NR 607 Quiz 2 Questions and Correct
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A 72-year-old female presents to the emergency department for
altered mental status. Her urine analysis is negative, and her labs are
normal. She has been referred to psychiatry for dementia. The
patient's husband reports increasing forgetfulness over the last 6
months, walking as if her feet are stuck to the ground, and most
recently episodes of urinary incontinence. Based on the signs and
symptoms which of the following diagnostic tests should the PMHNP
order to rule out an underlying condition?
Ans: Noncontrast head CT scan
A 62-year-old woman formerly employed as a receptionist reports
progressive word-finding difficulty over the past 6 months that
caused her so much anxiety she quit her job. Her daughter has
become increasingly impatient waiting for her to finish her sentences
but she has now become depressed due to the relational strain. She
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denies any other behavioral problems. Which of the following
diagnostic tests would be most appropriate?
Ans: Brain MRI with and without contrast
A 26-year-old female is diagnosed with psychosis not otherwise
specified (NOS) and substance use disorder. Which of the following
lab tests should be ordered prior to starting antipsychotic
medications?
Ans: Hemoglobin A1C, lipid profile, EKG
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?