Ch 19-FNP Stewart 2017- Mental Health Exam Review [100% Correct]

Ch 19-FNP Stewart 2017- Mental Health Exam Review [100% Correct] 1. Which of the following patients is not appropriate for management in the primary care setting? A. A 27-year-old female with new onset depressive symptoms and a scheduled psychiatric intake in 6 weeks B. A 27-year-old male with new onset inattentive symptoms and no history of psychiatric evaluation C. A 32-year-old female who is acutely manic and suicidal and currently has no psychiatric provider D. A 32-year-old male who has been psychiatrically stable on lithium for a year *Ans* Answer/Rationale: 1. B. Patients with newly identified symptoms who do not present imminent risk should be referred for a mental health evaluation. 2. By 2020, the World Health Organization estimates which of the following illnesses will be the number two cause of "lost years of healthy life" worldwide? A. Bipolar Disorder B. Schizophrenia C. Major Depressive Disorder D. Generalized Anxiety Disorder *Ans* Answer/Rationale: 2. C. Major Depressive Disorder will soon be the second worldwide cause of disability-adjust life years lost due to ill-health, disability, or early death. 3. According to the National Institute of Mental Health, half of all mental illness begins by which age? A. 8 years old B. 14 years old C. 24 years old D. 32 years old *Ans* Answer/Rationale: 3. B. Fifty percent of all mental illness begins by age 14. 4. A 70-year-old male patient comes to see his family nurse practitioner complaining of vague aches and pains and forgetfulness over the past 3 months. His wife shares with the nurse practitioner that he is snapping at family members, no longer likes to go out for weekly family dinners, and is not interested in sex. He has a history of diabetes but his labs are normal. He scores a 28/30 on his Folstein Mini Mental Status Exam (MMSE). What does the family nurse practitioner suspect? A. Major Depressive Disorder B. Alzheimer's disease C. Major Neurocognitive Disorder D. Complications of diabetes *Ans* Answer/Rationale: 4. A. In older adults, symptoms of depression often include physical aches and pains not caused by a medical condition, memory difficulties or personality changes, and social withdrawal. Dementia would be considered if the patient showed signs of cognitive decline, such as a low score on the MMSE. A score of 23 or lower indicates cognitive impairment