Tag: Clinical-Nursing

NURS 6512 Week 7 I-HUMAN PATIENTS CASE STUDY: ASSESSING THE CARDIOVASCULAR SYSTEM

I-HUMAN PATIENTS CASE STUDY: ASSESSING THE CARDIOVASCULAR SYSTEM

This course requires you to complete a series of case studies using the i-Human Patients software application. The i-Human Patients (IHP) Case Player enables you to interact with virtual patients for the purpose of learning patient-assessment and diagnostic-reasoning skills. With IHP, you will be able to independently interview, examine, diagnose, and treat virtual patients and receive expert feedback on your performance.

In order to adequately assess the chest region of a patient, advanced practice nurses need to be aware of a patient’s history, potential abnormal findings, and what physical exams and diagnostic tests should be conducted to determine the causes and severity of abnormalities.

Take a moment to observe your breathing. Notice the sensation of your chest expanding as air flows into your lungs. Feel your chest contract as you exhale. How might this experience be different for someone with chronic lung disease or someone experiencing an asthma attack?

Resources

 

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To prepare:

By Day 1 of this week, your Instructor will assign an i-Human Patients case for this Assignment. 
Note:
 Please see the 
Course Announcements
 section of the classroom for your i-Human Patients Assignment.

Review this week’s Learning Resources and consider the insights they provide related to the cardiovascular system.

Access and review the assigned i-Human Patients case study. Based on the provided patient information, think about the health history you would need to collect from the patient.

Consider what physical exams and diagnostic tests would be most appropriate to gather more information about the patient’s condition.

Reflect on how the results would be used to make a diagnosis.

Identify 
three to five (3–5)
 possible conditions that may be considered in a differential diagnosis for the patient.

Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.

Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with cardiovascular conditions.

Assignment

As you interact with this week’s i-Human Patients patient, complete the assigned case study. For guidance on using i-Human Patients, refer to the 
i-Human Graduate Programs Help link
 within the i-Human Patients platform.

By Day 7 of Week 7

Upload
 your PDF from
i-Human Patients to submit this Assignment
.

submission information

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the 
Turnitin Drafts
 from the 
Start Here
 area.

To submit your completed assignment, save your Assignment as 
WK7Assgn_LastName_FirstInitial

Then, click on 
Start Assignment
 near the top of the page.

Next, click on 
Upload File
 and select 
Submit Assignment
 for review.

Rubric

NURS_6512_Week 7_Assignment_Rubric

NURS_6512_Week 7_Assignment_Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning Outcome
History: Complete an appropriate health history. (Scores are automatically calculated in the i-Human platform.)

20
 pts

Excellent

Achieves a score of 85–100%

15
 pts

Good

Achieves a score of 84–75%

10
 pts

Fair

Achieves a score of 74–65%

5
 pts

Poor

Achieves a score of 64–55%

0
 pts

Unsatisfactory

Achieves a score of 54% or below

20
 pts

This criterion is linked to a Learning Outcome
Physical Exam: Complete an appropriate physical exam. (Scores are automatically calculated in the i-Human platform.)

20
 pts

Excellent

Achieves a score of 85–100%

15
 pts

Good

Achieves a score of 84–75%

10
 pts

Fair

Achieves a score of 74–65%

5
 pts

Poor

Achieves a score of 64–55%

0
 pts

Unsatisfactory

Achieves a score of 54% or below

20
 pts

This criterion is linked to a Learning Outcome
EMR Documentation History of Present Illness: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Subjective findings only

10
 pts

Excellent

Complete HPI meeting all 5 criteria.

8
 pts

Good

4 requirements are met.

6
 pts

Fair

3 requirements are met.

4
 pts

Poor

1–2 requirements are met.

0
 pts

Unsatisfactory

No requirements are met.

10
 pts

This criterion is linked to a Learning Outcome
EMR Documentation Subjective Data Document Current Medications, Review of System: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Subjective findings only

10
 pts

Excellent

Complete HPI meeting all 5 criteria.

8
 pts

Good

4 requirements are met.

6
 pts

Fair

3 requirements are met.

4
 pts

Poor

1–2 requirements are met.

0
 pts

Unsatisfactory

No requirements are met.

10
 pts

This criterion is linked to a Learning Outcome
EMR Documentation Objective Data Document Physical Exam Findings: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Objective findings only

10
 pts

Excellent

Complete HPI meeting all 5 criteria.

8
 pts

Good

4 requirements are met.

6
 pts

Fair

3 requirements are met.

4
 pts

Poor

1–2 requirements are met.

0
 pts

Unsatisfactory

No requirements are met.

