CEA advanced Nursing Practice Quiz With Well Elaborated Solutions

CEA advanced Nursing Practice Quiz With Well Elaborated Solutions A 26-year-old man has been on an antipsychotic. He requires further titration for control of symptoms. Which of the following tests should be repeated? EKG Head CT scan Liver function test Urinalysis - ANSWER -EKG Your client Jamie asks you about a mole of her forearm. You refer her to dermatology. As an APRN, you recognize that cancerous moles can be detected on exam. Which of the following would not be of concern? A mole that is not elevated A mole that is 5 mm in size All of the above A dark mole - ANSWER -All of the above Recall the ABCDE acronym. Concerning moles - ANSWER -asymmetric, have irregular borders, have color variation, a diameter 6mm and elevated moles. Which of the following would be considered a risk factor for melanoma? Female gender A history of melanoma A mole with symmetrical borders A dark covered mole approximately 5mm in size - ANSWER -A history of melanoma Gloria is a 68-year-old female with a chronic history of severe anxiety disorder presents with mild shortness of breath, fine crackles in the right lower lobe with auscultation and a nonproductive cough. She recently "ran out of pills". Which medication omission most likely lead to her current presenting symptoms? Metoprolol Lorazepam Metformin Furosemide - ANSWER -Furosemide 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 denies any other behavioral problems. Which of the following diagnostic tests would be most appropriate? Bilateral carotid Doppler study Transthoracic echocardiogram EEG Brain MRI with and without contrast - ANSWER -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? Amylase, lipase, liver function test Urinalysis, urine pregnancy test Cardiac enzymes, brain naturetic peptide Hemoglobin A1C, lipid profile, EKG - ANSWER -Hemoglobin A1C, lipid profile, EKG A mother of a teenage boy is unable to acknowledge that her son's mental illness is perpetuated by his poly substance use disorder and is insisting that his father's genes are to blame. Which defense mechanism is employed? Regression Dissociation Reaction formation Denial - ANSWER -Denial 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? Lumbar puncture Electroencephalogram Noncontrast head CT scan Arterial blood gas - ANSWER -Noncontrast head CT scan When providing psychoeducation to a patient with treatment-resistant depression about electroconvulsive therapy (ECT), you tell the patient that the most common adverse effect of treatment is which of the following? Amnesia Psychosis Respiratory depression Arrhythmi - ANSWER -Amnesia A 66-year-old registered nurse, who retired from psychiatry 3 years ago, spends much of her time watching television. She is easily irritated by those interrupting her shows and has no desire to engage in any activities or identify with a broader community. Which developmental stage did she fail to master? Initiative versus Guilt Industry versus Inferiority Ego integrity versus Despiar Generativity versus Stagnation - ANSWER -Generativity versus Stagnation 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