Nokea
A component of the mental health assessment includes:
- A. Sense of self-worth
- B. Global assessment of functioning
- C. Intelligence quotient level
- D. History of suicide attempts
Correct Answer: B
Rationale: The global assessment of functioning (GAF) evaluates overall mental health status and functioning.
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Children born with Down syndrome often have other anomalies. They especially require evaluation of what body system?
- A. Orthopedic
- B. Gastrointestinal
- C. Cardiac
- D. Endocrine
Correct Answer: C
Rationale: Children with Down syndrome often have congenital heart defects.
A patient calls the nurse practitioner and states that he missed his morning daily dose of warfarin, 5 mg, yesterday and today. The nurse practitioner instructs the patient to:
- A. Wait until tomorrow and resume daily dosing of warfarin 5 mg
- B. Take warfarin 10 mg now
- C. Take warfarin 5 mg now, warfarin 5 mg at 5 pm today, and resume the daily warfarin 5 mg dose in the morning as scheduled
- D. Take warfarin 5 mg now and resume the warfarin 5 mg daily dose in the morning as scheduled
Correct Answer: D
Rationale: The patient should resume the usual warfarin dose and avoid doubling it.
Joyce Mitchell is a 73-year-old frail female with a history of frequent falls, presenting with nausea, vomiting, sweating, and horizontal nystagmus. She is diagnosed with vestibular neuritis. What is the best initial course of treatment?
- A. Vestibular rehabilitation
- B. Supportive care with anti-nausea and anti-vertigo medication
- C. Fluids
- D. Epley maneuver
Correct Answer: B
Rationale: Supportive care with anti-nausea and anti-vertigo medication is appropriate for vestibular neuritis.
Which cranial nerves are responsible for eye movement?
- A. CN II, III, IV
- B. CN III, IV, VI
- C. CN II, IV, VI
- D. CN III, IV, VII
Correct Answer: B
Rationale: Cranial nerves III, IV, and VI control eye movements.
A common cause of decreased libido in men is due to:
- A. Decreased blood flow in the hypogastric arterial system
- B. Endocrine dysfunction
- C. Neurologic deficit
- D. Impaired neural innervation
Correct Answer: B
Rationale: Endocrine dysfunction, particularly low testosterone, is a common cause of decreased libido in men.