NR547: NR547 Exam Review: Questions & Answers: Updated Guide Solution

a 40-year-old client presents after starting a new job. one of the main functions of his role is to present new products to a large group of clients. he expresses that he feels terrified of public speaking and during his first presentation has a racing heart and dry mouth. which medication can be taken as needed? (Ans- propranolol which diagnosis presents with minimal spontaneous sexual thinking or minimal desire for sex ahead of sexual experiences? Ans- female sexual interest and arousal disorder characterized by a lack of significantly reduced sexual interest or arousal. which symptom is most likely to be present in a client with catatonia (Ans- posturing catatonia is a neuropsychiatric syndrome characterized by abnormalities in motor behavior, movement, and responsiveness. posturing is a hallmark symptom of catatonia. it involves assuming and maintaining bizarre physical postures for extended periods.a client presents with auditory hallucinations. which medication has an adverse effects profile that includes this as a primary symptom (Ans- amiodarone prednisone is listed in review as answer however amiodarone crosses the blood brain barrier and affect the central nervous system this can lead to auditory hallucinations, visual hallucinations, confusion and delirium . this was also listen in a module question as an interaction with other medications leading to increased positive symptoms due to its affect on psychotic medications. a 32 year old presents to the psychiatric mental health nurse practitioner following four brief episodes of intense anxiety occurring at home and work of the las two months. he reports the episodes "come out of the blue". during the episodes he experiences dyspnea, heart palpitations, chest pain, tingling in his lips and fingers and sweating. his symptoms are so severe he fears he is going to die. his primary care physician has ruled out medical cause Ans- panic disorder "reports comes out of the blue" which health indicators are important to monitor for clients who are on antipsychotic medication (AnsBMI, fasting glucose, lipid profiledue to metabolic risk is highest which is weight gain, elevated blood glucose, dyslipidemia a client presents to the clinic with fatigue, anhedonia, and hyper somnolence. which action is the psychiatric mental health nurse practitioners priority? (Ans- order CBC, thyroid stimulation hormone and toxicology screen as many as two thirds of patients with what disorder meet the diagnostic criteria for obsessive compulsive disorder (AnsTourette disorder is listed body dysmorphic disorder is what is supported on ai meet diagnostic criteria for ocd here's why: both have obsessive compulsive thoughts compulsive behaviors and both related to similar circuits in brain a client presents to the provider with symptoms of obsessive compulsive disorder. in determining whether the clients symptoms are subclinical vs. clinical which factor should the psychiatric mental health nurse practitioner consider? (Ans- the patients level of distress and impairment in the functionthe determining factor for clinical OCD is the presence of significant distress, impairment in functioning, or excessive time consumption due to obsessions and compulsions why are diagnostic instruments and psychiatric rating scales beneficial? (Ans- they can help to standardize the information collected across time by various clinicians or researchers