NR509 Midterm Practice Questions with 100% Correct Answers

NR509 Midterm Practice Questions with 100% Correct Answers Which of the following statements is true concerning mental health disorders in primary care? - Answer- mood disorders make up ~ 25% of all diagnoses Which of the following complaints/findings is considered to be a patients identifier for mental health screening? - Answer- Substance abuse A 38-year-old accountant presents to the office with a series of generalized complaints. He relates that he feels a loss of pleasure in daily activities, has difficulty sleeping, and is experiencing problems making decisions. Which of the following best explains the patient's presentation? - Answer- Depression Concerning hallucinations, an abnormal perception experienced by a patient, which of the following statements is true about this abnormality? - Answer- It may occur in association with a number of conditions including delirium and dementia, posttraumatic stress disorder (PTSD), and schizophrenia. A 24-year-old veteran returns from his second tour of duty in the Middle East. He was witness to a number of violent military encounters and experienced the death of several of his closest friends. He describes a number of problems including nightmares, poor sleep pattern, and mild panic attacks. In persons with trauma - and stress-related disorders as well as other disorders that may be associated with hallucinations and illusions, which of the following statements is true that distinguishes these two entities from each other? - Answer- Illusions are a misinterpretation of real stimuli, whereas hallucinations are subjective perceptions in the absence of real stimuli. Abstract thinking is an important component of the human thought process. A person's ability to understand questions that test his or her ability to answer appropriately is dependent upon a number of factors. Which one of the following answers is true in identifying a patient with concrete thinking and a reduced ability to think abstractly? - Answer- An inability to discern the similarity between two words. (e.g., a cat and mouse by answering "the cat chases the mouse.") Concerning a patient that may demonstrate a diagnosis of aphasia, which of the following statements is true? - Answer- It is defined as an inability to produce or understand language A 42-year-old fair-skinned woman of Irish origin presents with an abnormal skin growth that was first noted 7 years ago. On examination, a 2 x 3 cm lesion is noted over her left bicep. Which of the following historical elements most increases the suspicion that the lesion is malignant - Answer- Minimal but discernible increase in size over the past 6 months A 17-year-old woman presents with her parents to her primary care provider. She desires to utilize a tanning facility ahead of an upcoming event. Her parents have heard that this is a dangerous practice, although the tanning facility insists it is safe without risk of skin cancer in the future after tanning. Which of the following is true regarding ultraviolent (UV) light exposure and subsequent risk of skin cancer? - Answer- Targeted messaging and practitioner reinforcement in primary care amplify sun-protective behaviors. A 52-year-old male presents for an annual examination. He discloses on review of family history that his father has died of skin cancer since his last visit. He personally has had two actinic keratoses frozen and has further lesions that require evaluation today. He is very concerned about his personal and family history and would like to know more about the potential for skin cancer to spread and become a dangerous condition. Which of the following skin lesions is the least likely to metastasize - Answer- Seborrheic Keratosis A 62-year-old manual laborer presents to an annual physical examination with concerns about skin cancer screening. he does not have any lesions of concern but was recently told by a friend that he should have his skin checked by a doctor yearly. What is the best advice for this patient according to the U.S. Preventive Services Task Force (USPSTF) recommendations on skin cancer screening from 2015? - Answer- The USPSTF recommends against routine screening for skin cancer due to lack of evidence for this intervention across the general population. A 72-year-old retired woman presents to a primary care provider for evaluation of a suspicious mole. She noticed this lesion 3 weeks ago on her right flank in an area where she previously had seen no abnormality. She is very concerned about melanoma and asks if this could be a possible diagnosis and also wonders if this should have been noticed at her annual examination 7 months ago. Concerning the initial recognition of melanoma, which of the following is true? - Answer- Approximately 50% of melanomas are initially noticed by patients then brought to the attention of a practitioner. A concerned mother brings her 9-year-old daughter to the clinic with several days of a diffuse rash on the trunk. The child was previously healthy and is current on her