behavior become
peculiar and flunked out of college. PMH remarkable
only for broken foot. Paternal uncle had similar symp-
toms in college. Patient admits smoking cigarettes
and drinking. Admits to marijuana use but not in last
week. When you ask how hes feeling he states wor-
ried that microsoft has stolen his software, has seen
a black van at night full of computer tech workers
stealing his work. While arranging for a psychiatric
consult, what psychotic disorder do you think Todd
has?
A) Schizoaffective disorder
B) Psychotic disorder due to a medical illness
C) Substance-induced psychotic disorder
D) Schizophrenia
2. 24 yr old secretary comes to your clinic, complaining C) Post traumatic stress
difficulty sleeping, severe nightmares, and irritability. disorder
States began 6 months ago when she went to fast
food restaurant at midnight. While waiting a man en-
tered through the passenger door and put a gun to
her head. Had her drive to remote area, took her mon-
ey and threatened to kill her. Gun jammed he panicked
and ran off. She jumps at every noise and refuses to
drive at night. Her anxiety has had marked influence
on her job performance, she is afraid she will be fired.
On examination woman is nervous. You recommend-
ed medication and counseling. What anxiety disorder
does this young woman have?
, NUR 631 Exam 3 Nervous, Musculoskeletal, and Mental Health
Study online at https://quizlet.com/_j8i1i1
A) Specific phobia
B) Acute stress disorder
C) Post-traumatic stress disorder
D) Generalized anxiety disorder
3. 75 yr old homemaker brings in 76 yr old husband. 4 A) Wernicke's aphasia
months ago he had stroke and is frustrated with prob-
lems communicating. At a restaurant after church he
suddenly became quiet. Spent 2 weeks in hospital with
right-sided weakness and difficulty speaking. He was
in rehab where he regained ability to walk and most
use of his right hand. He speaks more but most of
the time doesn't make sense. she says the sayings are
frustrating and wants you to tell her what is wrong.
While you write up a neuro consult, you describe syn-
drome to her. What type of aphasia does he have?
A) Wernicke's aphasia
B) Broca's aphasia
C) Dysarthria
4. 32 yr old female comes to clinic, complaining of C) Major depressive
overwhelming sadness. Past 2 months has had cry- episode
ing episodes, difficulty sleeping, and problems with
overeating. Used to go out with her friends from work
but now just wants to go home and be alone. Work
productivity has been dropping because too tired
to care or concentrate. PMH appendectomy when
she was teenager. Mother has high blood pressure
and father has hx mental health. During examination
woman seems quite sad and makes little eye con-
tact, speaks so softly you can't always understand her.
, NUR 631 Exam 3 Nervous, Musculoskeletal, and Mental Health
Study online at https://quizlet.com/_j8i1i1
What type of mood disorder do you think she has?
A) Dysthymic disorder
B) Manic (bipolar) disorder
C) Major depressive episode
5. 27 yr old woman brought by mother. Daughter has A) Illusion
been schizophrenic for last 8 years and is starting to
decompensate despite medication. Patient states has
been taking antipsychotic and is doing fine. Daughter
has become paranoid she microwaves the mail be-
cause she has seen the mailman putting anthrax on
the letters. Which best describes the patients abnor-
mality of perception?
A) Illusion
B) Hallucination
C) Fugue state
6. 22 yr old man brought by father. Patient diagnosed B) Hallucination
with schizophrenia 6 months ago and has been taking
medications since. Father states son's dose isn't high
enough and you need to raise it. Son has been hear-
ing things that don't exist. Young man says father is
jealous because sister only talks to him, father yells
"you know your sister died 2 years ago!" Son says "Well
she talks to me in my head all the time!" Which best
describes this patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state
, NUR 631 Exam 3 Nervous, Musculoskeletal, and Mental Health
Study online at https://quizlet.com/_j8i1i1
7. 26 yr old violinist complains of anxiety. During per- C) Social phobia
formances sweating, shaking, and hyperventilating.
Its gotten so bad he has thought about giving up his
first chair status to avoid playing his solo. Does not
have symptoms when practicing or rehearsing. On
examination he seems worried. What type of anxiety
disorder best describes his situation?
A) Panic disorder
B) Specific phobia
C) Social phobia
D) Generalized anxiety disorder
8. 23 yr old ticket agent brought in by husband con- B) Manic episode
cerned about recent behavior. Last 2 weeks has been
completely out of control. Has not showered in days,
stays awake cleaning apartment, run up over $1,000
on credit cards. Patient interrupts and says its untrue
and she's never been happier, speaking quickly and
changing subject often. Husband heard about aunt
with similar symptoms. Smokes one pack of cigarettes
a day, drinks four to six drinks a week, and marijuana
occasionally. On examination very loud and outspo-
ken. Which mood disorder does she most likely have?
A) Major depressive episode
B) Manic episode
C) Dysthymic disorder
9. 72 yr old African-American male brought to your clinic B) Broca's aphasia
for follow up after recent hospitalization. Was admit-
ted for speech problems and weakness in right arm
