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NR511 / NR 511 Midterm Exam Differential Diagnosis & Primary Care Practicum Questions and Answers (Verified Answers) 1.There are well described racial and socioeconomic disparities in diagnosis, the following populations have the higher incidence and lower survival
: ANS black and hispanic older adults in general
2.A 72 yo female has residual effects from a stroke that includes memory loss and apathy. Which intervention can best improve the brain's functional reserve ANS decrease overstimulating the patient to avoid agitation 3.The NP is providing chronic management for a 74-year-old male with long- standing COPD. He presents to the primary care office with increased short- ness of breath to the point that he is unable to walk to the mailbox or send 1 / 3
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a flight of stairs in his home. He reports that he still smokes 1/4 pack of cigarettes per day. He tells the NP I guess I'm just getting too old to do normal things anymore. The NP recognizes that the decline in the patient's physical function is due to ANS disease-related disability 4.The physiologic eye changes that occur in adults between the ages of 42 to 50 years of age that indicate the new reading glasses are due to
: ANS reduced lens elasticity
5.-year-old male reports to the primary care office with a complaint of feeling down since the death of his spouse eight months ago. He has suppressed his depression through the use of alcohol. His medical history includes gerd, atrial fibrillation, and chronic back pain. His medications
include: Cyclobenzaprine 10 milligrams as needed for pain, warfarin 5
milligrams daily, pantoprazole 40 milligrams daily, lisinopril 10 milligrams daily, Flomax 0.4 milligrams daily, multivitamin daily, vitamin C 500 milligrams daily, and vitamin D 1000 IU daily. The MP decides to perform the cage assessment to determine the patient's extent of alcohol dependency and obtains a score of three which signifies alcohol use disorder. The NP also performs a medication review and identifies that some of his medications metabolic effects are altered by alcohol. Which of the 2 / 3
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medications should be of concern for the NP ANS Cycloben- zaprine (Amrix), Warfarin, and Pantoprazole (Protonix) 6.A 68-year-old female presents to the primary care office as a new patient who recently located from Florida. The patient reports a past medical his- tory of vitamin B12 deficiency, hypertension, hyperlipidemia, and gerd. The patient reports that one year ago she was seen by gastroenterologist for gerd symptoms where she was prescribed omeprazole 40 milligrams daily.She reports that after being on the omeprazole for two months she stopped having guard symptoms. Therefore an endoscopy was not indicated.Despite having