NR 547 MIDTERM EXAM ACTUAL EXAM TEST BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS
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NR 547
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NR 547
NR 547 MIDTERM EXAM ACTUAL EXAM TEST BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS
NR 547 MIDTERM EXAM ACTUAL EXAM TEST BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS
NR 547 MIDTERM EXAM ACTUAL EXAM TEST BANK 200 QUESTIONS ...
NR 547 MIDTERM EXAM 2024-2025
ACTUAL EXAM TEST BANK 200
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS
5Ps to collect a client's sexual history: - ANS Partners
Practices
Protection from STDs
Past History of STDs
Prevention of Pregnancy
*may consider adding another P for pleasure
A 52-year-old client presents to the emergency department following a car accident. The emergency
department (ED) physician is concerned that the client may have intentionally crashed her car and
requests a stat PMHNP consult. In speaking with the PMHNP, the client describes persistent feelings of
sadness and hopelessness. She states that she often wonders if her husband would be happier if she
wasn't around anymore since she's never happy and sometimes thinks about what it would be like to
just take a handful of sleeping pills and go to sleep forever. The client reports a previous suicide attempt
when she was 16 but denies that she is considering killing herself right now.
Based on the client's ASQ score, what is the most appropriate response?
No action is necessary as the client is not currently considering suicide.
Provide a brief suicide safety assessment.
Alert the client's primary care physician.
Provide a ST - ANS Provide a brief suicide safety assessment.
,Rationale: While the client's responses do not indicate a need for a stat full safety and mental health
evaluation, the client requires a brief suicide safety assessment to determine whether a full mental
health evaluation in necessary. It is also important to notify the client's physician or the clinician
responsible for the client's care.
A client has been on clozapine for 9 months. Absolute neutrophil counts (ANC) have consistently been
less than 1500/microliter? At what frequency should a CBC be drawn?
daily
weekly
every 2 weeks
monthly - ANS every 2 weeks
Rationale: With a normal baseline ANC, the CBC should be monitored weekly for 6 months; every 2
weeks for months 6-12; and monthly thereafter
Adjustment Disorder with Anxiety - ANS DSM-5 classifies adjustment disorder as a trauma- and stressor-
related disorder
-presents with nervousness, worry, or jitteriness
-Adjustment disorder occurs in the presence of a specific and identifiable stressor
• common stressors include loss of employment, getting married, a new disability, or a natural disaster
• Symptoms begin within three months of the stressor and typically last no more than six months
Agoraphobia - ANS intense fear, anxiety, or panic out of proportion to the situation that occurs in two or
more of the following specific scenarios:
-public transportation (bus)
-open spaces (parking lot or bridge)
-enclosed spaces (store, theater)
,-standing in a crowd or line (crowd)
-being outside of their home
alogia - ANS -decrease in speech or speech content
-symptom of schizophrenia.
-AKA poverty of speech.
American Geriatric Society (AGS) Beers Criteria - ANS Avoid the use of haloperidol, ziprasidone, and
olanzapine due to an increased risk of CVA, cognitive decline, and death in persons with dementia and
with dementia-related psychosis.
anhedonia - ANS inability to experience pleasure
anosognosia - ANS inability to realize that he or she is ill, which is caused by the illness itself.
Antipsychotics: Potency low to high - ANS Chlorpromazine - Low
Mesoridazine - Low
Thioridazine - Low
Thiothixene - Medium
Fluphenazine - Medium
Haloperidol - High
Anxiety Disorders - ANS Generalized Anxiety Disorder (GAD)
Social Anxiety Disorder
Panic
Phobias
, Agoraphobia
Adjustment Disorder with Anxiety
Anxiety is often comorbid with _________________ as well as medical conditions such as
____________, ___________, and ___________ - ANS major depression, COPD, asthma, diabetes
Anxiety rating scale: GAD-7 - ANS General Anxiety Disorder-7
-answer question with several days (+1), more than half days (+2), nearly every day (+3)
• Feeling nervous, anxious, or on edge
• Not being able to stop or control worrying
• Worrying too much about different things
• Trouble relaxing
• Being so restless that it's hard to sit still
• Becoming easily annoyed or irritable
• Feeling afraid as if something awful might happen
0-4: No anxiety disorder
5-9: Mild anxiety disorder
10-14: Moderate anxiety disorder
15-21: Severe anxiety disorder
Anxiety rating scale: HAM-A - ANS Hamilton Anxiety Scale
-mild (+1), moderate (+2), severe (+3), very severe (+4)
• Anxious mood
• Tension
• Fears
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