NR 607
FINAL EXAM1 NEWEST
2024/ 2025
ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT
DETAILED ANSWERS(VERIFIED
ANSWERS ) ALREADY GRADED A+//
BRAND NEW VERSION
A 10-year-old boy is referred by the school nurse because
of persistent stomachache every morning in school. In
evaluating the boy, the pmhnp learned that he does not
like to go to school and insists on coming home
immediately, and that he sleeps in his parent's bed at
night. His clinical description is most characteristic of
which of the following conditions?
a. -social phobia
b. Posttraumatic stress disorder (ptsd)
c. -separation anxiety
d. Reactive attachment disorder
,A 10-year-old girl is referred for evaluation of behavioral
difficulties. Her teachers report that she is easily
distracted and fails to complete any class work, and
often stares off into space or tries to chat with her
neighbor. Her mother reports that mornings are the most
difficult because of her general disorganization and
forgetfulness. Otherwise she is socially engaged and
enjoys many activities. Which of the following is the most
likely diagnosis?
a. -attention deficit disorder
b. Oppositional defiant disorder
c. Conduct disorder
d. Disruptive behavior
A 21-year-old man had his first drink at his birthday party
with friends last night. He presented the following
morning to the emergency department with psychomotor
agitation, cognitive impairment, depressed mood, flat
affect, and anhedonia. His heart rate is 110, his blood
pressure is 90/60, and he complains of abdominal pain.
He received 2 l of normal saline iv and is referred to
psychiatry for evaluation of mood disorder. Which of the
following tests should the consulting pmhnp order given
these symptoms?
,a. Urinalysis
b. Acetaminophen level
c. Urinary porphobilinogen
d. Blood alcohol level
A 30-year-old g1p0,1 has become increasingly oddly
related, neglecting self-care, sleeping much of the day,
eating minimally, crying easily, and despite reassurance
that her pregnancy is progressing normally, worries that
she will lose the pregnancy. Which of the following
medications is considered least harmful in pregnancy?
-sertraline
-lithium
-haloperidol
-divalproex
A 30-year-old male who was started on sertraline for
generalized anxiety disorder was also started on
lorazepam 1 mg for sleep during the first 2 weeks as he
was adjusting to the medication. At the 2-week follow-up
visit his psychiatrist increased the sertraline, but the
dose of lorazepam does not seem to be helping with
, sleep and the patient is requesting a higher dose. Which
of the following best describes the patient's condition?
-addiction
-dependence
-withdrawal
-tolerance
A 30-year-old man with three past psychiatric
hospitalizations for schizoaffective disorder presents for
follow-up care with the pmhnp. Before discharge, the
patient received court ordered zyprexa relprevv 300 mg
im x 1. The patient tells the pmhnp that he is aware that
smoking can "Make him need more medication." Which
stage of change is the patient in?
-contemplation
-maintenance
-precontemplation
-action
FINAL EXAM1 NEWEST
2024/ 2025
ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT
DETAILED ANSWERS(VERIFIED
ANSWERS ) ALREADY GRADED A+//
BRAND NEW VERSION
A 10-year-old boy is referred by the school nurse because
of persistent stomachache every morning in school. In
evaluating the boy, the pmhnp learned that he does not
like to go to school and insists on coming home
immediately, and that he sleeps in his parent's bed at
night. His clinical description is most characteristic of
which of the following conditions?
a. -social phobia
b. Posttraumatic stress disorder (ptsd)
c. -separation anxiety
d. Reactive attachment disorder
,A 10-year-old girl is referred for evaluation of behavioral
difficulties. Her teachers report that she is easily
distracted and fails to complete any class work, and
often stares off into space or tries to chat with her
neighbor. Her mother reports that mornings are the most
difficult because of her general disorganization and
forgetfulness. Otherwise she is socially engaged and
enjoys many activities. Which of the following is the most
likely diagnosis?
a. -attention deficit disorder
b. Oppositional defiant disorder
c. Conduct disorder
d. Disruptive behavior
A 21-year-old man had his first drink at his birthday party
with friends last night. He presented the following
morning to the emergency department with psychomotor
agitation, cognitive impairment, depressed mood, flat
affect, and anhedonia. His heart rate is 110, his blood
pressure is 90/60, and he complains of abdominal pain.
He received 2 l of normal saline iv and is referred to
psychiatry for evaluation of mood disorder. Which of the
following tests should the consulting pmhnp order given
these symptoms?
,a. Urinalysis
b. Acetaminophen level
c. Urinary porphobilinogen
d. Blood alcohol level
A 30-year-old g1p0,1 has become increasingly oddly
related, neglecting self-care, sleeping much of the day,
eating minimally, crying easily, and despite reassurance
that her pregnancy is progressing normally, worries that
she will lose the pregnancy. Which of the following
medications is considered least harmful in pregnancy?
-sertraline
-lithium
-haloperidol
-divalproex
A 30-year-old male who was started on sertraline for
generalized anxiety disorder was also started on
lorazepam 1 mg for sleep during the first 2 weeks as he
was adjusting to the medication. At the 2-week follow-up
visit his psychiatrist increased the sertraline, but the
dose of lorazepam does not seem to be helping with
, sleep and the patient is requesting a higher dose. Which
of the following best describes the patient's condition?
-addiction
-dependence
-withdrawal
-tolerance
A 30-year-old man with three past psychiatric
hospitalizations for schizoaffective disorder presents for
follow-up care with the pmhnp. Before discharge, the
patient received court ordered zyprexa relprevv 300 mg
im x 1. The patient tells the pmhnp that he is aware that
smoking can "Make him need more medication." Which
stage of change is the patient in?
-contemplation
-maintenance
-precontemplation
-action
