NURS 623 EXAM 3 MENTAL HEALTH & GI (MOST
QUESTIONS FROM FNP CERT REVIEW 3RD ED) 100%
CORRECT
(GRADED A+)
,The criteria for diagnosing generalized anxiety disorder in the American Psychiatric
Association's Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text
revision) state that excessive worry or apprehension must be present more days than
not for at least:
a. 1 month
b. 3 months
c. 6 months
d. 12 months - ANSWER C.
The clinician has chosen to prescribe an SSRI instead of a tricyclic antidepressant
(TCA) for a patient fitting the diagnostic criteria for depression. Which of the following is
not true concerning SSRIs in comparison to tricyclic antidepressants?
a. SSRIs are more effective than TCAs.
b. SSRIs take less time to work than TCAs.
c. SSRIs have a more favorable side-effect profile than TCAs.
d. SSRIs are not lethal in overdose. - ANSWER A
A patient is seen with complaints of diarrhea. Which of the following should be included
in the patient's differential diagnosis?
a. Gastroenteritis
b. Inflammatory bowel disease
c. Lactase deficiency
d. All of the above - ANSWER D
A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain
after meals. She is often constipated and takes laxatives, which are followed by a
couple of days of diarrhea. She temporarily feels better after a bowel movement. She
states she is embarrassed by flatulence and has abdominal distension. She has had no
weight loss or blood in her stool. This problem has gone on for about 6 months. What
should the next step be?
a. Obtain a complete history.
b. Order a barium enema.
c. Schedule a Bernstein's test.
, d. Prescribe a trial of antispasmodics. - ANSWER A
•Which of the following dietary instructions should be given to a patient with GERD?
a. Eliminate coffee.
b. Drink peppermint tea to relieve stomach distress.
c. Recline and rest after meals.
d. Limit the amount of antacids. - ANSWER A
• The patient with GERD should be instructed to eliminate which of these activities?
a. Swimming
b. Weight lifting
c. Golfing
d. Walking - ANSWER B
Marian, age 52, is obese. She complains of a rapid onset of severe right upper quadrant
(RUQ) pain, abdominal cramping, nausea, and vomiting. Your differential diagnosis
might be:
a. Diverticulitis
b. Gastritis
c. Cholecystitis
d. Appendicitis - ANSWER C
A 46-year-old female patient is seen in the clinic with abdominal pain. Which of the
following tests is essential for this patient?
a. CBC with differential
b. Urine human chorionic gonadotropin
c. Barium enema
d. Computed tomography of the abdomen - ANSWER B
A patient is seen with complaints of diarrhea. Which of the following should be included
in the patient's differential diagnosis?
a. Gastroenteritis
b. Inflammatory bowel disease
c. Lactase deficiency
d. All of the above - ANSWER D
QUESTIONS FROM FNP CERT REVIEW 3RD ED) 100%
CORRECT
(GRADED A+)
,The criteria for diagnosing generalized anxiety disorder in the American Psychiatric
Association's Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text
revision) state that excessive worry or apprehension must be present more days than
not for at least:
a. 1 month
b. 3 months
c. 6 months
d. 12 months - ANSWER C.
The clinician has chosen to prescribe an SSRI instead of a tricyclic antidepressant
(TCA) for a patient fitting the diagnostic criteria for depression. Which of the following is
not true concerning SSRIs in comparison to tricyclic antidepressants?
a. SSRIs are more effective than TCAs.
b. SSRIs take less time to work than TCAs.
c. SSRIs have a more favorable side-effect profile than TCAs.
d. SSRIs are not lethal in overdose. - ANSWER A
A patient is seen with complaints of diarrhea. Which of the following should be included
in the patient's differential diagnosis?
a. Gastroenteritis
b. Inflammatory bowel disease
c. Lactase deficiency
d. All of the above - ANSWER D
A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain
after meals. She is often constipated and takes laxatives, which are followed by a
couple of days of diarrhea. She temporarily feels better after a bowel movement. She
states she is embarrassed by flatulence and has abdominal distension. She has had no
weight loss or blood in her stool. This problem has gone on for about 6 months. What
should the next step be?
a. Obtain a complete history.
b. Order a barium enema.
c. Schedule a Bernstein's test.
, d. Prescribe a trial of antispasmodics. - ANSWER A
•Which of the following dietary instructions should be given to a patient with GERD?
a. Eliminate coffee.
b. Drink peppermint tea to relieve stomach distress.
c. Recline and rest after meals.
d. Limit the amount of antacids. - ANSWER A
• The patient with GERD should be instructed to eliminate which of these activities?
a. Swimming
b. Weight lifting
c. Golfing
d. Walking - ANSWER B
Marian, age 52, is obese. She complains of a rapid onset of severe right upper quadrant
(RUQ) pain, abdominal cramping, nausea, and vomiting. Your differential diagnosis
might be:
a. Diverticulitis
b. Gastritis
c. Cholecystitis
d. Appendicitis - ANSWER C
A 46-year-old female patient is seen in the clinic with abdominal pain. Which of the
following tests is essential for this patient?
a. CBC with differential
b. Urine human chorionic gonadotropin
c. Barium enema
d. Computed tomography of the abdomen - ANSWER B
A patient is seen with complaints of diarrhea. Which of the following should be included
in the patient's differential diagnosis?
a. Gastroenteritis
b. Inflammatory bowel disease
c. Lactase deficiency
d. All of the above - ANSWER D
