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Test Bank For Primary Care The Art and Science of Advanced Practice Nursing – an Interprofessional Approach Sixth Edition by Debera J. Dunphy, Lynne M.; Winland-Brown, Jill E.; Porter, Brian Oscar; Thomas||ISBN 978-1719644655||Complete Guide A+$17.49
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Test Bank For Primary Care The Art and Science of Advanced Practice Nursing – an Interprofessional Approach Sixth Edition by Debera J. Dunphy, Lynne M.; Winland-Brown, Jill E.; Porter, Brian Oscar; Thomas||ISBN 978-1719644655||Complete Guide A+
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Test Bank For Primary Care The Art and Science of Advanced Practice Nursing – an Interprofessional Approach Sixth Edition by Debera J. Dunphy, Lynne M.; Winland-Brown, Jill E.; Porter, Brian Oscar; Thomas||ISBN 978-1719644655||Complete Guide A+
,What type of pharmacological agent would be used as a first-line medication to treat obsessive
compulsive disorder?
A. risperidone
B. lonazepam
C. fluoxetine
D. trazadone
E. venlafaxine - ---ASNWERS----fluoxetine
The risk of extrapyramidal side effects (pseudoparkinsonism) and tardive dyskinesia is associated with
which class of medications? - ---ASNWERS----typical (first-generation) antipsychotics
A 24-year-old male has an eight-month history of loose thought associations, social withdrawal, auditory
hallucinations, and deterioration in his personal appearance and hygiene. Upon examination, he is noted
to have a flat affect, perceptual distortions, and behaves like he is detached from his own actions.
*Which of the following medications used in treatment of this disease has the risk of prolonging the QTc
interval?*
Which of the following psychiatric conditions has the highest mortality rate? - ---ASNWERS----anorexia
nervosa
(higher than any psych illness, including depression)
A 24-year-old woman comes to your office complaining of anxiety. The patient had *witnessed a
traumatic event 3 days earlier* that made her feel fearful. She has not been able to tell her family about
this experience. She now feels like she is numb and in a dazed, dreamlike state with poor concentration,
and difficulty sleeping. She experienced a flashback of the event yesterday. *What is the most likely
diagnosis?* - ---ASNWERS----acute stress disorder
,*Mr. Smith leaves home and does not return* nor does he go to work. *A friend of Mr. Smith sees him in
another state* while on vacation. When he approaches Mr. Smith, he does not recognize him and has a
total different demeanor. *What type of disorder does Mr. Smith have?* - ---ASNWERS----dissociative
fugue
Which of the following indicates a poor prognosis for someone diagnosed with schizophrenia?
A. acute onset
B. co-morbid mood disorder
C. obvious precipitating event
D. younger age at diagnosis - ---ASNWERS----younger age at diagnosis
A 16-year-old Caucasian female is brought to your family practice office by her mother because she has
been missing school and her mother is concerned. The patient has symptoms consistent with mild to
moderate depression. *She has a history of menstrual migraines* and now has vague constitutional
symptoms all the time and doesn't want to get out of bed in the morning. The patient confesses that
over the past month she has felt that she is not important to anyone and wonders if the world will be
better off without her. *Of the following, which is your greatest concern when considering prescribing
her a selective serotonin reuptake inhibitor (SSRI)?*
- compliance to the medication regime
- increased risk of suicide as detailed in black box warnings
- nausea-related side effects as you titrate upwards
- risk of pregnancy when taking psychiatric medications
- risk of serotonin syndrome, should you need to prescribe a tr - ---ASNWERS----risk of serotonin
syndrome, should you need to prescribe a triptan for her migraines
A 37-year-old woman under your care is diagnosed with bipolar I disorder. As part of her drug regimen,
you prescribe lithium carbonate as long-term maintenance therapy. *What lab would be most
appropriate to order prior to the initiation of lithium carbonate?* - ---ASNWERS----serum creatinine
, A *68-year-old* man is recently *diagnosed with depression* associated with the loss of his close sister
to an automobile accident. He is currently taking oxybutynin for *overactive bladder disease* and
lisinopril for hypertension. He has no known drug allergies. *What medication would be most
appropriate to prescribe for this patient?* - ---ASNWERS----amitriptyline
A patient describes a desire for close relationships and to be more successful at work. However, she
views herself as being undesirable and inferior. Because of these feelings she avoids social activities and
extra occupational projects out of fear of criticism, rejection, and embarrassment. *Which diagnosis
personality disorder best fits this description?* - ---ASNWERS----avoidant personality disorder
A 30-year-old male patient, who has a history of schizotypal personality disorder, presents to the
emergency department due to a decompensation to psychosis. He has had transient episodes similar to
this in the past. *What is the best medication for this patient during this period of psychosis?* - ---
ASNWERS----Haloperidol (Haldol)
Infection with human papillomavirus may cause which of the following conditions?
Carcinoma of the cervix
Chancroid
Granuloma inguinale
Condyloma acuminata
Plantar warts - ---ASNWERS----Carcinoma of the cervix, Condyloma acuminata, and Plantar warts
What is emphyesema? (5) - ---ASNWERS----- PINK puffer (CO decreased, O2 normal)
- increased air spaces, from decreased alveolar septa
What is chronic bronchitis? - ---ASNWERS----inflammation of the mucous membrane, causing CO2 to not
escape
- BLUE puffer (CO normal, O2 decreased)
- seen: peripheral edema, fat, rhochi, wheezing
What is ronchi? - ---ASNWERS----Low pitched sounds
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