APEA 3P Exam all questions answered 100% correct
When performing a visual acuity test the nurse practitioner notes
20/30 in the left eye and 20/40 in the right eye using the Snellen
eye chart. This means:
a) Have the patient return in two weeks for a follow-up vision
screen
b) Dilate the eye and retest
c) Refer the patient to an ophthalmologist
d) Document this as a normal finding
Answer: c) Refer the patient to an ophthalmologist
Rationale: Visual acuity of 20/40 in one eye (and 20/30 in the
other) indicates reduced vision compared to the normal 20/20
standard. This warrants further evaluation by an ophthalmologist
to rule out underlying conditions such as refractive errors,
cataracts, or retinal issues.
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The American Psychiatric Association's Diagnostic and
Statistical Manual of Mental Disorders defines Munchausen
Syndrome By Proxy as:
a) A self-inflicted injury to gain attention
2 | Page
b) A caregiver making up or causing an illness or injury in a
person under their care
c) An abusive behavior that does not involve the caregiver
d) A situation in which the abuser is often inattentive and
uncaring toward the victim
Answer: b) A caregiver making up or causing an illness or
injury in a person under their care
Rationale: Munchausen Syndrome by Proxy (now termed
Factitious Disorder Imposed on Another in DSM-5) involves a
caregiver deliberately fabricating or inducing illness in someone
under their care, typically to gain attention or sympathy,
distinguishing it from self-inflicted harm or neglect.
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Symptoms of depression are a side effect of which
neurotransmitter medication?
a) Dopamine, serotonin, norepinephrine
b) Gabapentin
c) Mil
d) Cortisol
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