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Regis NU665 Week 8 Midterm Quiz |
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Question 1 A rural and underserved community has an unusually elevated incidence of depression and drug use. This is detected among the teenage population. To address this issue, you will modify the environment and strengthen the capacity of families. You do this to ward off the development of new cases of depression and drug use. This is known as. Select one: a.primary prevention b.secondary prevention c.tertiary prevention d.protective factor prevention Question 2 Contemporary therapy approaches are grounded on a core set of values, which are neither value-neutral nor applicable to all cultures.? Select one: True False Question 3 Any court of law that evaluates the standard of care provided by a PMHNP. Select one: a.compares the action to the standard of care provided by a psychiatrist b.considers what a reasonably prudent healthcare provider would do c.evaluates patient satisfaction data
d.reviews the nurse practitioner's charts for similar patients e.All of these answers are Question 4 The tendency for individuals to relate external events to themselves, even when there is no basis for making this connection, is known as:? Select one: a. labeling and mislabeling. b. overgeneralization. c. arbitrary inferences. d. personalization. Question 5 The first step in making an ethical decision is to: Select one: a. look at the relevant ethics codes. b. identify the problem. c. consider the applicable laws and regulations. d. seek consultation. Question 6 ethics focuses on doing what is in the best interest of clients. Select one: a.Mandatory b.Minimal c.Positive d.Aspirational Question 7
Select one: a.Informed consent b.Confidentiality c.Privileged communication d.Breach of confidentiality Question 11 Clinicians who work in community mental health agencies, private practice, and other human service settings are generally expected to assess client problems within the framework of the National Association of Social Workers' Diagnostic and Assessment Protocol Manual (3rd ed.). Select one: True False Question 12 The brain structure associated with new memories and consolidation of new memories is the . Select one: a.frontal cortex b.amygdala c.hippocampus d.hypothalamus Question 13 Serotonin is produced in which part of the brain? Select one: a.Locus ceruleus
b.Nucleus basalis c.Raphi nuclei d.Substantia nigra e.None of the answers are Question 14 Sarah has been diagnosed with MDD. She is started on Sertraline 25 mg for her depression. She will take one-half of the dose in the a.m. for two weeks. You will follow up with her. To effectively monitor the client's use of medication, which of the following steps will be part of her ongoing care? Select one: a.Monitoring for potential cardiac side effects b.Monitoring for potential abuse of the medication c.Monitoring of baseline labs of renal functioning d.Use of a standardized rating scale of depression Question 15 What teratogenic effects can occur by the psychotropics divalproex and lithium? Select one: a.Divalproex-Epstein Anomaly; lithium-cleft palate b.Lithium-spina bifida; divalproex-mental retardation c.Lithium-Epstein anomaly; divalproex-spina bifida d.Divalproex-limb malformations; lithium-seizure disorder Question 16 A 24-year-old female is brought to the ER after attempting suicide by swallowing a bottle of her pills. Select the nursing action of highest priority that the PMHNP will take initially, once the patient is medically stable.
c.Many specific techniques are supported by research. d.The therapist is manipulative and controlling. Question 20 The techniques of joining, boundary setting, unbalancing, reframing, ordeals, enactments, and paradoxical interventions are most likely to be part of which approach to family therapy?? Select one: a.Bowenian family therapy b.Adlerian family therapy c.Structural-strategic family therapy d.Strategic family therapy Question 21 Motivational interviewing (MI) is a therapy technique commonly used with persons who abuse substances. One of the MI pitfalls is the "righting reflex. Which statement best describes this concept? Select one: a.The nurses urge to another person's course of action is usually right. b.People who go into the helping professions have a powerful desire to set things right. c.When we notice someone going down the wrong path, we are usually right. d.Being right in knowing what to do is usually the job of the therapist. Question 22 Modeling methods have been used in treating people with anger management issues and in teaching new behaviors to children with attention-deficit/hyperactivity disorder. Select one: True False
Question 23 Bibliotherapeutic approaches have empirical support for the treatment of depression, for a variety of anxiety disorders, and for a range of clinical problems. Select one: True False Question 24 The PMHNP uses which technique to encourage patients to give expression to one side of themselves that they rarely express? Select one: a.The reversal technique b.The implosive technique c.The exaggeration technique d.The go-around technique e.None of the answers is Question 25 Sadie comes to the primary care clinic with feelings of depression. She is being treated for asthma and hypertension by her primary family nurse practitioner. Which one of the following medications can cause or exacerbate depression? Select one: a.Omeprazole b.Propranolol c.Levothyroxine d.Clarithromycin Question 26
a.the majority of people will experience at least one traumatic event in their lifetime b.intentional acts of interpersonal violence, in particular sexual assault, and combat are more likely to lead to PTSD than accidents or disasters c.men tend to experience more traumatic events than women, but women experience higher impact events (that is, events that are more likely to lead to PTSD) d.children are not at risk to experience PTSD Question 30 People at risk of PTSD include all of the following EXCEPT. Select one: a.victims of violent crime (such as physical and sexual assaults, sexual abuse, bombings, and riots) b.members of the armed forces, police, and prison service; journalists; fire service members; ambulance and emergency personnel, including those no longer in service c.victims of war, torture, state-sanctioned violence or terrorism, and survivors of accidents or disasters d.women following traumatic childbirth and individuals diagnosed with a life-threatening illness e.All of the answers are Question 31 All of the following are true as they apply to self-instructional training, except that: Select one: a. it was developed by Meichenbaum. b. it is a form of cognitive restructuring. c. it is an outgrowth of an approach used widely by crisis intervention workers called self- induced change therapy.
