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NU 673 FINAL EXAM REVIEW LATEST 2022 GRADED A++
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NU 673 FINAL EXAM REVIEW LATEST 2022 GRADED AChapter 5
Which of the following statements is true concerning mental health disorders in primary
care?
a) Alcohol and substance abuse are not considered mental health disorders.
b) Somatic symptom disorder (DSM‐5) is distinctly uncommon in this setting and
constitutes less than 5% of these disorders.
c) Mood disorders make up ~25% of all diagnoses.
d) The prevalence for mental disorders is estimated to be ~10%, of which only 25% are not
diagnosed.
e) Anxiety disorders are the most prevalent of all diagnoses in this setting.
c) Mood disorders make up ~25% of all diagnoses.
Mood disorders make up ~25% of all diagnoses. Mental health
disorders of various types ranging from major mental illness to
personality disorders are very common diagnoses encountered in
primary health care.
Approximately 20% of primary care patients are thought to
suffer from mental disorders, of which 50%-75% goes
undetected. Somatoform disorders are relatively common in
the range of 10%-15%, while alcohol and substance abuse are
important contributors to patient dysfunction and are
considered under the broad designation of mental health
disorders
Which of the following complaints/findings is considered to be a patient
identifier for mental health screening?
a) High use of health services due to chronic unstable medical diagnoses
b)Acute pain syndromes of 10 days' duration that require opiates for relief
c) A patient with type I diabetes and neuropathic pain
d) Symptoms lasting for >2 weeks
e) Substance abuse
e) Substance abuse
The answer is substance abuse. High use of health services in
an unstable patient is frequently indicated; however, it is
, NU 673 FINAL EXAM REVIEW LATEST 2022 GRADED A
those without demonstrable problems that may require
further evaluation, that is, mental health screening.
Symptoms of a more chronic nature, namely 6 weeks, might
warrant referral, but not 2 weeks. Acute pain should be
managed in the context of the patient presentation, and type I
diabetics frequently suffer from difficult to manage
neuropathic pain, which is not easily treated but medically
based and well‐described clinically.
The CAGE questionnaire is a short screening examination administered in the office
to evaluate for which of the following?
a) Bipolar disorder
b) Risk for illicit substance abuse
c) Alcohol misuse
d) Major depressive disorder
e) Likelihood that the patient complaints are "psychosomatic"
c) Alcohol misuse
The CAGE questionnaire was developed to identify alcohol
abuse. It comprises questions concerning Cutting down,
Annoyance, Guilty feelings, and Eye‐openers. Although many
patients may have dual diagnoses or multiple substances that
they abuse, it has been validated
, NU 673 FINAL EXAM REVIEW LATEST 2022 GRADED A
as an effective tool in initial screening for alcohol abuse. A
separate less widely used test is the Drug Abuse Screening
Test (DAST) that focuses on non‐alcohol-related substance
abuse. Although alcohol abuse can be seen in association with
major depression, psychosomatic, and bipolar
disorders, the CAGE questionnaire is not diagnostic of any
of these conditions.
"Instability in interpersonal relations, self‐image, and affective regulation;
impulsivity" describes which personality disorder?
a) Antisocial personality
b)Avoidant personality
c) Histrionic personality
d) Narcissistic personality
e) Borderline personality
e) Borderline personality
The DSM‐5 is published by the American Psychiatric
Association based upon its professional definitions of mental
disorders. Although at times controversial, it is generally
considered the authoritative publication in
the field. The example cited defines the borderline personality.
Although these persons may demonstrate some selected
characteristics of other disorders, this definition is the basis for
the diagnosis. It is important to remember that mental
disorders as well as physical ones may demonstrate
substantial overlap making a definitive diagnosis difficult. The
incorrect answers all have specific criteria as set out by
the DSM‐5.
A 38‐year‐old accountant presents to the office with a series of generalized
complaints. He relates that he feels a loss of pleasure in daily activities, has
difficulty sleeping, and is experiencing problems making decisions. Which of
the following best explains the patient's
presentation?
a) Histrionic personality
b)Antisocial personality
, NU 673 FINAL EXAM REVIEW LATEST 2022 GRADED A
c) Substance abuse with anhedonia
d) Bipolar disorder in the early pre‐excitatory phase
e) Depression
e) Depression
The complaints as presented are highly consistent with
depression. It is important to note that few patients will
articulate that they feel depressed. Rather, it is contingent
upon the clinician to probe for more information and keep an
open mind coupled with an index of suspicion. Because of the
stigma associated with mental health problems, many
patients initially present with nonspecific complaints that
point to a nonmedical cause only with closer questioning.
Anhedonia may be associated with depression but tends to be
milder in its symptoms. The other entities demonstrate
different complaints than those described
by this patient.
Concerning hallucinations, an abnormal perception experienced by a patient,
which of the following statements is true about this abnormality?
a) It may occur in association with a number of conditions including delirium and
dementia, posttraumatic stress disorder (PTSD), and schizophrenia.
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