NR547 FINAL EXAMS LATEST UPDATE
A client wishing to use medication-assisted treatment for opioid use disorder
expresses concerns that her roommates may try to steal her medication to get
high. Which medication is the most appropriate options for the client?
Buprenorphine/Naloxone
Which of the following is the best predictor for antisocial personality disorder?
A diagnosis of conduct disorder at age 13
Which of the following is a tool that may be used to screen for any type of
substance use disorder?
SBIRT
Which of the following would be included in the treatment plan for a client with
antisocial personality disorder?
Reward-Based therapy
Which description best describes cluster A personality disorders?
Characterized by odd, eccentric thinking or behavior
Which characteristic is most indicative of narcissistic personality disorder?
Ongoing need for admiration
A 25-year-old client presents with irritability, insomnia, and excessive energy.
She states she has felt this way for about a week. Last month, she reports that
she felt "really down" and slept most of the time. She endorses a pattern of "ups
and downs" in her mood at least half the time over the past few years. Which
diagnosis is the most consistent with the client's symptoms?
Cyclothymia
Select an appropriate initial medication choice for a 75-year-old with a new
diagnosis of major depressive disorder.
Escitalopram 10 mg daily
An inpatient client has a CIWA-Ar score of 12. What is the most appropriate
action by the nurse practitioner?
Prescribe STAT dose of oral Lorazepam and reassess CIWA-Ar every hour
A client presents with difficulties following her divorce from an abusive spouse.
She states that she is afraid of being on her own because she is worried that she
won't be able to take care of herself. She is currently living with her sister
because she can't decide whether to get an apartment or buy a house. Though
she's only been divorced for a few weeks, she's been on several dates through a
dating website in the hopes of finding another partner soon. The client's
symptoms are consistent with which diagnosis?
Dependent personality disorder
Which of the following are characteristics of borderline personality disorder?
Tumultuous interpersonal relationships and short-lived psychotic episodes
When conducting a cognitive assessment, what does the question "what did you
have for dinner last night" assess?
Recent memory
, A client is concerned that he won't pass a urine drug screen at his new job
because he used marijuana three days ago. What is the most appropriate
response by the psychiatric mental health nurse practitioner?
Marijuana can be detected in the urine for up to 7 days
Which symptoms are associated with the anxious distress DSM specifier for
major depressive disorder?
Feeling restless, excessive worry
A client is interested in therapies to augment his medication treatment for mild
major depressive disorder. What are appropriate recommendations?
Cognitive Behavioral Therapy and exercise three times a week
A client presents with ataxia, short-term memory loss, and nystagmus. The client
has a history of prolonged, heavy alcohol use. What is the most likely diagnosis?
Wernicke Encephalopathy
_______ diagnosed with major neurocognitive disorder due to Alzheimer's
disease. What pharmacologic therapy would be anticipated?
Memantine
_____presents for treatment following a breakup with her girlfriend. She is
dressed in a short skirt and low-cut blouse. She is very friendly
__________dramatically providing intimate details about several past
relationships. The client's presentation is consistent with which personality
disorder?
Histrionic personality disorder
Which statement indicates that a client understands education regarding the
treatment Lithium?
“I should take all my medications as prescribed and get lab work drawn as
ordered.”
A 50-year-old client presents with fatigue and poor motivation to the point that
she is avoiding work. She reports that for the past several weeks she has a poor
appetite and sleeps over 14 hours per day. She notes that last month, she felt
"much better" had lots of energy, and didn't need much sleep. She went on
several shopping sprees that caused her checking account to be overdrawn.
Which diagnosis is most consistent with the client's symptoms?
Bipolar I disorder
A client with substance use disorder is experiencing cravings and withdrawal
symptoms. The client is currently receiving inpatient therapy. Which is the most
appropriate diagnosis?
Substance use disorder in a controlled environment
Which of the following best describes substance use disorder?
Prolonged use and abuse of a substance
An inpatient client has a CIWA-Ar score of 7. What is the most appropriate action
by the nurse practitioner?
Reassess CIWA-Ar every 4 hours; do not prescribe medication at this time
Which client is most likely to experience delirium?
A client admitted to the intensive care unit after his hip surgery
Which sign is commonly seen in clients experiencing mild alcohol withdrawal?