10
 pts

This criterion is linked to a Learning Outcome
Key Findings: Organize the key findings with the most important first and least important last. NURS 6512 Week 4 I-HUMAN PATIENTS CASE STUDY: ASSESSING THE CARDIOVASCULAR SYSTEM

5
 pts

Excellent

The key findings are complete and appropriately organized.

4
 pts

Good

The key findings are complete but the organization is not correct.

3
 pts

Fair

There are 1–2 key findings missing or organized inappropriately.

2
 pts

Poor

There are 3 key findings missing and organization is incorrect.

0
 pts

Unsatisfactory

There are more than 3 key findings missing and organization is incorrect.

5
 pts

This criterion is linked to a Learning Outcome
Problem Statement: Document a brief and accurate problem statement using professional language that includes the following: 1.) Name or initials, age; 2.) Chief complaint; 3.) Positive and negative subjective findings; 4.) Positive and negative objective findings.

5
 pts

Excellent

All requirements are met.

4
 pts

Good

3 requirements are met.

3
 pts

Fair

2 requirements are met.

2
 pts

Poor

1 requirement is met.

0
 pts

Unsatisfactory

No requirements are met.

5
 pts

This criterion is linked to a Learning Outcome
Management Plan: Use the expert diagnosis provided to create a pertinent, comprehensive, evidenced-based management plan. Address the following criteria in the plan: 1.) Diagnostic tests; 2.) Medications (write out a complete order, even for OTC meds); 3.) Suggested consults/referrals; 4.) Patient education; 5.) Follow-up, including time interval and specific symptoms to prompt a return visit sooner; 6.) Provide rationales for each intervention and include references to support your plan. Clinical practice guidelines should be utilized as applicable.

15
 pts

Excellent

All requirements are met.

13
 pts

Good

5 requirements are met.

10
 pts

Fair

4 requirements are met.

7
 pts

Poor

1-3 requirements are met.

0
 pts

Unsatisfactory

No requirements are met.

15
 pts

This criterion is linked to a Learning Outcome
References and Format: Current APA citations for references in management plan. Use of clinical practice guidelines when applicable.

5
 pts

Excellent

0–1 errors Clinical practice guidelines used when applicable.

4
 pts

Good

2–3 errors Clinical practice guidelines used when applicable.

3
 pts

Fair

4–5 errors Clinical practice guidelines not used when applicable.

2
 pts

Poor

6–7 errors Clinical practice guidelines not used when applicable.

0
 pts

Unsatisfactory

More than 7 errors; clinical practice guidelines not used when applicable.

5
 pts

Total Points: 
100 NURS 6512 Week 4 I-HUMAN PATIENTS CASE STUDY: ASSESSING THE CARDIOVASCULAR SYSTEM

Question 12                                    1 pts

Barriers for providers related to intimate partner violence screening include:

Group of answer choices

 

Discomfort with the topic

GET EXAM HELP HERE

Having too much power that might be intimidating

 

Time constraints

 

A and C

 

A, B, and C

NRNP 6552
Midterm Exam
Walden University

Question 101 pts

Jenna comes in complaining of intense itching in the vaginal area. She also has some itching in the vulvar area. It is really bad after she has intercourse. In gathering her history, she tells you she had an ear infection a few weeks ago and took amoxicillin for it but otherwise, has been healthy. On exam, you note a thick, white, lumpy discharge with the consistency of cottage cheese. The vulva is red and swollen as are the labial folds. There is no strong odor. The most likely diagnosis is:

Group of answer choices

 

Bacterial vaginosis

 

Trichomoniasis

 

Urinary tract infection

 

Vulvovaginal candidiasis

 

NRNP 6552
Midterm Exam Walden University

Question 81 pts

A progesterone challenge test that produces withdrawal bleeding is indicative of:

Group of answer choices

 

No ovarian function

 

Infertility

GET EXAM HELP HERE

Functioning ovaries

 

Uterine cancer

Question 7                                                           1 pts

The American Cancer Society (ACS) has recently updated its colorectal cancer screening guidelines. The new guidelines recommend screening average-risk patients for that disease at age ________

Group of answer choices

 

40

 

45

GET EXAM HELP HERE

50

 

55

Question 3                                                                           1 pts

When looking from a feminist perspective at research studies, one of the great concerns is that:

Group of answer choices

 

There are too many studies involving women

GET EXAM HELP HERE

 

Most of the research is qualitative, which limits the applicability

 

For many years, studies were done primarily on men with the findings being generalized to women

 

None of the above

Question 2            1 pts

On physical examination, pale atrophic depigmented tissue that has a “cigarette paper” appearance is consistent with:

Group of answer choices

 

