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Post Quiz Randy Adams
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Post simulation quiz Mental Health Randy AdamsRandy reports that he is taking different doses of his new medication, topiramate, over the next
2 weeks. Which is the correct rationale for Randy’s dosing regimen
A: Topiramate is titrated by increasing the dose gradually until the recommended dose is
reached.
Randy Adams has been in a car accident, which resulted in a concussion. He has a history of
prior concussive exposure from his time in the military. The nurse knows that multiple head
injuries result in which condition
A: Long-term dementia
Randy has answered all four questions to the Primary Care Posttraumatic Stress (PTSD) screen
positively. The nurse knows that which conclusion is correct?
A: Randy has been screened for PTSD, and the results indicate referral for further evaluation
Randy indicates he prefers to sit where he can see the door to the room. The nurse identifies
this to be a sign of which condition?
A: Hypervigilance
Randy reports that he has been referred to a mindfulness/meditation group by his nurse
practitioner. The nurse knows that this referral is meant to address which symptom?
A: anxiety
Randy’s wife, Joy, has taken over much of the decision-making for the family. She is working
outside the home, making the household decisions, and helping Randy with his recovery. She is
feeling frustrated and is beginning to have difficulties coping. The nurse identifies which as the
priority care plan diagnosis for Joy?
A: Caregiver role strain
Which of the following would most likely show that Randy’s concussion is improving?
A: Randy reports he is sleeping better
When administering the Mini-Cog, the nurse asks Randy to draw a clock, place a time on the
clock, and remember three words. What does the patient drawing a clock allow the nure to
assess about himself?
A: Executive/cognitive function
Although Randy is being treated for a post concussive injury from his car accident, he is also
exhibiting some signs of posttraumatic stress disorder (PTSD). Which is a sign of both PTSD and
postconcussive injury?
A: Sleep disturbance
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