NR 547 Week 8 Final Exam

she reports that she felt “really down” and slept most of the time. She endorses a pattern of “ups and downs” in her mood at least half the time over the past few years. Which diagnosis is the most consistent with the client’s symptoms? A. Cyclothymia B. Bipolar II disorder C. Dysthymia D. Premenstrual dysphoric disorder 8. Select an appropriate initial medication choice for a 75-year-old with a new diagnosis of major depressive disorder. A. Amitriptyline 50 mg daily B. Sertraline 75 mg daily C. Citalopram 40 mg daily D. Escitalopram 10 mg daily 9. An inpatient client has a CIWA-Ar score of 12. What is the most appropriate action by the nurse practitioner? A. Prescribe STAT dose of oral Lorazepam and reassess CIWA-Ar every hour B. Prescribe oral Lorazepam every 4 hours and reassess CIWA-Ar every hour C. Reassess CIWA-Ar every 4 hours; do not prescribe medication at this time D. Prescribe STAT dose of oral diazepam and reassess CIWA-Ar every 4 hours 10.Inattention and a variable level of consciousness are the hallmark symptoms of which condition? A. Neurocognitive disorder due to prion disease B. Neurocognitive disorder with Lewy bodies C. Neurocognitive disorder due to Alzheimer’s disease D. Delirium 11.Which client is the best candidate for electroconvulsive therapy for major depressive disorder? A. A 25-year-old who continues to experience symptoms of depressive disorder 4 months after starting bupropion 100 mg daily B. A 45-year-old who continues to experience symptoms of major depressive disorder 6 months after switching to isocarboxazid C. A 29-year-old who continues to experience symptoms of major depressive disorder two months after adding amitriptyline to their daily regimen of paroxetine D. A 32-year-old who continues to experience symptoms of major depressive disorder six months after starting sertraline 50 mg daily 17.A client is interested in therapies to augment his medication treatment for mild major depressive disorder. What are appropriate recommendations? A. Mindfulness training and cannabidiol (CBD) supplements B. Electroconvulsive therapy and alcohol reduction C. Cognitive behavioral therapy and exercise three times a week D. Exercise daily and decreased consumption of red meat 18.A client presents with ataxia, short-term memory loss, and nystagmus. The client has a history of prolonged, heavy alcohol use. What is the most likely diagnosis? A. Unspecified alcohol-related disorder B. Wernicke encephalopathy C. Delirium tremens D. Alcohol-induced persisting dementia 19. diagnosed with major neurocognitive disorder due to Alzheimer’s disease. What pharmacologic therapy would be anticipated? A. Carbidopa-levodopa B. Amitriptyline C. Memantine D. Quetiapine 20. presents for treatment following a breakup with her girlfriend. She is dressed in a short skirt and low-cut blouse. She is very friendly dramatically providing intimate details about several past relationships. The client’s presentation is consistent with which personality disorder? A. Dependent personality disorder B. Narcissistic personality disorder C. Borderline personality disorder D. Histrionic personality disorder 21.Which statement indicates that a client understands education regarding treatment lithium? A. ‘I will discontinue my medication if I experience increased thirst or headache.” B. “I should take all my medications as prescribed and