Question:
A 48-year-old woman states that she began smoking about 10 cigarettes per day at 20 years of age. How
should this subjective history be documented?
10 pack year history
14 pack year history Correct
18 pack year history
20 pack year history
Explanation:
The pack year history is calculated by the number of pack years = (number of cigarettes smoked per
day/20, the number of cigarettes in a pack) × number of years smoked. This patient smokes 10 cigarettes
per day / 20 x 28 years smoked = 14 pack year history.
Question:
An example of an alcohol assessment screening tool is the:
Kessler 6.
PHQ-9.
CAGE. Correct
A-SSRS.
Explanation:
The CAGE Assessment is a quick questionnaire to help determine if an alcohol assessment is needed. If a
person answers yes to two or more questions, a complete assessment is advised. The Kessler 6 & Kessler 10
are mental health screening tools used with a general adult population. Patient Health Questionnaire
(PHQ-9) is the most common screening tool to identify depression. The Columbia-Suicide Severity Rating
Scale (C-SSRS) is a questionnaire used for suicide assessment.
Question:
A seven- year -old is suspected of having conduct disorder. Which one of the following topics should the
nurse practitioner include in the assessment history?
Stuttering
Animal abuse Correct
Worrying excessively about mother
Refusing to perform chores
Explanation:
Animal abuse is often seen in children who display conduct disorder behaviors and would be a topic of
concern if the child was abusing animals. Stuttering, worrying excessively about mother, and refusing to
perform chores fall into other behavioral disorders.
, Question:
The personality disorder characterized by patterns of attention-seeking, often dramatic behavior to gain
the approval of others is:
histrionic. Correct
antisocial.
borderline.
narcissistic.
Explanation:
Histrionic personality disorder is a diagnosis assigned to patients who display patterns of attention-
seeking, often dramatic behavior to gain the approval of others. Characteristics of histrionic personality
disorder include: over-the-top behavior, such as emotional outbursts, noisy displays of temper, compulsive
attention seeking and self-centered actions. Antisocial personality disorder is a diagnosis given to patients
who habitually and pervasively disregard or violate the rights and considerations of others without
remorse. Borderline personality disorder is defined as a pervasive pattern of instability with interpersonal
relationships, self-image, and affect, and marked impulsivity.
Question:
What is the leading cause of serious injury among U.S. women of reproductive age?
Alcohol and illicit drug use
Motor vehicle accidents
Suicide
Intimate partner and domestic violence Correct
Explanation:
Intimate partner and domestic violence is the leading cause of serious injury and the second leading cause
of death among U.S. women of reproductive age. The U.S. Preventive Services Task Force recommends
routine screening of all women of childbearing age for intimate partner violence and referring those who
screen positive to intervention services.
Question:
Which of the following statements made by a parent would alert the nurse practitioner to suspect autism
spectrum disorder?
He is negative, disobedient and defiant.
He acts very impulsively and speaks out of turn.
He seems to be speaking less and less. Correct
He can't sit still for a short story.
Explanation:
Communication difficulties are common in the child with autism spectrum disorder. They often speak very
little or lose language abilities if early interventions are not started that encourage and build
language/communication abilities. The other choices are consistent in children with Attention Deficit
Hyperactivity Disorder (ADHD).