NSG 6320 AGNP Board Exam – Psychiatry Assessment Exam

NSG 6320 AGNP Board Exam – Psychiatry Assessment Exam 1. Question: A 48-year-old woman states that she began smoking about 10 cigarettes per day at 20 years of age. How should this subjective history be documented? 10 pack year history 14 pack year history Correct 18 pack year history 20 pack year history Explanation: The pack year history is calculated by the number of pack years = (number of cigarettes smoked per day/20, the number of cigarettes in a pack) × number of years smoked. This patient smokes 10 cigarettes per day / 20 x 28 years smoked = 14 pack year history. 2. Question: An example of an alcohol assessment screening tool is the: Kessler 6. PHQ-9. CAGE. Correct A-SSRS. Explanation: The CAGE Assessment is a quick questionnaire to help determine if an alcohol assessment is needed. If a person answers yes to two or more questions, a complete assessment is advised. The Kessler 6 & Kessler 10 are mental health screening tools used with a general adult population. Patient Health Questionnaire (PHQ-9) is the most common screening tool to identify depression. The Columbia-Suicide Severity Rating Scale (C-SSRS) is a questionnaire used for suicide assessment. 3. Question: A seven- year -old is suspected of having conduct disorder. Which one of the following topics should the nurse practitioner include in the assessment history? Stuttering Animal abuse Correct Worrying excessively about mother Refusing to perform chores Explanation: Animal abuse is often seen in children who display conduct disorder behaviors and would be a topic of concern if the child was abusing animals. Stuttering, worrying excessively about mother, and refusing to perform chores fall into other behavioral disorders. 4. Question: The personality disorder characterized by patterns of attention-seeking, often dramatic behavior to gain the approval of others is: histrionic. Correct antisocial. borderline. narcissistic. Explanation: Histrionic personality disorder is a diagnosis assigned to patients who display patterns of attention-seeking, often dramatic behavior to gain the approval of others. Characteristics of histrionic personality disorder include: over-the-top behavior, such as emotional outbursts, noisy displays of temper, compulsive attention seeking and self-centered actions. Antisocial personality disorder is a diagnosis given to patients who habitually and pervasively disregard or violate the rights and considerations of others without remorse. Borderline personality disorder is defined as a pervasive pattern of instability with interpersonal relationships, self-image, and affect, and marked impulsivity. 5. Question: What is the leading cause of serious injury among U.S. women of reproductive age? Alcohol and illicit drug use Motor vehicle accidents Suicide Intimate partner and domestic violence Correct Explanation: Intimate partner and domestic violence is the leading cause of serious injury and the second leading cause of death among U.S. women of reproductive age. The U.S. Preventive Services Task Force recommends routine screening of all women of childbearing age for intimate partner violence and referring those who screen positive to intervention services. 6. Question: Which of the following statements made by a parent would alert the nurse practitioner to suspect autism spectrum disorder? He is negative, disobedient and defiant. He acts very impulsively and speaks out of turn. He seems to be speaking less and less. Correct He can't sit still for a short story. Explanation: Communication difficulties are common in the child with autism spectrum disorder. They often speak very little or lose language abilities if early interventions are not started that encourage and build language/communication abilities. The other choices are consistent in children with Attention Deficit Hyperactivity Disorder (ADHD). 7. Question: Which mental health disorder is characterized by reoccurring thoughts, feelings, images, and sensations that lead to repetitive behaviors? Major depressive disorder (MDD) Generalized anxiety disorder (GAD) Obsessive-compulsive disorder (OCD) Correct Somatic symptom disorder (SSD) Explanation: Obsessive-compulsive disorder (OCD) is an anxiety disorder that causes unwanted repeated thoughts, feelings, images, and sensations (obsessions) and prompts patients to engage in behaviors or mental acts in response to these thoughts or obsessions. Major depressive disorder (MDD) is characterized by an overwhelming feeling of sadness, isolation, and despair lasting 2 weeks or longer. Generalized anxiety disorder (GAD) is characterized by persistent and excessive worry about a number of different things. People with generalized anxiety disorder (GAD) may anticipate disaster and may be overly concerned about money, health, family, work, or other issues. Patients with GAD find it difficult to control their worry. Somatic symptom disorder (SSD) causes extreme anxiety about physical symptoms such as pain or fatigue. The person has intense thoughts, feelings, and behaviors about the symptoms that interfere with daily life. 8. Question: Physical manifestations of anxiety disorder would include all of the following except: increased blood pressure. increased heart rate. dilated pupils. drowsiness. Correct Explanation: Anxiety is defined as a state of apprehension, dread, uneasiness, or fear of the unknown. The blood pressure, heat and respiratory rates are usually elevated. The pupils may be dilated and there can be urinary frequency. 9. Question: