NURS 656Fitzgerald Prep PMHNP II

Pre-Quiz On the national NP certification exam, you should expect to find specific questions on your state’s APRN practice act. False You plan to sit for the certification exam in a state where NPs have limited or no controlled substance prescribing authority. As a result, your certification exam will not contain questions about prescribing opioids. False Once an NP has achieved nationally recognized certification from a state and nationally recognized certification agency, this person can now practice as a nurse practitioner. False 1 Assessment of the optic disc is a component of the evaluation of cranial nerve: 2 (II) A 47-year-old woman with long-standing depression returns today for a medication recheck. On exam you find her affect is blunted and her hair is unwashed and unkempt. Usually she comes to her visits alone; however her husband is with her today. This patient’s symptom history is likely to include a report of: Suicidal Thoughts Of the following, which should be performed first in assessing a 48-year-old woman with suicidal ideation? What is the content of her thoughts? You are setting up a healthcare clinic for migrant farm workers. Which of the following sites is most desirable? Mobile van An 8-year-old boy presents for an evaluation for possible attention-deficit/hyperactivity disorder (ADHD). His parents report him to be a healthy 3rd-grader with “plenty of good friends.” They are concerned he could have ADHD because he is “hyperactive” and because his father had ADHD. The Vanderbilt screening tools completed by his parents strongly indicate inattention, with moderate hyperactivity symptoms. Your next best action is to: Arrange for parents to obtain Vanderbilt screening tool or other written feedback from his teacher and return in 2 weeks. The NP demonstrates fulfillment of the advanced practice nursing leadership role by participating in which of the following activities? Collaborating with the regional public health department on an initiative to prevent suicides by increasing awareness of community resources You are asked to speak to a group of healthcare executives on the NP role. Which of the following provides the strongest support for NP practice? NP practice outcomes Rank the following from highest to lowest level of research design. Case reports = 2 Randomized Control Trials = 1 Expert Opinion = 3 2 Which of the following constitutes a primary prevention strategy in a 78-year-old man with depression? Ensuring adequate home illumination A 46-year-old woman with type 2 diabetes mellitus and schizophrenia that is well-controlled with ziprasidone (Geodon®) presents for a check-up. Which of the following is a secondary prevention strategy? Checking stool for occult blood A 35-year-old man with bipolar disorder was recently hospitalized for a manic episode. On returning to work as an accountant in a large company, he accesses his company’s employee assistance program (EAP) to facilitate his return to work. This is an example of which prevention strategy? Tertiary Prevention ind Conducting a parent class to new parents on how to cope with stressors of having a newborn in the home True/False Influenza and pneumococcal immunizations cannot be given on the same day False Immune globulin is a concentrated solution of antibodies derived from pooled donated blood. True The 3-dose series of HPV vaccine should be given to males age 9 through 26 years to reduce the likelihood of genital wart acquisition. True Tdap (tetanus, diphtheria, acellular pertussis [Adacel®, Boostrix®]) vaccine should replace a single dose of Td (tetanus, diphtheria) vaccine for most adults who have not previously received a dose of Tdap in order to provide additional protection against pertussis. True Vaccination of incarcerated adults against hepatitis B is discouraged because it is a 3-shot series False According to the latest ACIP guidelines, routine influenza immunization is recommended for all of the following persons except: Infants under 6 months According to the ACIP guidelines, zoster vaccination should be given to all adults ≥ age ____ years. 60 3 Which of the following is not considered a secondary prevention strategy in a 48-year-old woman with bipolar I disorder? Correct answer: Administering influenza vaccination Which of the following provides the most accurate indicator for alcoholism? Positive response to two items on the CAGE questionnaire A 64-year-old male with COPD reports having smoked 2 packs-per-day for the past 20 years. You calculate that h