NR547 Midterm Exam and Study Guide

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NR547 Midterm Exam and Study Guide

Question 1

Which health indicators are important to monitor for clients who are prescribed second-generation antipsychotic medications?

1. Body mass index, fasting blood glucose, lipid profile ✅
   B. Insulin levels, prolactin levels, lipid profile
   C. Complete metabolic profile, liver function studies, kidney function studies
   D. Electrocardiogram, complete blood count, thyroid function studies

Correct Answer: A. Body mass index, fasting blood glucose, lipid profile

Question 2

Which of the following are positive symptoms of psychotic disorders?

1. Echolalia and Parkinsonism
   B. Hearing voices and seeing lights that no one else sees ✅
   C. Waxy flexibility and lack of interest in social interactions
   D. Tardive dyskinesia and excitability

Correct Answer: B. Hearing voices and seeing lights that no one else sees

Question 3

Why is ruling out a medical etiology of symptoms important when developing a psychiatric differential diagnosis?

1. General medical conditions can be resolved with medications alone.
   B. General medical conditions, especially chronic conditions, result in depression.
   C. General medical conditions can be the result of psychiatric complications.
   D. General medical conditions can have complications which result in psychiatric symptoms. ✅

Correct Answer: D. General medical conditions can have complications which result in psychiatric symptoms.

Question 4

As many as two thirds of patients with what disorder also meet the diagnostic criteria for obsessive-compulsive disorder?

1. Tourette disorder. ✅
   B. Generalized anxiety disorder
   C. Panic disorder
   D. Body dysmorphic disorder

Correct Answer: A. Tourette disorder

Question 5

In which situation would the use of a brief screening tool be least appropriate?

1. Evaluating the efficacy of a client’s antipsychotic medication
   B. Assessing a client’s suicide risk in the emergency department
   C. Assessing the severity of a client’s anxiety
   D. Completing a psychiatric history for a new counseling client ✅

Correct Answer: D. Completing a psychiatric history for a new counseling client