Nokea
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.
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The nurse is assessing a client with diabetes and notes that the client has a strong odor of acetone on their breath. What action should the nurse take next?
- A. Check the client’s blood glucose level.
- B. Offer the client a glass of water.
- C. Assess the client's urine for signs of infection.
- D. Administer insulin immediately.
Correct Answer: A
Rationale: The acetone odor on the breath is a sign of ketosis, which may indicate that the client’s blood glucose is elevated. Immediate blood glucose monitoring is needed.
The National Institute of Neurologic Disorders and Stroke (NINDS) criteria for PD require a confirmatory autopsy but would rate as “probable” if three of the four primary clinical features were present. Which of the following lists three primary clinical features of PD?
- A. Fatigue, postural instability, gait dysfunction
- B. Rigidity, resting tremor, urinary urgency
- C. Rigidity, bradykinesia, resting tremor
- D. Freezing, sleep disturbance, arthralgias
Correct Answer: C
Rationale: The three primary features of PD are rigidity, bradykinesia, and resting tremor.
A 70-year-old man has bothersome lower urinary tract syndrome (LUTS) associated with benign prostatic hyperplasia (BPH). His symptoms are no longer well managed with lifestyle modifications. He is interested in medication to reduce his urinary symptoms but is concerned about possible side effects. He notes that he is recently married and sexual activity is very important to him. Which of the following medications would be most appropriate for this patient?
- A. Alfuzosin
- B. Ditropan
- C. Dutasteride
- D. Tamsulosin
Correct Answer: D
Rationale: Tamsulosin is an alpha-1 blocker that helps alleviate urinary symptoms without significantly impacting sexual function.
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.
Which of the following findings could indicate a need for further evaluation of the cardiac patient?
- A. Hematocrit 42%
- B. Potassium 4.2 mg/dl
- C. Sodium 140 mEq/dl
- D. Low-density lipoprotein of 190 mg/dl
Correct Answer: D
Rationale: LDL levels over 160 mg/dl warrant further evaluation for cardiovascular risk.