NURS 6670 / NURS6670 FINAL EXAM. QUESTIONS AND ANSWERS
WITH EXPLANATIONS.
NURS 6670 /
NURS6670 FINAL
EXAM.
QUESTIONS AND
ANSWERS WITH
EXPLANATIONS.
,NURS 6670 / NURS6670 FINAL EXAM. QUESTIONS AND ANSWERS
WITH EXPLANATIONS.
Question1.
Collette is a 23-year-old female who presented for
emergency care with her mother because her behavior has
become increasingly erratic and caused her to lose her job.
Her mother reports that she had never done anything like
this in the past, but about 3 months ago, her boyfriend of
3 years broke up with her, and Collette began to express
unrealistic beliefs that her boyfriend wanted to drive her
crazy and hurt her. A gentleman trying to hail a taxi
accidentally bumped into her this morning, and she
started screaming that her ex-boyfriend had hired the man
to throw her into the street under a car.
Collette is on a 2-week suspension from her job as a
restaurant server because she was combative to a
customer she accused him of colluding with her ex-
boyfriend to get her fired. After this morning's incident,
her mother was so worried she brought her to the
emergency room. Her appearance is disheveled, she is
clearly hyperalert and is crying that
her boyfriend must have converted her mother to work
against her. Head imaging, screening lab, and a toxicology
screen are negative. A leading differential for Collette is:
Acute psychotic episode
Rationale:
Collette's differential diagnosis is an acute psychotic
episode, this disorder causes abnormal ideas and
perceptions. Two of the main symptoms are delusions and
hallucinations.
Delusions are false beliefs, such as that someone is against
them and hallucinations are false perceptions, such as
,NURS 6670 / NURS6670 FINAL EXAM. QUESTIONS AND ANSWERS
WITH EXPLANATIONS.
listening, or feeling something that does not exist.
Question 2.
Jake and Laurie are a young married couple who have
been referred to mental health counseling because Jake is
having disturbing sleep events. Laurie reports that on
more than one occasion she has awakened to find Jake
having what appears to be a panic attack, but he doesn't
seem to realize it. When he finally wakes up, he is
confused and doesn't really understand what happened,
although he does have a sense of intense fear. This has
happened twice in the last 2 weeks, and the last time
Laurie heard him screaming. Jake is now a bit
, NURS 6670 / NURS6670 FINAL EXAM. QUESTIONS AND ANSWERS
WITH EXPLANATIONS.
afraid to go to sleep and as a result does not feel well the
next day. The PMHNP recognizes that sleep terrors in
adults:
Are often associated with trauma or psychiatric problems
Question 3.
Jack is a 27-year-old male who has a history of paranoid
schizophrenia that first became apparent approximately
10 years ago. He developed paranoid delusions and
eventually decompensated to the point that he required
inpatient stabilization. At the time, he was started on
conventional antipsychotics, but due to intolerable
adverse effects he was switched to haloperidol. It worked
well, but whenever he stopped taking it, symptoms would
recur. After several hospitalizations, he was stabilized. The
neurophysiologic theory of schizophrenia suggests that
Jack's symptoms were a result of:
Increased dopamine activity in the mesolimbic pathway
Question 4.
Johanne is a 22-year-old female who is being treated for
narcolepsy. She is attempting to implement a regimen of
forced daytime naps in an effort to manage her condition
without pharmacotherapy as she is generally averse to
taking medications. While following Johanne, the
PMHNP should be alert to signs and symptoms of
Depression
WITH EXPLANATIONS.
NURS 6670 /
NURS6670 FINAL
EXAM.
QUESTIONS AND
ANSWERS WITH
EXPLANATIONS.
,NURS 6670 / NURS6670 FINAL EXAM. QUESTIONS AND ANSWERS
WITH EXPLANATIONS.
Question1.
Collette is a 23-year-old female who presented for
emergency care with her mother because her behavior has
become increasingly erratic and caused her to lose her job.
Her mother reports that she had never done anything like
this in the past, but about 3 months ago, her boyfriend of
3 years broke up with her, and Collette began to express
unrealistic beliefs that her boyfriend wanted to drive her
crazy and hurt her. A gentleman trying to hail a taxi
accidentally bumped into her this morning, and she
started screaming that her ex-boyfriend had hired the man
to throw her into the street under a car.
Collette is on a 2-week suspension from her job as a
restaurant server because she was combative to a
customer she accused him of colluding with her ex-
boyfriend to get her fired. After this morning's incident,
her mother was so worried she brought her to the
emergency room. Her appearance is disheveled, she is
clearly hyperalert and is crying that
her boyfriend must have converted her mother to work
against her. Head imaging, screening lab, and a toxicology
screen are negative. A leading differential for Collette is:
Acute psychotic episode
Rationale:
Collette's differential diagnosis is an acute psychotic
episode, this disorder causes abnormal ideas and
perceptions. Two of the main symptoms are delusions and
hallucinations.
Delusions are false beliefs, such as that someone is against
them and hallucinations are false perceptions, such as
,NURS 6670 / NURS6670 FINAL EXAM. QUESTIONS AND ANSWERS
WITH EXPLANATIONS.
listening, or feeling something that does not exist.
Question 2.
Jake and Laurie are a young married couple who have
been referred to mental health counseling because Jake is
having disturbing sleep events. Laurie reports that on
more than one occasion she has awakened to find Jake
having what appears to be a panic attack, but he doesn't
seem to realize it. When he finally wakes up, he is
confused and doesn't really understand what happened,
although he does have a sense of intense fear. This has
happened twice in the last 2 weeks, and the last time
Laurie heard him screaming. Jake is now a bit
, NURS 6670 / NURS6670 FINAL EXAM. QUESTIONS AND ANSWERS
WITH EXPLANATIONS.
afraid to go to sleep and as a result does not feel well the
next day. The PMHNP recognizes that sleep terrors in
adults:
Are often associated with trauma or psychiatric problems
Question 3.
Jack is a 27-year-old male who has a history of paranoid
schizophrenia that first became apparent approximately
10 years ago. He developed paranoid delusions and
eventually decompensated to the point that he required
inpatient stabilization. At the time, he was started on
conventional antipsychotics, but due to intolerable
adverse effects he was switched to haloperidol. It worked
well, but whenever he stopped taking it, symptoms would
recur. After several hospitalizations, he was stabilized. The
neurophysiologic theory of schizophrenia suggests that
Jack's symptoms were a result of:
Increased dopamine activity in the mesolimbic pathway
Question 4.
Johanne is a 22-year-old female who is being treated for
narcolepsy. She is attempting to implement a regimen of
forced daytime naps in an effort to manage her condition
without pharmacotherapy as she is generally averse to
taking medications. While following Johanne, the
PMHNP should be alert to signs and symptoms of
Depression
