ANCC IQ Domain 3: Diagnosis and Treatment(52 questions & Answers), latest updated, Graded A+

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ANCC IQ Domain 3: Diagnosis and Treatment (52 questions & Answers), latest updated, Graded A+ In distinguishing HIV-related depression from HIV dementia, which of the following findings would be indi... cative of HIV dementia? a. Apathy and inertia b. Incoordination c. Decreased motivation d. Diminished attention and concentration ✔✔ B Clozapine is associated with severe neutropenia (absolute neutrophil count (ANC) less than 500/?L). The requirements to prescribe, dispense, and receive Clozapine are incorporated into a single, shared program called the Clozapine Risk Evaluation and Mitigation Strategy (REMS). Who implement the Clozapine Risk Evaluation and Mitigation Strategy (REMS)? a. A Federal Drug Administration (FDA) b. Centers for Disease Control and Prevention (CDC) c. Health and Human Services d. The manufactures of Clozapine (Clozaril) ✔✔ D You have a 16-year-old patient who suffers from Binge Eating Disorder. She is 5 foot 10 inches tall (70 inches) and has a BMI of 30. You consult the National Guideline Clearing House for the best information on treating the patient. Part of your treatment plan includes: a. Implementing non-diet health at every size therapy in addition to psychotherapy to help with weight stabilization and binge eating b. Treatment with Duloxetine (Cymbalta) long-term at low doses and a reduced calorie diet. It is associated with significant weight loss. c. Urine specific gravity, orthostatic vital signs, and oral temperatures taken on a regular basis. d. Use of Sibutramine (Meridia) 10 mg po QAM and a reduced calorie diet. It is associated with significant weight loss. ✔✔ A When evaluating a 5-year-old child with language deficits, which of the following is a key indicator in differentiating autistic disorder from a mixed receptive-expressive language disorder. a. Imaginative play is predominant form of expression b. Language abnormalities such as echolalia are common c. Family history of speech delay or language problems d. Level of intelligence ranges from mild to severe impairment ✔✔ B A client says that because he wished his sister was dead, and your client's sister subsequently was killed in a motor vehicle accident, the death was caused by the client's wishes. The client also revealed that he can read other's minds. This client is most likely suffering from which personality disorder? a. Schizotypal Personality Disorder b. Schizoid Personality Disorder c. Paranoid Personality Disorder d. Delusional Personality Disorder ✔✔ A Which of the following atypical antipsychotic medications has U.S. FDA approval for treatment of bipolar depression when combined with fluoxetine (Prozac)? a. Quetiapine (Seroquel) b. Olanzapine (Zyprexa) c. Aripiprazole (Abilify) d. Risperidone (Risperdal) ✔✔ B The PMHNP treating a patient for schizophrenia on ziprasidone orders and EKG. Which QTc interval result places the patient at greatest risk for torsade's de points? a. 160-260 milliseconds b. 300-500 milliseconds c. 500-700 milliseconds d. 100-200 milliseconds ✔✔ C A pervasive pattern of grandiosity, lack of empathy, and need for admiration suggests the diagnosis of which of the following personality disorders? a. Paranoid b. Borderline c. Schizotypal d. Narcissistic ✔✔ D When counseling a 52-year-old perimenopausal woman with nocturnal hot flashes, anxiety, depressed mood, low energy, little motivation, diminished sex drive, and work-related stress, what lifestyle changes and complementary therapies would be evidence-based recommendations to consider when this patient does not want to be on hormone replacement or antidepressant medication? a. Yoga, isoflavinoids, and black cohosh b. Walking, St. John's Wort, and black cohosh c. Tai chi, dietary soy, and flaxseed d. Current evidence does not support the efficacy of complementary therapies for perimenopausal or depressive symptoms ✔✔ C In managing the maintenance phase for Bipolar I Disorder, which of the following statements is not supported by current evidence in the literature? a. Lamotrigine, but not lithium, is superior to placebo in preventing a depressive episode. b. Extended-release formulation of carbamazepine is equivalent to lithium in preventing a manic, hypomanic, or mixed episode. c. Both lamotrigine and lithium are superior to placebo in delaying onset of mood-related episodes. d. Lithium, but not lamotrigine, is superior to placebo in preventing a manic, hypomanic, or mixed episode. ✔✔ B Which of the following interventions does not have evidence-based findings that demonstrate reduced symptoms in individuals with non-combat related PTSD? a. Eye-movement, desensitization, and reprocessing (EMDR) b. Anticonvulsants c. Exposure-based cognitive behavior therapy (CBT) d. Selective Serotonin Reuptake Inhibitors (SSRIs) ✔✔ B After two weeks of treating a client for psychosis, the client develops symptoms of neuroleptic malignant syndrome (NMS). The following factors enable the PMHNP to differentiate NMS from serotonin syndrome: a. Autonomic instability, diaphoresis, tremors b. Rigidity, hyperreflexia, orthostatic hypotension c. Mutism, leukocytosis, myoglobinuria d. Hyperthermia, leukopenia, tachycardia ✔✔ C [Show More]

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