Nr 668 Week 5 Exam Study Guide 2025/2026 Accurate Questions And Correct Detailed Answers || 100% Guaranteed Pass Newest Version Chamberlain College Of Nursing

NR 668 WEEK 5 EXAM STUDY GUIDE 2025/2026 ACCURATE QUESTIONS AND CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS NEWEST VERSION CHAMBERLAIN COLLEGE OF NURSING 1. Jane is a 27 year old female with no previous psychiatric hx. She was employed at a large company within the outside sales division. The company recently downsized and eliminated 50% of its workforce. Jane was let go 1 month ago. She had recently purchased a condominium near her former employer and expressed worry about the mortgage payment. She stopped attending her weekly outings with her friends from college and no longer attends yoga. She is often tearful and notes that 1-2x a week, she will feel overwhelmed with hopelessness. She denies SI. She denies changes in appetite, weight, sleep or energy level. She has been able to update her resume and denies trouble concentrating. She finds pleasure walking her dog, but is seeking help with her "crying". Given the current info above, what disorder best describes Jane's symptoms? - ANSWER adjustment disorder with depressed mood *key is that it is not chronic 2. Susan is a 22 year old female who has a marked fear of elevators, Uber rides and public transportation. She never shops or travels alone. She is now experiencing "nervousness" when she waits in line at the grocery store. Her husband suggested that she receive counseling after she recently refused to go into Walmart alone. 1. What disorder best describes Susan's behavior? 2. What 1st line pharmacological tx would reduce relapse? - ANSWER 1. Agoraphobia SSRI's *note: one can be diagnosed with agoraphobia and not necessarily panic disorder 3. Rawley has a major neurocognitive disorder. Rawley resides at a local home nursing despite his young age of 47. Rawley's father suffered from the same type of dementia. When he first moved into the nursing home, some of the staff thought Rawley was trying to hit them. This was an incorrect assumption. Rawley suffers from choreoathetoid movements. Name the cause of the major neurocognitive disorder listed in the scenario above? - ANSWER Huntington's Disease *clues: young age, genetic, movements 4. Nancy is a 28 year old administrative assistant. She was sent home for wearing provocative clothing that failed to meet the standards of normal business attire. She returned to work in clothing that was extremely bright and what could be described as extroverted fashion. Nancy is very dramatic and often speaks up in meetings if she is not the center of attention. Her speech is impressionistic. She tells dramatic stories and often exaggerates details in her life. She feels that she has formed a relationship with the president of the company after briefly meeting her in the hallway just one time. She is easily influenced. For example she heard her supervisor report the benefits of his vegan diet and she became vegan the very next day. Which personality disorder best describes Nancy? - ANSWER Histrionic Personality disorder 5. Zack was a 21 year old male who presented to the ER via ambulance with various symptoms. Zack felt SOB, heart palpitations, dizziness and cold sweats while sitting at his desk at work. The work up was essentially negative for an acute process or disease. This happened to Zack last year and he has been worrying about these symptoms recurring again. Which disorder best describes the symptoms Zack is experiencing? - ANSWER Panic disorder 6. Alex is a 38 year old male with a history of depressed mood. Alex was referred to a PMHNP after seeing his PCP. Alex met the criteria for MDD during his outpatient mental health initial evaluation. Last year and again this summer, Alex became delusional and also experienced both auditory and visual hallucinations. The hallucinations lasted for 3-4 weeks in duration and Alex had minimal depressive symptoms during that time. Alex was not abusing drugs, alcohol or medications. He has no other known medical conditions. What disorder best describes Alex's symptoms? - ANSWER Schizoaffective disorder *too much mood pathology to be solely schizophrenic, too much psychosis to be considered just MDD or bipolar disorder *MDD would not work because he was having psychosis with minimal depressive symptoms 7. Dominic is a 44 year old male with a diagnosis of Bipolar disorder. He presents to the ER after several nights of not sleeping. His boss found him in the office on Wednesday morning and noted that Dominic had the same clothes on Tuesday. Dominic wanted to finish a special project that he felt would make the company "billions". He was extremely talkative and had racing thoughts. Wednesday morning, Dominic was not able to concentrate during a meeting and his boss sent him home. Dominic's partner drove him to the ER after worrying about his health and "mindset". Other than coffee, Dominic was not taking any medications or other substances. 1. Name at least 3 general principles of the CANMAT guidelines for Bipolar disorder in regards to the tx algorithm for acute mania prior to starting medications? 2. Name 3 first line agents according to the CANMAT guidelines for treating acute mania in Bipolar disorder. - ANSWER 1. assess safety, assess functioning, discontinue antidepressants, rule out medical causes, discontinue caffeine alcohol and illicit substances, behavior strategies rhythms and psychoeducation 3. Lithium, Valproate, Atypical Antipsychotics 8. Peter is a 72 year old male with a history of AUD who presents in your office accompanied by his brother and care taker. Peter has consumed excessive amounts of vodka for the past 40 years. He had several unsuccessful attempts to cut back on his drinking. He lost his drivers license at age 60 secondary to a DUI. He was in several other accidents which were all alcohol related. Peter became malnourished in his late 60's and had features of Korsakoff's syndrome. Peter's long term memory remained intact but his memory recall is poor. Peter often confabulated during the exam. He scored a 23/30 on the MMSE. What diagnosis best describes Peter's memory impairment? - ANSWER Alcohol induced neurocognitive disorder, amnestic confabulatory type 9. Amber is a 19 year old nursing student who presented to the local hospital with fever, malaise and a red bullseye rash on her leg requesting tx. She was treated for acute Lyme disease. The previous week, Amber's neighbor witnessed Amber placing tics on her leg in the backyard. Amber's family resides in a rural part of Connecticut which is known to have a very high prevalence of Lyme disease. 1. What disorder best describes Ambers behavior? 2. What motivation would Amber have to contract Lyme disease? - ANSWER 1. Factitious disorder 3. Receive medical care, get attention, join medical system 10. Hector is a 73 year old Hispanic male with metastatic prostate cancer and has a suprapubic tube. Hector was diagnosed this year with mild cognitive impairment and MDD. Hector was started on Sertraline and his depressive symptoms improved. Six months later, Hector was brought to his PCP after 3-4 days of "confusion". Hector's son noted that his father was unable to focus, acting very "tired" in the middle of the day, wandering the house looking for the bathroom and talking gibberish. Hector was sluggish to get out of bed in the morning and this was a marked change from his baseline. Vital signs recorded were temp 101, pulse 96, RR 20, BP 98/60. 1. What dx would best describe Hector's cognitive status described? 2. What is the treatment? - ANSWER 1. Delirium 3. Treat cause, orientation with calendars/clocks, familiar friends faces and relatives, possible antipsychotics of short deration for psychosis 11. Michelle, a 28 year old female began having recurring thoughts about people dying somewhere in the USA. One month later, she learns on social media that an act of terrorism occurred on the opposite coast. She felt strongly that she played a role in the act by merely thinking of the act. She complains that the more she tries to not think about the thought, the more often she has the unwanted thought. 1. Michelle linking of the terrorist act to her previous unwanted thought is an example of what? 2. What common disorder is this associated with? 3. When treating this disorder with pharmacotherapy, would the PMHNP expect to prescribe lower or higher dosing of medication compared to the pharmacotherapy of depression? - ANSWER 1. Magical thinking 2. OCD 4. Higher