FITZGERALD PMHNP PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER
FINAL EXAM, Exams of Nursing
All of the following pts are at higher risk of suicide, except:
A 66 year old white man whose wife of 40 years recently died
A high school student w/ a hx of bipolar disorder
A depressed 45 year old woman w/ a family hx of suicide
A 17 year old teen who only has one close friend in school - ANSWERA 17
year old teen who only has one close friend in school
The NP recently increased a pt's antipsychotic medication & is assessing the
pt in a follow-up appointment. All of the following symptoms suggest the pt is
experiencing malignant neuroleptic syndrome EXCEPT:
Headache
Tremors
Muscular rigidity
Fever - ANSWERHeadache
A 24 year old male presents w/ a hx of major depression w/ occasional bouts
of elevated mood. During the bouts of elevated mood, he reports racing
thoughts & an intense desire for risky behaviors but denies hallucinations. He
works a steady job & maintains a home. Which diagnosis is most likely?
Schizoaffective disorder
, Bipolar disorder type II
Dysthmia
Bipolar disorder type I - ANSWERBipolar disorder type II
A 30 year old male pt w/ bipolar disorder refuses to take his afternoon dose
of pills. The NP tells him of the possible consequences of his actions, but the
patient still refuses to cooperate. Which of the following is the best course of
action?
Document the pt's behavior in his record & the action taken by the nurse
Reassure the pt that he will be fine after taking the medicine
Document only the pt's behavior
Document only the nurse's action - ANSWERDocument the pt's behavior in
his record & the action taken by the nurse
Which of the following pharmacologic agents is the best choice for an elderly
pt w/ insomnia?
Diazepam (Valium)
Zolpidem (Ambien)
Temazepam (Restoril)
Diphenhydramine (Benedryl) - ANSWERZolpidem (Ambien)
Which of the following benzodiazepines has the shortest half-life?
Lorazepam (Ativan)
Alprazolam (Xanax)
Triazolam (Halcion)
Clonazepam (Klonopin) - ANSWERTriazolam (Halcion)
FINAL EXAM, Exams of Nursing
All of the following pts are at higher risk of suicide, except:
A 66 year old white man whose wife of 40 years recently died
A high school student w/ a hx of bipolar disorder
A depressed 45 year old woman w/ a family hx of suicide
A 17 year old teen who only has one close friend in school - ANSWERA 17
year old teen who only has one close friend in school
The NP recently increased a pt's antipsychotic medication & is assessing the
pt in a follow-up appointment. All of the following symptoms suggest the pt is
experiencing malignant neuroleptic syndrome EXCEPT:
Headache
Tremors
Muscular rigidity
Fever - ANSWERHeadache
A 24 year old male presents w/ a hx of major depression w/ occasional bouts
of elevated mood. During the bouts of elevated mood, he reports racing
thoughts & an intense desire for risky behaviors but denies hallucinations. He
works a steady job & maintains a home. Which diagnosis is most likely?
Schizoaffective disorder
, Bipolar disorder type II
Dysthmia
Bipolar disorder type I - ANSWERBipolar disorder type II
A 30 year old male pt w/ bipolar disorder refuses to take his afternoon dose
of pills. The NP tells him of the possible consequences of his actions, but the
patient still refuses to cooperate. Which of the following is the best course of
action?
Document the pt's behavior in his record & the action taken by the nurse
Reassure the pt that he will be fine after taking the medicine
Document only the pt's behavior
Document only the nurse's action - ANSWERDocument the pt's behavior in
his record & the action taken by the nurse
Which of the following pharmacologic agents is the best choice for an elderly
pt w/ insomnia?
Diazepam (Valium)
Zolpidem (Ambien)
Temazepam (Restoril)
Diphenhydramine (Benedryl) - ANSWERZolpidem (Ambien)
Which of the following benzodiazepines has the shortest half-life?
Lorazepam (Ativan)
Alprazolam (Xanax)
Triazolam (Halcion)
Clonazepam (Klonopin) - ANSWERTriazolam (Halcion)
