Tested Questions with Revised Answers, (A+
Guarantee)
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NR 546
NR546 Midterm Exam
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Tested Questions
Questions with Revised Answers
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,A 22-year-old patient recently diagnosed with bipolar disorder states "I'm not crazy"
and is refusing to take his prescribed medication. Which type of factor is
contributing to this patient's nonadherence?
A. Client factors
B. Clinician factors
C. Structural factors
D. Environmental factors
Correct Answer: C. Structural factors
Rationale: According to the file, the correct answer is C. Structural factors. Structural
factors contributing to medication nonadherence include issues related to the healthcare
system, medication access, cost, and stigma. The patient's belief that taking medication
implies he is "crazy" reflects a structural barrier related to stigma surrounding
psychiatric treatment.
Question 2
Using Dell'Osso et al.'s sequential framework of priorities to promote medication
adherence, determine which step is being defined: The PMHNP explains the
mechanism of action, anticipated time to experience effects, side effects, and lifestyle
instructions to a patient after prescribing Wellbutrin.
A. Diagnosis
B. Medication education
C. Monitoring plan
D. Adherence reinforcement
Correct Answer: B. Medication education
Rationale: According to the file, the correct answer is B. Medication education. This
step involves educating the patient about how the medication works, when to expect
therapeutic effects, potential side effects, and any lifestyle modifications needed while
taking the medication.
, Question 3
A patient recovering from a stroke has trouble with speech comprehension and
works with a speech therapist twice a week. Which part of the patient's brain has
been affected by the stroke?
A. The Broca's area
B. The Basal ganglia
C. The Limbic system
D. The Wernicke's area
Correct Answer: D. The Wernicke's area
Rationale: According to the file, the correct answer is D. The Wernicke's area.
Wernicke's area is responsible for language comprehension. Damage to this area results
in receptive aphasia, where the patient has difficulty understanding spoken or written
language.
Question 4
Which of the following poses a potential ethical concern when prescribing
psychiatric medications?
A. The patient is homeless and uninsured
B. The patient poses a risk to themself as they state they are experiencing very scary
auditory and visual hallucinations
C. The patient's family voices a stigma against psychiatric medications
D. The patient states they worry about the potential side effects of the medication
Correct Answer: B. The patient poses a risk to themself as they state they are
experiencing very scary auditory and visual hallucinations
Rationale: According to the file, the correct answer is B. This poses an ethical concern
regarding the patient's safety and the clinician's duty to protect the patient from harm.