NURS 6665 Midterm Review

NURS 6665 Midterm Review

61 Which of the following medications are FDA approved for the treatment of insomnia?

1. Temazepam
2. Pramipexole
3. Desmopressin
4. Sodium oxybate

62 Which of the following would be an initial screening question for a child with sleep problems?

1. Do worries keep you awake?
2. What is your routine before going to bed?
3. Do you startle easily or get frequent nightmares?
4. Do you feel tense, restless or worried most of the time?

 

63 A strategy by which caregivers shape a young child’s behavior through selective and temporary removal of that child’s access to desired attention, activities, or other reinforcements following a behavioral transgression is known as which of the following?

1. Time-out.
2. Special time
3. Behavioral activation
4. Functional analysis of behavior

 

64 Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are strategies that are typically used in which of the following therapies?
A. Relaxation therapy
B. Social skills training
C. Motivational Interviewing
D. Applied behavioral analysis

65 When assessing a child with disruptive or aggressive behavior, the clinician asks “Have you been thinking about or planning to hurt anyone?” to screen for which of the following diagnostic categories?

1. Safety
2. Bullying
3. Conduct disorder
4. Oppositional defiant disorder

66 In evaluating an adolescent who has been referred from her PCP for recurrent abdominal pain, the clinician asks “Is there something stressful in the past 3 months that happened right before these symptoms appeared?” to screen for which of the following diagnostic categories?

1. Adjustment disorder
2. Anxiety disorders
3. Depressive disorders
4. Conversion disorder

67 Nightmares and night terrors are associated with disorganization and arousal during which stage of sleep?

A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4

68 Depression is frequently under recognized in the elderly population due to which of the following reasons? Check all that apply.

A .Depression is less common in the older adult than in the general population.
B. Older persons with depression often present with more somatic complaints.
C. Providers/clinicians may accept depressive symptoms as normal in older individuals.
D. All of the above

69. When evaluating a child due to disruptive or aggressive behavior, which diagnostic category should be considered first?
    A. Abuse
    B. Conduct disorder
    C. Communication disorder
    D. Attention deficit/hyperactivity disorder
70. A patient presents endorsing persistent low-grade (sub-acute) depression for the last several years, uncertain of when it started, thinks he has always been depressed but still goes through the motions. These symptoms are consistent with which of the following diagnoses?
    A. Dysthymia
    B. Cyclothymia
    C. Major Depression, subacute, recurrent
    D. Bipolar II disorder

71 somnambulism is characterized by which of the following?

A. Waking from sleep/naps with vivid recall of intensely frightening dreams
B. A sleep-wake pattern out of synchrony with the desired sleep-wake schedule
C. Excessive daytime sleepiness or sleep attacks
D. Repeated episodes of rising from bed and walking about for between several

72 When evaluating a child/adolescent who presents with irritable or labile mood the clinician should first consider and screen for which of the following diagnostic categories?

1. Adjustment disorder with depressed mood
2. Substance abuse
3. Disruptive mood dysregulation
4. Posttraumatic stress disorder

73 Which of the following medications is approved by the FDA for treatment of excessive sleepiness in narcolepsy?

1. Lisdexamfetamine
2. Desmopressin
3. Pitolisant
4. Ramelteonuestion

74 The most common age of onset of anorexia nervosa is which of the following?

A. Early 20s
B. 10-13 years of age
C.14-18 years of age
D.19-29 years of age

75. A variant of Bipolar I disorder characterized by episodes of major depression and hypomania is known as which of the following?

A.Bipolar II Disorder
B.Dysthymic Disorder
C. Cyclothymic Disorder
D. Bipolar I Disorder, hypomanic type

76 Which of the following would be consistent with ethical principles regarding relationships with patients in the ANA’s Code of Ethics for Nurses (Provision 1.2)?

A. The nurse must respect patient’s decisions

B.The nurse must support all patient choices.

C.The nurse must agree with all patient choices.

D.A and B only

77. Which of the following is true about consent to medication? Check all that apply.
A. Consent to medication means the uncoerced and informed treatment by a person competent to give it.
B. Children are typically competent to make decisions about their medications.
C. Children may not be competent, but their assent and their views respected even if overruled.
D. Child should not be over-ruled under any circumstances.

78. In the event of a crisis in which the child is threatening to hurt himself, the first steps should include which of the following?
    A. Address any acute safety concerns.
    B. Obtain any necessary professional assistance
    C. Develop a prevention plan for future crises
    D. A and B

 

79. Which of the following medications indicated for ADHD has a gastrointestinal bioactivation mechanism?
    A. Methylphenidate (Ritalin, Methylin)
    B. Amphetamine Salt combination (Adderall)
    C. Oros Methylphenidate (Concerta)
    D. Lisdexamfetamine (Vyvanse)

 

80. The APRN working with a young person who is worried encourages the young person to identify a variety of activities that are motivating and rewarding, and that are specific and can be measured when completed. The APRN is using which of the following psychosocial interventions?
    A. Special time
    B. Psychoanalysis
    C. Behavioral activation
    D. Functional analysis of behavior

Solution

61 Which of the following medications are
FDA approved for the treatment of insomnia?
A.Temazepam
B. Pramipexole
C. Desmopressin
D. Sodium oxybate

Rationale: The prescribed and FDA-approved medications for the treatment of insomnia includes Temazepam a type of benzodiazepine.

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