Page 1 of 36
NURS 6501 REAL EXAM QUESTIONS
WITH 100% CORRECT SOLUTIONS
CURRENTLY TESTED AND
APPROVED!!!
What are predisposing factors impacting the likelihood of someone developing
a SA issue? -- ANSWER--Predisposing Factors:
- Unhealthy use of one substance increases the likelihood of unhealthy use of
other substances - Family history
- Social history
- Partner or friends with SA, living in a community with poverty, violence,
and/or high ETOH/drug use
Use of:
- Caffeine, tobacco, ETOH, prescription meds, marijuana, illicit drugs
- Mental health disorders
- Highest in personality disorders
,Page 2 of 36
What is withdrawal -- ANSWER--process of removal of the drug of dependence
from the body
SS of substance abuse withdrawal 3 -- ANSWER--Can last days to weeks
- NVD
- Flu-like SS: lacrimation, rhinorrhea, diaphoresis, shivering, piloerection
- SNS/CNS Arousal: mydriasis, mild HTN and tachy, anxiety, irritability,
insomnia, agitation, restless leg, general restlessness, tremor, low grade temp
What is the role of the primary care provider in mental health? -- ANSWER---
Screen for mental health issues
- Improve outcomes and reduce health care costs
- Assess and give care to mild-moderate disorders or patients with stable severe
mental disorders
- From strong links with mental health specialty care for complex cases Sharing
patient info (ex: meds used)
about PHQ2
- what does it screen for, what are the questions, scoring -- ANSWER---
Screens for MDD
,Page 3 of 36
- It is the first two questions of the PHQ9
- In the last two week, have you been feeling these (not at all, several days,
more than half the day, nearly everyday):
- Little interest or pleasure in doing things?
- Feeling down, depressed, or hopeless?
Scoring:
A single yes or score >3 (out of 0-6) = possible clinical depression ⇒ due the
PHQ9
If the pt screens (+) ⇒ continue to eval with the PHQ9
about PHQ9
- what its used for, questions, scoring -- ANSWER--Used for screening,
diagnosing, and treating
- It asks about functioning impairments which is needed for the DSM-
based diagnosis
, Page 4 of 36
Includes asking about suicide or hurting self
Scoring:
0-27 available
0-4: Minimal/none
Monitor; may not require treatment
5-9: Mild
Use clinical judgment; follow-up in one month
10-14: Moderate
Use clinical judgment; may need meds if functionally impaired
15-19: Moderately Severe
Warrants active treatment with psychotherapy, meds, or combo
20-27: Severe
Warrants active treatment with psychotherapy, meds, or combo
What is the appropriate initiation dose for fluoxetine for adults and geriatric
adults? -- ANSWER--20mg PO once daily in the AM
NURS 6501 REAL EXAM QUESTIONS
WITH 100% CORRECT SOLUTIONS
CURRENTLY TESTED AND
APPROVED!!!
What are predisposing factors impacting the likelihood of someone developing
a SA issue? -- ANSWER--Predisposing Factors:
- Unhealthy use of one substance increases the likelihood of unhealthy use of
other substances - Family history
- Social history
- Partner or friends with SA, living in a community with poverty, violence,
and/or high ETOH/drug use
Use of:
- Caffeine, tobacco, ETOH, prescription meds, marijuana, illicit drugs
- Mental health disorders
- Highest in personality disorders
,Page 2 of 36
What is withdrawal -- ANSWER--process of removal of the drug of dependence
from the body
SS of substance abuse withdrawal 3 -- ANSWER--Can last days to weeks
- NVD
- Flu-like SS: lacrimation, rhinorrhea, diaphoresis, shivering, piloerection
- SNS/CNS Arousal: mydriasis, mild HTN and tachy, anxiety, irritability,
insomnia, agitation, restless leg, general restlessness, tremor, low grade temp
What is the role of the primary care provider in mental health? -- ANSWER---
Screen for mental health issues
- Improve outcomes and reduce health care costs
- Assess and give care to mild-moderate disorders or patients with stable severe
mental disorders
- From strong links with mental health specialty care for complex cases Sharing
patient info (ex: meds used)
about PHQ2
- what does it screen for, what are the questions, scoring -- ANSWER---
Screens for MDD
,Page 3 of 36
- It is the first two questions of the PHQ9
- In the last two week, have you been feeling these (not at all, several days,
more than half the day, nearly everyday):
- Little interest or pleasure in doing things?
- Feeling down, depressed, or hopeless?
Scoring:
A single yes or score >3 (out of 0-6) = possible clinical depression ⇒ due the
PHQ9
If the pt screens (+) ⇒ continue to eval with the PHQ9
about PHQ9
- what its used for, questions, scoring -- ANSWER--Used for screening,
diagnosing, and treating
- It asks about functioning impairments which is needed for the DSM-
based diagnosis
, Page 4 of 36
Includes asking about suicide or hurting self
Scoring:
0-27 available
0-4: Minimal/none
Monitor; may not require treatment
5-9: Mild
Use clinical judgment; follow-up in one month
10-14: Moderate
Use clinical judgment; may need meds if functionally impaired
15-19: Moderately Severe
Warrants active treatment with psychotherapy, meds, or combo
20-27: Severe
Warrants active treatment with psychotherapy, meds, or combo
What is the appropriate initiation dose for fluoxetine for adults and geriatric
adults? -- ANSWER--20mg PO once daily in the AM
