Description

1. Question: A client was diagnosed with major neurocognitive disorder due to Alzheimer’s disease. What pharmacologic therapy would be anticipated?
2. Question: An 89-year-old presents with symptoms of Dementia. Which diagnostic test should be performed initially to rule out treatable causes of symptoms?
3. Question: What information can assist the clinician in differentiating Dementia from Depression?
4. Question: A client presents with concerns about difficulties at work. He states that he has trouble speaking up when things aren’t going well because he is afraid that others won’t like him or will think he is stupid. The client’s symptoms are consistent with which disorder?
5. Question: 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?
6. Question: A client who has been diagnosed with mild neurocognitive disorder asks what he can do to improve his prognosis. What is the best response?
7. Question: A 50-year-old client presents with fatigue and poor motivation to the point that she is avoiding work. She reports that she has a poor appetite and sleeps over 14 hours per day. Which diagnosis is most consistent with her symptoms?
8. Question: Inattention and a variable level of consciousness are the hallmark symptoms of which condition?
9. Question: What statement describes clients with personality disorders?
10. Question: When conducting a cognitive assessment, what does the question “What did you have for dinner last night?” assess?
11. Question: A 25-year-old presents with irritability, insomnia, and excessive energy for a week. Which diagnosis is most consistent with her symptoms?
12. Question: A 17-year-old presents with decreased energy and loss of interest in activities after experiencing racing thoughts and decreased need for sleep. Which screening tool is most appropriate?
13. Question: A client presents to the emergency department following a nonfatal suicide attempt. What is the client’s most likely diagnosis?
14. Question: A 44-year-old client is presenting for court-mandated treatment following an attempt to extort money from a politician. What is the client’s most likely diagnosis?
15. Question: A client who uses recreational oxycodone presents for treatment. What is the client’s most likely diagnosis?
16. Question: An inpatient client has a CIWA-Ar score of 12. What is the most appropriate action by the nurse practitioner?
17. Question: A client is concerned that he won’t pass a urine drug screen at his new job because he used marijuana three days ago. What is the most appropriate response?
18. Question: What drug class is most likely prescribed upon diagnosis of Alzheimer’s disease?
19. Question: Select an appropriate initial medication choice for a 75-year-old with a new diagnosis of major depressive disorder.
20. Question: A client diagnosed with a personality disorder insists that an uncle has been reincarnated as a puppy. What type of personality disorder is most likely?
21. Question: A client presents with difficulties following her divorce from an abusive spouse. The client’s symptoms are consistent with which diagnosis?
22. Question: What diagnostic test could be used to support a diagnosis of Alzheimer’s Dementia in a client with cognitive decline?
23. Question: Which of the following is a tool that may be used to screen for any type of substance use disorder?
24. Question: A 74-year-old client presents with difficulty finding words and scores 27 on the MoCA. What is the most appropriate next assessment?
25. Question: Which sign is commonly seen in clients experiencing mild alcohol withdrawal?
26. Question: Which symptoms are associated with the anxious distress DSM specifier for major depressive disorder?
27. Question: A psychiatric mental health NP treating a client with a personality disorder should expect what characteristics?
28. Question: A 26-year-old client presents with social withdrawal and lack of interest in relationships. Which diagnosis is most likely?
29. Question: A 50-year-old client presents with depressed mood and insomnia after her partner of 24 years filed for divorce. What is the most appropriate diagnosis?
30. Question: Which diagnosis describes the syndrome characterized by the specific signs and symptoms resulting from ingestion or exposure to a substance?
31. Question: Which of the following would be included in the treatment plan for a client with antisocial personality disorder?
32. Question: Which symptoms are more likely to be present in a client with bipolar I disorder than in bipolar II disorder?
33. Question: Which client with delirium would most likely require pharmacotherapeutic treatment?
34. Question: A 77-year-old client has gotten lost in familiar places and has unpaid bills. What is the most appropriate diagnosis?
