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REGIS NU 665 EXAM 2024, Exams of Nursing

NU665 Primary Care of the Psychiatric Mental Health Client II Week 3 Quiz Question 1 All of the following regarding Postpartum Depression are true except: Select one: a.May last months to years if untreated b.Occurs within 3-6 months post deliver c.Is associated with a history of a mood disorder d.Is rarely associated with feelings of guilt or inadequacy. Question 2 All of the following regarding the “Baby Blues” are true except: Select one: a.Occur in up to 50% of women who give birth b.Occurs 3-5 days post delivery c.Are associated with a history of a mood disorder d.Can cause sleep disturbance. Question 3 Research has shown that children of mothers with Borderline Personality are more likely to exhibit all of the following except: Select one: a.Higher rates of emotional and behavioral problems b.Higher rates of psychiatric disorders c.Disorganized attachment to the mother at one year of age d.Successful interpersonal functioning

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REGIS NU 665 EXAM 2024
NU665 Primary Care of the Psychiatric Mental Health Client II Week 3 Quiz
Question 1
All of the following regarding Postpartum Depression are true except: Select one: a.May last months to
years if untreated b.Occurs within 3-6 months post deliver c.Is associated with a history of a mood
disorder d.Is rarely associated with feelings of guilt or inadequacy.
Question 2
All of the following regarding the “Baby Blues” are true except: Select one: a.Occur in up to 50% of
women who give birth b.Occurs 3-5 days post delivery c.Are associated with a history of a mood disorder
d.Can cause sleep disturbance.
Question 3
Research has shown that children of mothers with Borderline Personality are more likely to exhibit all of
the following except: Select one: a.Higher rates of emotional and behavioral problems b.Higher rates of
psychiatric disorders c.Disorganized attachment to the mother at one year of age d.Successful
interpersonal functioning
Question 4
Spouse abuse is: Select one: a.Carried out by spouses who tend to be independent and assertive b.A
recent phenomenon c.Least likely to occur if a woman is pregnant d.Directed at specific actions of the
spouse e.An act that is self-reinforcing.
Question 5
The following screening tool is routinely used to screen for depression in the perinatal setting. Select
one: a.Mood Disorder Questionnaire (MDQ) b.Edinburgh Postnatal Depression Scale (EPDS) c.Connors’
Rating Scales
d.Ham-A Rating Scale .
Question 6
The psychiatric interview serves all to the following except: Select one:
a.To establish a therapeutic relationship b.To implement a treatment plan c.To assess the nature of the
problem d.To demonstrate the medical provider’s expertise e.None of the above
Question 7
What teratogenic effects can occur by the psychotropics divalproex and lithium? Select one: Select one:
a.Divalproex - Epstein Anomaly; lithium cleft palate b.Lithium spina bifida; divalproex mental
retardation c.Lithium Epstein anomaly; divalproex spina bifida d.Divalproex limb malformations;
lithium seizure disorder
Question 8
Which of the following is not recommended in psychotherapeutic treatment of patients with borderline
personality disorder? Select one: a.The therapist is a passive listener b.The patient and therapist
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NU665 Primary Care of the Psychiatric Mental Health Client II Week 3 Quiz Question 1 All of the following regarding Postpartum Depression are true except: Select one: a.May last months to years if untreated b.Occurs within 3-6 months post deliver c.Is associated with a history of a mood disorder d.Is rarely associated with feelings of guilt or inadequacy. Question 2 All of the following regarding the “Baby Blues” are true except: Select one: a.Occur in up to 50% of women who give birth b.Occurs 3 - 5 days post delivery c.Are associated with a history of a mood disorder d.Can cause sleep disturbance. Question 3 Research has shown that children of mothers with Borderline Personality are more likely to exhibit all of the following except: Select one: a.Higher rates of emotional and behavioral problems b.Higher rates of psychiatric disorders c.Disorganized attachment to the mother at one year of age d.Successful interpersonal functioning Question 4 Spouse abuse is: Select one: a.Carried out by spouses who tend to be independent and assertive b.A recent phenomenon c.Least likely to occur if a woman is pregnant d.Directed at specific actions of the spouse e.An act that is self-reinforcing. Question 5 The following screening tool is routinely used to screen for depression in the perinatal setting. Select one: a.Mood Disorder Questionnaire (MDQ) b.Edinburgh Postnatal Depression Scale (EPDS) c.Connors’ Rating Scales d.Ham-A Rating Scale. Question 6 The psychiatric interview serves all to the following except: Select one: a.To establish a therapeutic relationship b.To implement a treatment plan c.To assess the nature of the problem d.To demonstrate the medical provider’s expertise e.None of the above Question 7 What teratogenic effects can occur by the psychotropics divalproex and lithium? Select one: Select one: a.Divalproex - Epstein Anomaly; lithium – cleft palate b.Lithium – spina bifida; divalproex – mental retardation c.Lithium – Epstein anomaly; divalproex – spina bifida d.Divalproex – limb malformations; lithium – seizure disorder Question 8 Which of the following is not recommended in psychotherapeutic treatment of patients with borderline personality disorder? Select one: a.The therapist is a passive listener b.The patient and therapist