d. it is also known as cognitive behavior modification. Question 32 You are the PMHNP treating a combat veteran following a deployment to Afghanistan. You have diagnosed him with PTSD and have decided to start him on Paroxetine. Which of the following is the LEAST likely reason to use an SSRI with this client? Select one: a. SSRIs can improve sleep disturbances associated with PTSD. b. SSRIs reduce the re-experiencing, avoidance or numbing, and hyper-arousal associated with PTSD. c. SSRIs have been shown to be effective for treating dissociative and psychotic states with 80% efficacy in some trials. d. SSRIs can be effective for the treatment of co-morbid psychiatric disorders that often accompany PTSD. Question 33 Commonly cited predictors of dangerousness to others include: Select one: a.Chronic anger or hostility b.Early loss of parent c.Prior violent acts d.All of the above Question 34 A tell-tale sign that indicates trauma or psychopathology has taken place is. Select one: a.a change in school performance b.a change in behavior at home
a.Benadryl b.Wellbutrin c.Hydroxyzine d.Prazosin e.None of the answers are Question 37 Risk factors associated with intimate partner violence includes all the following EXCEPT . Select one: a.younger age b.being a victim of physical or psychological abuse c.history of experiencing physical discipline as a child d.childhood abuse or witness to partner abuse e.All of the answers are Question 38 Serving as a member on a crisis team, a PMHNP provides crisis intervention to the survivors of a plane crash. Forty hours after the accident, the survivors describe vivid flashbacks, startle reactions, and disrupted sleep patterns. How should the NP respond? Select one: a.Advising the survivors to consider using a hypnotic medication for a brief period of time. b.Educating the survivors about prodromal symptoms of PTSD. c.Encouraging the survivors to rest during the day. d.Suggesting that the survivors join a post-trauma support group. e.All of the answers are Question 39
A screening tool developed specifically to screen adolescents for high risk alcohol and other drug use is. Select one: a.PACES b.HEEADSSS c.CRAFFT d.M-CHAT e.None of the answers is Question 40 A 14-year-old boy is brought to the ED by the police after the boy assaulted a passerby. The patient is slurring his speech and appears unsteady. On physical exam, he is found to have nystagmus, generalized muscle weakness, and depressed reflexes. He is sluggish and complains that he is seeing double. Which substance is most likely causing his intoxication syndrome? Select one: a.Inhalants b.Stimulants c.Alcohol d.Amphetamines e.Hallucinogens Question 41 Which medication has been FDA approved for treating both alcohol and opiate addiction? Select one: a.Verenicline (Chantax) b.Wellbutrin (Bupropion)
d.Autism Question 45 Which screening tool is now being used consistently by pediatric providers to screen for autism? Select one: a.Conners b.Vanderbilt c.HAM-A d.M-CHAT e.A-CHAT Question 46 Which of the following characteristics does not necessarily present in fetal alcohol syndrome? Select one: a.Heart defects b.Facial dysmorphology c.Growth retardation d.Central nervous system dysfunction Question 47 You are interviewing a 16-year-old boy in your office. Part of your assessment includes getting a good developmental history from his mother and assessing him for characteristics that might lead you to make certain conclusions. You notice that he is a bit small for his age, has skin folds at the corners of his eyes, a thin upper lip, and low nasal bridge. What conclusion have you made? Select one:
a.He has suffered head trauma. b.He was born with a chromosomal aberration. c.His condition was a result of perinatal alcohol use d.His mother most likely had an infection when she was pregnant. e.None of the answers is Question 48 What is the most frequent presenting complaint of parents about their child when suspecting a diagnosis of autism? Select one: a.Their lack of usual play skills b.Delays in acquisition of language c.Stereotyped movements d.Their lack of interest in social interaction Question 49 Which of the following statements is true? Select one: a.Rhett syndrome is most often seen in females b.Rhett syndrome is most often seen in males and rarely in females c.Fragile X syndrome is primarily seen in females d.An infant with Rhett syndrome usually has normal development for the first 3 years of life Feedback The answer is: Rhett syndrome is most often seen in females Question 50 A 13-year-old girl's family brings her to treatment against her wishes. The family reports that she is very short tempered, always arguing at home and with teachers, and blames them
- Propranolol
- usually due to command hallucinations
- the pathology of the disease is not clear
- True
- children are not at risk to experience PTSD
- All of the answers are
- it is an outgrowth of an approach used widely by crisis intervention workers called self- induced change therapy.
- SSRIs have been shown to be effective for treating dissociative and psychotic states with 80% efficacy in some trials.
- Prior violent acts
- All of the answers are
- All of these answers are True.
- Prazosin
- All of the answers are
- Suggesting that the survivors join a post-trauma support group.
- M-CHAT
- Alcohol
- Naltrexone (Revia)
- 18%
- Previous episode of anorexia nervosa
- Autism
- M-CHAT
- Facial dysmorphology
- He was born with a chromosomal aberration.
- Delays in acquisition of language
- Rhett syndrome is most often seen in males and rarely in females
- Oppositional Defiant Disorder
