A female client complains of an intense, overwhelming fear of driving a car.
The fear has disrupted all elements of her life. She does not go to the
grocery store unless someone transports her, has relinquished her job, and
has few social contacts. Her treatment
plan
include
s:
assertiveness training.
b)
biofeedback.
c)
stress management assistance.
d)
systematic desensitization. - ANSWER
A patient with borderline personality disorder experiences intense anxiety
when an adult psychiatric and mental health nurse practitioner goes on
vacation. The best explanation
,for this reaction is that the patient: - ANSWER has failed to develop clear
ego boundaries.
b)
has failed to master object constancy.
c)
is employing primitive idealization.
d)
is employing projective identification.
An outpatient mental health clinic-based adult psychiatric and mental health
nurse practitioner treats a 32-year-old patient who has diabetes and a major
depressive disorder. The patient reports an improved and stable mood on a
trial of duloxetine (Cymbalta), but experiences continued neuropathic pain.
The nurse practitioner's initial intervention is to: - ANSWER add gabapentin
(Neurontin) to the treatment regimen.
b)
conduct additional diagnostic tests.
c)
contact the patient's endocrinologist.
d)
increase the dosage of duloxetine (Cymbalta).
Among the following statements, which best describes the action of older
typical antipsychotic medications such as Haldol? - ANSWER They block
dopamine receptors in all four dopamine pathways.
b)
They decrease available amounts of serotonin and norepinephrine.
c)
They decrease the metabolism of dopamine in the synaptic cleft.
d)
,They selectively block reuptake of dopamine.
Which of the following structures provides for communication between the
two hemispheres
of the brain? - ANSWER )
Lateral ventricle
b)
Basal ganglia
c)
Corpus callosum
d)
Hypothalamus
On evaluation, the patient appears to be having difficulty with working
memory, planning, and insight into his problems. The psychiatric advanced
practice nurse recognizes that these symptoms are associated with
problems with the:)
Frontal lobe
b)
Temporal lobe
c)
Parietal lobe
d)
Occipital lobe - ANSWER Frontal lobe
n cognitive therapy, therapists focuses on patients':a)
With regard to the biological markers for schizotypal personality disorder, all
of the following have been reported except:
a)
Increased ventricles
b)
Increased cerebrospinal fluid
c)
Impaired smooth pursuit eye movements
d)
Impaired of executive functioning - ANSWER Impaired of executive
functioning
Serving as a member on a crisis team, an adult psychiatric and mental
health nurse practitioner provides crisis intervention to the survivors of a
plane crash. Forty-eight hours after the accident, the survivors describe
vivid flashbacks, startle reactions, and disrupted sleep patterns. The nurse
practitioner responds by:
a)
advising the survivors to consider using a hypnotic medication for a brief
period.
b)
educating the survivors about prodromal symptoms of posttraumatic stress
disorder.
c)
encouraging the survivors to rest during the day.
d)
suggesting that the survivors join a posttrauma support group. - ANSWER
educating the survivors about prodromal symptoms of posttraumatic stress
disorder.
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