Final Exam: FNP654/ FNP 654 (Latest 2024/ 2025 Update) Family Primary Care I Exam (Graded A) Grand Canyon University

Final Exam: FNP654/ FNP 654 (Latest 2024/ 2025 Update) Family Primary Care I Exam (Graded A) Grand Canyon University A major teaching point for patients diagnosed with epilepsy is A patient with absence seizures may never have a driver's license Which of the following mental health disorders is the most chronic disabling and economically catastrophic medical disorder of the severe mental illnesses Schizophrenia Inattention and a sleep-wake cycle disturbance are hallmark symptoms of Delirium Which of the following tools may be used to evaluate a person's suicide risk SAD Personas A 13-year-old adolescent is seen with attention and concentration difficulties accompanied by a drop in school grades. During the history, you find he has multiple electronic devices in his bedroom, including computer, gaming system, and TV. You determine education is needed regarding bedtime behavior. This teaching is known as Sleep Hygiene A 6-year-old female patient presents with fear of riding in a car following involvement in a motor vehicle accident 8 weeks ago. Which of the following symptoms would not be seen in post-traumatic stress disorder Hypersomnolence A 16-year-old adolescent presents with a persistent lack of energy, anhedonia, depressed mood, and decreased appetite for the past four months. Which of the following components is most important in the assessment of the cause of the patient's symptoms. Verify if the patient has an suicidal ideation Which cranial nerve is affected in a patient with a CVA who has difficulty chewing Cranial Nerve V What antiplatelet agent is most widely used for secondary prevention of stroke Aspirin Which of the following antidepressant medications is the least likely to manifest discontinuation symptoms Fluoxetine Which herbal preparation may cause delirium and should be avoided in the elderly St Johns Wort Based on your understanding of pediatric attachment behavior, when is the most likely age for separation protest and stranger wariness to occur 7-12 months About 90% of headaches are Without pathological cause A ratchet- like rhythmic contraction, especially in the hand, during passive stretching, is known as cog wheeling It is important for the clinician to discuss the long-term effects of sexual assault on survivors. Which of the following is the most common long-term effect of sexual assault PTSD Which of the following persons fits the classic description of a patient with multiple sclerosis (MS). 32 year old female Polysomnography is a useful diagnostic test to evaluate for which of the following disorders? Obstructive sleep apnea and restless leg syndrome When administered at the beginning of an attack, oxygen therapy may help this kind of a headache Cluster Which of the following is a common side effect of the tricyclic class of antidepressants often prescribed for neuropathic pain Dry mouth and dry eyes A score of 20-25 on this test indicates early-stage Alzheimer's disease MMSE A 15 year old male presents to the clinic with complaints of enlarged breasts. The patient is very self conscious about this and "would like it go away". The patient is not overweight. Which of the following questions would the family nurse practitioner not want to include in the history of the patient? Do you drink coffee Examples of how pain medicine specialists can aid in the end of life care include? All of the above, Acupuncture, nerve ablation, spinal cordotomy Which of the following routes of administration is the most vulnerable to "first-pass" hepatic effects of pain medications? Oral Which of the following is a typical description of nociceptive pain Sharp, aching, throbbing The single most important supplemental therapy to consider when starting patients on opiods for pain is Laxatives for constipation What is the goal of treatment for precocious puberty? To obtain normal adult height The Arizona Secretary of State registers all but which of the following documents on its website? Last will and testament A 6 year old female has had a recent growth spurt, and an exam reveals breast and pubic hair development. Her bone age is determined to be 8 years. What will the FNP do next? Refer the child to a pediatric endocrinologist for management A 20 year old female presents to the clinic with complaints of fatigue and facial hair growth. Upon examination, the FNP notices that the patient has a moon face appearance with truncal obesity. The patient does admit to being on steroids frequently for her asthma. Which of the following conditions does the FNP believe that the patient has? Cushings An x ray would be done on the L spine of someone with cushings syndrome to rule out which of the following? Osteoporosis What is pseudo precocious puberty? Puberty elated to tumors in testicle/ovaries Which of the following is not true about breakthrough cancer pain? It is the same as incident pain The mother of a female infant is concerned that her daughter is developing breasts. The FNP notes mild breast development but no pubic or axillary hair. What is the likely diagnosis? Premature thelarche, which will resolve over time A 5 year old African American female presents to the clinic with her mother. The mother states that she is concerned that the child is "developing too soon". After beginning the physical assessment, the FNP discovers that the patient is at Tanner Stage II. Which of the following is not a differential diagnosis for the FNP to consider? Acute lymphoblastic leukemia The ideal medicine to treat breakthrough cancer pain would Have a rapid onset and the ability to easily adjust the dose Signing a death certificate: Requires successful completion of an education module housed on the Arizona Board of Registered Nurses website You are completing a family meting for a patient with moderately advanced Alzheimers type dementia in which you have been describing the nature and likely course of the disease. The patient is unable to participate. In concluding the meeting it is most important to: Summarize the plan for care