NU665 Primary Care of the Psychiatric Mental Health Client II Week 4 Quiz mutually develop a hierarchy of priorities c.Clear roles of patient and therapist are established d.Mutually agreed limit setting is used e.Concomitant individual and group approaches are used Question 9 Which of the following statements regarding the changes in sexual response that occur with aging is true? Select one: a.Less stimulation is required to achieve an erection b.Many changes begin before the fifth decade of life c. There is no change in the length of the refractory period after orgasm d.There is a shorter phase of sexual excitement Question 10There is an increased risk for affective disorders in children of depressed mothers. Select one: True False Question 1A 14 - year-old boy is brought to the ED by the police after the boy assaulted a passerby. The patient is slurring his speech and appears unsteady. On physical exam, he is found to have nystagmus, generalized muscle weakness, and depressed reflexes. He is sluggish and complains that he is seeing double. Which substance is most likely causing his intoxication syndrome? Select one: a.Inhalants b. Stimulants c.Alcohol d.Amphetamines e.Hallucinogens Question 2 A key indicator of addiction that can be applied when assessing a client for substance use is. Select one: a.calling in sick every Monday morning b.loss of control over frequency or amount of use c.bragging about the amount of alcohol consumed d.having withdrawal symptoms when use is stopped e.None of the answers is. Question 3A PMHNP notices that few substance abuse treatment programs apply evidence-based practice. The PMHNP wants to initiate such a treatment program to. Select one: a.implement the use of valid instruments b.improve outcomes through analysis and synthesis of evidence c.maximize interventions and increase skill utilization d.optimize revenue-generating potential Question 4A screening tool developed specifically to screen adolescents for high risk alcohol and other drug use is

. Select one: a.PACES b.HEEADSSS c.CRAFFT d.M-CHAT e.None of the answers is. Question 5 Although your client denies any significant drug use, he comes to his appointment today with symptoms of nausea, muscle cramping, agitation, and anxiety. Your first thought, given his history of substance abuse, is. Select one: a.opiate addiction b.marijuana intoxication c.alcohol intoxication d.opiate withdrawal Question 6 It is known that high levels of alcohol consumption. Select one: a.exacerbate psychiatric symptoms b.help reduce intrusive memories and provide immediate protection c.neither promote nor reduce psychiatric symptoms d.always cause alcohol dependency

According to Erikson, what is the maladaptive function of adolescence? Select one: a.Despair b.Inferiority c.Stagnation d.Role confusion e.Isolation Question 3 When reviewing the history of a child with ADHD the PMHNP will find that in order to meet DSM- 5 criteria, the hyperactive-impulsive or inattention symptoms causing impairment must occur before which age? Select one: a.Four b.Seven c. Nine d.Twelve Question 4 When talking to parents who have brought their child in to see you for what they believe might be ADHD, you inform them that. Select one: a.the incidence of ADHD is estimated to be 25-35% of U.S. school age children b.this disorder will definitely lead to difficulties with academics and substance abuse and probably employment issues c.it is equally common in boys and girls d.the pathology of the disease is not clear Question 5 When the PMHNP talked with the parents of her 7-year-old client about ADHD, she shared that the incidence of occurrence in males. Select one: a.is equal to that of females b.falls below that of females c.is double that of females d.exceeds that of females by a 4-to-1 ratio Question 6 Which of the following characteristics are developmentally associated with the preschool years? Select one: a.Initiative vs. guilt b.Egocentricity c.Magical thinking d.Body image anxiety e.All answers are Question 7 Which of the following is the most common identified genetic cause of mental retardation? Select one: a.Fragile X syndrome b.Trisomy 21 c.PKU d.Prader-Willi syndrome

