FNP Review Dunphy-Chapter 18 Psychosocial Problems Questions with 100% Correct Answers

patients with cardiovascular or cerebrovascular disease or conditions predisposing to hypotension (e.g., dehydration, use of antihyper- tensive medications). You are seeing Marion, age 66, for a check of her hypertension. She says, "Since my husband died, I started having a glass of wine before dinner. Now, it has become a glass of wine before dinner, wine with dinner, and wine after dinner! Do you think I need to go to AA?" This statement indicates that Marion is in what stage of change according to Prochaska's theory of change? A. Precontemplation B. Contemplation C. Preparation D. Action - Correct Answer ️️ -C Prochaska, a well-known psychologist who studies behavioral change, postulates a five- step model of change. Precontemplation is when a person is unaware that a problem exists and/or is not interested in change. Contemplation is when a person starts considering change. Preparation is when someone begins to think of things to do about the problem. Marion's thoughts about planning to go to AA demonstrates she has contemplated the problem, noting the amount she is drinking, and is actually preparing to take action about the issue, going to AA. Actual action is when the person actually initiates the action. Marion would attend an AA meeting in this stage of change. You are seeing Joyce, age 36, who suffers from panic disorder. You have started her on fluoxetine (Prozac) about a week ago. She comes to see you today complaining of diarrhea and nausea. You advise A. that she should stop taking this medication. B. that she needs to try taking the medication with food and schedule her to see you in a week. C. this is a common, long-lasting side effect of this medication but counsel that she should hang in there as the therapeutic effect on panic disorder will be worth it. D. that she should switch her to a different medication. - Correct Answer ️️ -B Fluoxetine (also known by trade names Prozac and Sarafem) is an antidepressant of the selective serotonin reuptake inhibitor (SSRI) class. It is used for the treatment of major depressive disorder, obsessive-compulsive disorder (OCD), bulimia nervosa, panic disorder, and premenstrual dysphoric disorder. Jill, age 26, is diagnosed with schizophrenia. She exhibits a form of abnormal speech involving creating new, idiosyncratic words. What is this form of speech referred to? A. Derailment B. Neologism C. Word salad D. Tangentiality - Correct Answer ️️ -B