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NUR631 Exam 3 -
neuro,musculoskeletal,mental health
Questions and Correct Answers
A 19-year-old college student, Todd, is brought to your clinic by
his mother. She is concerned that there is something seriously
wrong with him. She states for the past 6 months his behavior has
become peculiar and he has flunked out of college. Todd denies
any recent illness or injuries. His past medical history is
remarkable only for a broken foot. His parents are both healthy.
He has a paternal uncle who had similar symptoms in college. The
patient admits to smoking cigarettes and drinking alcohol. He also
admits to marijuana use but none in the last week. He denies using
any other substances. He denies any feelings of depression or
anxiety. While speaking with Todd and his mother you do a
complete physical examination, which is essentially normal. When
you question him on how he is feeling, he says that he is very
worried that Microsoft has stolen his software for creating a better
browser. He tells you he has se Ans: D) Schizophrenia
A 24-year-old secretary comes to your clinic, complaining of
difficulty sleeping, severe nightmares, and irritability. She states it
all began 6 months ago when she went to a fast food restaurant at
midnight. While she was waiting in her car a man entered through
the passenger door and put a gun to her head. He had her drive to
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a remote area, where he took her money and threatened to kill her.
When the gun jammed he panicked and ran off. Ever since this
occurred the patient has been having these symptoms. She states
she jumps at every noise and refuses to drive at night. She states
her anxiety has had such a marked influence on her job
performance she is afraid she will be fired. She denies any recent
illnesses or injuries. Her past medical history is unremarkable. On
examination you find a nervous woman appearing her stated age.
Her physical examination is unremarkable. You recommend
medication and counseling.
What Ans: C) Post-traumatic stress disorder
A 75-year-old homemaker brings her 76-year-old husband to your
clinic. She states that 4 months ago he had a stroke and ever since
she has been frustrated with his problems with communication.
They were at a restaurant after church one Sunday when he
suddenly became quiet. When she realized something was wrong
he was taken to the hospital by EMS. He spent 2 weeks in the
hospital with right-sided weakness and difficulty speaking. After
hospitalization he was in a rehab center, where he regained the
ability to walk and most of the use of his right hand. He also began
to speak more, but she says that much of the time "he doesn't
make any sense." She gives an example that when she reminded
him the car needed to be serviced he told her "I will change the
Kool-Aid out of the sink myself with the ludrip." She says that
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these sayings are becoming frustrating. She wants you to tell her
what is wrong and what you can do about Ans: A) Wernicke's
aphasia
A 32-year-old white female comes to your clinic, complaining of
overwhelming sadness. She says for the past 2 months she has had
crying episodes, difficulty sleeping, and problems with overeating.
She says she used to go out with her friends from work but now
she just wants to go home and be by herself. She also thinks that
her work productivity has been dropping because she just is too
tired to care or concentrate. She denies any feelings of guilt or any
suicidal ideation. She states that she has never felt this way in the
past. She denies any recent illness or injuries. Her past medical
history consists of an appendectomy when she was a teenager;
otherwise, she has been healthy. She is single and works as a clerk
in a medical office. She denies tobacco, alcohol, or illegal drug use.
Her mother has high blood pressure and her father has had a
history of mental illness. On examination you see a woman
appearing her st Ans: C) Major depressive episode
A 27-year-old woman is brought to your office by her mother. The
mother tells you that her daughter has been schizophrenic for the
last 8 years and is starting to decompensate despite medication.
The patient states that she has been taking her antipsychotic and
she is doing just fine. Her mother retorts that her daughter has
become quite paranoid. When asked why, the mother gives an
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example about the mailman. She says that her daughter goes and
gets the mail every day and then microwaves the letters. The
patient agrees that she does this but only because she sees the
mailman flipping through the envelopes and she knows he's
putting anthrax on the letters. Her mother turns to her and says,
"He's only sorting the mail!"
Which best describes the patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state Ans: A) Illusion
A 22-year-old man is brought to your office by his father to
discuss his son's mental health disorder. The patient was
diagnosed with schizophrenia 6 months ago and has been taking
medication since. The father states that his son's dose isn't high
enough and you need to raise it. He states that his son has been
hearing things that don't exist. You ask the young man what is
going on and he tells you that his father is just jealous because his
sister talks only to him. His father turns to him and says, "Son, you
know your sister died 2 years ago!" His son replies "Well, she still
talks to me in my head all the time!"
Which best describes this patient's abnormality of perception?
