xNR 607 All Quizzes - Practice Questions & Answers

9. A cultural explanation of distress including fatigue, weakness, weight loss, somatic complaints, depressed mood and impotence thought to be related to semen loss is otherwise known as dhat in this region of the world. Where is a client most likely from given the specific complaint of dhat? India and Pakistan -Dhat syndrome is a syndrome of distress thought related to a loss of semen. Related symptoms thought caused from dhat include depressed mood, fatigue, weight loss, anxiety, somatic complaints and impotence. 10. Andika, a 26 year old male from Indonesia swung a sword at a doctor shortly after the sudden death of his father. He lost consciousness, collapsing to the floor after the violent attempt to hurt the doctor. Which culture bound syndrome best describes Andika's behavior? Amok is mostly found amongst males in Malaysia and Indonesia. Sudden violent behavior that is often followed by amnesia best describes this dissociative episode. 11. A patient who is considering electroconvulsive therapy (ECT) for resistant depression inquires as to the number of sessions she would likely require. Based on the best evidence currently available what is the best response? 10 12. In observing the appearance of the patient with depression and a history of systemic lupus erythematosus, the PMHNP notices a lesion on the neck of the patient about the size of a pencil eraser, flush with the skin, uniformly colored, with discrete borders, and consistent texture. The PMHNP should: Watch and wait 13. A 26-year-old man has been on an antipsychotic. He requires further titration for control of symptoms. Which of the following tests should be repeated? EKG 14. A systematic inquiry that elaborates on the chief complaint while eliciting pertinent positive and pertinent negative factors from the history is known as: Review of systems 20. A 38-year-old investment banker reveals that on weekends he visits the Delightful Dungeon and pays a dominatrix to tie him up, humiliate him, and whip him. He finds these sessions painful but very sexually arousing. He is able to become aroused and climax without this experience but finds this activity novel and has no desire to stop. Which of the following diagnosis is most likely? No diagnosis 21. A 44 year old female presents with a heart rate of 101, nervousness, insomnia and weight loss, brittle hair. Which test would be most helpful given the findings? TSH-Hyperthyroidism can present with nervousness, irritability, increased heart rate, palpitations, sweating, tremors, weight loss, exophthalmos and insomnia. Pam is 22 yr old female who lives alone and has Bipolar disorder documented as F31.2 (Manic, Severe with psychotic features). Pam stopped taking her Quetiapine and Lithium medications. Pam's delusions are worsening and she has been awake for 36 hours. Does the PMHNP have the right to share this information with Pam's mother who lives in a neighboring state? Yes, Pam does not currently have the capacity to make decisions given her chief complaint, presentation and history of a serious mental illness.-If the PMHNP believes that the client does not have