Vaginal candidiasis

GET EXAM HELP HERE

Contact dermatitis

 

Lichen sclerosis

 

Gonorrhea

Question 1    1 pts

Endometriosis can effectively treated with:

Group of answer choices

 

Combined oral Contraceptive (COC)

 

Depo-Provera Injection

GET EXAM HELP HERE

Progestin Implant

 

B and C

Tina jones comprehensive assessment shadow health exam plan

Your Final Plan

 Head and neck (25)

Inspect head

Inspect eyes

Inspect mouth and throat

Inspect eyelids

Inspect ears

Palpate scalp

xxx

Palpate axillary lymph nodes

Use penlight

Use ophthalmoscope

Perform whisper test

Assess eye movements

Use otoscope

xxx

 

Anterior chest (7)

Inspect anterior chest, cardiac

Palpate PMI

xxx

Ausculate cardiac points

 

Posterior chest (5)

Inspect posterior chest

xx

Auscultate posterior chest

 Abdomen (9)

Inspect abdomen

Palpate abdomen, light

xx

Auscultate abdominal arteries

 Upper extremities (16)

Palpate peripheral pulses, upper

Assess capillary refill, fingers

xx

Test stereognosis

Assess bicep strength

Assess hand strength

xx

Inspect fingernails

GET iHUMAN, EXAM OR SHADOW HEALTH HELP HERE

 Lower extremities (15)

Inspect legs for edema

Palpate peripheral pulses, lower

Assess capillary refill, toes

xx

Assess ROM knees

Inspect toenails

 
Full body (4)

Vitals

xx

Inspect skin, general

 Unused Exam Actions (0)

Transcript

Started:
May 22, 2025 |
Total Time:

All Lines ()
Interview Questions ()
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Exam Actions ()

Hello!

Question

05/22/25 7:42 AM EDT

Hi. Im Preceptor Diana. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. 
Pay close attention to this information as it will help guide your exam.
 At the end of this prebrief, you will 
answer a short question about the upcoming assignment.
 During the simulation, you may 
return to these instructions at any time
 by scrolling to the top of your transcript.

What is the situation? Tina jones comprehensive assessment shadow health exam plan

Question

05/22/25 7:43 AM EDT

Six months have passed since Tina Jones was admitted to Shadow General Hospital, and her foot wound has healed. Your role in this simulation is that of a healthcare provider who will 
perform a comprehensive assessment on Ms. Jones
 to demonstrate your clinical competency.

What are my objectives in this assessment?

Question

05/22/25 7:44 AM EDT

You will collect subjective data from Ms. Jones: 
inquire into her current health status, body systems, mental health, and psychosocial history.
 Regardless of whether you have assessed Tina previously, 
ask all questions that are medically relevant
 to understanding her current health status. In addition to collecting subjective data, you will 
perform a physical exam on Ms. Jones systems
 to gather objective data about her overall health. Ms. Jones has no new abnormal findings, so after you complete an exam task, you do not need to make selections in the Electronic Health Record, though you may document your findings if you like. While you should 
communicate with patients using accessible, everyday language,
 it is standard practice to 
use professional medical terminology everywhere else, such as in documenting physical findings and nursing notes.
Tina jones comprehensive assessment shadow health exam plan You may complete the exam activities in any order and move between them as needed.

What else will this exam involve?

Question

05/22/25 7:45 AM EDT

You will 
complete nursing tasks to protect the patients safety, privacy, and health. 
While it is not required for this assignment, you can 
document your findings, including vital signs,
 in the Electronic Health Record. This record provides necessary information for healthcare professionals who will continue patient care. Activities other than Subjective and Objective Data Collection, such as Documentation and Education and Empathy, provide valuable practice for their real-world counterparts. However, they are not automatically graded by the simulation.

How will I be evaluated?

Question

05/22/25 7:46 AM EDT

In this assignment, 
you will be evaluated on your Subjective and Objective Data Collection.
 The evaluation of your interview is dependent on how you 
word your questions therapeutically and precisely
 and 
explore all relevant topics with comprehensive breadth and depth.
 The evaluation of your physical exam requires you only to 
complete all exam actions.
 Documentation of the exam is encouraged, as it can provide you valuable real-world experience, but they are not automatically graded by the simulation. This assignment takes on average 
between 140 and 170 minutes.
 You can 
pause and resume the assignment at any time;
 your work is always saved automatically.

How does this assignment prepare me for the real world?

Question

05/22/25 7:48 AM EDT

In this assessment, you will become familiarized with the structure and content of comprehensive assessments so that with real-life patients, you can: º 
develop a mental model for sequencing a comprehensive exam
 º 
ask effective and comprehensive questions
 º 
evaluate the patients risk of disease, infection, injury, and complications
 º and 
document data with professional terminology.

