PMHNP Chapter 7 Test with Questions and Answers

PMHNP Chapter 7 Test with Questions and Answers A 61 year old married woman who has been sober from alcohol use disorder for 25 years relapsed 3 weeks ago. She reports drinking 1.5L of vodka and half a liter of scotch daily. On exam she is emotionally labile ranging from irritable to crying, slurring her words, bilateral upper extremity fine tremor. Vitals: blood pressure 150/100, heart rate 110, respiratory rate 18, SpO2 98% room air. She reports feeling nauseous, sweating, and moderately anxious. What is the primary concern for this patient? A. Alcohol use disorder B. Generalized anxiety disorder C. Alcohol withdrawal D. Delirium tremens ANSWER C. Alcohol withdrawal A patient who has required increasing amounts of medication to achieve the desired effect and develops withdrawal symptoms when dosing is delayed is said to be: A. Dependent B. Tolerant C. Addicted D. In withdrawal ANSWER A. Dependent A patient is complaining of chronic back pain and requests a refill of his oxycodone prescription because the pain is so bad he becomes suicidal. As a result, his primary care provider referred him to the PMHNP. The patient states he can tell if he is late taking his next dose by even 1 hour in as he becomes very anxious, restless, irritable and begins sweating. he states that he is so worried about having pain attacks that much of his day is spent waiting to