NR 668 Week 5 | Psychiatric-Mental Health
Capstone Practicum & Intensive Exam |
Correctly Answered | 2024/2025 Guide
Nancy is a 28 year old administrative assistant. She was sent home for
wearing provocative clothing that failed to meet the standards of normal
business attire. She returned to work in clothing that was extremely
bright and what could be described as extroverted fashion. Nancy is very
dramatic and often speaks up in meetings if she is not the center of
attention. Her speech is impressionistic. She tells dramatic stories and
often exaggerates details in her life. She feels that she has formed a
relationship with the president of the company after briefly meeting her in
the hallway just one time. She is easily influenced. For example she
heard her supervisor report the benefits of his vegan diet and she
became vegan the very next day.
Which personality disorder best describes Nancy?
- Correct Answer - Histrionic Personality disorder
Zack was a 21 year old male who presented to the ER via ambulance
with various symptoms. Zack felt SOB, heart palpitations, dizziness and
cold sweats while sitting at his desk at work. The work up was
essentially negative for an acute process or disease. This happened to
Zack last year and he has been worrying about these symptoms
recurring again.
Which disorder best describes the symptoms Zack is experiencing?
- Correct Answer - Panic disorder
, Alex is a 38 year old male with a history of depressed mood. Alex was
referred to a PMHNP after seeing his PCP. Alex met the criteria for MDD
during his outpatient mental health initial evaluation. Last year and again
this summer, Alex became delusional and also experienced both
auditory and visual hallucinations. The hallucinations lasted for 3-4
weeks in duration and Alex had minimal depressive symptoms during
that time. Alex was not abusing drugs, alcohol or medications. He has no
other known medical conditions.
What disorder best describes Alex's symptoms?
- Correct Answer - Schizoaffective disorder
*too much mood pathology to be solely schizophrenic, too much
psychosis to be considered just MDD or bipolar disorder
*MDD would not work because he was having psychosis with minimal
depressive symptoms
Dominic is a 44 year old male with a diagnosis of Bipolar disorder. He
presents to the ER after several nights of not sleeping. His boss found
him in the office on Wednesday morning and noted that Dominic had the
same clothes on Tuesday. Dominic wanted to finish a special project that
he felt would make the company "billions". He was extremely talkative
and had racing thoughts. Wednesday morning, Dominic was not able to
concentrate during a meeting and his boss sent him home. Dominic's
partner drove him to the ER after worrying about his health and
"mindset". Other than coffee, Dominic was not taking any medications or
other substances.
1. Name at least 3 general principles of the CANMAT guidelines for
Bipolar disorder in regards to the tx algorithm for acute mania prior to
starting medications?
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