NR607 CHAMBERLAIN PREDIAGNOSTIC EXAM
QUESTIONS WITH 100% CORRECT ANSWERS;
VERIFIED
A 10-year-old boy is referred by the school nurse because of persistent
stomachache every morning in school. In evaluating the boy, the PMHNP
learned that he does not like to go to school and insists on coming home
immediately, and that he sleeps in his parent's bed at night. His clinical
description is most characteristic of which of the following conditions?
-Social phobia
-Posttraumatic stress disorder (PTSD)
-Separation anxiety
-Reactive attachment disorder - correct answer- Separation anxiety
A 10-year-old girl is referred for evaluation of behavioral difficulties. Her
teachers report that she is easily distracted and fails to complete any
class work, and often stares off into space or tries to chat with her
neighbor. Her mother reports that mornings are the most difficult
because of her general disorganization and forgetfulness. Otherwise she
is socially engaged and enjoys many activities. Which of the following is
the most likely diagnosis?
-Attention deficit disorder
-Oppositional Defiant disorder
,-Conduct disorder
-Disruptive behavior - correct answer- Attention deficit disorder
A 21-year-old man had his first drink at his birthday party with friends
last night. He presented the following morning to the emergency
department with psychomotor agitation, cognitive impairment,
depressed mood, flat affect, and anhedonia. His heart rate is 110, his
blood pressure is 90/60, and he complains of abdominal pain. He
received 2 L of normal saline IV and is referred to psychiatry for
evaluation of mood disorder. Which of the following tests should the
consulting PMHNP order given these symptoms?
-Urinalysis
-Acetaminophen level
-Urinary porphobilinogen
-Blood alcohol level - correct answer- Urinary porphobilinogen
A 30-year-old G1P0,1 has become increasingly oddly related, neglecting
self-care, sleeping much of the day, eating minimally, crying easily, and
despite reassurance that her pregnancy is progressing normally, worries
that she will lose the pregnancy. Which of the following medications is
considered least harmful in pregnancy?
-Sertraline
-Lithium
,-Haloperidol
-Divalproex - correct answer- Sertraline
A 30-year-old male who was started on sertraline for generalized anxiety
disorder was also started on lorazepam 1 mg for sleep during the first 2
weeks as he was adjusting to the medication. At the 2-week follow-up
visit his psychiatrist increased the sertraline, but the dose of lorazepam
does not seem to be helping with sleep and the patient is requesting a
higher dose. Which of the following best describes the patient's
condition?
-Addiction
-Dependence
-Withdrawal
-Tolerance - correct answer- Tolerance
A 30-year-old man with three past psychiatric hospitalizations for
schizoaffective disorder presents for follow-up care with the PMHNP.
Before discharge, the patient received court ordered Zyprexa Relprevv
300 mg IM X 1. The patient tells the PMHNP that he is aware that
smoking can "make him need more medication." Which stage of change
is the patient in?
-Contemplation
-Maintenance
, -Precontemplation
-Action
-Preparation - correct answer- Contemplation
A 32-year-old woman who is 6-months postpartum requests a
psychiatric house call while her husband is at work. Upon entering the
home, the PMHNP notices a well-cared for infant playing in a crib, and
the patient sitting in her breakfast nook overlooking the nearby park.
She is requesting a medication to help her relax because she feels as if
she is walking on eggshells around her husband for fear of him "getting
physical with me" if the baby cries too much. Which of the following best
describes this woman's circumstance?
-Tension building phase
-Abusive incident phase
-Postpartum depression
-Honeymoon phase - correct answer- Tension building phase
A 35-year-old man diagnosed with bipolar disorder mentions to his
PMHNP that he had felt a lump on his left testicle. He is concerned he
has not had a physical exam in 10 years. What is the best action by the
PMHNP?
-Perform a urogenital exam and order an ultrasound
-Refer him to his primary care provider
QUESTIONS WITH 100% CORRECT ANSWERS;
VERIFIED
A 10-year-old boy is referred by the school nurse because of persistent
stomachache every morning in school. In evaluating the boy, the PMHNP
learned that he does not like to go to school and insists on coming home
immediately, and that he sleeps in his parent's bed at night. His clinical
description is most characteristic of which of the following conditions?
-Social phobia
-Posttraumatic stress disorder (PTSD)
-Separation anxiety
-Reactive attachment disorder - correct answer- Separation anxiety
A 10-year-old girl is referred for evaluation of behavioral difficulties. Her
teachers report that she is easily distracted and fails to complete any
class work, and often stares off into space or tries to chat with her
neighbor. Her mother reports that mornings are the most difficult
because of her general disorganization and forgetfulness. Otherwise she
is socially engaged and enjoys many activities. Which of the following is
the most likely diagnosis?
-Attention deficit disorder
-Oppositional Defiant disorder
,-Conduct disorder
-Disruptive behavior - correct answer- Attention deficit disorder
A 21-year-old man had his first drink at his birthday party with friends
last night. He presented the following morning to the emergency
department with psychomotor agitation, cognitive impairment,
depressed mood, flat affect, and anhedonia. His heart rate is 110, his
blood pressure is 90/60, and he complains of abdominal pain. He
received 2 L of normal saline IV and is referred to psychiatry for
evaluation of mood disorder. Which of the following tests should the
consulting PMHNP order given these symptoms?
-Urinalysis
-Acetaminophen level
-Urinary porphobilinogen
-Blood alcohol level - correct answer- Urinary porphobilinogen
A 30-year-old G1P0,1 has become increasingly oddly related, neglecting
self-care, sleeping much of the day, eating minimally, crying easily, and
despite reassurance that her pregnancy is progressing normally, worries
that she will lose the pregnancy. Which of the following medications is
considered least harmful in pregnancy?
-Sertraline
-Lithium
,-Haloperidol
-Divalproex - correct answer- Sertraline
A 30-year-old male who was started on sertraline for generalized anxiety
disorder was also started on lorazepam 1 mg for sleep during the first 2
weeks as he was adjusting to the medication. At the 2-week follow-up
visit his psychiatrist increased the sertraline, but the dose of lorazepam
does not seem to be helping with sleep and the patient is requesting a
higher dose. Which of the following best describes the patient's
condition?
-Addiction
-Dependence
-Withdrawal
-Tolerance - correct answer- Tolerance
A 30-year-old man with three past psychiatric hospitalizations for
schizoaffective disorder presents for follow-up care with the PMHNP.
Before discharge, the patient received court ordered Zyprexa Relprevv
300 mg IM X 1. The patient tells the PMHNP that he is aware that
smoking can "make him need more medication." Which stage of change
is the patient in?
-Contemplation
-Maintenance
, -Precontemplation
-Action
-Preparation - correct answer- Contemplation
A 32-year-old woman who is 6-months postpartum requests a
psychiatric house call while her husband is at work. Upon entering the
home, the PMHNP notices a well-cared for infant playing in a crib, and
the patient sitting in her breakfast nook overlooking the nearby park.
She is requesting a medication to help her relax because she feels as if
she is walking on eggshells around her husband for fear of him "getting
physical with me" if the baby cries too much. Which of the following best
describes this woman's circumstance?
-Tension building phase
-Abusive incident phase
-Postpartum depression
-Honeymoon phase - correct answer- Tension building phase
A 35-year-old man diagnosed with bipolar disorder mentions to his
PMHNP that he had felt a lump on his left testicle. He is concerned he
has not had a physical exam in 10 years. What is the best action by the
PMHNP?
-Perform a urogenital exam and order an ultrasound
-Refer him to his primary care provider
