NR 547 Final Exam Practice Questions
1. A 74-year-old client presents with difficulty finding words. A MoCA assessment was
performed with a total score of 27. What is the most appropriate nextassessment?: CT
scan,
2. Which sign is commonly seen in clients experiencing mild alcohol with-drawal?:
Tremors,
3. Which symptoms are associated with the anxious distress DSM specifierfor major
depressive disorder?: Feeling restless, excessive worry
4. A psychiatric mental health NP treating a client who has been diagnosedwith a
personality disorder should expect that the client will exhibit which characteristics?: Pervasive
maladaptive behavior in a range of personal and social contexts;
5. A 26-year-old client presents with his mother who has concerns that herson is withdrawn
and isolated. He shows little interest in having contact
or relationships with others including sexual relations. She states that he " "what anyone else
thinks of him. Which diagnosis is most likely for thisclient?: Schizoid Personality d/o
6. A 50-year-old client presents with depressed mood, insomnia, and anhe- donia. Her
partner of 24 years recently filed for divorce. What is the most appropriate diagnosis for this
client?: Adjustment disorder with depressed mood,
7. Which diagnosis describes the syndrome characterized by the specific signs and
symptoms resulting from ingestion or exposure to a substance?: -Substance Intoxication,
8. Which of the following would be included in the treatment plan for a clientwith antisocial
personality disorder?: Reward-Based
Therapy,
9. Which symptoms are more likely to be present in a client with bipolar Idisorder than in
bipolar II disorder?: Delusions
10. Which client with delirium would most likely require pharmacotherapeutictreatment?: A
client who rapidly shifts from laughing to crying to anger.
11. A 77-year-old client's adult child reports that the client has gotten lost while driving in a
familiar neighborhood. The client also has several past-duenotices for bills that have
previously been paid on time and got "irrationally angry" when confronted about the bills.
What is the most appropriate diagno-sis for this client?: Major neurocognitive disorder
with behavioral disturbance,
12. Which of the following is the best predictor for antisocial personalitydisorder?: A
diagnosis of conduct disorder at age 13,
13. A client is started on Lamotrigine for bipolar disorder and presents with blistering skin
, and mouth sores shortly after an increase in dose. Labs indi- cate normal renal and liver
function. What is the most likely?: Steven JohnsonSyndrome,
14. Which statement is the most accurate about the rapid cycling of type Ibipolar disorder?:
Women have a higher rate of rapid cycling bipolar I disorder
15. Which description best describes cluster A personality disorders?: Char-acterized by
odd, eccentric thinking or behavior,
16. A client is admitted to an inpatient unit for major depressive disorder. The client endorses
daily alcohol consumption. Which NP action is the mostappropriate?: order CIWA- Ar to be
administered every 6 hours for 24 hours,
17. The MoCA tool includes asking the client to subtract serial sevens from
What domain is assessed with this?: Attention,
18. A client was diagnosed with major neurocognitive disorder due to Alzheimer's disease.
What pharmacologic therapy would be anticipated?: Me-mantine
19. An 89-year-old presents with symptoms of dementia. Which diagnostic testshould be
performed initially to rule out treatable causes of symptoms?: -
D-Cobalamin level
20. What information can assist the clinician in differentiate dementia fromdepression?: A-A
patient with dementia has symptoms for a long time before seeking medical help.
