NR 547 Week 4 Midterm Exam (18 Compiled Q&A)

5. A 52-year-old client presents to the emergency, department following a car accident. The emergency, department (ED) physician is concerned that the client may has intentionally crashed her car and 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? A. No action is necessary as the client is not currently considering suicide B. Provide a brief suicide safety assessment C. Alert the client's primary care physician D. Provide a STAT and full mental health in evaluation. 6. A 85-year-old patient with Alzheimer's Disease starts to become agitated in the afternoon (sundowning), refuses to eat, and is losing weight. Which medications to give? A. amitriptyline (Elavil) B. sertraline (Zoloft) C. aripiprazole (Ability) D. olanzapine (Zyprexa) 7. Which of the following should be included when providing client education about medication regimens? Select all that apply. A. Explain how the medication targets the symptoms, specific benefits, and expected time course. (Correct answer) B. Identify potential side effects, duration of side effects, and adverse effects. (Correct answer) C. Explain the instructions, dosing, and special requirements. (Correct answer) D. Use teach-back methods to ensure client understanding. (Correct answer) 7. Callie is an 18-year-old college student who reports to the healthcare provider that she feels anxious "about everything." Her restlessness and irritability have impacted her relationship with her significant other. She reports no significant past medical or mental health history. She states that her anxiety started about 8 months ago when she decided to transfer from her local community college to a large state university to pursue a law degree. During the law program's orientation attended by 300 students, she learned that only 100 students would be selected out of 300 applications for the fall admission. She began feeling inferior that she would not be one of the students accepted. She also started 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? A. No action is necessary as the client is not currently considering suicide. B. Provide a brief suicide safety assessment. C. Alert the client's primary care physician. D. Provide a STAT safety and full mental health evaluation. 11. A relative of yours has been diagnosed with Bipolar II disorder. Your family is impressed when you mention that the preferred drug for