Question 8 Which screening tool is now being used consistently by pediatric providers to screen for autism? Select one: a.Conners b.Vanderbilt c.HAM-A d.M-CHAT e.ACHAT Question 9 You are interviewing a 16 - year-old boy in your office. Part of your assessment includes getting a good developmental history from his mother and assessing him for characteristics that might lead you to make certain conclusions. You notice that he is a bit small for his age, has skin folds at the corners of his eyes, a thin upper lip, and low nasal bridge. What conclusion have you made? Select one: a.He has suffered head trauma. b.He was born with a chromosomal aberration. c.His condition was avoidable. d.His mother most likely had an infection when she was pregnant. e.None of the answers is. Question 10Rett syndrome generally only affects females, as males with Rett Syndrome die shortly after birth and would not live to age 3. Select one: True False Source: https://www.homeworkjoy.com/questions/regis-nu665-week- 5 - quiz-latest- 2021 - september631002/ © homeworkjoy.com NU665 Primary Care of the Psychiatric Mental Health Client II Week 6 Quiz Question 1A tell-tale sign that indicates trauma or psychopathology has taken place is. Select one: a.a change in school performance b.a change in behavior at home c.a change in usual behavior d.a change from usual behavior e.All of the answers are. Question 2Evidence-based literature supports which of the following therapeutic approaches for PTSD? Select one: a.Reminiscence therapy b.Schema therapy c.Music therapy d.Cognitive behavior therapy e.None of the answers is Question 3Posing questions in a direct way can help to normalize a traumatic event. This can lead to

. Select one: a.nondisclosure of maltreatment b.disclosure of maltreatment c.developing mental illness d.avoiding answers that describe specific details e.All of the answers are. Question 4 Risk factors associated with intimate partner violence includes all the following EXCEPT. Select one: a.younger age b.being a victim of physical or psychological abuse c.history of experiencing physical discipline as a child d.childhood abuse or witness to partner abuse e.All of the answers are. Question

than women, but women experience higher impact events (that is, events that are more likely to lead to PTSD) d.children are not at risk to experience PTSD Question 3 People at risk of PTSD include all of the following EXCEPT. Select one: a.victims of violent crime (such as physical and sexual assaults, sexual abuse, bombings, and riots) b.members of the armed forces, police, and prison service; journalists; fire service members; ambulance and emergency personnel, including those no longer in service c.victims of war, torture, state-sanctioned violence or terrorism, and survivors of accidents or disasters d.women following traumatic childbirth and individuals diagnosed with a life-threatening illness e.All of the answers are. Question 4 Research informs us that many children in classrooms across America have experienced at least one traumatic event. The term trauma is used to describe an event, series of events, or set of circumstances that is experienced as physically or emotionally harmful or life threatening and that has lasting adverse effects on daily functioning and mental, physical, social, emotional, or spiritual well-being (SAMHSA, 2014). Which of the following statements is FALSE about children and trauma events? Select one: a.In the United States, more than two-thirds of children report the experience of a traumatic event by age

  1. b.In school settings, one out of four children has been exposed to a traumatic event. Approximately two out of three children has been exposed to violence. c.Half of children who were victimized reported more than one type of victimization. d.1 in 6 children report 6 or more exposures to violence. e.All of these answers are True. Question 5 Select which of the following statements is TRUE in regards to a child's reaction to disasters. Select one: a.PTSD symptoms typically arise within 6 months of the disaster. b.PTSD symptoms usually increase over time. c.Major depression occurs more often than PTSD. d.Behavior problems can improve subsequent a disaster. e.All of the answers are. Question 6 Serving as a member on a crisis team, a PMHNP provides crisis intervention to the survivors of a plane crash. Forty hours after the accident, the survivors describe vivid flashbacks, startle reactions, and disrupted sleep patterns. How should the NP respond? Select one: a.Advising the survivors to consider using a hypnotic medication for a brief period of time. b.Educating the survivors about prodromal symptoms of PTSD. c.Encouraging the survivors to rest during the day. d.Suggesting that the survivors join a post-trauma support group. e.All of the answers are. Question 7 The PMHNP considers prescribing the following medication for a 45-year-old male who has been diagnosed with PTSD and continues to suffer with nightmares. Select one: a.Benadryl b.Wellbutrin c.Hydroxyzine d.Prazosin e.None of the answers is. Question 8