© 2025 All rights reserved
NUR631 Exam 3 -
neuro,musculoskeletal,mental health
Questions and Correct Answers
A 19-year-old college student, Todd, is brought to your clinic by
his mother. She is concerned that there is something seriously
wrong with him. She states for the past 6 months his behavior has
become peculiar and he has flunked out of college. Todd denies
any recent illness or injuries. His past medical history is
remarkable only for a broken foot. His parents are both healthy.
He has a paternal uncle who had similar symptoms in college. The
patient admits to smoking cigarettes and drinking alcohol. He also
admits to marijuana use but none in the last week. He denies using
any other substances. He denies any feelings of depression or
anxiety. While speaking with Todd and his mother you do a
complete physical examination, which is essentially normal. When
you question him on how he is feeling, he says that he is very
worried that Microsoft has stolen his software for creating a better
browser. He tells you he has se Ans: D) Schizophrenia
A 24-year-old secretary comes to your clinic, complaining of
difficulty sleeping, severe nightmares, and irritability. She states it
all began 6 months ago when she went to a fast food restaurant at
midnight. While she was waiting in her car a man entered through
the passenger door and put a gun to her head. He had her drive to
© 2025 All rights reserved
, 2 | Page
a remote area, where he took her money and threatened to kill her.
When the gun jammed he panicked and ran off. Ever since this
occurred the patient has been having these symptoms. She states
she jumps at every noise and refuses to drive at night. She states
her anxiety has had such a marked influence on her job
performance she is afraid she will be fired. She denies any recent
illnesses or injuries. Her past medical history is unremarkable. On
examination you find a nervous woman appearing her stated age.
Her physical examination is unremarkable. You recommend
medication and counseling.
What Ans: C) Post-traumatic stress disorder
A 75-year-old homemaker brings her 76-year-old husband to your
clinic. She states that 4 months ago he had a stroke and ever since
she has been frustrated with his problems with communication.
They were at a restaurant after church one Sunday when he
suddenly became quiet. When she realized something was wrong
he was taken to the hospital by EMS. He spent 2 weeks in the
hospital with right-sided weakness and difficulty speaking. After
hospitalization he was in a rehab center, where he regained the
ability to walk and most of the use of his right hand. He also began
to speak more, but she says that much of the time "he doesn't
make any sense." She gives an example that when she reminded
him the car needed to be serviced he told her "I will change the
Kool-Aid out of the sink myself with the ludrip." She says that
© 2025 All rights reserved
, 3 | Page
these sayings are becoming frustrating. She wants you to tell her
what is wrong and what you can do about Ans: A) Wernicke's
aphasia
A 32-year-old white female comes to your clinic, complaining of
overwhelming sadness. She says for the past 2 months she has had
crying episodes, difficulty sleeping, and problems with overeating.
She says she used to go out with her friends from work but now
she just wants to go home and be by herself. She also thinks that
her work productivity has been dropping because she just is too
tired to care or concentrate. She denies any feelings of guilt or any
suicidal ideation. She states that she has never felt this way in the
past. She denies any recent illness or injuries. Her past medical
history consists of an appendectomy when she was a teenager;
otherwise, she has been healthy. She is single and works as a clerk
in a medical office. She denies tobacco, alcohol, or illegal drug use.
Her mother has high blood pressure and her father has had a
history of mental illness. On examination you see a woman
appearing her st Ans: C) Major depressive episode
A 27-year-old woman is brought to your office by her mother. The
mother tells you that her daughter has been schizophrenic for the
last 8 years and is starting to decompensate despite medication.
The patient states that she has been taking her antipsychotic and
she is doing just fine. Her mother retorts that her daughter has
become quite paranoid. When asked why, the mother gives an
© 2025 All rights reserved
, 4 | Page
example about the mailman. She says that her daughter goes and
gets the mail every day and then microwaves the letters. The
patient agrees that she does this but only because she sees the
mailman flipping through the envelopes and she knows he's
putting anthrax on the letters. Her mother turns to her and says,
"He's only sorting the mail!"
Which best describes the patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state Ans: A) Illusion
A 22-year-old man is brought to your office by his father to
discuss his son's mental health disorder. The patient was
diagnosed with schizophrenia 6 months ago and has been taking
medication since. The father states that his son's dose isn't high
enough and you need to raise it. He states that his son has been
hearing things that don't exist. You ask the young man what is
going on and he tells you that his father is just jealous because his
sister talks only to him. His father turns to him and says, "Son, you
know your sister died 2 years ago!" His son replies "Well, she still
talks to me in my head all the time!"
Which best describes this patient's abnormality of perception?
© 2025 All rights reserved