35. Question: Which of the following is the best predictor for antisocial personality disorder?
36. Question: A client is started on Lamotrigine for bipolar disorder and presents with blistering skin and mouth sores. What is the most likely diagnosis?
37. Question: Which statement is most accurate about rapid cycling in bipolar I disorder?
38. Question: Which description best describes cluster A personality disorders?
39. Question: A client admitted for major depressive disorder endorses daily alcohol consumption. What is the most appropriate NP action?
40. Question: The MoCA tool includes asking the client to subtract serial sevens from 100. What domain is assessed?
41. Question: Which client is most likely to experience delirium?
42. Question: Which personality disorder is characterized by attention-seeking behavior and dramatic speech?
43. Question: Which of the following are risk factors for suicide?
44. Question: Which term describes a client’s substance-seeking attention and related evidence of pathologic patterns of use?
45. Question: The use of which substance may mimic symptoms of depressive disorder?
46. Question: Which characteristic is most indicative of narcissistic personality disorder?
47. Question: Which statement is true regarding the treatment of personality disorders?
48. Question: A client presents to the emergency department with anxiety and hallucinations after consuming LSD. What is the most appropriate action?
49. Question: Which statement indicates that a client understands education regarding Lithium treatment?
50. Question: Which of the following are characteristics of borderline personality disorder?
51. Question: How long does an untreated manic episode typically last?
52. Question: An 80-year-old client presents with new personality changes and rudeness. What is the most likely diagnosis?
53. Question: What is the primary principle of dementia treatment?
54. Question: What is the anticipated outcome for a client with dementia who has been prescribed Memantine?
55. Question: Which medication is most likely to be used to treat symptoms of psychosis in a client with delirium?
56. Question: A client wishing to use medication-assisted treatment for opioid use disorder expresses concern that her roommates may steal her medication. Which is the most appropriate medication?
57. Question: A client presents for treatment following a breakup with her girlfriend and exhibits dramatic, flirtatious behavior. What personality disorder is most likely?
58. Question: Which action should be included in a treatment plan for a client with borderline personality disorder?
59. Question: Which of the following best describes substance use disorder?
60. Question: A 22-year-old presents for court-mandated treatment after multiple suicide attempts and volatile relationships. Which is most likely her diagnosis?
61. Question: What condition is considered a risk factor for neurocognitive disorder?
62. Question: A client with substance use disorder is experiencing cravings and withdrawal symptoms during inpatient therapy. What is the most appropriate diagnosis?
63. Question: Which finding supports a diagnosis of neurocognitive disorder with Lewy bodies?
64. Question: Which client is most likely to present with medical symptoms that mimic depressive disorder?
65. Question: A client presents with problems at work and perfectionism that interferes with performance. Which disorder is consistent with these symptoms?
66. Question: An inpatient client has a CIWA-Ar score of 7. What is the most appropriate action by the nurse practitioner?
67. Question: A 79-year-old presents with low mood and a GDS score of 3. What is the most appropriate treatment?
68. Question: A client diagnosed with a personality disorder states that others are spying on him and that his wife is unfaithful. What is the most likely diagnosis?
69. Question: A client presents to the ED experiencing acute mania. What is the preferred initial treatment?
70. Question: Which client is most appropriate for ECT for major depressive disorder?
71. Question: A client presents to the ED with anxiety, panic, and hallucinations after consuming LSD. What is the most appropriate management?
72. Question: A client is interested in therapies to augment medication treatment for mild major depressive disorder. What are appropriate recommendations?
73. Question: A 22-year-old client diagnosed with MDD was prescribed Amitriptyline. Which condition would contraindicate this as monotherapy?
74. Question: An 86-year-old client presents with decreased attention and disorientation within 30 hours. What diagnosis is most likely?
75. Question: Which medication is preferred for the treatment of acute mania in the emergency department?
76. Question: A client presents to the emergency department experiencing acute mania. What is the preferred initial treatment?