Expected Questions and Verified Answers
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1. You are treating a patient with acute anxiety and she is having an acute
attack in the office.The ANP has knowledge that the fastest relief of symptoms is:
a TCA
a beta-blocker
a benzodizepine
an SSRI:
Ans>> benzodiazepine
The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other choices list
agents that will require multiple doses for results. With daily continued use of benzodiazepines, the
anti-anxiety effect may become diminished.
,2. A geriatric patient with cardiovascular disease is in the office being coun- seled on
lifestyle changes. The ANP knows that which of the following is the most important
to include in this discussion?
"Control your hypertension, stop smoking, maintain a normal weight, and exercise
regularly."
"Have a yearly physical examination, increase fiber in your diet, and exercise
regularly."
"Maintain a normal level of serum blood sugar and decrease cholesterol intake."
"Decrease smoking, increase vitamin supplements, and increase protein intake.":
Ans>>
"Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
All of these are important for the geriatric patient to decrease cardiovascular risk. Controlling
hyperglycemia, high fiber intake, and vitamins all assist in maintaining a healthy lifestyle but do not
help to prevent cardiovascular disease.
,3. You are seeing a female with inflammatory bowel disease, known as IBD.The Adult
Nurse Practitioner knows that if she orders a hemogram on this patient, which of the
following results would be seen if the patient was anemic?
microcytic, hypochromic type
macrocytic, normochromic type
normocytic, normochromic type
, macrocytic, hypochromic type:
Ans>>
normocytic, normochromic type
Anemia is a common problem in IBD. The etiology is often from multiple causes. The anemia of
chronic disease, a normocytic, normochromic anemia, is a result of inflammation of the IBD without
blood loss. Blood loss would result in a microcytic, hypochromic anemia. The macrocytic anemias
are a result of deficiency in vitamin B12 or other causes.
4. Which of the following is the least likely risk factor for suicide?
physical illness
male increasing
age
black race:
Ans>> black race
Being of a white race is more likely to be a factor in suicide. Besides the other three choices risk