psychiatric disorders that often accompany PTSD. The psychiatric-mental health nurse practitioner and a team of local mental health professionals are asked to provide crisis counseling service after a gunman recently took a class hostage at a local elementary school, wounded several students, and then shot himself. In preparing for this assignment, the nurse practitioner recognizes that. Select one: a.a child's developmental stage will influence his or her response to catastrophic stress b.a child's lack of an emotional response to a catastrophic event is a predictor of negative long-term consequences cit is necessary for the child's guardian to be present d.the meaning of the event is more important to the child than whether he or she suffered physical harm e.All of the answers are. Question 9 The psychiatricmental health nurse practitioner uses a cognitive-behavioral approach to help a patient address self-defeating behaviors. After identifying the stressor that causes the inappropriate behavior, the initial strategy is to explore. Select one: a.alternative positive responses to the stressor b.negative consequences of the responses to the stressor c.possible outcomes of alternative responses d.rational and irrational beliefs about the stressor Question 10 You are the PMHNP treating a combat veteran following a deployment to Afghanistan. You have diagnosed him with PTSD and have decided to start him on Paroxetine. Which of the following is the LEAST likely reason to use an SSRI with this client? Select one: a.SSRIs can improve sleep disturbances associated with PTSD. b.SSRIs reduce the re-experiencing, avoidance or numbing, and hyper-arousal associated with PTSD. c.SSRIs have been shown to be effective for treating dissociative and psychotic states with 80% efficacy in some trials. d.SSRIs can be effective for the treatment of co-morbid NU665 Primary Care of the Psychiatric Mental Health Client II Week 8 Quiz Question 1 A rural and underserved community has an unusually elevated incidence of depression and drug use. This is detected among the teenage population. To address this issue, you will modify the environment and strengthen the capacity of families. You do this to ward off the development of new cases of depression and drug use. This is known as. Select one: a.primary prevention b.secondary prevention c.tertiary prevention d.protective factor prevention Question 2 Contemporary therapy approaches are grounded on a core set of values, which are neither value-neutral nor applicable to all cultures.? Select one: True False Question 3Any court of law that evaluates the standard of care provided by a PMHNP

The brain structure associated with new memories and consolidation of new memories is the. Select one: a.frontal cortex b.amygdala c.hippocampus d.hypothalamus Question 13 Serotonin is produced in which part of the brain? Select one: a.Locus ceruleus b.Nucleus basalis c.Raphi nuclei d.Substantia nigra e.None of the answers are Question 14 Sarah has been diagnosed with MDD. She is started on Sertraline 25 mg for her depression. She will take one-half of the dose in the a.m. for two weeks. You will follow up with her. To effectively monitor the client's use of medication, which of the following steps will be part of her ongoing care? Select one: a.Monitoring for potential cardiac side effects b.Monitoring for potential abuse of the medication c.Monitoring of baseline labs of renal functioning d.Use of a standardized rating scale of depression Question 15 What teratogenic effects can occur by the psychotropics divalproex and lithium? Select one: a.Divalproex-Epstein Anomaly; lithium-cleft palate b.Lithium-spina bifida; divalproex-mental retardation c.Lithium-Epstein anomaly; divalproex-spina bifida d.Divalproex-limb malformations; lithium-seizure disorder Question 16 A 24 - year-old female is brought to the ER after attempting suicide by swallowing a bottle of her pills. Select the nursing action of highest priority that the PMHNP will take initially, once the patient is medically stable. Select one: a.Take her vital signs. b.Assess her health history. c.Assess her coping behaviors. d.Assess her current level of suicidality. Question 17 Some family therapists focus primarily on the nuclear family, which is based on Western notions, and this could clearly be a shortcoming in working with clients in extended families.? Select one: True False Question 18 All of the following are characteristics of the behavioral approaches except: Select one: a.? behavior therapy relies on the principles and procedures of the scientific method. b.? behavior therapy specifies treatment goals in concrete and objective terms. c.? behavior therapy focuses on the client's current problems and the factors influencing them. d.? behavior therapy employs the same procedures to every client with a particular dysfunctional behavior. Question 19 Which of the following is not a basic characteristic of behavior therapy? Select one: a.Treatment goals are specific and concrete.

