Georgette Q-Bank: Domain 1
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I of 15
Term
olanzapine temporarily while atrophy in the frontal and James is on high-dose temporal
lobes. Which of the prednisone - Given that James following clinical findings is most
You are a PHNP conducting an
assessment on a patient who
Definition presents with behavioral changes,
personality disturbances, and
Correct answer: Increase the dose language difficulties. Imaging studies
of olanzapine temporarily while show has a history of schizoaffective
James is on high-dose prednisone. disorder and has been stable on
olanzapine, it would be i asonable to
consider a temporary increase in the
Rationale: Increase the dose of olanzapine dose to manage the
exacerbation of psychosis, which is
likely induced by the steroid
Take a new test
treatment. This would address the
,acute exacerbation of psychosis C. Prominent visual
without making abrupt changes to a
hallucinations and fluctuations in
previously effective regimen. It is
alertness and attention.
essential, however, to collaborate
with the prescribing physician
managing James's Rheumatoid D. Prominent changes in
arthritis to develop a comprehensive personality, social behavior, and
plan that addresses both his mental language difficulties.
and physical health needs.
Give this one a go later!
False
True
Correct definition
indicative of possible Pick's
disease (frontotemporal lobar
degeneration) in this patient?
A. Gradual and progressive
decline in memory and cognitive
function over several years.
B. Sudden onset of severe
cognitive impairment over a few
days.
, *James, a 52-year-old male with a history of schizoaffective disorder, has been stable
on a regimen of olanzapine and lithium. Due to a recent diagnosis of Rheumatoid
Arthritis, he was started on a course of high-dose Prednisone. Within a few weeks,
James begins to experience an exacerbation of psychotic symptoms, including
auditory hallucinations and paranoid delusions. As his PHNP, to manage his
steroidinduced psychosis, you consider the following adjustments to his treatment
plan:
A. Discontinue olanzapine and initiate a different antipsychotic, as olanzapine
may nolonger be effective.
B. Increase the dose of olanzapine temporarily while James is on high-dose
prednisone.
C. su lement olanza ine with a benzodiaze ine for its
anxiolytic and adjunctiveantipsychotic properties.
Definition *A 38-year-old patient with a
history of schizophrenia has
** *Educate the patient on lifestyle been taking Olanzapine
modifications, including diet and (Zyprexa) for the past year. The
exercise. patient reports minimal physical
activity, a diet high in processed
Educate the patient on lifestyle
foods, and a sedentary lifestyle.
modifications, including diet and
Recent lab results indicate the
exercise. The initial action should
development of metabolic syndrome.
be to educate the patient on
What is the most even reverse
lifestyle modifications, including
syndrome. Lifestyle modifications are
diet and exercise, as these changes
essential for )proving overall health
can help manage and
and reducing the risk of
cardiovascular complications.
2 of 15
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Term
with 100% correct answers
Correct
:15
Incorrect:0
Next steps
Practise terms in Learn Take another test to
Practise your boost your
missed terms confidence.
more until you
get them right.
Your answers
I of 15
Term
olanzapine temporarily while atrophy in the frontal and James is on high-dose temporal
lobes. Which of the prednisone - Given that James following clinical findings is most
You are a PHNP conducting an
assessment on a patient who
Definition presents with behavioral changes,
personality disturbances, and
Correct answer: Increase the dose language difficulties. Imaging studies
of olanzapine temporarily while show has a history of schizoaffective
James is on high-dose prednisone. disorder and has been stable on
olanzapine, it would be i asonable to
consider a temporary increase in the
Rationale: Increase the dose of olanzapine dose to manage the
exacerbation of psychosis, which is
likely induced by the steroid
Take a new test
treatment. This would address the
,acute exacerbation of psychosis C. Prominent visual
without making abrupt changes to a
hallucinations and fluctuations in
previously effective regimen. It is
alertness and attention.
essential, however, to collaborate
with the prescribing physician
managing James's Rheumatoid D. Prominent changes in
arthritis to develop a comprehensive personality, social behavior, and
plan that addresses both his mental language difficulties.
and physical health needs.
Give this one a go later!
False
True
Correct definition
indicative of possible Pick's
disease (frontotemporal lobar
degeneration) in this patient?
A. Gradual and progressive
decline in memory and cognitive
function over several years.
B. Sudden onset of severe
cognitive impairment over a few
days.
, *James, a 52-year-old male with a history of schizoaffective disorder, has been stable
on a regimen of olanzapine and lithium. Due to a recent diagnosis of Rheumatoid
Arthritis, he was started on a course of high-dose Prednisone. Within a few weeks,
James begins to experience an exacerbation of psychotic symptoms, including
auditory hallucinations and paranoid delusions. As his PHNP, to manage his
steroidinduced psychosis, you consider the following adjustments to his treatment
plan:
A. Discontinue olanzapine and initiate a different antipsychotic, as olanzapine
may nolonger be effective.
B. Increase the dose of olanzapine temporarily while James is on high-dose
prednisone.
C. su lement olanza ine with a benzodiaze ine for its
anxiolytic and adjunctiveantipsychotic properties.
Definition *A 38-year-old patient with a
history of schizophrenia has
** *Educate the patient on lifestyle been taking Olanzapine
modifications, including diet and (Zyprexa) for the past year. The
exercise. patient reports minimal physical
activity, a diet high in processed
Educate the patient on lifestyle
foods, and a sedentary lifestyle.
modifications, including diet and
Recent lab results indicate the
exercise. The initial action should
development of metabolic syndrome.
be to educate the patient on
What is the most even reverse
lifestyle modifications, including
syndrome. Lifestyle modifications are
diet and exercise, as these changes
essential for )proving overall health
can help manage and
and reducing the risk of
cardiovascular complications.
2 of 15
Give this one a go later!
Term
