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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The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30-year-old patient. The Nurse Practitioner should assess the patient's:
- A. Throat, face, and right ear
- B. Neck and supraclavicular region
- C. Right forearm and hand
- D. Right groin and abdomen
Correct Answer: C
Rationale: Enlarged epitrochlear nodes are associated with infections or conditions in the hand or forearm.
Mr. B is an 82-year-old enrolled in your primary care clinic panel. His wife is his primary caregiver and feels stressed and overwhelmed. What option would be appropriate for Mr. B except:
- A. Adult day program
- B. Assisted living
- C. Skilled nursing facility
- D. In-home paid care provider
Correct Answer: C
Rationale: Skilled nursing facilities are typically for patients who require higher levels of medical care, which may not be needed for Mr. B.
A patient who has a sulfa allergy can safely take:
- A. Sumatriptan (Imitrex)
- B. Celecoxib (Celebrex)
- C. Glimepiride (Amaryl)
- D. Silver sulfadiazine (Silvadene)
Correct Answer: A
Rationale: Sumatriptan does not contain sulfa and is safe for those with a sulfa allergy.
The remission rate of depressed patients who are 65 years and older to initial antidepressant treatment is:
- A. 30%
- B. 40%
- C. 70%
- D. 80%
Correct Answer: C
Rationale: Older adults have a higher remission rate from antidepressant treatment compared to younger populations.
Which of the following is true about tolterodine?
- A. It should be avoided in men with prostatic hypertrophy.
- B. It increases the risk of constipation compared with oral oxybutynin.
- C. It acts by ablating detrusor spasms.
- D. It has greater risk of adverse effects with its twice-daily formulation.
Correct Answer: C
Rationale: Tolterodine is an anticholinergic that reduces detrusor spasms to alleviate symptoms of overactive bladder.
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