b.It is grounded in learning theory. c.Many specific techniques are supported by research. d.The therapist is manipulative and controlling. Question 20 The techniques of joining, boundary setting, unbalancing, reframing, ordeals, enactments, and paradoxical interventions are most likely to be part of which approach to family therapy?? Select one: a.?Bowenian family therapy b.?Adlerian family therapy c.? Structural-strategic family therapy d. ?Strategic family therapy Question 21 Motivational interviewing (MI) is a therapy technique commonly used with persons who abuse substances. One of the MI pitfalls is the "righting reflex. Which statement best describes this concept? Select one: a.The nurses urge to another person's course of action is usually right. b.People who go into the helping professions have a powerful desire to set things right. c.When we notice someone going down the wrong path, we are usually right. d.Being right in knowing what to do is usually the job of the therapist. Question 22? Modeling methods have been used in treating people with anger management issues and in teaching new behaviors to children with attention-deficit/hyperactivity disorder. Select one: True False Question 23 Bibliotherapeutic approaches have empirical support for the treatment of depression, for a variety of anxiety disorders, and for a range of clinical problems. Select one: True False Question 24 The PMHNP uses which technique to encourage patients to give expression to one side of themselves that they rarely express? Select one: a.The reversal technique b.The implosive technique c.The exaggeration technique d.The go-around technique e.None of the answers is Question 25 Sadie comes to the primary care clinic with feelings of depression. She is being treated for asthma and hypertension by her primary family nurse practitioner. Which one of the following medications can cause or exacerbate depression? Select one: a.Omeprazole b.Propranolol c.Levothyroxine d.Clarithromycin Question 26 Suicide among those diagnosed with schizophrenia spectrum is: Select one: a.most common during the 1st few years of the illness b.low c.usually due to command hallucinations d.rare unless co-occurring with personality disorder Question 27

Question 34 A tell-tale sign that indicates trauma or psychopathology has taken place is. Select one: a.a change in school performance b.a change in behavior at home c.a change in usual behavior d.a change from usual behavior e.All of the answers are Question 35 Research informs us that many children in classrooms across America have experienced at least one traumatic event. The term trauma is used to describe an event, series of events, or set of circumstances that is experienced as physically or emotionally harmful or life threatening and that has lasting adverse effects on daily functioning and mental, physical, social, emotional, or spiritual well-being (SAMHSA, 2014). Which of the following statements is FALSE about children and trauma events? Select one: a. Children exposed to violence are more likely to abuse drugs and alcohol; suffer from depression, anxiety, and post-traumatic disorders; fail or have difficulty in school; and become delinquent and engage in criminal behavior. b.Sixty percent of American children were exposed to violence, crime, or abuse in their homes, schools, and communities. c.Almost 40 percent of American children were direct victims of two or more violent acts, and one in ten were victims of violence five or more times. d.Almost one in ten American children saw one family member assault another family member, and more than 25 percent had been exposed to family violence during their life. e.All of these answers are True. Question 36 The PMHNP considers prescribing the following medication for a 45 - yearold male who has been diagnosed with PTSD and continues to suffer with nightmares. Select one: a.Benadryl b.Wellbutrin c.Hydroxyzine d.Prazosin e.None of the answers are Question 37 Risk factors associated with intimate partner violence includes all the following EXCEPT. Select one: a.younger age b.being a victim of physical or psychological abuse c.history of experiencing physical discipline as a child d.childhood abuse or witness to partner abuse e.All of the answers are Question 38 Serving as a member on a crisis team, a PMHNP provides crisis intervention to the survivors of a plane crash. Forty hours after the accident, the survivors describe vivid flashbacks, startle reactions, and disrupted sleep patterns. How should the NP respond? Select one: a.Advising the survivors to consider using a hypnotic medication for a brief period of time. b.Educating the survivors about prodromal symptoms of PTSD. c.Encouraging the survivors to rest during the day. d.Suggesting that the survivors join a post-trauma support group. e.All of the answers are Question 39 A screening tool developed specifically to screen adolescents for high risk alcohol and other drug use is

