NR 547 final – UPDATED Questions with 100% Verified Answers
Chamberlain University-Illinois
NR 547
NR 547 final
Study Questions and Answers
Q1 Memantine
A A client diagnosed with major neurocognitive disorder due to Alzheimer's disease. What pharmacologic therapy
would be anticipated?
Q2 Colbalamin Level
A An 89-year old presents with symptoms of Dementia. Which diagnostic should be performed initially to rule out
treatable causes of symptoms?
Q3 A patient with dementia has symptoms for a long time before seeking medical help.
A What information can assist the clinician in differentiating Dementia from Depression?
Q4 Avoidant Personality Disorder
A A client presents with concerns about difficulties at work. He states that he has trouble speaking up when things
aren't going well because he is afraid that others won't like him or will think he is stupid. He is not in a relationship
because he can't imagine anyone wanting to be with him. The clients symptoms are consistent with which disorder?
Q5 Wernicke Encephalopathy
A A client presents with ataxia, short-term memory loss, and nystagmus. The client has a history of prolonged, heavy
alcohol use. What is the most likely diagnosis?
Q6 Begin a regular exercise program
A A client who has been diagnosed with mild neurocognitive disorder asks what he can do to improve his prognosis.
What is the best response?
Q7 Bipolar II Disorder
A A 50 year old client presents with fatigue and poor motivation to the point that she is avoiding work. She reports that
for the past several weeks she has a poor appetite and sleeps over 14 hours per day. She notes that last month,
she notes that last month, she felt "much better" had lots of energy and didn't need much sleep. She went on
several shopping sprees that caused her checking account to be overdrawn. Which diagnosis is most consistent
with client's symptoms?
NR 547 final 1
, Q8 Delirium
A Inattention and a variable level of consciousness are the hallmark symptoms of which condition?
Q9 They are resistant to behavioral change
A What statement describes clients with personality disorder?
Q10 Recent Memory
A When conducting a cognitive assessment, what does the question "what did you have for dinner last night" assess?
Q11 Cyclothymia
A A 25-year-old presents with irritability, insomnia, and excessive energy. She states that she has felt this way for
about a week. Last month she reports that she felt really down and slept most of the time. She endorses a pattern of
ups and downs in her mood at least half the time over the past few years. Which diagnosis is most consistent with
this clients' symptoms?
Q12 Mood disorder questionaire
A A 17 year old who presents with symptoms of decreased energy and loss of interest in activities reports that a few
weeks ago she went through an episode in which she experienced racing thoughts, easy distractibility, and
decreased need for sleep. Which screening tool is most appropriate for the PMHNP to use?
Q13 Borderline Personality disorder
A 13.A client presents to the emergency department following a nonfatal suicide attempt. She states that her boyfriend
just broke up with her bad temper and due to constant moodiness, and she can't be alone. Her forearms and thighs
show thin cuts and scars at various stages of healing. What is the client's most likely diagnosis?
Q14 Antisocial personality disorder
A A 44 year old client is presenting for court-mandated treatment following an attempt to export money from a local
politician. When he was apprehended, he was aggressive with the arresting officers. He initially lied about his crime,
tried to blame the politician. He states he doesn't feel guilty for his crime. What is the client's most likely diagnosis?
Q15 Mild Opioid Use disorder
A A client who uses recreational oxycodone presents for treatment, He states that he has tried to reduce his use, but
he often takes more than he planned to and he finds himself thinking about using quite a bit. he maintains to
weekends when he has time to relax. What is the clients most likely diagnosis?
Q16 Prescribe STAT dose of oral Lorazepam and reassess CIWA-Ar every hour
A An inpatient client has a CIWA-Ar score of 12. What is the most appropriate action by the nurse practitioner?
NR 547 final 2
Chamberlain University-Illinois
NR 547
NR 547 final
Study Questions and Answers
Q1 Memantine
A A client diagnosed with major neurocognitive disorder due to Alzheimer's disease. What pharmacologic therapy
would be anticipated?
Q2 Colbalamin Level
A An 89-year old presents with symptoms of Dementia. Which diagnostic should be performed initially to rule out
treatable causes of symptoms?
Q3 A patient with dementia has symptoms for a long time before seeking medical help.
A What information can assist the clinician in differentiating Dementia from Depression?
Q4 Avoidant Personality Disorder
A A client presents with concerns about difficulties at work. He states that he has trouble speaking up when things
aren't going well because he is afraid that others won't like him or will think he is stupid. He is not in a relationship
because he can't imagine anyone wanting to be with him. The clients symptoms are consistent with which disorder?
Q5 Wernicke Encephalopathy
A A client presents with ataxia, short-term memory loss, and nystagmus. The client has a history of prolonged, heavy
alcohol use. What is the most likely diagnosis?
Q6 Begin a regular exercise program
A A client who has been diagnosed with mild neurocognitive disorder asks what he can do to improve his prognosis.
What is the best response?
Q7 Bipolar II Disorder
A A 50 year old client presents with fatigue and poor motivation to the point that she is avoiding work. She reports that
for the past several weeks she has a poor appetite and sleeps over 14 hours per day. She notes that last month,
she notes that last month, she felt "much better" had lots of energy and didn't need much sleep. She went on
several shopping sprees that caused her checking account to be overdrawn. Which diagnosis is most consistent
with client's symptoms?
NR 547 final 1
, Q8 Delirium
A Inattention and a variable level of consciousness are the hallmark symptoms of which condition?
Q9 They are resistant to behavioral change
A What statement describes clients with personality disorder?
Q10 Recent Memory
A When conducting a cognitive assessment, what does the question "what did you have for dinner last night" assess?
Q11 Cyclothymia
A A 25-year-old presents with irritability, insomnia, and excessive energy. She states that she has felt this way for
about a week. Last month she reports that she felt really down and slept most of the time. She endorses a pattern of
ups and downs in her mood at least half the time over the past few years. Which diagnosis is most consistent with
this clients' symptoms?
Q12 Mood disorder questionaire
A A 17 year old who presents with symptoms of decreased energy and loss of interest in activities reports that a few
weeks ago she went through an episode in which she experienced racing thoughts, easy distractibility, and
decreased need for sleep. Which screening tool is most appropriate for the PMHNP to use?
Q13 Borderline Personality disorder
A 13.A client presents to the emergency department following a nonfatal suicide attempt. She states that her boyfriend
just broke up with her bad temper and due to constant moodiness, and she can't be alone. Her forearms and thighs
show thin cuts and scars at various stages of healing. What is the client's most likely diagnosis?
Q14 Antisocial personality disorder
A A 44 year old client is presenting for court-mandated treatment following an attempt to export money from a local
politician. When he was apprehended, he was aggressive with the arresting officers. He initially lied about his crime,
tried to blame the politician. He states he doesn't feel guilty for his crime. What is the client's most likely diagnosis?
Q15 Mild Opioid Use disorder
A A client who uses recreational oxycodone presents for treatment, He states that he has tried to reduce his use, but
he often takes more than he planned to and he finds himself thinking about using quite a bit. he maintains to
weekends when he has time to relax. What is the clients most likely diagnosis?
Q16 Prescribe STAT dose of oral Lorazepam and reassess CIWA-Ar every hour
A An inpatient client has a CIWA-Ar score of 12. What is the most appropriate action by the nurse practitioner?
NR 547 final 2