Tremors
A client wishing to use medication-assisted treatment for opioid use disorder
expresses concerns that her roommates may try to steal her medication to get
high. Which medication is the most appropriate options for the client?
Buprenorphine/Naloxone
Which of the following is the best predictor for antisocial personality disorder?
A diagnosis of conduct disorder at age 13
Which of the following is a tool that may be used to screen for any type of
substance use disorder?
SBIRT
Which of the following would be included in the treatment plan for a client with
antisocial personality disorder?
Reward-Based therapy
Which description best describes cluster A personality disorders?
Characterized by odd, eccentric thinking or behavior
Which characteristic is most indicative of narcissistic personality disorder?
Ongoing need for admiration
A 25-year-old client presents with irritability, insomnia, and excessive energy.
She states she has felt this way for about a week. Last month, she reports that
she felt "really down" and slept most of the time. She endorses a pattern of "ups
and downs" in her mood at least half the time over the past few years. Which
diagnosis is the most consistent with the client's symptoms?
Cyclothymia
Select an appropriate initial medication choice for a 75-year-old with a new
diagnosis of major depressive disorder.
Escitalopram 10 mg daily
An inpatient client has a CIWA-Ar score of 12. What is the most appropriate
action by the nurse practitioner?
Prescribe STAT dose of oral Lorazepam and reassess CIWA-Ar every hour
A client presents with difficulties following her divorce from an abusive spouse.
She states that she is afraid of being on her own because she is worried that she
won't be able to take care of herself. She is currently living with her sister
because she can't decide whether to get an apartment or buy a house. Though
she's only been divorced for a few weeks, she's been on several dates through a
dating website in the hopes of finding another partner soon. The client's
symptoms are consistent with which diagnosis?
Dependent personality disorder
Which of the following are characteristics of borderline personality disorder?
Tumultuous interpersonal relationships and short-lived psychotic episodes
When conducting a cognitive assessment, what does the question "what did you
have for dinner last night" assess?
Recent memory
, A client is concerned that he won't pass a urine drug screen at his new job
because he used marijuana three days ago. What is the most appropriate
response by the psychiatric mental health nurse practitioner?
Marijuana can be detected in the urine for up to 7 days
Which symptoms are associated with the anxious distress DSM specifier for
major depressive disorder?
Feeling restless, excessive worry
A client is interested in therapies to augment his medication treatment for mild
major depressive disorder. What are appropriate recommendations?
Cognitive Behavioral Therapy and exercise three times a week
A client presents with ataxia, short-term memory loss, and nystagmus. The client
has a history of prolonged, heavy alcohol use. What is the most likely diagnosis?
Wernicke Encephalopathy
_______ diagnosed with major neurocognitive disorder due to Alzheimer's
disease. What pharmacologic therapy would be anticipated?
Memantine
_____presents for treatment following a breakup with her girlfriend. She is
dressed in a short skirt and low-cut blouse. She is very friendly
__________dramatically providing intimate details about several past
relationships. The client's presentation is consistent with which personality
disorder?
Histrionic personality disorder
Which statement indicates that a client understands education regarding the
treatment Lithium?
“I should take all my medications as prescribed and get lab work drawn as
ordered.”
A 50-year-old client presents with fatigue and poor motivation to the point that
she is avoiding work. She reports that for the past several weeks she has a poor
appetite and sleeps over 14 hours per day. She notes that last month, she felt
"much better" had lots of energy, and didn't need much sleep. She went on
several shopping sprees that caused her checking account to be overdrawn.
Which diagnosis is most consistent with the client's symptoms?
Bipolar I disorder
A client with substance use disorder is experiencing cravings and withdrawal
symptoms. The client is currently receiving inpatient therapy. Which is the most
appropriate diagnosis?
Substance use disorder in a controlled environment
Which of the following best describes substance use disorder?
Prolonged use and abuse of a substance
An inpatient client has a CIWA-Ar score of 7. What is the most appropriate action
by the nurse practitioner?
Reassess CIWA-Ar every 4 hours; do not prescribe medication at this time
Which client is most likely to experience delirium?
A client admitted to the intensive care unit after his hip surgery
Which sign is commonly seen in clients experiencing mild alcohol withdrawal?
Tremors