In 1 or 2 sentences, answer this question
 to help prepare for the upcoming exam: How does interviewing a healthy patient differ from interviewing a patient with a known
health condition
?

Interviewing a healthy patient focuses on general health conditions lifestyle and preventive care while for a sick patient and concentrates on specific symptoms, history and potential complications

Statement

05/22/25 7:57 AM EDT

Time to begin Tina jones comprehensive assessment shadow health exam plan.

Hello, I a Kerine, I will interview and examine you today

Greet

05/22/25 7:52 AM EDT

Hey.

What is your name

Question

05/22/25 7:53 AM EDT

Tina Jones.

Your date of birth

Question

05/22/25 7:53 AM EDT

February 17th.

 

Objective Data Collection: 70 of 73 (95.9%)

Hover To Reveal…

Hover over the 
Patient Data
 items below to reveal important information, including 
Pro Tips
.

Found:

 Indicates an item that you found.

Available:

 Indicates an item that is available to be found.

Category

Scored Items

Experts selected these examinations as essential components of objective data collection for this patient.

Patient Data

Not Scored

Thorough examinations will yield better patient data. The following actions reveal the objective data of the patient’s case.

HEENT

Finding:

Inspected head and neck

Tina jones comprehensive assessment shadow health exam plan

Finding:

Scattered pustules on face and facial hair on upper lip

(Found)

Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems.

Example Question:

Finding:

Head is normocephalic, atraumatic

(Found)

Pro Tip: Because your patient may have unknowingly hit her head during her fall, giving special attention to your observation of the size and the shape of your patient’s head can identify any indications of trauma.

Example Question:

Finding:

Normal scalp hair distribution

(Found)

Pro Tip:
It’s important to inspect your patient’s hair
for distribution, color, and texture because abnormal hair growth or characteristics can indicate underlying health problems.

Example Question:

Finding:

Acanthosis nigricans noted on neck

(Found)

Pro Tip: Skin changes are common in patients with uncontrolled diabetes. A thorough inspection should be conducted of your patient’s skin, especially in folds around the neck, axilla, and groin.

Example Question:

Finding:

Inspected eyebrows and orbital area

Finding:

Right eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema

(Found)

Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions.

Example Question:

Finding:

Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema

(Found)

Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions.

Example Question:

Finding:

Palpated scalp

Finding:

No masses

(Found)

Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses.

Example Question:

Finding:

Palpated sinuses

Tina jones comprehensive assessment shadow health exam plan

Finding:

No frontal sinus tenderness

(Found)

Pro Tip: Palpating the frontal sinuses checks for sinusitis.

Example Question:

Finding:

No maxillary sinus tenderne

6675 midterm Exam Questions Walden university

 

Question 1     1 pts

Neurochemical or neurophysiologic changes in the body that result from the repeated administration of a drug is known as which of the following?

Group of answer choices

 

Cross-tolerance

 

Neurotransformation

 

Neuroadaptation

 

Neurocognitive adjustment

 

Question 2               1 pts

Recurrent, persistent genital pain occurring before, during, or after intercourse is known as which of the following?

Group of answer choices

 

Vaginismus

 

Dyspareunia

 

Female orgasmic disorder

 

Female sexual interest/arousal disorder

 

Question 3              1 pts

Which of the following is true about preoccupation with castration?

Group of answer choices

 

This can be serious and life-threatening if castration is carried out without medical supervision.

 

This is consistent with Transvestic Disorder.

 

This is consistent with other specified paraphilic disorder.

 

This is consistent with sexual masochism disorder.

 

Question 4              1 pts

The three major neurotransmitters associated with anxiety, based on animal studies and response to drug treatment, include which of the following?

Group of answer choices

 

Glutamate, Norepinephrine, Serotonin

 

GABA, Norepinephrine, Serotonin

 

GABA, Dopamine, Glutamate

 

Dopamine, Norepinephrine, Serotonin

 

Question 51 pts

Which of the following symptoms would suggest an underlying medical issue in a patient experiencing panic-like symptoms?

Group of answer choices

 

Ataxia

 

Nausea

 

Sweating

 

Palpitations

 

Question 61 pts

Which of the following anticholinergic medications is used to treat extrapyramidal symptoms?

Group of answer choices

 

Diphenhydramine

 

Amantadine

 

Propranolol

 

Benztropine

GET EXAMS HELP HERE  

Question 71 pts

An acute neurological disorder characterized by ataxia, vestibular dysfunction, confusion, and a variety of ocular motility abnormalities is known as which of the following?

