Final Exam: NR509/ NR 509 (2023/ 2024 Latest Update) Advanced Physical Assessment Exam| Grade A Questions and Verified Answers| 100% Correct- Chamberlain

Q: A 32-year-old white female comes to your clinic, complaining of overwhelming sadness.

She says for the past 2 months she has had crying episodes, difficulty sleeping, and problems

with overeating. She says she used to go out with her friends from work but now she just wants

to go home and be by herself. She also thinks that her work productivity has been dropping

because she just is too tired to care or concentrate. She denies any feelings of guilt or any

suicidal ideation. She states that she has never felt this way in the past. She denies any recent

illness or injuries. Her past medical history consists of an appendectomy when she was a

teenager; otherwise, she has been healthy. She is single and works as a clerk in a medical office.

She denies tobacco, alcohol, or illegal drug use. Her mother has high blood pressure and her

father has had a history of mental illness. On examination you see a woman appearing her st

Answer:

C) Major depressive episode

Q: A 23-year-old ticket agent is brought in by her husband because he is concerned about her

recent behavior. He states that for the last 2 weeks she has been completely out of control. He

says that she hasn't showered in days, stays awake most of the night cleaning their apartment,

and has run up over $1,000 on their credit cards. While he is talking, the patient interrupts him

frequently and declares this is all untrue and she has never been so happy and fulfilled in her

whole life. She speaks very quickly, changing the subject often. After a longer than normal

interview you find out she has had no recent illnesses or injuries. Her past medical history is

unremarkable. Both her parents are healthy but the husband has heard rumors about an aunt with

similar symptoms. She and her husband have no children. She smokes one pack of cigarettes a

day (although she has been chain-smoking in the last 2 weeks), drinks four to si

Answer:

B) Manic episode

Final Exam: NR509/ NR 509 (2023/ 2024

Latest Update) Advanced Physical

Assessment Exam| Grade A Questions and

Verified Answers| 100% CorrectChamberlain

Q: A 35-year-old stockbroker comes to your office, complaining of feeling tired and irritable.

She also says she feels like nothing ever goes her way and that nothing good ever happens. When

you ask her how long she has felt this way she laughs and says, "Since when have I not?" She

relates that she has felt pessimistic about life in general since she was in high school. She denies

any problems with sleep, appetite, or concentration, and states she hasn't thought about killing

herself. She reports no recent illnesses or injuries. She is single. She smokes one pack of

cigarettes a day, drinks occasionally, and hasn't taken any illegal drugs since college. Her mother

suffers from depression and her father has high blood pressure. On examination her vital signs

and physical examination are unremarkable.

What mental health disorder best describes her symptoms?

A) Major depressive episode

B) Dysthymic disorder

C) Cyclothymi

Answer:

B) Dysthymic disorder

Q:

Answer:

Q: narcissistic personality disorder

Answer:

characterized by a grandiose sense of self-importance, a preoccupation with fantasies of success

or power, and a need for constant attention or admiration

Q: paranoid personality disorder

Answer:

type of personality disorder characterized by extreme suspiciousness or mistrust of others

Q: avoidant personality disorder

Answer:

A personality disorder characterized by consistent discomfort and restraint in social situations,

overwhelming feelings of inadequacy, and extreme sensitivity to negative evaluation.

Q: Histronic PD

Answer:

constant attention-seeking behavior

Q: A young woman comes to you with a cut on her finger caused by the lid of a can she was

opening. She is pacing about the room, crying loudly, and through her sobs she says, "My career

as a pianist is finished!" Which personality type exhibits these features?

A) Narcissistic

B) Paranoid

C) Histrionic

D) Avoidant

Answer:

C) Histrionic

Q: You ask a patient to draw a clock. He fills in all the numbers on the right half of the circle.

What do you suspect?

A) Hemianopsia

B) Fatigue

C) Oppositional defiant disorder

D) Depression

Answer:

A) Hemianopsia

Q: A 75-year-old homemaker brings her 76-year-old husband to your clinic. She states that 4

months ago he had a stroke and ever since she has been frustrated with his problems with

communication. They were at a restaurant after church one Sunday when he suddenly became

quiet. When she realized something was wrong he was taken to the hospital by EMS. He spent 2

weeks in the hospital with right-sided weakness and difficulty speaking. After hospitalization he

was in a rehab center, where he regained the ability to walk and most of the use of his right hand.

He also began to speak more, but she says that much of the time "he doesn't make any sense."

She gives an example that when she reminded him the car needed to be serviced he told her "I

will change the Kool-Aid out of the sink myself with the ludrip." She says that these sayings are

becoming frustrating. She wants you to tell her what is wrong and what you can do about

Answer:

A) Wernicke's aphasia

Q: A 72-year-old African-American male is brought to your clinic by his daughter for a followup visit after his recent hospitalization. He had been admitted to the local hospital for speech

problems and weakness in his right arm and leg. On admission his MRI showed a small stroke.

The patient was in rehab for 1 month following his initial presentation. He is now walking with a

walker and has good use of his arm. His daughter complains, however, that everyone is still

having trouble communicating with the patient. You ask the patient how he thinks he is doing.

Although it is hard for you to make out his words you believe his answer is "well . . . fine . . .

doing . . . okay." His prior medical history involved high blood pressure and coronary artery

disease. He is a widower and retired handyman. He has three children who are healthy. He

denies tobacco, alcohol, or drug use. He has no other current symptoms. On examinati

Answer:

B) Broca's aphasia

Q: eczema (atopic dermatitis)

Answer:

inflammatory skin disease with erythematous, papulovesicular, or papalosquamous lesions

Q: Psoriasis