NURS 623 Exam 3 Mental Health GI Most

NURS 623 Exam 3 Mental Health & GI (Most Questions from FNP Cert Review 3rd Ed) Questions and Correct Answers The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessive

worry or apprehension must be present more days than not for at least:

• 1 month
• 3 months
• 6 months
• 12 months - Correct Answer C.

The clinician has chosen to prescribe an SSRI instead of a tricyclic antidepressant (TCA) for a patient fitting the diagnostic criteria for depression. Which of the following is not true concerning SSRIs in comparison to tricyclic antidepressants?

• SSRIs are more effective than TCAs.
• SSRIs take less time to work than TCAs.
• SSRIs have a more favorable side-effect profile than TCAs.
• SSRIs are not lethal in overdose. - Correct Answer A

A patient is seen with complaints of diarrhea. Which of the following should be included in the patient's differential diagnosis?

• Gastroenteritis
• Inflammatory bowel disease
• Lactase deficiency
• All of the above - Correct Answer D

A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain after meals. She is often constipated and takes laxatives, which are followed by a couple of days of diarrhea. She temporarily feels better after a bowel movement. She states she is embarrassed by flatulence and has abdominal distension. She has had no weight loss or blood in her stool. This problem has gone on for about 6 months. What should the next step be? 1 / 3

• Obtain a complete history.
• Order a barium enema.
• Schedule a Bernstein's test.
• Prescribe a trial of antispasmodics. - Correct Answer A

A 28-year-old patient is seen with complaints of diarrhea. Which of the following responses to the history questions would help the primary care physician (PCP) establish the diagnosis of irritable bowel syndrome?

• Feels relief after a bowel movement
• Sometimes is constipated
• Does not defecate in the middle of the night
• All of the above - Correct Answer D

Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has had intermittent heartburn for several months and takes Tums® with temporary relief. He has been waking during the night with a burning sensation in his chest. Which additional information would lead you to believe that gastroesophageal reflux disease (GERD) is the cause of his pain?

• The pain seems better when he smokes to relieve his nerves.
• Coffee and fried foods don't bother him,
• He wakes at night coughing with a bad taste in his mouth.
• All of the above - Correct Answer C

•Which of the following dietary instructions should be given to a patient with GERD?

• Eliminate coffee.
• Drink peppermint tea to relieve stomach distress.
• Recline and rest after meals.
• Limit the amount of antacids. - Correct Answer A

• The patient with GERD should be instructed to eliminate which of these activities? 2 / 3

• Swimming
• Weight lifting
• Golfing
• Walking - Correct Answer B

Marian, age 52, is obese. She complains of a rapid onset of severe right upper quadrant (RUQ) pain,

abdominal cramping, nausea, and vomiting. Your differential diagnosis might be:

• Diverticulitis
• Gastritis
• Cholecystitis
• Appendicitis - Correct Answer C

A 46-year-old female patient is seen in the clinic with abdominal pain. Which of the following tests is essential for this patient?

• CBC with differential
• Urine human chorionic gonadotropin
• Barium enema
• Computed tomography of the abdomen - Correct Answer B

A patient is seen with complaints of diarrhea. Which of the following should be included in the patient's differential diagnosis?

• Gastroenteritis
• Inflammatory bowel disease
• Lactase deficiency
• All of the above - Correct Answer D

Which of the following is part of the treatment plan for the patient with irritable bowel syndrome?

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