Chapter 18. Psychosocial Problems (Primary Care, Art and Science of Advanced Practice Nursing 4th Edition by Dunphy Test Bank)

Chapter 18. Psychosocial Problems (Primary Care, Art and Science of Advanced Practice Nursing 4th Edition by Dunphy Test Bank) Chapter 18. Psychosocial Problems Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the following neurotransmitters plays a role in anxiety? a. Acetylcholine b. Gamma-aminobutyric acid (GABA) c. Dopamine d. Serotonin ____ 2. The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessive worry or apprehension must be present more days than not for at least: a. 1 month b. 3 months c. 6 months d. 12 months ____ 3. A patient presents to the clinician after experiencing four episodes in the last month of sweating, palpitations, chest pain, nausea, and shaking. Each episode lasted about 10 minutes. The patient is now becoming very fearful of future events and has been reluctant to leave the house. The clinician suspects panic disorder but wants to rule out any possible medical causes. Which of the following medical conditions can mimic the symptoms of a panic attack? a. Pheochromocytoma b. Hyperthyroidism c. Cardiac arrhythmias d. All of the above ____ 4. Which of the following is considered first-line treatment for panic disorders? a. Benzodiazepines b. Selective serotonin reuptake inhibitors (SSRIs) c. Tricyclic antidepressants d. Cognitive behavioral therapy ____ 5. Which of the following symptoms is not part of the diagnostic criteria for post-traumatic stress disorder (PTSD)? a. Hypersomnolence b. Blunted feelings c. Loss of interest in significant activities d. Intrusive recurrent recollections of the event ____ 6. Which of the following neuroendocrine abnormalities is implicated in depression? a. Decrease in adrenal size b. Increased cortisol and corticotrophin-releasing hormone c. An exaggerated response of thyrotropin (TRH) to infusion of thyroid-releasing hormone d. Increased inhibitory response of glucocorticoids to dexamethasone ____ 7. The clinician has chosen to prescribe an SSRI instead of a tricyclic antidepressant (TCA) for a patient fitting the diagnostic criteria for depression. Which of the following is not true concerning SSRIs in comparison to tricyclic antidepressants? a. SSRIs are more effective than TCAs. b. SSRIs take less time to work than TCAs. c. SSRIs have a more favorable side-effect profile than TCAs. d. SSRIs are not lethal in overdose. ____ 8. After discontinuing fluoxetine, how long must a person wait before starting a monoamine oxidase inhibitor? a. 2 weeks b. 3 weeks c. 4 weeks d. 5 weeks ____ 9. It is important to educate patients with depression and their family members about reporting signs of increasing depression and suicidal thoughts. This is especially true during which time period? a. Before the initiation of treatment b. 1 to 2 weeks after the initiation of treatment c. When switching to a different medication d. 1 to 2 weeks after tapering off medications ____ 10. A patient is experiencing extrapyramidal side effects from his antipsychotic medications. The clinician would most likely take which of the following approaches to treating these side effects? a. Give the patient a “drug holiday” until the symptoms resolve and then restart the medication. b. Switch the patient to a different antipsychotic. c. Treat the patient with anticholinergics. d. Treat the patient with anticonvulsants. ____ 11. According to Kübler-Ross, the stages of grief occur in which order? a. Anger, denial, depression, bargaining, acceptance b. Anger, denial, bargaining, acceptance, depression c. Denial, anger, depression, bargaining, acceptance d. Denial, anger, bargaining, depression, acceptance ____ 12. The clinician is educating a patient about the effects of marijuana. The patient stated she has been smoking for years and believes the use does not interfere with her life. What is a significant long-term sequelae of marijuana use that the clinician should educate this patient about? a. Memory impairment b. Sexual dysfunction c. Dry mouth d. There are no long-term consequences of marijuana use. ____ 13. Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter? a. GABA b. Acetylcholine c. Dopamine d. Serotonin ____ 14. What blood alcohol level corresponds with the signs of stupor and confusion? a. 0.05 b. 0.1 c. 0.2 d. 0.3 ____ 15. Rapid eye movement (REM) sleep occurs how frequently during non-REM sleep? a. Every 30 minutes b. Every 60 minutes c. Every 90 minutes d. Every 180 minutes ____ 16. Which of the following is a laboratory finding commonly found in patients with anorexia nervosa? a. Hypercholesterolemia b. Hypermagnesmia c. Leukocytosis d. Decreased TRH ____ 17. Which of the following is the only drug for bulimia approved by the U.S. Food and Drug Administration? a. Sertraline b. Fluoxetine c. Citoprolam d. Imipramine ____ 18. Which of the following would be important to monitor in a child receiving methylphenidate for treatment of attention deficit-hyperactivity disorder (ADHD)? a. Liver function b. Vision c. Growth parameters d. Renal function ____ 19. It is important for the clinician to discuss the long-term effects of sexual assault with survivors. Which of the following is the most common long-term effect of sexual assault? a. Depression b. Obsessive-compulsive disorder c. Substance abuse d. PTSD ____ 20. Women are at the highest risk for developing postpartum depression for up to how long after childbirth? a. 2 weeks b. 1 month c. 3 months d. 6 months ____ 21. Which is the most prevalent psychiatric condition in the United States? a. Depression b. Anxiety c. Substance-related addictions d. Gambling ____ 22. What is recorded as clinical category two of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision)? a. Clinical disorder or focus of clinical attention b. Personality or environmental problems c. Environmental and psychosocial stressors d. Global assessment of functioning ____ 23. Which of the following may be used to evaluate a person’s suicide risk? a. CAGE b. SANE c. SAD PERSONAS d. DIGFAST ____ 24. Assessing for adherence with prescribed medications and developing a plan for what to do if they are stopped is a major treatment issue for which of the following diagnostic groups? a. ADHD b. Bipolar c. Depression d. Anxiety ____ 25. Bipolar disorder requires differential diagnosis from all of the following except? a. Substance abuse and medication effects b. Medical and neurological disorders c. Cluster B personality disorders and depression d. Obsessive-compulsive disorder