NR 606 Week 4 Midterm Exam - 23 Solved Questions Only

Which of the following are considered essential features of sexual dysfunction? aversion to sexual stimuli and the experience of painful orgasm abnormal heightened arousal to sexual stimulation and abnormal timing in orgasm in relationship to sexual stimuli lack of sexual desire and the experience of pain during the sexual act inability to respond to sexual stimulation of the experience of pain during the sexual act Select the appropriate treatment modalities for a client with circadian rhythm sleep-wake disorder. alprazolam with cognitive therapyvalerian root and sleep diary doxepin and paradoxical intention melatonin and chronotherapy A client with GAD reports no relief of symptoms after taking Paroxetine 20 mg daily for a month. What is the appropriate next step? adds daily buspirone. increases the daily dose of paroxetine to 40 mg daily. change medication to venlafaxine add benzodiazepine prn. A client presents to the clinic complaining of fatigue, anhedonia, and hypersomnolence. Which action is the PMHNP priority? recommend cognitive behavioral therapy refer the client to a primary care provider order CBC, thyroid stimulating hormone, and toxicology screen prescribe a SSRI A 32-year-old presents to the PMHNP following four brief episodes of intense anxiety occurring at home and at work over the last two months. H reports the episodes come out of the blue. During the episodes, he experiences dyspnea, heart palpitations, chest pain, tingling in his lips and fingers, and sweating. His symptoms are so severe he fears he is going to die. His primary care physician has ruled out a medical cause for the episodes. He has canceled several work meetings out of fear that he might have another attack. The client meets DSM-V criteria for what listed diagnosis? panic disorder with agoraphobia panic disorder and specific phobia social anxiety panic disorder A client presents with auditory hallucinations. Which medication has an adverse effect profile that includes this primary symptom? amiodarone vitamin B12 prednisone metformin Which diagnosis presents with minimal spontaneous sexual thinking or minimal desire for sex ahead of sexual experiences? male sexual interest/arousal disorder female orgasmic disorder female sexual interest/arousal disorder male sexual desire disorder A client presents with symptoms of fatigue. Which lab test indicates a possible medical cause of symptoms? serum creatinine of 0.9 TSH of 7.1 serum glucose of 126 hematocrit of 42% Which statement is true regarding sleep-wake disorders? they share clinical features of nocturnal distress and circadian rhythm disruption. they all share common sleep stage dysfunctions pharmacologic interventions are the primary treatment for all sleep-wake disorders coexisting clinical comorbidities are the rule, not the exception Which factor determines whether a client presents with symptoms of psychosis and disordered mood? A. whether the client presents with symptoms of mania the presence of auditory or visual hallucinations whether the client presents with depressive symptoms Time frame of psychotic episodes in relation to mood episodes over the lifetime of the illness Which of the following is a limitation of the Hamilton anxiety rating scale HAM-A? it does not include the identification of cognitive symptoms it only includes