WITH 270 REAL QUESTIONS AND
DETAILED CORRECT ANSWERS |
ALREADY GRADEDA + |
GUARANTEED SUCCESS | NR 547
LATEST EXAM [LATEST RELEASE]
What are the symptoms of vascular dementia - ANSWER-Stepwise cognitive
decline, executive dysfunction, memory loss, gait disturbances, focal neurologic
signs, emotional liability
What are the early behavioral change symptoms for frontotemporal dementia? -
ANSWER-Disinhibition, impulsivity, apathy
What are the langue impairment symptoms of frontotemporal dementia? -
ANSWER-Aphasia, difficulty naming objects
What are the personality changes of frontotemporal dementia? - ANSWER-Social
withdrawal, inappropriate behavior
Memory preserved early, impaired later
,What is the acute treatment of delirium? - ANSWER-Treat underlying cause such
as infection, metabolic imbalance, medication
Use supportive care such as hydration, oxygenation, pain management
Reorient patient with clocks, calendars, and familiar objects
What medications can be used in the treatment of delirium? - ANSWER-Severe
agitation - haloperidol (low dose)
Atypical antipsychotics - Risperidone, Olanzapine
What diet should early-stage dementia patients be on? - ANSWER-Mediterranean
diet (high in omega 3 and antioxidants)
What type of exercise should early-stage dementia patients have? - ANSWER-
Regular physical activity improves cognition
What does social engagement do for early-stage dementia patients? - ANSWER-
Prevents isolation and/or cognitive decline
What dose cognitive stimulation therapy do? - ANSWER-Helps maintain cognitive
function
A client presents for treatment following a breakup with a girlfriend. She is dressed
provocatively and shares intimate details about her past relationships. The clients
presentation is consistent with which personality disorder? - ANSWER-Histrionic
Which state indicates that a client understands education regarding lithium
treatment? - ANSWER-I will need to have regular blood tests to check my lithium
levels and kidney function
,Inattention and a variable level of consciousness are the hallmark symptoms of
which condition? - ANSWER-Delirium
Which action should be included in a treatment plan for a client with borderline
personality disorder? - ANSWER-DBT
A client presents to the emergency department with anxiety, panic, and
hallucinations after consuming a substance. What is the most appropriate response
by the nurse practitioner? - ANSWER-Perform a toxicology screening and provide
symptomatic treatment
A 77-year-old clients child reports that the client has gotten lost in familiar areas
and missed bill payments. What is the most appropriate diagnosis? - ANSWER-
Mild neurocognitive disorder (early-stage dementia)
Which symptoms are more likely to be present in a client with bipolar 1 disorder
then in bipolar 2 disorder? - ANSWER-Manic episodes
Hypomanic are more common in bipolar 2
Which statement is true regarding the treatment of personality disorders? -
ANSWER-Difficult to treat and therapy is usually long-term
Which statement is most accurate about the rapid cycling of type 1 bipolar
disorder? - ANSWER-4 or more mood episodes within a year
Which client with delirium would most likely require pharmacotherapeutic
treatment? - ANSWER-A patient experiencing severe agitation or hallucinations
, A client presents to the emergency department following a nonfatal suicide
attempt. She shows signs of self-harm. What is the client's most likely diagnosis? -
ANSWER-Borderline personality disorder
Which personality disorder is characterized by attention-seeking behavior,
dramatic speech, and extreme emotionality? - ANSWER-histrionic personality
disorder
A 50-year-old client presents with depressed mood, insomnia, anhedonia after her
partner filed for divorce. What is the most appropriate diagnosis for this client? -
ANSWER-Adjustment disorder with depressed mood
What characteristic is most indicative of narcissistic personality disorder? -
ANSWER-Ongoing need for admiration
A 25-year-old client presents with irritability, insomnia, and excessive energy. She
states she has felt this way for about a week. Last month, she reports that she felt
"really down" and slept most of the time. She endorses a pattern of "ups and
downs" in her mood at least half the time over the past few years. Which diagnosis
is the most consistent with the client's symptoms? - ANSWER-Cyclothymia
Select an appropriate initial medication choice for a 75-year-old with a new
diagnosis of major depressive disorder. - ANSWER-Escitalopram 10 mg daily
An inpatient client has a CIWA score of 12. What is the most appropriate action by
the nurse practitioner? - ANSWER-Prescribe STAT dose of oral Lorazepam and
reassess CIWA every hour
Difference between depression and dementia: Depression - ANSWER-Rapid
decline, patient aware of symptoms, responds to antidepressants