Group of answer choices

 

Korsakoff’s syndrome

 

Alcohol-induced dementia

 

Wernicke’s encephalopathy

 

Idiosyncratic Alcohol Intoxication

 

Question 81 pts

Activities, interests, use of symbols, styles, or other personal and social attributes that are recognized as masculine or feminine is known as which of the following?

Group of answer choices

 

Gender identity

 

Gender role behavior

 

Gender discordance

 

Internalizes sexual prejudice

 

Question 91 pts

Which of the following neurotransmitters exerts an inhibitory effect of sexual function?

Group of answer choices

 

Dopamine

 

Oxytocin

 

Serotonin

 

Glutamate

 

Question 101 pts

A diffuse, unpleasant, vague sense of apprehension, often accompanied by autonomic symptoms which varies among persons is commonly known as which of the following?

Group of answer choices

 

Fear

 

Stress

 

Normal anxiety

 

Pathological anxiety

 

Question 111 pts

A recurrent intrusive thought, feeling, idea, or sensation that causes severe distress to the individual is known as which of the following?

Group of answer choices

 

A compulsion

 

An obsession

 

A specific phobia

 

Normal

 

Question 121 pts

Symptoms of opioid intoxication include which of the following?

Group of answer choices

 

Altered mood

 

Psychomotor retardation

 

Impaired memory

 

All of the above

 

6675 Midterm Exam Questions Walden university Question 13    1 pts

As a Medicare Part B provider, you should do which of the following?

Group of answer choices

 

Obtain billing information at the time service is rendered.

 

Obtain payment at the time service is rendered.

 

Submit an explanation of benefits (EOB) form with all appropriate MSP information to the designated carrier.

 

A and C only

 

Question 141 pts

Which of the following is the most widely-consumed psychoactive substance?

Group of answer choices

 

Alcohol

 

Caffeine

 

Heroin

 

Cannabis

 

Question 151 pts

Nsytagmus, or marked slurring of speech and blackouts, are likely impairments at which of the following blood alcohol concentrations?

Group of answer choices

 

30 – 80 mg/dL

 

80 – 200 mg/dL

 

200 – 300 mg/dL

 

300 – 400 mg/dL

 

Question 161 pts

Recurrent preoccupation with sexual urges and fantasies involving the act of being humiliated, beaten, bound, or otherwise made to suffer is known as which of the following?

Group of answer choices

 

Frotteurism

 

Sexual Sadism

 

Sexual Masochism*

 

Other Specified Paraphilic Disorder

 

Question 171 pts

Which of the following is inconsistent with current knowledge about schizophrenia?

Group of answer choices

 

Schizophrenia is one of the most common of the serious mental disorders.

 

A diagnosis of schizophrenia is based entirely on the psychiatric history and mental status examination.

 

Dopamine level is a laboratory test that assists in the diagnosis of schizophrenia.

 

Schizophrenia likely comprises a group of disorders with heterogeneous etiologies and variable presentations.

 

Question 181 pts

A continuous or intermittent craving for the substance to avoid a dysphoric state is known as which of the following concepts related to substance use and addictive disorders?

Group of answer choices

 

Addiction

 

Physical dependence

 

Behavioral dependence

 

Psychological dependence

 

Question 191 pts

The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was developed for which of the following purposes?

Group of answer choices

 

To facilitate a seamless transition into immediate use by clinicians and insurers to maintain continuity of care

 

To facilitate more precisely identifying and diagnosing mental disorders

 

To eliminate need for ICD-9 codes

 

A and B

 

Question 201 pts

A patient states that he continues to be late for work because he finds himself making multiple trips into the house to check that the stove is off prior to leaving, due to concerns about the stove being completely off. The ARNP recognizes this as which of the four major symptom patterns of OCD?

Group of answer choices

 

Contamination

 

Pathological doubt

 

Intrusive thoughts

 

Symmetry

 

6675 Midterm Exam Questions Walden university  Question 21 1 pts

Which of the following statements is NOT consistent with literature related to the prevalence of drinking alcohol with respect to ethnicity?

Group of answer choices

 

Irish populations have higher rates of severe alcohol problems and higher rates of abstentions.

 

Among religious denominations, Jewish populations have the highest proportion of people who consume alcohol but lower rates of alcohol dependence.

 

More than 60 percent of men and women in Native American and Inuit populations have been alcohol dependent at some time.

 

Caucasians have the lowest rate of alcohol use.

 

Question 221 pts

Excess of which of the following neurotransmitters is associated with both positive and negative symptoms in schizophrenia?

Group of answer choices

 

Dopamine

 

Serotonin

 

Norepinephrine

 

GABA

 

Question 231 pts

Telepsychiatrists adjust clinical care in which of the following ways to make it as personal as in- person care?

