Exam Week 5: NR668 / NR 668
(Latest ) Psychiatric-
Mental Health Capstone Practicum
& Intensive | Review Questions and
Answers | 100% Correct | Grade A -
Chamberlain
Question:
Amber is a 19 year old nursing student who presented to the local hospital
with fever, malaise and a red bullseye rash on her leg requesting tx. She was
treated for acute Lyme disease. The previous week, Amber's neighbor
witnessed Amber placing tics on her leg in the backyard. Amber's family
resides in a rural part of Connecticut which is known to have a very high
prevalence of Lyme disease.
1. What disorder best describes Ambers behavior?
2. What motivation would Amber have to contract Lyme disease?
Answer:
1. Factitious disorder
2. Receive medical care, get attention, join medical system
,Question:
Hector is a 73 year old Hispanic male with metastatic prostate cancer and has
a suprapubic tube. Hector was diagnosed this year with mild cognitive
impairment and MDD. Hector was started on Sertraline and his depressive
symptoms improved. Six months later, Hector was brought to his PCP after 3-
4 days of "confusion". Hector's son noted that his father was unable to focus,
acting very "tired" in the middle of the day, wandering the house looking for
the bathroom and talking gibberish. Hector was sluggish to get out of bed in
the morning and this was a marked change from his baseline. Vital signs
recorded were temp 101, pulse 96, RR 20, BP 98/60.
1. What dx would best describe Hector's cognitive status described?
2. What is the treatment?
Answer:
1. Delirium
2. Treat cause, orientation with calendars/clocks, familiar friends faces and
relatives, possible antipsychotics of short deration for psychosis
Question:
Janice is a 78 year old female, who scored a 14 on the MMSE exam. Without
knowing anything else about Janice, you known that:
A. An MMSE score of 14 is considered within normal rance.
B. An MMSE score of 14 is consistent with mild cognitive impairment.
C. An MMSE score of 14 is consistent with moderate cognitive impairment.
D. An MMSE score of 14 is consistent with severe cognitive impairment.
Answer:
C. An MMSE score of 14 is consistent with moderate cognitive impairment.
, Question:
Anna is a 71 year old female who resides in a long term care facility. She has a
history of morbid obesity, obstructive sleep apnea, hypertension, NSTEMI,
hypercholesterolemia, gout, diabetes mellitus type II, depressive disorder, SI,
GAD, panic disorder, SUD, functional quadriplegia and insomnia. The
nursing staff request a behavioral health consult because of Anna's
"agitation". Upon further review of the nursing notes you learn that Anna has
a short list of favorite nurses and other nurses ion which she despises. Anna
appears to be in a state of crisis several times per week. She recently recorded
one of the CNAs personal conversations with her cell phone and threatened
to get her fired if she did not sneak additional candy and soda into her room.
Anna has outburst in the hallway which include screaming and disrupting the
sleep of other residents. She has been caught stealing other residents food in
the dining are
Answer:
Borderline personality disorder
*frantic efforts to avoid real or imagined abandonment, pattern of
unstable or intense interpersonal relationships, identity disturbance,
impulsivity, recurrent suicidal behavior, affective instability,
inappropriate intense anger
Question:
April is a 29 year old female who presents to your office for the first time. She
is on Zyprexa 10mg PO qHS. April never had delusions or hallucinations.
Can one have a diagnosis of schizophrenia without having prior delusions or
hallucinations?
Answer:
Yes
*at least one of 3: delusions, hallucinations, disorganized speech
