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Test Bank for Primary Care: The Art and Science of Advanced Practice Nursing – an Interprofessional Approach 6th Edition by Dunphy, Winland-Brown, Porter and Thomas GUARANTEED A$17.99
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Test Bank for Primary Care: The Art and Science of Advanced Practice Nursing – an Interprofessional Approach 6th Edition by Dunphy, Winland-Brown, Porter and Thomas GUARANTEED A
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Primary Care: The Art and Science o
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Primary Care: The Art And Science O
Test Bank for Primary Care: The Art and Science
of Advanced Practice Nursing – an
Interprofessional Approach 6th Edition by
Dunphy, Winland-Brown, Porter and Thomas
An 80 year-old male from an assisted living facility is brought in
for evaluation of *repeated near-syncopal episodes when ...
Test Bank for Primary Care: The Art and Science
of Advanced Practice Nursing – an
Interprofessional Approach 6th Edition by
Dunphy, Winland-Brown, Porter and Thomas
An 80 year-old male from an assisted living facility is brought in
for evaluation of *repeated near-syncopal episodes when
getting up from a seated position.* His past medical history is
significant for diabetes and hypertension for which he takes
enalapril (Vasotec). *Which of the following would you expect
on physical examination?*
A. A drop in systolic blood pressure of at least 5 mmHg and a
rise in pulse rate of 30 beats per minute after arising from a
supine position.
B. A rise in systolic blood pressure of 10 mmHg and a fall in
pulse rate of 10 beats per minute after arising from a supine
position.
C. A rise in systolic blood pressure of 15 mmHg or a fall in heart
rate by more than 15 beats per minute after arising from a
supine position.
D. Drop in systolic blood pressure of at least 20 mmHg and a
rise in pulse rate of more than 15 beats per minute
immediately upon arising from a supine position. - ANS-Drop in
systolic blood pressure of at least 20 mmHg and a rise in pulse
,rate of more than 15 beats per minute immediately upon
arising from a supine position.
A 62-year-old African-American male is seen for his *yearly
physical exam. He has no complaints. He denies any current
medications or medical problems,* but the occupational
medicine nurse has taken his blood pressure several times in
the past year and told him it was high. He denies any tobacco
or alcohol use. His blood pressure is 156/92 today. *What is the
most likely cause of his elevated blood pressure?* - ANS-
essential hypertension
A 65-year-old male with a history of benign prostatic
hypertrophy develops hypertension. What would be the best
treatment option for this patient's hypertension? - ANS-Alpha
blocker
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 - ANS-fluoxetine
The risk of extrapyramidal side effects (pseudoparkinsonism)
and tardive dyskinesia is associated with which class of
medications? - ANS-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? - ANS-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?* - ANS-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?* - ANS-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 - ANS-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
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