Group of answer choices

 

Use fewer physical gestures as patients are not able to clearly appreciate them anyway.

 

Check in with the patient to see how the patient is experiencing telepsychiatry.

 

Insist every other appointment is an in-person appointment.

 

Send things to the patient such as a box of tissues to facilitate the patient feeling cared for.

 

Question 241 pts

Antipsychotic medications can cause metabolic symptom. Which of the following is not consistent with metabolic syndrome?

Group of answer choices

 

Obesity

 

Dyslipidemia

 

Hypotension

 

Impaired glucose tolerance

 

Question 251 pts

Which of the following is true about the legal practice of the psychiatric-mental health nurse practitioner?

Group of answer choices

 

All have some degree of prescriptive privileges in all states and the District of Columbia.

 

All are considered primary providers in all states and the District of Columbia.

 

All have the ability to manage patients medically within their scope of practice without a collaborative practice agreement.

 

A and B only

 

Which of the following factors are associated with poor prognosis for patients with OCD?

6675 Midterm Exam Questions Walden university Group of answer choices

 

Childhood onset

 

The presence of a precipitating event

 

Co-existing major depressive disorder

 

A and C

 

Question 271 pts

A patient with a history of Alcohol Use Disorder presents with confusion, clouding of consciousness, myoclonus, oppositional hypertonia, fatigue, apathy irritability, anorexia, and insomnia. Symptoms do not improve with thiamine treatment. This presentation is consistent with which of the following?

Group of answer choices

 

Wernicke-Korsakoff syndrome

 

Idiosyncratic alcohol intoxication

 

Alcoholic pellagra encephalopathy

 

Alcohol-induced Persisting Dementia

 

Question 281 pts

Usually characterized by a man’s rubbing his penis against the buttocks or other body parts of a fully clothed woman to achieve orgasm is known as which of the following?

Group of answer choices

 

Voyeurism

 

Fetishism

 

Frotteurism

 

Partialism

 

Question 291 pts

Individuals with posttraumatic stress disorder show symptoms in which of the following domains?

Group of answer choices

 

Intrusion symptoms

 

Symptoms of avoidance

 

Increased autonomic arousal

 

All of the above

 

Question 301 pts

Flashbacks in which the individual may act and feel as if the trauma were reoccurring represent which of the following clinical features of PTSD?

Group of answer choices

 

Intrusion symptom

 

Symptom of avoidance

 

Symptom of increased autonomic arousal

 

Derealization

 

Question 311 pts

A disorder characterized by an emotional response to a stressful event within three months of the stressor is known as which of the following?

Group of answer choices

 

Insomnia

 

Conduct Disorder

 

Adjustment Disorder

 

Generalized Anxiety Disorder

 

Question 321 pts

Which of the following is a guideline for prescribing legally?

Group of answer choices

 

Prescribe the right medicine at the right times for the right indication for the right patient.

 

If there is a practice protocol or guideline in the facility, follow it.

 

If there is no facility-wide protocol for prescribing, the standard of care for prescribing may be assumed to be the Physician’s Desk Reference or Epocrates.

 

All the above

 

Question 331 pts

Antipsychotic medications provide D2 blockade in the mesolimbic system which results in which of the following?

Group of answer choices

 

Decrease positive symptoms

 

Reduce positive symptoms

 

Increase extrapyramidal symptoms (EPS)

 

Decrease extrapyramidal symptoms (EPS)

 

Question 341 pts

According to the AANP State Practice Environment, the following statement is consistent with which level of practice?

 

“State practice and licensure laws restrict the ability of NPs to engage in at least one element of NP practice. State law requires career-long supervision, delegation or team management by another health provider in order for the NP to provide patient care.”

 

Group of answer choices

 

Full practice

 

Reduced practice

 

Restricted practice

 

None of the above

 

Question 351 pts

The nursing practice model recommended for NPs by the National Academy of Medicine and the National Council of State Boards of Nursing is which of the following?

Group of answer choices

 

Full practice

 

Reduced practice

 

Restricted practice

 

Arbitrary practice

 

Question 361 pts

Obscene phone calling to an unsuspecting partner for sexual arousal is known as which of the following?

6675 Midterm Exam Questions Walden university Group of answer choices

 

Telephilia

 

Partialism

 

Telephone scatologia

 

Normal adolescent prank

 

Question 371 pts

Testosterone increases libido in which of the following?

Group of answer choices

 

Testosterone increases libido in men.

 

Testosterone increases libido in women

 

Testosterone increases libido in men and women.

 

Testosterone effects male characteristics but is not instrumental in libido.

