NR 547 MIDTERM EXAM 2024-2025 ACTUAL
EXAM TEST BANK 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS
Terms in this set (224)
Partners
Practices
Protection from STDs
5Ps to collect a client's
Past History of STDs
sexual history:
Prevention of Pregnancy
*may consider adding another P for pleasure
,A 52-year-old client Provide a brief suicide safety assessment.
presents to the emergency
department following a car Rationale: While the client's responses do not indicate a
accident. The emergency need for a stat full safety and mental health evaluation,
department (ED) physician the client requires a brief suicide safety assessment to
is concerned that the client determine whether a full mental health evaluation in
may have intentionally necessary. It is also important to notify the client's
crashed her car and physician or the clinician responsible for the client's care.
requests a stat PMHNP
consult. In speaking with
the PMHNP, the client
describes persistent
feelings of sadness and
hopelessness. She states
that she often wonders if
her husband would be
happier if she wasn't around
anymore since she's never
happy and sometimes thinks
about what it would be like
to just take a handful of
sleeping pills and go to
sleep forever. The client
reports a previous suicide
attempt when she was 16
but denies that she is
considering killing herself
right now.
Based on the client's ASQ
score, what is the most
appropriate response?
No action is necessary as
the client is not currently
considering suicide.
Provide a brief suicide
safety assessment.
,Alert the client's primary
care physician.
Provide a ST
DSM-5 classifies adjustment disorder as a trauma- and
stressor-related disorder
-presents with nervousness, worry, or jitteriness
-Adjustment disorder occurs in the presence of a
Adjustment Disorder with
specific and identifiable stressor
Anxiety
• common stressors include loss of employment, getting
married, a new disability, or a natural disaster
• Symptoms begin within three months of the stressor
and typically last no more than six months
intense fear, anxiety, or panic out of proportion to the
situation that occurs in two or more of the following
specific scenarios:
-public transportation (bus)
Agoraphobia
-open spaces (parking lot or bridge)
-enclosed spaces (store, theater)
-standing in a crowd or line (crowd)
-being outside of their home
-decrease in speech or speech content
alogia -symptom of schizophrenia.
-AKA poverty of speech.
Avoid the use of haloperidol, ziprasidone, and
American Geriatric Society olanzapine due to an increased risk of CVA, cognitive
(AGS) Beers Criteria decline, and death in persons with dementia and with
dementia-related psychosis.
The _____________ and three corpora and associated blood vessels
__________________ give the penis
its erectile, sexual function.
anhedonia inability to experience pleasure
inability to realize that he or she is ill, which is caused by
anosognosia
the illness itself.
, Chlorpromazine - Low
Mesoridazine - Low
Antipsychotics: Potency low Thioridazine - Low
to high Thiothixene - Medium
Fluphenazine - Medium
Haloperidol - High
Generalized Anxiety Disorder (GAD)
Social Anxiety Disorder
Panic
Anxiety Disorders
Phobias
Agoraphobia
Adjustment Disorder with Anxiety
Anxiety is often comorbid major depression, COPD, asthma, diabetes
with _________________ as well as
medical conditions such as
____________, ___________, and
___________
General Anxiety Disorder-7
-answer question with several days (+1), more than half
days (+2), nearly every day (+3)
• Feeling nervous, anxious, or on edge
• Not being able to stop or control worrying
• Worrying too much about different things
• Trouble relaxing
Anxiety rating scale: GAD-7 • Being so restless that it's hard to sit still
• Becoming easily annoyed or irritable
• Feeling afraid as if something awful might happen
0-4: No anxiety disorder
5-9: Mild anxiety disorder
10-14: Moderate anxiety disorder
15-21: Severe anxiety disorder
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