21. A client presents with concerns about difficulties at work. He states thathe has trouble
speaking up when things aren't going well because he is afraid that others won't like him or
will think he is stupid. He is not in a relationship because he can't imagine anyone wanting to
be with him. Theclients symptoms are consistent with which disorder?: Avoidant personality
disorder
22. A client presents with ataxia, short-term memory loss, and nystagmus. Theclient has a
history of prolonged, heavy alcohol use. What is the most likely diagnosis?: B. Wernicke
Encephalopathy,
23. A client who has been diagnosed with mild neurocognitive disorder asks what he can do
to improve his prognosis. What is the best response?: Begina regular exercise program,
24. A 50-year-old client presents with fatigue and poor motivation to the point that she is
avoiding work. She reports that for the past several weeks she has apoor appetite and sleeps over
14 hours per day. She notesthat last month,shefelt "much better" had lots of energy and didn't
need much sleep. She went onseveral shopping sprees that caused her checking account to be
overdrawn.Which diagnosis is most consistent with the client'ssymptoms?: Bipolar I disorder
25. Inattention and a variable level of consciousness are the hallmark symp-toms of which
condition?: Delirium
26. What statement describes clients with personality disorders?: They are re-sistant to
behavioral change,
1. A 74-year-old client presents with difficulty finding words. A MoCA assessment was
performed with a total score of 27. What is the most appropriate nextassessment?: CT
scan,
2. Which sign is commonly seen in clients experiencing mild alcohol with-drawal?:
Tremors,
3. Which symptoms are associated with the anxious distress DSM specifierfor major
depressive disorder?: Feeling restless, excessive worry
4. A psychiatric mental health NP treating a client who has been diagnosedwith a
personality disorder should expect that the client will exhibit which characteristics?: Pervasive
maladaptive behavior in a range of personal and social contexts;
5. A 26-year-old client presents with his mother who has concerns that herson is withdrawn
and isolated. He shows little interest in having contact
or relationships with others including sexual relations. She states that he " "what anyone else
thinks of him. Which diagnosis is most likely for thisclient?: Schizoid Personality d/o
6. A 50-year-old client presents with depressed mood, insomnia, and anhe- donia. Her
partner of 24 years recently filed for divorce. What is the most appropriate diagnosis for this
client?: Adjustment disorder with depressed mood,
7. Which diagnosis describes the syndrome characterized by the specific signs and
symptoms resulting from ingestion or exposure to a substance?: -Substance Intoxication,
8. Which of the following would be included in the treatment plan for a clientwith antisocial
personality disorder?: Reward-Based
Therapy,
9. Which symptoms are more likely to be present in a client with bipolar Idisorder than in
bipolar II disorder?: Delusions
10. Which client with delirium would most likely require pharmacotherapeutictreatment?: A
client who rapidly shifts from laughing to crying to anger.
11. A 77-year-old client's adult child reports that the client has gotten lost while driving in a
familiar neighborhood. The client also has several past-duenotices for bills that have
previously been paid on time and got "irrationally angry" when confronted about the bills.
What is the most appropriate diagno-sis for this client?: Major neurocognitive disorder
with behavioral disturbance,
12. Which of the following is the best predictor for antisocial personalitydisorder?: A
diagnosis of conduct disorder at age 13,
13. A client is started on Lamotrigine for bipolar disorder and presents with blistering skin
, and mouth sores shortly after an increase in dose. Labs indi- cate normal renal and liver
function. What is the most likely?: Steven JohnsonSyndrome,
14. Which statement is the most accurate about the rapid cycling of type Ibipolar disorder?:
Women have a higher rate of rapid cycling bipolar I disorder
15. Which description best describes cluster A personality disorders?: Char-acterized by
odd, eccentric thinking or behavior,
16. A client is admitted to an inpatient unit for major depressive disorder. The client endorses
daily alcohol consumption. Which NP action is the mostappropriate?: order CIWA- Ar to be
administered every 6 hours for 24 hours,
17. The MoCA tool includes asking the client to subtract serial sevens from
What domain is assessed with this?: Attention,
18. A client was diagnosed with major neurocognitive disorder due to Alzheimer's disease.
What pharmacologic therapy would be anticipated?: Me-mantine
19. An 89-year-old presents with symptoms of dementia. Which diagnostic testshould be
performed initially to rule out treatable causes of symptoms?: -
D-Cobalamin level
20. What information can assist the clinician in differentiate dementia fromdepression?: A-A
patient with dementia has symptoms for a long time before seeking medical help.
21. A client presents with concerns about difficulties at work. He states thathe has trouble
speaking up when things aren't going well because he is afraid that others won't like him or
will think he is stupid. He is not in a relationship because he can't imagine anyone wanting to
be with him. Theclients symptoms are consistent with which disorder?: Avoidant personality
disorder
22. A client presents with ataxia, short-term memory loss, and nystagmus. Theclient has a
history of prolonged, heavy alcohol use. What is the most likely diagnosis?: B. Wernicke
Encephalopathy,
23. A client who has been diagnosed with mild neurocognitive disorder asks what he can do
to improve his prognosis. What is the best response?: Begina regular exercise program,
24. A 50-year-old client presents with fatigue and poor motivation to the point that she is
avoiding work. She reports that for the past several weeks she has apoor appetite and sleeps over
14 hours per day. She notesthat last month,shefelt "much better" had lots of energy and didn't
need much sleep. She went onseveral shopping sprees that caused her checking account to be
overdrawn.Which diagnosis is most consistent with the client'ssymptoms?: Bipolar I disorder
25. Inattention and a variable level of consciousness are the hallmark symp-toms of which
condition?: Delirium
26. What statement describes clients with personality disorders?: They are re-sistant to
behavioral change,
