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Walden University:NURS 6670 Midterm
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NURS 6670 Midterm Exam
Question 1
Alexa is a 27-year-old female who has come to group therapy while she is in the city jail. She was arrested for
vagrancy because she was sleeping in her car in a parking lot at a local shopping center. She could not post bail, so
she is sentenced to 14 days in jail. During group, she contributes that none of this is her fault. Her mother is totally
evil because she would not let Alexa stay in the family home. She has some other family. but they are all jerks
because they won’t help her. Alexa’s friend Melanie is the absolute best person in the world, but she can’t help
because her boss fired her for no reason. Alexa has a history of arrests for buying illegal drugs and prostitution. The
last time she was in jail, her sentence was extended for 30 days because she got into a fight with another inmate and
beat her up so badly she had to be admitted to the hospital for 6 days. The PMHNP considers which of the following
personality disorders?
Histrionic
Narcissistic
Borderline
Schizoid
Question 2
Anne is a 32-year-old female who presented to care after a random drug screening at work was positive for cocaine. She was initi
The physiologic symptoms of withdrawal may require a short-term hospitalization
Unlike other substances of abuse, there are no medications to help reduce the intensity of withdrawal
She will need to be monitored for depression
Overcoming the intense craving for cocaine is the biggest issue
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Question 3
Clare’s history of personal relationships is characterized by complete intolerance of being alone. Whether it is an
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intimate-partner relationship or a close friend, Clare appears to always need someone in her life. She had a live-
in boyfriend of 3 years, and while they were together, he took care of everything. The PMHNP expects all of the
following to be additional features of Clare’s history except:
Has disproportionate anger toward an abusive spouse
Question 4
The PMHNP is conducting an initial interview with a patient whose history is consistent with avoidant personality disorder. The
Clothing
Speech pattern
Anger
Anxiety
Question 5
A PMHNP student is reviewing his notes from his clinical experience over the past week to prepare his first required case present
A 27-year-old female with a 1-month history of social withdrawal, anorexia, hypersomnia, unprovoked
outbursts of anger, and a strong family history of endogenous depression
A 41-year-old male with a history of childhood sexual abuse, loss of interest in both his professional and
personal life, an unplanned 10 lb. weight loss in the last 3 months, and perceptual disturbances
A 65-year-old male whose wife died 2 months ago and he reports a 3-week history of generally depressed
mood, guilt about his wife’s death, insomnia, difficulty focusing on daily tasks, with increasing thoughts of
dying
A 72-year-old female who just relocated across country to live with her adult son and daughter-in-law who is
despondent about leaving her home and reports forgetfulness, loss of appetite, new onset bowel problems, and
extreme loss of energy
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Question 6
A variety of pharmacologic agents have demonstrated effectiveness in the treatment of post-traumatic stress disorder. Which of th
SSRIs
TCAs
Antiadrenergics
Antipsychotics
Question 7
The PMHNP is on call at the local county correctional facility. He is asked to evaluate M.S., a 21-year-old male who was just arr
His mother says that he has in the past had some occasions when he got kind of agitated, but this is the first time it’s been a probl
Stuttered
Increased
Childlike
Confused
Question 8
Fletcher is a 29-year-old male referred for court-ordered counseling. He has a long history of repeated offenses including DUI, do
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