Correct Answers
You are treating a patient with acute anxiety and she is having an acute attack in the office. The ANP has
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knowledge that the fastest relief of symptoms is: c c c c c c c
c a TCA
c
c a beta-blocker
c
c a benzodizepine
c
c an SSRI - correct answer Correct answer:
c c c c c c
benzodiazepine
The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other choices list agents that will
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require multiple doses for results. With daily continued use of benzodiazepines, the anti-anxiety effect may
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become diminished. c
A geriatric patient with cardiovascular disease is in the office being counseled on lifestyle changes. The ANP
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knows that which of the following is the most important to include in this discussion?
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c "Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
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c "Have a yearly physical examination, increase fiber in your diet, and exercise regularly."
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c "Maintain a normal level of serum blood sugar and decrease cholesterol intake."
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,"Decrease smoking, increase vitamin supplements, and increase protein intake." - correct answer Correct
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answer:
"Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
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All of these are important for the geriatric patient to decrease cardiovascular risk. Controlling hyperglycemia,
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high fiber intake, and vitamins all assist in maintaining a healthy lifestyle but do not help to prevent
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cardiovascular disease. c
You are seeing a female with inflammatory bowel disease, known as IBD. The Adult Nurse Practitioner knows
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that if she orders a hemogram on this patient, which of the following results would be seen if the patient was
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anemic?
c microcytic, hypochromic type c c
c macrocytic, normochromic type c c
c normocytic, normochromic type c c
c macrocytic, hypochromic type - correct answer Correct Answer: c c c c c c c
normocytic, normochromic type c c
Anemia is a common problem in IBD. The etiology is often from multiple causes. The anemia of chronic
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disease, a normocytic, normochromic anemia, is a result of inflammation of the IBD without blood loss. Blood
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loss would result in a microcytic, hypochromic anemia. The macrocytic anemias are a result of deficiency in
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vitamin B12 or other causes. c c c c
Which of the following is the least likely risk factor for suicide?
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c physical illness c
c male
c increasing age c
c black race - correct answer Correct answer:
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black race c
c
,Being of a white race is more likely to be a factor in suicide. Besides the other three choices risk factors include:
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substance abuse, living alone, and less education. c c c c c c
The healthcare provider's required level of expected conduct as established by custom, law, or professional
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organizations is called the: c c c
c Standard of care. c c
c Breach of duty. c c
c Duty.
c Malpractice. - correct answer Correct answer: c c c c c
Standard of care c c
Standard of care is another term associated with negligence. Standard of care is a healthcare provider's
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required level of expected conduct as established by custom, law, or professional organizations.
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A brief account by the patient of any signs or symptoms he or she is experiencing is one component of:
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c Review of systems. c c
c Symptom assessment. c
c Functional assessment. c
c Objective assessment. - correct answer Correct Answer: c c c c c c
Review of systems c c
In the review of systems, the patient tells the nurse in his or her own words what signs or symptoms he or she
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has experienced in various body systems. It is important that these be in a patient's own words to perform the
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most complete and accurate assessment.
c c c c
All of the following are typical changes to the gastrointestinal system that come with aging EXCEPT:
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c decreased liver size c c
c decreased muscle tone in bowel c c c c
, c increased absorption of calcium c c c
c atrophy of salivary glands - correct answer Correct answer:
c c c c c c c c
increased absorption of calcium c c c
c
Decreased absorption of calcium is a common change that comes with aging, not increased absorption. Other
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gastrointestinal changes include: less efficient cholesterol stabilization and absorption, atrophy of taste c c c c c c c c c c c c
buds, and slowing in esophageal emptying, among others.
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A 28-year-old female patient is in the office and is to undergo radioactive iodine treatment for Graves disease.
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The ANP is counseling her and understands that the mechanism of action of this treatment therapy is:
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c alter the thyroid metabolic rate
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c relieve distress caused by increased thyroid size
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c destroy the overactive thyroid tissue c c c c
c reduce production of TSH - correct answer Correct answer:
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destroy the overactive thyroid tissue c c c c
Graves disease is the most common form of thyrotoxicosis. Radioactive iodine is used for thyroid ablation to
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destroy the overactive thyroid tissue that causes the thyroid hormone dysfunction.
c c c c c c c c c c
Which of the following statements about falls in the elderly is least accurate?
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c Black women are at higher risk for hip fractures than white women.
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c The majority of deaths from falls are among people aged 65 years or older.
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c Injuries from falls include head injuries, pelvic injuries, lacerations, and more.
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c About 90% of hip fractures are due to falls. - correct answer Correct Answer:
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Black women are at higher risk for hip fractures than white women.
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