 

Question 381 pts

Which of the following patients would be appropriate for hospitalization for substance use disorder? Select all that apply.

Group of answer choices

 

Patients who have a substance overdose who cannot be safely treated in an outpatient setting

 

Patients who are at risk for severe or medically complicated withdrawal syndromes

 

Patients who have a history of not benefiting from treatment in a less intensive setting

 

A and B only

 

Question 391 pts

A patient reports having a panic attack several years ago in an elevator and since then has avoided using elevators. This patient meets criteria for which of the following?

Group of answer choices

 

Social phobia

 

Specific phobia

 

General anxiety disorder unspecified

 

Obsessive-compulsive disorder

 

Question 401 pts

A condition which results from absence of second female sex chromosome (XO) and is associated with web neck, dwarfism, cubitus valgus, and infertility in known as which of the following?

Group of answer choices

 

Hermaphroditism

 

Turner’s syndrome

 

Adrenogenital syndrome

 

Androgen insensitivity syndrome

 

Question 411 pts

Which of the following genotypes is consistent with being identified as genetically male?

Group of answer choices

 

XX

 

XY

 

XA

 

XM

 

Question 421 pts

Which of the following are keys to distinguishing OCD from psychosis?

Group of answer choices

 

Patients with OCD can almost always acknowledge the unreasonable nature of their symptoms.

 

Patients with OCD are better able to control their compulsions.

 

Patients with psychosis will have more obsessive thoughts.

 

Patients with OCD have less bizarre obsessions.

 

Question 431 pts

Which of the following are consistent with current data related to the prevalence of drinking alcohol?

Group of answer choices

 

Men and women with higher education and income are less likely to drink alcohol.

 

Men and women with higher education and income are more likely to drink alcohol.

 

Men and women with lower education and higher income are more likely to drink alcohol.

 

Education and income are not a factor in prevalence of drinking alcohol.

 

Question 441 pts

An adaptive response to threat that prepares the organism for flight or fight is known as which of the following?

Group of answer choices

 

Anxiety

 

Specific phobia

 

Generalized anxiety disorder

 

None of the above

 

Question 451 pts

Billing responsibilities related to Medicare providers include which of the following?

Group of answer choices

 

Collecting patient employment and insurance information

 

Identifying payers other than Medicare

 

Determining if Medicare is a primary or secondary provider

 

All of the above

 

Question 461 pts

Antipsychotic medications provide D2 blockade in the nigrostriatal, which causes which of the following?

Group of answer choices

 

Prolactinemia

 

Galactorrhea

 

Gynecomastia

 

Extrapryramidal symptoms (EPS)

 

Question 471 pts

A chronic disorder characterized by repetitive hair pulling, leading to variable hair loss that may be visible to others is known as which of the following?

Group of answer choices

 

Obsessive-Compulsive Disorder

 

Impulse Control Disorder

 

Trichotillomania

 

Factitious Dermatitis

 

Question 481 pts

Methadone withdrawal usually begins how soon after the last dose?

Group of answer choices

 

6–8 hours after the last dose

 

8–12 hours after the last dose

 

24 hours after the last dose

 

1–3 days after the last dose

 

Question 491 pts

If a pregnancy begins while the woman is taking high doses of methadone and withdrawal is desired, during which trimester is this least hazardous?

Group of answer choices

 

First trimester

 

Second trimester

 

Third trimester

 

Withdrawal from methadone should never be done while the woman is pregnant.

 

Question 501 pts

Which of the following neurological symptoms are consistent with inhalant use?

Group of answer choices

 

Sensory illusions, distortions of body size

 

Fearfulness, auditory and visual hallucinations

 

Irritability, emotional lability, euphoria

 

Slurred speech, decreased rate of speech, ataxia

 

Question 511 pts

The recurrent urge to expose one’s genitals to a stranger is known as which of the following?

Group of answer choices

 

Fetishism

 

Voyeurism

 

Exhibitionism

 

Paraphilic disorder

Question 521 pts

Which of the following is consistent with literature regarding the term psychosexual?

Group of answer choices

 

Psychosexual is used to describe personality development and functioning.

 

Psychosexual is synonymous with libido in the Freudian sense.

 

Psychosexual basically refers only to sexual feelings and behavior.

 

None of the above

 

Question 531 pts

A patient who presents absent movement, with difficulty starting activities, flat affect, and avolition would be assessed as having which of the following?

Group of answer choices

 

Dystonia

 

Akathisia

 

Akinesia

 

Pseudo-Parkinson’s

 

Question 541 pts

Which of the following physiological symptoms are consistent with hallucinogen use? Select all that apply.

