NU 518 EXAM WITH OVER 400 QUESTIONS AND
CORRECT ANSWERS/ NEW NU 528 EXAM 2
PRACTICE TEST QUESTIONS AND ANSWERS
A 75-year-old homemaker brings her 76-year-old husband to your clinic. She
states that 4
months ago he had a stroke and ever since she has been frustrated with his
problems with
communication. They were at a restaurant after church one Sunday when he
suddenly became
quiet. When she realized something was wrong he was taken to the hospital by
EMS. He spent 2
weeks in the hospital with right-sided weakness and difficulty speaking. After
hospitalization he
was in a rehab center, where he regained the ability to walk and most of the use of
his right hand.
He also began to speak more, but she says that much of the time "he doesn't make
any sense."
She gives an example that when she reminded him the car needed to be serviced he
told her "I
will change the Kool-Aid out of the sink myself with the ludrip." She says that
these sayings are
becoming frustrating. She wants you to tell her what is wrong and what you can do
about - ANSWER: A
A 32-year-old white female comes to your clinic, complaining of overwhelming
sadness. She
says for the past 2 months she has had crying episodes, difficulty sleeping, and
problems with
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overeating. She says she used to go out with her friends from work but now she
just wants to go
home and be by herself. She also thinks that her work productivity has been
dropping because
she just is too tired to care or concentrate. She denies any feelings of guilt or any
suicidal
ideation. She states that she has never felt this way in the past. She denies any
recent illness or
injuries. Her past medical history consists of an appendectomy when she was a
teenager;
otherwise, she has been healthy. She is single and works as a clerk in a medical
office. She
denies tobacco, alcohol, or illegal drug use. Her mother has high blood pressure
and her father
has had a history of mental illness. On examination you see a woman appearing her
st - ANSWER: C
A 27-year-old woman is brought to your office by her mother. The mother tells
you that her
daughter has been schizophrenic for the last 8 years and is starting to
decompensate despite
medication. The patient states that she has been taking her antipsychotic and she is
doing just
fine. Her mother retorts that her daughter has become quite paranoid. When asked
why, the
mother gives an example about the mailman. She says that her daughter goes and
gets the mail
every day and then microwaves the letters. The patient agrees that she does this but
only because
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she sees the mailman flipping through the envelopes and she knows he's putting
anthrax on the
letters. Her mother turns to her and says, "He's only sorting the mail!"
Which best describes the patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state - ANSWER: A
A 22-year-old man is brought to your office by his father to discuss his son's
mental health
disorder. The patient was diagnosed with schizophrenia 6 months ago and has been
taking
medication since. The father states that his son's dose isn't high enough and you
need to raise it.
He states that his son has been hearing things that don't exist. You ask the young
man what is
going on and he tells you that his father is just jealous because his sister talks only
to him. His
father turns to him and says, "Son, you know your sister died 2 years ago!" His son
replies
"Well, she still talks to me in my head all the time!"
Which best describes this patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state - ANSWER: B
A 26-year-old violinist comes to your clinic, complaining of anxiety. He is a first
chair
, 4|Page
violinist in the local symphony orchestra and has started having symptoms during
performances,
such as sweating, shaking, and hyperventilating. It has gotten so bad that he has
thought about
giving up his first chair status so he does not have to play the solo during one of
the movements.
He says that he never has these symptoms during rehearsals or when he is
practicing. He denies
having any of these symptoms at any other time. His past medical history is
unremarkable. He
denies any tobacco use, drug use, or alcohol abuse. His parents are both healthy.
On examination
you see a young man who appears worried. His vital signs and physical
examination are
unremarkable.
What type of anxiety disorder best describes his situation?
A) Panic disorder
B) Specific phobia
C) Social phobia
D) Generalized anxiety disorder - ANSWER: C
A 23-year-old ticket agent is brought in by her husband because he is concerned
about her
recent behavior. He states that for the last 2 weeks she has been completely out of
control. He
says that she hasn't showered in days, stays awake most of the night cleaning their
apartment,
and has run up over $1,000 on their credit cards. While he is talking, the patient
interrupts him
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