NURS 623 EXAM 3 MENTAL HEALTH & GI (MOST
QUESTIONS FROM FNP CERT REVIEW 3RD ED)
100% VERIFIED
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 - 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. - 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 - 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. - A
A 28-year-old patient is seen with complaints of diarrhea. Which of the following
responses to the history questions would help the primary care physician (PCP)
establish the diagnosis of irritable bowel syndrome?
a. Feels relief after a bowel movement
b. Sometimes is constipated
c. Does not defecate in the middle of the night
d. All of the above - D
Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he
has had intermittent heartburn for several months and takes Tums® with temporary
relief. He has been waking during the night with a burning sensation in his chest. Which
additional information would lead you to believe that gastroesophageal reflux disease
(GERD) is the cause of his pain?
a. The pain seems better when he smokes to relieve his nerves.
b. Coffee and fried foods don't bother him,
c. He wakes at night coughing with a bad taste in his mouth.
d. All of the above - C
•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. - A
• The patient with GERD should be instructed to eliminate which of these activities?
a. Swimming
b. Weight lifting
c. Golfing
d. Walking - 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 - 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 - B
A patient is seen with complaints of diarrhea. Which of the following should be included
in the patient's differential diagnosis?
a. bGastroenteritis
b. bInflammatory bbowel bdisease
c. bLactase bdeficiency
d. bAll bof bthe babove b- b bD
Which bof bthe bfollowing bis bpart bof bthe btreatment bplan bfor bthe bpatient bwith birritable bbowel
bsyndrome?
a. bHigh bfiber bdiet
b. bTylenol bwith bcodeine
c. bDaily blaxatives
d. bAll bof bthe babove b- b bA
A b22-year-old bis bseen bcomplaining bof bvague bbelly bpain. bThis btype bof bpain bis bseen bat
bwhat bpoint bin bappendicitis?
a. bVery bearly
b. b3 bto b4 bhours bafter bperforation
c. bLate bin binflammation
d. bAppendicitis bnever bpresents bwith bvague bpain. b- b bA
Which bof bthe bfollowing bis bmost beffective bin bdiagnosing bappendicitis?
a. bHistory band bphysical
b. bSedimentation brate
c. bKidney, bureter, band bbladder bx-ray
d. bComplete bblood bcount b(CBC) bwith bdifferentials b- b bA
The bclinician bhas binstructed bSam, ba b25-year-old bpatient bwith blow bback bstrain, bto buse
bNSAIDs bto bmanage bhis bsymptoms bof bpain band bdiscomfort. bWhich bof bthe bfollowing
bstatements bwould bbe bmost bappropriate bwhen bteaching bSam babout bthe buse bof bNSAIDs?
QUESTIONS FROM FNP CERT REVIEW 3RD ED)
100% VERIFIED
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 - 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. - 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 - 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. - A
A 28-year-old patient is seen with complaints of diarrhea. Which of the following
responses to the history questions would help the primary care physician (PCP)
establish the diagnosis of irritable bowel syndrome?
a. Feels relief after a bowel movement
b. Sometimes is constipated
c. Does not defecate in the middle of the night
d. All of the above - D
Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he
has had intermittent heartburn for several months and takes Tums® with temporary
relief. He has been waking during the night with a burning sensation in his chest. Which
additional information would lead you to believe that gastroesophageal reflux disease
(GERD) is the cause of his pain?
a. The pain seems better when he smokes to relieve his nerves.
b. Coffee and fried foods don't bother him,
c. He wakes at night coughing with a bad taste in his mouth.
d. All of the above - C
•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. - A
• The patient with GERD should be instructed to eliminate which of these activities?
a. Swimming
b. Weight lifting
c. Golfing
d. Walking - 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 - 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 - B
A patient is seen with complaints of diarrhea. Which of the following should be included
in the patient's differential diagnosis?
a. bGastroenteritis
b. bInflammatory bbowel bdisease
c. bLactase bdeficiency
d. bAll bof bthe babove b- b bD
Which bof bthe bfollowing bis bpart bof bthe btreatment bplan bfor bthe bpatient bwith birritable bbowel
bsyndrome?
a. bHigh bfiber bdiet
b. bTylenol bwith bcodeine
c. bDaily blaxatives
d. bAll bof bthe babove b- b bA
A b22-year-old bis bseen bcomplaining bof bvague bbelly bpain. bThis btype bof bpain bis bseen bat
bwhat bpoint bin bappendicitis?
a. bVery bearly
b. b3 bto b4 bhours bafter bperforation
c. bLate bin binflammation
d. bAppendicitis bnever bpresents bwith bvague bpain. b- b bA
Which bof bthe bfollowing bis bmost beffective bin bdiagnosing bappendicitis?
a. bHistory band bphysical
b. bSedimentation brate
c. bKidney, bureter, band bbladder bx-ray
d. bComplete bblood bcount b(CBC) bwith bdifferentials b- b bA
The bclinician bhas binstructed bSam, ba b25-year-old bpatient bwith blow bback bstrain, bto buse
bNSAIDs bto bmanage bhis bsymptoms bof bpain band bdiscomfort. bWhich bof bthe bfollowing
bstatements bwould bbe bmost bappropriate bwhen bteaching bSam babout bthe buse bof bNSAIDs?
