NURS 6531 / NURS6531 FINAL EXAM. QUESTIONS AND ANSWERS.

175. A patient is diagnosed with panic disorder and begins taking a selective serotonin reuptake inhibitor (SSRI) medication. Six weeks later, the patient reports little relief from symptoms. What will the provider do next to manage this patient? a. Change the medication to buspirone b. Discontinue the medication c. Increase the medication dose d. Refer to a mental health provider 176. Which medication is useful in treating both obsessive-compulsive disorder (OCD) and post-traumatic stress disorder (PTSD)? (Select all that apply.) a. Benzodiazepines b. Buspirone c. Selective serotonin reuptake inhibitors (SSRIs) d. Serotonin-norepinephrine reuptake inhibitors (SNRIs) e. Tricyclic antidepressants (TCAs) 177. A patient is seen in clinic 2 weeks after the death of a parent. The patient reports feelings of sadness and hopelessness and a feeling that the parent is still present, even to the point of hearing the parent's voice at times. What will the provider determine from these findings? a. There is a concern for hypermania. b. There is a possibility of manic episodes. c. These are concerning for depression. d. These are normal grief responses. 178. A patient is seen frequently over a 9-month period with somatic complaints that are not related to physical disease. The primary provider notes that the patient has had a 15% weight loss in the previous 2 months and the patient reports difficulty sleeping. The spouse tells the provider that the patient seems tired all the time and is irritable with other family members. What will the provider do initially? a. Perform a suicide risk assessment b. Prescribe a selective serotonin reuptake inhibitor c. Refer the patient for psychotherapy d. Suggest cognitive-behavioral therapy increasingly bizarre behavior and poor school performance. The provider notes difficulty engaging the patient in an organized conversation. The patient denies any concerns about behavior. What will the provider do initially to manage this patient's symptoms? a. Admit the patient for inpatient treatment b. Begin treatment with lithium or lamotrigine c. Counsel the parent to report any symptoms of depression d. Schedule an appointment with a psychiatrist 180. A patient is brought to the emergency department experiencing disorientation, confusion, and fever. The patient describes visual and auditory hallucinations. The patient's spouse states that the patient had several drinks 12 hours prior to passing out. A blood alcohol level is 0.2%. What is the recommended treatment? a. Benzodiazepines b. Intravenous fluids and rest c. Naloxone d. Phenobarbital 181. A college student is brought to the emergency department by a roommate who is concerned about symptoms of extreme restlessness, nausea, and vomiting. The provider notes elevations of the pulse and blood pressure and pupillary dilation, along with hyperactive bowel sounds. The provider suspects withdrawal from which substance? a. Alcohol b. Cocaine c. LSD d. Opioids 182. A 17-year-old male is brought to the clinic by a parent who is concerned that the patient has become more isolated and withdrawn. The patient has expressed suspicions that his teachers hate him and want him to fail. What will the provider tell this parent? a. The adolescent should be evaluated by a psychiatrist. b. The adolescent should be given a trial of antipsychotic medications. c. These are common adolescent behaviors and will eventually go away. d. These signs are diagnostic for schizophrenia. 183. A young male patient is reported to be more withdrawn from his peers than usual and has dropped out of college and quit his job within the last 5 months. The parent is concerned that the patient may have schizophrenia because a maternal uncle has the disease. What will the provider do next? a. Ask about the patient's speech and thinking patterns b. Consider treatment with antipsychotic medications c. Reassure that classic symptoms of schizophrenia are not present d. Refer the patient for inpatient psychiatric treatment 184. Which are considered "negative" symptoms of schizophrenia? (Select all that apply.) a. Auditory hallucinations b. Delusions of persecution c. Impaired self-care d. Poor school performance e. Withdrawing from peers