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NR509 Final Exam Combined Tested Questions With Revised Correct Detailed Answers |ALREADY GRADED A+ PASS 2024 >> BRAND NEW VERSION!! 1) A 42-year-old architect presents with widespread pain complaints, including headaches almost daily, pain at the site of an old motor vehicle...

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NR509 Final Exam Combined
Tested Questions With Revised
Correct Detailed Answers
|ALREADY GRADED A+ PASS 2024
>> BRAND NEW VERSION!!
1) A 42-year-old architect presents with widespread pain
complaints, including headaches almost daily, pain at the site of
an old motor vehicle accident injury, and generalized achiness and
hypersensitivity throughout the body. He recounts that his first
episodes of ongoing pain occurred in his early 20s, and he has
been to many practitioners over several years seeking a firm
diagnosis and adequate treatment of his complaints. Which of the
following statements is true regarding chronic pain?


a. Following assessment and evaluation, ~80% of patients with non-
cancer-related pain report control of their symptoms.
b. Chronic pain is defined as pain not due to cancer or a recognized
medical condition that persists for >3-6 months.
c. Chronic pain is defined as focused pain lasting >8 months following
acute injury or illness.d. In primary care practices, non-cancer-related
chronic pain is seen in <10% of patients.
e. Pain th - ANSWER b. Chronic pain is defined as pain not due to
cancer or a recognized medical condition that persists for >3-6 months.

, 2) Disparities in pain treatment have been well described in
numerous studies comparing Caucasian patients to those of
African American and Hispanic origin. Which of the following
statements is true concerning this issue?


a. Racial and ethnic biases are only relevant in geographic areas that
have a history of racial and ethnic discrimination.
b. Racial and ethnic biases never involve two persons of the same race
or ethnic group.
c. Language barriers do not contribute to the problem of racial and
ethnic biases.
d. Biases of the treating clinician are associated with overtreatment of
pain in minority patients and non-English speakers.
e. Biases of the treating clinician are associated with under-treatment
of pain in minority patients and non-English
speakers. - ANSWER e. Biases of the treating clinician are
associated with under-treatment of pain in minority patients and non-
English
speakers.


3) Which of the following statements is true concerning mental
health disorders in primary care?

,a. The prevalence for mental disorders is estimated to be ~10%, of
which only 25% are not diagnosed.
b. Anxiety disorders are the most prevalent of all diagnoses in this
setting.
c. Somatic symptom disorder (DSM-5) is distinctly uncommon in this
setting and constitutes less than 5% of these disorders.
d. Mood disorders make up ~25% of all diagnoses.
e. Alcohol and substance abuse are not considered mental health
disorders.d. Mood disorders make up ~25% of all diagnoses. - ANSWER
d. Mood disorders make up ~25% of all diagnoses.


4) Which of the following complaints/findings is considered to be a
patient identifier for mental health screening?


a. High use of health services due to chronic unstable medical
diagnoses
b. Symptoms lasting for >2 weeks
c. Acute pain syndromes of 10 days' duration that require opiates for
relief
d. Substance abuse
e. A patient with type I diabetes and neuropathic pain - ANSWER d.
Substance abuse

, The focused cardiovascular assessment includes - ANSWER
Inspection, palpation, and auscultation of the chest, neck, and
extremities. Percussion is used to determine the borders of the heart.


5) A 38-year-old accountant presents to the office with a series of
generalized complaints. He relates that he feels a loss of pleasure
in daily activities, has difficulty sleeping, and is experiencing
problems making decisions. Which of the following best explains
the patient's presentation?


a. Substance abuse with anhedonia
b. Bipolar disorder in the early pre-excitatory phase
c. Histrionic personality
d. Depression
e. Antisocial personality - ANSWER d. Depression


6) Concerning hallucinations, an abnormal perception experienced
by a patient, which of the following statements is true about this
abnormality?


a. They include false perceptions associated with dreaming and
occurring with falling asleep and awakening.
b. Objective testing can be performed by a trained neuropsychologist to
ascertain the correct diagnosis associated with this complaint.

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