CEA ADVANCED NURSING PRACTICE ACTUAL

CEA ADVANCED NURSING PRACTICE (ACTUAL / )

QUESTIONS WITH VERIFIED CORRECT ANSWERS

The condition in which the patient is unable to discriminate

between objects based on touching is known as:

Astereognosis Agraphesthesia Choreiform Dysdiadochokinesia - ----Answers-----Astereognosis

A 30-year-old man with history of alcohol use disorder is being evaluated for altered mental status. He has a negative blood alcohol level, aspartate transaminase 100, alanine transaminase 90, hemoglobin 10, hematocrit 30, negative stool for occult blood, negative head CT scan. What further tests should the PMHNP order before diagnosing psychosis not otherwise specified?

EKG Serum ceruloplasmin Lipid profile Hemoglobin A1C - ----Answers-----Serum ceruloplasmin

A 48-year-old obese woman experiences excessive daytime sleepiness, fatigue, anhedonia, and apathy. Her husband reports that she snores loudly when sleeping, and often will wake up drenched in sweat. The patient has no prior 1 / 3

psychiatric history and denies substance abuse. Which of the following is the most likely cause of her symptoms?Airway obstruction Narcolepsy Perimenopause Major depression - ----Answers-----Airway obstruction

A systematic inquiry that elaborates on the chief complaint while eliciting pertinent positive and pertinent negative factors

from the history is known as:

The mental status exam Review of systems Physical exam Diagnostic formulation - ----Answers-----ROS

A 68-year-old man with no past psychiatric history but with a history of poly substance use disorder is admitted for psychosis (disorganized thoughts, rapid pressured speech, persistent rumination, paranoid delusions, and apathy). Which of the following tests would be most important in determining the etiology of his new onset symptoms?Urine toxicology screening Urine culture HIV testing Mental state exam - ----Answers-----HIV testing

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A woman who discovers her husband has committed suicide in the middle of the night decides to tell her 4- and 6-year-old children the next morning that the reason daddy is not here today is that he went to work. Based on their developmental stage, what might they assume when mommy says she is going to work?Going to work means you are not coming home When someone cannot be seen, then they cease to exist Mommy will come home, as has been the case in the past Daddy will come home when mommy goes to work - ---- Answers-----Going to work means you are not coming home

The PMHNP is consulted to see a 70-year-old female who was admitted to the skilled nursing facility 3 days ago from the hospital, where she was treated for urinary tract infection, pneumonia, and dehydration. The staff reports that the patient is restless and agitated, awake most of the night, intermittently sleeping during the day, and has poor PO intake.What should the PPMHNP do first?Prescribe quetiapine 12.5 mg PO at bedtime and every 6 hours as needed for agitation Call family members for collateral information on her baseline functioning Physical exam and diagnostic tests (complete blood count, basic metabolic profile, and urinalysis) Transfer the patient to the ED - ----Answers-----Physical exam and diagnostic tests (complete blood count, basic metabolic profile, and urinalysis)

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