CMN 577 FINAL EXAM QUESTIONS 3
You are discussing the option of palliative care with the family of a pediatric patient
recently diagnosed with lymphoma. All of the following demonstrate understanding of
palliative care except which answer?
A. "Once we agree palliative care we will no longer be able to pursue curative treatment
options."
B. " Opting for palliative care will allow us to provide pain management and improve her
quality of life while going through treatment."
C. "Adding palliative care to our care team will offer psychosocial support for us all
during this difficult time."
D. "Palliative care can help our family incorporate a sense of normalcy when we are
home from the hospital." - ANS-A
68-year-old female patient presents with difficulty in concentration, apprehension,
sweating and hyperventilation in relation to certain situations for the past 2 years. You
diagnose her with generalized anxiety disorder and know all of the following are true,
except:
A. Anxiety can be self-generating since symptoms can reinforce the reaction.
B. Anxiety disorders are some of the most common psychiatric disorders.
C. Benzodiazepines are the best options for treatment.
D. Psychological and somatic symptoms are both principal components of anxiety. -
ANS-C
A patient comes in with complaints of chronic pain. They have seen many different
providers, have had minimal relief with treatment, and frequently use nonspecific
medications. Which of the following statements are true?
A. A single provider should oversee a comprehensive approach involving behavioral,
medical, social and psychological treatment.
B. The pain isn't real, it's just in their head.
C. Anxiety and depression should not be addressed since that's not a component of
chronic pain.
D. Sympathy and attention is all that they need. - ANS-A
, A mother brings in her 15-year-old son in clinic for a sport physical who has brought his
mother with him. The patient's mother asks to talk to you outside of the room and states
"I believe my son is using drugs. He has not been acting like himself lately, not doing
good in school, and has a really bad temper. Can you test his urine for drugs?" As a
practicing provider you respond and state:
1. " I appreciate you bringing this problem to my attention, we will have the nurse get a
urine sample from him."
2. "He seems like a great kid. Can you give me more reasons as to why you think he is
doing drugs?"
3. "We can get a urine sample from him, but we need to get his consent first."
4. "He is not old enough to get a urine sample from, it has to be a blood draw." - ANS-C
You are working as a new NP in your local town and are seeing multiple teenagers for
sports physicals. You know that the most commonly used illicit drug is which of the
following?
1. Marijuana
2. Cocaine
3. Methamphetamine
4. Ecstasy - ANS-A
Which of the following statements regarding bulimia nervosa is FALSE?
1. The most common methods used to purge include: vomiting, laxative use, and
exercise.
2. Bulimia nervosa can lead to hypernatremia and hyperkalemia.
3. Most bulimic individuals will present as average weight or slightly above average.
4. Cognitive behavioral therapy and the use of SSRIs are good treatment options for
most patients. - ANS-B
A mother brings her 15-year-old son in with complaints of skipping school, failing
multiple classes, and defiant behaviors with his parents and teachers. What disorder
should the NP screen for?
a. Substance abuse
b. ADHD
c. Child abuse
d. Bipolar disorder - ANS-A
You are discussing the option of palliative care with the family of a pediatric patient
recently diagnosed with lymphoma. All of the following demonstrate understanding of
palliative care except which answer?
A. "Once we agree palliative care we will no longer be able to pursue curative treatment
options."
B. " Opting for palliative care will allow us to provide pain management and improve her
quality of life while going through treatment."
C. "Adding palliative care to our care team will offer psychosocial support for us all
during this difficult time."
D. "Palliative care can help our family incorporate a sense of normalcy when we are
home from the hospital." - ANS-A
68-year-old female patient presents with difficulty in concentration, apprehension,
sweating and hyperventilation in relation to certain situations for the past 2 years. You
diagnose her with generalized anxiety disorder and know all of the following are true,
except:
A. Anxiety can be self-generating since symptoms can reinforce the reaction.
B. Anxiety disorders are some of the most common psychiatric disorders.
C. Benzodiazepines are the best options for treatment.
D. Psychological and somatic symptoms are both principal components of anxiety. -
ANS-C
A patient comes in with complaints of chronic pain. They have seen many different
providers, have had minimal relief with treatment, and frequently use nonspecific
medications. Which of the following statements are true?
A. A single provider should oversee a comprehensive approach involving behavioral,
medical, social and psychological treatment.
B. The pain isn't real, it's just in their head.
C. Anxiety and depression should not be addressed since that's not a component of
chronic pain.
D. Sympathy and attention is all that they need. - ANS-A
, A mother brings in her 15-year-old son in clinic for a sport physical who has brought his
mother with him. The patient's mother asks to talk to you outside of the room and states
"I believe my son is using drugs. He has not been acting like himself lately, not doing
good in school, and has a really bad temper. Can you test his urine for drugs?" As a
practicing provider you respond and state:
1. " I appreciate you bringing this problem to my attention, we will have the nurse get a
urine sample from him."
2. "He seems like a great kid. Can you give me more reasons as to why you think he is
doing drugs?"
3. "We can get a urine sample from him, but we need to get his consent first."
4. "He is not old enough to get a urine sample from, it has to be a blood draw." - ANS-C
You are working as a new NP in your local town and are seeing multiple teenagers for
sports physicals. You know that the most commonly used illicit drug is which of the
following?
1. Marijuana
2. Cocaine
3. Methamphetamine
4. Ecstasy - ANS-A
Which of the following statements regarding bulimia nervosa is FALSE?
1. The most common methods used to purge include: vomiting, laxative use, and
exercise.
2. Bulimia nervosa can lead to hypernatremia and hyperkalemia.
3. Most bulimic individuals will present as average weight or slightly above average.
4. Cognitive behavioral therapy and the use of SSRIs are good treatment options for
most patients. - ANS-B
A mother brings her 15-year-old son in with complaints of skipping school, failing
multiple classes, and defiant behaviors with his parents and teachers. What disorder
should the NP screen for?
a. Substance abuse
b. ADHD
c. Child abuse
d. Bipolar disorder - ANS-A
