NUR 612 Final Exam Questions & Answers |
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➢ The son of a 72-year-old man brings his father into the practitioner to plan
for treatment of the patient's alcoholism. The nurse practitioner has several
options available. Which is the first choice?
1. Treat for anxiety.
2. Begin with higher doses of anti-anxiety medications.
3. The last choice for medication is serotonin uptake inhibitors.
4. Buspirone and gabapentin are used as first-line choices.
✓ Treat for anxiety.
➢ Elisabeth, 67 years old, comes to the practitioner with her daughter, who is
her caregiver. The nurse practitioner notices that Elizabeth is very busy and
always moving and placing things in order within the waiting room. Along
with this increase in energy, which of the following suggest bipolar with
mania or hypomania? Select all that apply.
1. Ability to focus on a task
2. Flight of ideas
3. Rapid speech
4. Impulsivity
5. Thoughtfulness
✓ Flight of ideas
3. Rapid speech
4. Impulsivity
➢ The nurse practitioner is assessing a 69-year-old man for possible bipolar
disorder. Which of the following will contribute to diagnosing this patient?
Select all that apply.
1. Complete blood count (CBC) and comprehensive metabolic panel,
toxicology screen, urinalysis, thyroid function tests.
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2. Electroencephalogram (EEG) and magnetic resonance imaging (MRI).
3. Mini-Mental State Examination.
4. Saint Louis University Mental Status (SLUMS).
5. Total body computed tomography (CT) scan
✓ Mini-Mental State Examination.
4. Saint Louis University Mental Status (SLUMS).
➢ Mark, 82 years old, is in a rehabilitation center for therapy post-knee
replacement. The nurse practitioner is visiting Mark and finds him confused,
disoriented, and with speech difficulty. The staff nurse says that his
condition changed quickly over the last few hours. The nurse practitioner
orders which of the following? Select all that apply.
1. Pulse oximetry
2. Evaluation for infections
3. Assessment of change in medications
4. Brain scan
5. Radiology
✓ Pulse oximetry
2. Evaluation for infections
3. Assessment of change in medications
4. Brain scan
➢ Larry is 69 years old and beginning to experience a cognitive decline. His
son brings him to the practitioner asking for an evaluation. The nurse
practitioner assesses for which of the following signs or symptoms? Select
all that apply.
1. Cognitive decline in complex attention, executive function, learning, and
memory.
2. Gradual onset and the course of illness and progression are typically slow.
3. Impaired ability to care for oneself.
4. Total or partial loss of the ability to recognize familiar people.
5. Improvement in symptoms in time
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✓ Cognitive decline in complex attention, executive function, learning, and
memory.
2. Gradual onset and the course of illness and progression are typically slow.
3. Impaired ability to care for oneself.
4. Total or partial loss of the ability to recognize familiar people.
➢ Mr. Dan is 75 years old and suffering from depression. He tells the nurse
practitioner that he is tired of feeling so low. He asks if depression is a
normal part of aging. The nurse practitioner tells him that depression is
which of the following? Select all that apply.
1. Not a normal part of aging.
2. Related to nutritional deficiencies, especially vitamin B12 and vitamin D.
3. Triggered by one life event.
4. Learned helplessness, loss, and bereavement
5. A state of balanced neurotransmitters in the brain.
✓ Not a normal part of aging.
2. Related to nutritional deficiencies, especially vitamin B12 and vitamin D.
3. Triggered by one life event.
➢ Ms. Smith, 70 years old, is being treated for geriatric depression. What
choices does the nurse practitioner have to order? Select all that apply.
1. Evaluate the present medication regimen.
2. Treat any comorbidity.
3. Maintain basic daily needs.
4. Order a selective serotonin reuptake inhibitor (SSRI).
5. Order Abilify.
✓ Evaluate the present medication regimen.
2. Treat any comorbidity.
3. Maintain basic daily needs.
4. Order a selective serotonin reuptake inhibitor (SSRI).
5. Order Abilify.
➢ Mrs. Smith is 90 years old and has a daytime caregiver. Her daughter stays
with her during the evening and nighttime. The daughter suspects her mother