NR547 Midterm and Exam Bundle

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NR547 Midterm and Exam Bundle

Question 6

A 43-year-old client presents with complaints of excessive daytime sleepiness. She sometimes falls asleep without warning during meetings at work and while driving. She sometimes loses muscle tone suddenly if she laughs too hard or gets excited. Prior to prescribing medication, which diagnostic test should be completed?

A. Cerebrospinal fluid analysis ✅
B. Thyroid stimulating hormone (TSH)
C. Magnetic resonance imaging (MRI)
D. Complete blood count

Correct Answer: A. Cerebrospinal fluid analysis

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Question 7

Which client statement is an example of the most common form of hallucination seen in schizophrenia spectrum and other psychotic disorders?

A. “I smell a foul odor in the absence of a stimulus.”
B. “I see flashes of light that are not visible to anyone else.”
C. “I hear voices telling me I am stupid and worthless.” ✅
D. “I feel invisible insects crawling on my skin.”

Correct Answer: C. “I hear voices telling me I am stupid and worthless.”

Question 6

A client diagnosed with a personality disorder states that he does not trust any of his work colleagues because they constantly “spy on” his work and “verbally attack” him during meetings. He also states that he doesn’t trust his wife because she is probably cheating on him with the Amazon deliveryman and is more loyal to their children than to him. Which is the most likely diagnosis?

1. schizoid personality disorder
   B. paranoid personality disorder ✅
   C. schizotypal personality disorder
   D. histrionic personality disorder

Correct Answer: B. paranoid personality disorder

Question 7

Which action should be included in a treatment plan for a client with borderline personality disorder?

1. coping strategies for self-harm behaviors ✅
   B. strategies to reduce the risk of physical harm to others
   C. benzodiazepines for anxiety
   D. electroconvulsive therapy

Correct Answer: A. coping strategies for self-harm behaviors

Question 8

A 66-year-old client presents with complaints of insomnia, low mood, and feelings of guilt. His Geriatric Depression Scale score is 10. What is the client’s most likely diagnosis?

1. mild depression
   B. no depression
   C. moderate depression ✅
   D. severe depression

Correct Answer: C. moderate depression