Neurological Problems-Chapter 7-Dunphy Exam Questions and Answers 100% Pass

Neurological Problems-Chapter 7-Dunphy Exam Questions and Answers 100% Pass Jim, a 45-year-old postal worker, presents for the first time with a sudden onset of intense apprehension, fear, dyspnea, palpitations, and a choking sensation. What is your initial diagnosis? A. Anxiety B. Panic attack C. Depression D. Agoraphobia - Correct Answer ️️ -B Which of the following interventions can significantly slow the decline in performing activities of daily living (ADLs) in clients with Alzheimer's disease living in a nursing home? A. A simple exercise program B. Ginkgo biloba C. Doing crossword puzzles D. Improving nutritional state - Correct Answer ️️ -A Herbert, age 58, has just been diagnosed with Bell's palsy. He is understandably upset and has questions about the prognosis. Your response should be A. "Although most of the symptoms will disappear, some will remain but can usually be camouflaged by altering your hairstyle or growing a beard or mustache." B. "Unfortunately, there is no cure, but you have a mild case." C. "The condition is self-limiting, and most likely complete recovery will occur." D. "With suppressive drug therapy, you can minimize the symptoms." - Correct Answer ️️ -C Major depression occurs most often in which of the following conditions? A. Parkinson's disease B. Alzheimer's disease C. Myocardial infarction D. Brain attack (stroke) - Correct Answer ️️ -D Bob, age 49, is complaining of recurrent, intrusive dreams since returning from his Marine combat training. You suspect A. Depersonalization B. Schizophrenia C. Post-traumatic stress disorder D. Anxiety - Correct Answer ️️ -C Sam, age 29, has lost his sense of smell. You would document this as A. Hyposmia B. Anosmia C. Ageusia D. Agnosia - Correct Answer ️️ -B Which drug effective in supporting smoking cessation is the appropriate choice for a patient with a history epilepsy? A. Oxazepam (Serax) B. Bupropion (Zyban) C. Varenicline (Chantix) D. Alprazolam (Xanax) - Correct Answer ️️ -C A video swallow is ordered for James, a client with senile dementia of the Alzheimer's type, because he is at risk for which complication that often results in death? A. Pneumonia B. Delirium C. Aphasia D. Hyperthyroidism - Correct Answer ️️ -A Ed, age 50, has a chronic, episodic headache. He states that it can wake him up at night, lasts 15 minutes to 3 hours, and has occurred daily over a period of 4-8 weeks. You suspect a A. Tension headache B. Migraine headache C. Cluster headache D. Potential brain tumor - Correct Answer ️️ -C Marian, age 39, has multiple sclerosis (MS). She tells you that she heard that the majority of people with MS have the chronic-relapsing type of disease and that she has nothing to live for. How do you respond? A. "The majority of people have this response to MS." B. "There are many different clinical courses of MS, and the chronic-relapsing type is only one of them." C. "The chronic-relapsing type of MS is in the minority." D. "There is an even chance that you have this type." - Correct Answer ️️ -B Janice, age 14, is markedly obese and has a poor self-image. How do you differentiate between compulsive eating and bulimia? A. Bulimia results in irregular menstruation. B. A compulsive eater does not induce vomiting. C. A compulsive eater has tooth and gum erosion. D. A compulsive eater does compulsive exercising. - Correct Answer ️️ -B When a client is in the precontemplation stage of smoking cessation, which question should the healthcare provider ask? A. "What would it take for you to consider quitting?" B. "What would it take for you to quit now?" C. "What technique do you think will work best for you?" D. "What do you think will be your biggest challenge to quit?" - Correct Answer ️️ -A Which assessment tool rates the level of consciousness by assigning a numerical score to the behavioral components of eye opening, verbal response, and motor response? A. Mini-Mental State Examination B. Brudzkinski sign C. Glasgow Coma Scale D. CAGE questionnaire - Correct Answer ️️ -C Which of the following complications is the leading cause of death shortly after a stroke? A. Septicemia B. Pneumonia C. Pulmonary embolus D. Ischemic heart disease - Correct Answer ️️ -B Which of the following tests is highly specific and fairly sensitive for myasthenia gravis? A. Electromyography nerve conduction tests B. MRI of the brain and brainstem C. Serum acetylcholine receptor antibody level D. LP - Correct Answer ️️ -C With which of the following movements might a client with cerebellar problem have difficulty? A. Inserting a key into the narrow slot of a lock B. Driving a car with a standard shift C. Walking up stairs D. Eating - Correct Answer ️️ -A Which type of meningitis is more benign, self-limiting, and caused primarily by viruses? A. Aseptic B. Bacterial C. Chronic D. Inflammatory - Correct Answer ️️ -A Gary, age 5, has a diagnosis of encopresis. After the diagnosis, what would be your next action? A. Order extensive lab work B. Send Gary to a psychologist C. Rule out a neurological disorder D. Bring Gary's parents in for counseling - Correct Answer ️️ -C encopresis=repeated involuntary defecation into the clothing Which of the following lab results would indicate a specific infection in the CNS? A. CSF glucose of 35 mg/dL B. A CSF pressure of 250 mm of water C. A CSF red blood cell count of 25/mm3 D. A serum WBC of 12,000/mm3 - Correct Answer ️️ -A normal CSF glucose level is 45-80 When you ask a client to walk a straight line, placing heel to toe, you are assessing A. sensory function B. cerebellar function C. cranial nerve function D. proprioceptive function - Correct Answer ️️ -D Jim, age 45, has 2 small children. He states that his wife made him come to this appointment because she thinks he has been impossible to live with lately. He admits to being stressed and depressed because he is working 2 jobs, and he says he sometimes takes his stress out on his family. About twice a week he complains of palpitations along with nervous energy. What is the most important question to ask him at this time? A. "How is your wife handling the stress?" B. "Have you thought about committing suicide?" C. "Do you and your wife spend time alone together?" D. "Tell me more about what you think is causing this." - Correct Answer ️️ -B Mattie, age 52, has a ruptured vertebral disk with the following symptoms: pain in the midgluteal region, as well as the posterior thigh and calf-to-heel area; paresthesias in the posterior calf and lateral heel, foot, and toes; and difficulty walking on her toes. Which intervertebral disks are involved? A. L4-L5 B. L5-S1 C. C5-C6 D. C7-T1 - Correct Answer ️️ -B Which of the following is an unusual side effect of tricyclic antidepressants? A. Dry mouth B. Itching C. Constipation D. Drowsiness - Correct Answer ️️ -B Naloxone (Narcan) is the antidote for an overdos