. Select one:

a.PACES b.HEEADSSS c.CRAFFT d.M-CHAT e.None of the answers is Question 40 A 14-year-old boy is brought to the ED by the police after the boy assaulted a passerby. The patient is slurring his speech and appears unsteady. On physical exam, he is found to have nystagmus, generalized muscle weakness, and depressed reflexes. He is sluggish and complains that he is seeing double. Which substance is most likely causing his intoxication syndrome? Select one: a.Inhalants b.Stimulants c.Alcohol d.Amphetamines e.Hallucinogens Question 41 Which medication has been FDA approved for treating both alcohol and opiate addiction? Select one: a.Verenicline (Chantax) b.Wellbutrin (Bupropion) c.Naltrexone (Revia) d.Buprenorphine (Suboxone) Question 42 Anorexia nervosa has a mortality rate of up to approximately: Select one: a.1% b.18% c.30% d.42% Question 43 Which of the following features can be associated with bulimia nervosa? Select one: a.Previous episode of anorexia nervosa b.Abnormal insulin secretion c.Undeveloped breasts d.Endocrine disorder Question 44 A two year old boy presents with his mother because of the parents’ concern that he is not developing appropriately. The child relates poorly to others, is often unable to engage using eye contact, and does not play with other children during play dates. He has trouble expressing himself. Which of the following is the most likely diagnosis? Select one: a.Fetal alcohol syndrome b.Tourette's disorder c.Schizotypal personality disorder d.Autism Question 45 Which screening tool is now being used consistently by pediatric providers to screen for autism? Select one: a.Conners b.Vanderbilt c.HAM-A d.M-CHAT e.A-CHAT Question 46 Which of the following characteristics does not necessarily present in fetal alcohol syndrome? Select one: a.Heart defects b. Facial dysmorphology c.Growth retardation d.Central nervous system dysfunction Question 47

Question 1 According to the DSM-5, the criteria for insomnia disorder include "notable dissatisfaction with sleep quality or quantity" associated with which of the following? Select one: a.Difficulty initiating sleep b.Difficulty maintaining sleep c. Early morning awakening d.Minimum of 3 times per week for 3 months e.All of these answers are. Question 2 All of the following psychiatric disorders can induce insomnia EXCEPT. Select one: a.mania b.schizophrenia c.depression d. anxiety disorders e.All of the answers are. .Question 3 Brief behavioral therapy for insomnia includes which of the following? Select one: a.Limit time in bed to estimated sleep time plus 30 minutes b.Keep the same rise time every day, regardless of sleep duration c.Only go to bed when sleepy d.Avoid naps e.All of these answers are. .Question 4 Components of sleep hygiene for insomnia includes all of the following EXCEPT? Select one: a.Reduce time in bed b.Use the bed only for sleep or sexual activity (nothing else) c.Practice meditation d.Limit caffeine and alcohol e.Increase exercise right before bedtime Question 5 Deanna is a patient who is having trouble sleeping, but she declines to use "Western medicine" drugs. Select the following dietary supplement/herbs that may be helpful to improve her sleep health. Select one: a.Lemon balm b.Chamomile c.Melatonin d.Valerian Root e. All these supplements may improve sleep health. Question 6Delayed sleep phase syndrome is most common in. Select one: a.the elderly b.adolescents c.infants d.middle age e.None of these answers is. Question 7 Insomnia in the elderly is related to all of the following EXCEPT. Select one: a.age b.nocturnal reflux c.hypothyroidism d.nocturia e.angina f.All of these answers are. Question 8Insomnia in older adults is related to all of the following EXCEPT. Select one: a.advancing age b.nocturnal reflux c.nocturia d.None of the above are true. Question 9 Select the MOST statement applying to the antidepressants Mirtazapine, Trazodone, and Doxepin when they are used for insomnia. Select one: a.There is little abuse for these agents. b.There is known cardiotoxicity if taken in excess. c.Treatment with these medications is not preferable compared to use of benzodiazepines. d.None of the above are true. NU665 Primary Care of the Psychiatric Mental Health Client II Week 9 Quiz