Group of answer choices

 

Sweating

 

Palpitations

 

Pupillary dilation

 

None of the above

 

Question 551 pts

The ability of one drug to be substituted for another, each usually producing the same physiological and psychological effect is known as which of the following?

Group of answer choices

 

Tolerance

 

Codependence

 

Cross-tolerance

 

Neuroadaptation

 

Question 561 pts

When one’s sexual focus is on objects that are intimately associated with the human body or on non-genital body parts it is known as which of the following?

Group of answer choices

 

Fetishism

 

Voyeurism

 

Exhibitionism

 

Within the range of normal adult behavior

 

Question 571 pts

In the DSM-V the need for treatment is based on assessment of diagnosis and which of the following?

Group of answer choices

 

Severity of symptoms

 

Dangerous to self or others

 

Disability in social and self-care spheres

 

All of the above

 

Question 871 pts

Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects?

Group of answer choices

 

Reduces negative symptoms

 

Increases extrapyramidal symptoms (EPS)

 

Causes prolactinemia

 

Reduces positive symptoms

 

Question 891 pts

The inability to recall important personal information, usually of a traumatic or stressful nature that is too extensive to be explained by normal forgetfulness, direct physiological effects of a substance or other medical condition is the main feature of which of the following disorders?

Group of answer choices

 

Dissociative Amnesia

 

Derealization Disorder

 

Depersonalization Disorder

 

Posttraumatic Stress Disorder

 

Question 901 pts

Which of the following are used to treat symptoms of Neuroleptic Malignant Syndrome?

Group of answer choices

 

Dantrolene

 

Bromocriptine

 

Chlorpromazine

 

A and B only

 

 

Question 911 pts

Non-bizarre delusions present for a least 1 month without other symptoms of schizophrenia or mood disorder warrants a diagnosis of which of the following?

Group of answer choices

 

Schizoaffective disorder

 

Delusional disorder

 

Borderline personality disorder

 

Brief psychotic disorder

 

 

Question 921 pts

The Dopamine hypothesis of schizophrenia posits which of the following?

Group of answer choices

 

Schizophrenia results from too much dopaminergic activity.

 

Schizophrenia results from a deprivation of dopamine.

 

Schizophrenia is not related to dopamine activity.

 

None of the above

 

Question 931 pts

Use of any drug, usually by self-administration, in a manner that deviates from approved social or medical pattern is known as which of the following?

Group of answer choices

 

Abuse

 

Dependence

 

Addiction

 

Intoxication

 

Question 94      1 pts

A deeply held belief despite evidence to the contrary, lasting a least one month, without prominent hallucinations, with functional impairment that relates to the delusional system, is consistent with which of the following diagnoses?

Group of answer choices

 

Schizophrenia

ORDER NOW 

Delusional disorder

 

Brief psychotic disorder

 

Schizophreniform disorder.

 

Question 951 pts

Which of the following is true about the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)?

Group of answer choices

 

Combines the first three DSM-IV TR axes into one list that contains all mental disorders.

 

While it combines the first three DMS-IV TR axes, personality disorders and medical disorders are still recorded separately, using the multi-axial framework.

 

Psychosocial and environmental factors still need to be specified as part of the DSM-5 diagnosis.

 

A and C only

 

Question 961 pts

In which ways are nurse practitioners (NPs) and physician’s assistants (PAs) different?

Group of answer choices

 

NPs differ from PAs in legal definition, scope of practice, licensure, and independence of practice.

 

NPs practice under their own license and independent of the physician, PAs always work under the supervision of a physician.

 

There is essentially no difference functionally between an NP and a PA.

 

A and B

 

Question 97    1 pts

Major neurotransmitters possibly involved in developing substance abuse and substance dependence include which of the following?

Group of answer choices

 

Dopamine

 

GABA

 

Serotonin

 

A and B only

 

Question 98       1 pts

Which of the following is consistent with the epidemiology of schizophrenia in the United States?

Group of answer choices

 

The lifetime prevalence of schizophrenia is about 50 percent.

 

Schizophrenia is more prevalent in children than in adolescents.

 

Peak age of onset in men is 10 to 25 years of age.

 

Onset of schizophrenia before the age of 25 is extremely rare.

 

Question 99               1 pts

Which of the following symptoms represent peripheral manifestations of anxiety?

Group of answer choices

 

Hyperreflexia

 

Palpitations

 

Hyperhidrosis

 

All of the above

 

Question 100         1 pts

Which of the following is not a common physical effect of cannabis?

Group of answer choices

 

Mild tachycardia

 

Mild bradycardia

 

Orthostatic hypotension

 

Dilation of the conjunctival blood vessels