NR 547 Week 4 Midterm Review (75 Q&A)

rhythm disruption 11.An 18-year-old presents with s: of delusions, perseverations, feeling low, reduced energy and a sense of about her sx. What is the primary differential dx? a. Schizoaffective disorder 12.A client switched from lurasidone to clozapine two months ago. His most recent ANC is 1154. How often should a CBC be done? a. Weekly 13. Which physiological response commonly occurs in clients with anxiety disorders? a. Exaggerated noradrenergic system output 14.A client presents with s: of female sexual interest/arousal disorder. What information collected in the interview nay indicate? a. Client takes lisinopril for hypertension 15.Which client has the best prognosis after a new diagnosis of SCZ? a. A 22-year-old female who works in a downtown office building (several factors are associated with a better prognosis: female gender, acute vs. Insidious onset of s:, older age of first episode, predominantly positive symptoms, presence of mood symptoms, and good premorbid functioning) 16.A client has a BMI of 30.5 and has been diagnosed with SCZ. Which medication is indicated for this diagnosis and has less effect on BMI? a. Aripiprazole 17.Anxiety disorders can be differentiated by which factor? a. The presence of “worry” 18.Which factor determines whether a client presents with s: of psychosis? a. The presence of AH 19.Which statement is true regarding sleep-wake disorders? a. They share clinical features of nocturnal distress and circadian rhythm disruption 20.A client presents with s: of chest pain, irritability, and , what medication would be the best option to prescribe? a. Sertraline possible medical cause of symptoms? a. TSH of 7.1 33.A client presents to the PMHNP. His current medication list includes modafinil. What is the most likely diagnosis for this client? a. Narcolepsy 34.The PMHNP is treating a client with anxiety. Which SDOH nay be exacerbating her sx? a. The client is a single parent who lost her job and is being evicted from her apartment. 35.Why is ruling out a medical etiology of symptoms important when developing a psychiatric differential diagnosis? a. General medical conditions can have complications which result in psychotic s:. 36.A 43-year-old client presents with complaints of excessive daytime sleepiness. She sometimes falls asleep without knowing while driving. She sometimes loses muscle tone suddenly if she laughs too hard or gets excited. Prior to prescribing medication, which diagnostic test should be completed? a. Cerebrospinal spinal fluid analysis (indicative of narcolepsy, client is experiencing cataplexy. Tests for narcolepsy includes hypocretin test via LP) 37.The PMHNP is reviewing the medication list for a client who presents with complaints of difficulty sleeping. The client takes all of their medication at night. Which medication should the client take in the morning instead if possible? a. Fluoxetine 38.A 40-year-old client presents after starting a new job. One main function of his role is to present new products to a large group of clients. He expresses that he feels terrified of public speaking and during his first presentation, has a racing heart and dry mouth. Which medication can be prescribed as needed for the client's