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Exam (elaborations)

Randy Adams post- Quiz.

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Randy Adams post- Quiz.

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Randy Adams post- Quiz

1. Topiramate is titrated by increasing the dose gradually unit the recommend-
ed dose is reached: Randy Adams - Vsim
Pt reports that he is taking different doses of his new medication, topiramate, over
the next 2 weeks. Which is the correct rationale for Randy's dosing regimen?
2. Long-term dementia: Pt has been in a car accident, which resulted in a concus-
sion. He has a history of prior concussive exposure from his time in the military. The
nurse knows that multiple head injuries could result in which condition?
3. Pt has been screened for PTSD, n the results indicate referral for further
evaluation: Pt has answered all 4 qsns in the Primary Care Posttraumatic Stress
Disorder (PTSD) Screen positively. The nurse knows that which conclusion is cor-
rect?
4. Hypervigilance: Pt indicated he prefers to sit where he can see the door to the
room. The nurse identifies this to be a sign of which condition?
5. Anxiety: Pt reports that he has been referred to a mindfulness/meditation group
by his nurse practitioner. The nurse knows that this referral is meant to address which
symptom?
6. Caregiver role strain: Pt's wife has taken over much of the decision-making for
the family. She is working outside the home, making the household decisions. and
helping pt with his recovery. She is feeling frustrated n is beginning to have difficulties
coping. The nurse identifies which as the priority care plan diagnosis for her?
7. Pt repots he is sleeping better: Which of the following would most likely show
that pt's concussion symptoms r improving?
8. Excutive/cognitive function: When administering the Mini-Cog, the nurse asks
pt to draw a clock, place a time on the clock, n remember three words. Wt does the
pt drawing a clock allow the nurse to assess abt himself?
9. Sleep disturbance: Although pt is being treated for a post-concussive injury from
his car accident, he is also exhibiting some signs of post-traumatic stress disorder
(PTSD). Which is a sign of both PTSD n post-concussive injury?
10. - some veterans avoid seeking care until secondary problems from a
condition develop
- most veterans do not receive their care at Veterans Administration (VA)
facilities.
- the sooner a conditions such as post-traumatic stress disorder (PTSD) is
identified n treated, the better the prognosis: Wt r the proper rationales for all

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