Question 10 What clinical condition is Zaleplon (Sonata) used to treat? Select one: a.Anxiety b.Depression c.Epilepsy d.Insomnia e.None of the answers is. NU665 Primary Care of the Psychiatric Mental Health Client II Week 10 Quiz Question 1 A 73-year-old man presents with his wife for evaluation of cognitive function. Although he is pleasant and cooperative, his wife is concerned because she can't "trust him" anymore. She describes an incident where she left him sitting alone in the shopping mall while she returned an item to the store. When she came back he was at a table of young women discussing plans to go out with them. She also describes being embarrassed because he will often pat the backside of strange women. One condition that is at the top of your differential list is. Select one: a.cluster B personality disorder b.frontal lobe dysfunction c.Alzheimer's dementia d.temporal lobe epilepsy e.None of these answers is. Question 2 As a PMHNP, you know that normal aging is associated with memory performance and cognitive speed changes. Which of the following best describes this process? Select one: a.Crystallized intelligence is the shortterm portion of one's memory and remains stable as we age. b.Fluid intelligence and problem- solving abilities often improve with age. c.Crystallized intelligence is one's lifetime of intellectual achievement and general fund of knowledge. This remains stable as we age. d.The capacity to recognize words and name items begins to fail during the fourth decade. Question 3 In mild cognitive impairment (MCI), there is likely to be. Select one: a.serious social and vocational disability b.pronounced impairment of instrumental activities of daily living (IADLs) c.deficits in memory d.wandering and disorientation Question 4 Mild cognitive impairment (MCI) is now thought to occur at least a decade before the actual presentation of symptoms. Which of the following best describes this phenomenon? Select one: a.The cognitive decline is greater than expected for the patient's age and educational level. b.MCI is not implicated in the transition to a more serious form of dementia. c.MCI consists only of objective data. d.Activities of daily living (ADLs) are always affected. Question 5

Distress experienced by some individuals whose gender identity does not correspond with their assigned sex at birth. Select one: a.Gender dysphoria b.Gender binary c.Heteronormativity d.Homophobia Question 2 Intersex refers to: Select one: a.A rare condition where the sex organs do not develop as expected b.Hermaphrodites c.The LGBTQ+ community d.Involuntary or unwanted disclosure about sexuality Question 3 Organizational strategies to overcome barriers to healthcare in LGBTQ+ identifying youth are: Select one: a. Develop office policy in compliance with local laws regarding confidentiality for unemancipated minors b. Train all staff on LGBT health and competencies c.Display posters or flyers that include LGBTQ youth, samesex couples, and symbols d.All of the above Question 4 Sexual orientation is: Select one: a.How a person characterizes their emotional and sexual attraction to others b.The way a person looks c.When a person transitions to the opposite gender d.How a heterosexual identifying person relates to the opposite sex Question 5 STI screening and HIV testing should be performed every 36 months for those who: Select one: a.Have multiple or anonymous sexual partners. b.Use illicit drugs (especially methamphetamine) in conjunction with sex. c.Have sex partners who engage in any of the above. d.All of the above Question 6 The population with the highest rates of HIV infection is: Select one: a.Latino women b.White men c.Black women d.Black men Question 7 The “T” in LGBTQ+ stands for: Select one: a.Transsexual b.Transgender c.Trigendered d.Transitioning Question 8Transgender people are more likely to experience discrimination in Select one: a.Housing b.Healthcare c.Employment d.All of the above Question 9Only 50% of Emergency Departments (ED) are

aware of CDC’s HIV screening guidelines, and only 56% offer HIV testing. Select one: True False Question 10The goals of adolescent LGBTQ+ healthcare is vastly different from other adolescents. Select one: True False Feedback NU665 Primary Care of the Psychiatric Mental Health Client II Week 13 Quiz Question 1 Which of the following statements is not true about guidelines for ethical practice in counseling and psychotherapy? Select one: a.Most professional organizations provide broad guidelines. b.Therapists ultimately have to discover their own guidelines for reasonable practice. c.Practitioners are free to formulate any ethics they choose. d.Ethical issues should be periodically reexamined throughout your professional life.. Question 2 Human change is complex and difficult to measure beyond such a simplistic level that the change may be meaningless. Select one: True False Question 3 Behavior therapy has been criticized for a variety of reasons. Which of the following is one listed in the book? Select one: a.Behavior therapy has an overemphasis on feeling and the neglect of cognition. b.Behavior therapy has an overemphasis upon insight. c.Behavior therapy may change behaviors, but it does not change feelings. d.Behavior therapy has a need for long-term treatment to effect change. Question 4 Multimodal therapy is a therapeutic approach that is grounded on: Select one: a.cognitive behavior therapy. b.social cognitive learning theory. c.applied behavior analysis. d.operant conditioning. Question 5 The cognitive distortion that consists of forming conclusions based on an isolated detail of an event is: Select one: a.labeling and mislabeling. b.overgeneralization. c.arbitrary inferences. d.selective abstraction. Question 6 According to Ellis, emotional disturbances often result from: Select one: a.taking oneself too seriously. b.living by the values our parents gave us. c.refusing to deal with unfinished business. d.having learned maladaptive behaviors.