Article Summary/ 3 Full Pages Summary / MLA Format/ Nutrition Article Summary – 2025 Read the article and prepare a written summary of at least 3 double spaced typewritten pages

Nursing Assignment Help

Article Summary/ 3 Full Pages Summary / MLA Format/ Nutrition Article Summary – 2025

Read the article and prepare a written summary of at least 3 double spaced typewritten pages.  Summaries should be submitted through Canvas. Your summary should include your opinion on the content or outcomes of your article. Summaries should be written in MLA format to include the work cited (which would only be one, your article).   

Your opinion should be at least ½ a page. Do not cut and paste material from your article to your summary. Cutting and pasting will result in point deductions and may result in a 0 for this project.

The title of the article: Average Pro-anabolic Nutrients Is Overridden by High Protein and Energy Intake in the Muscle-Tendon Unit Characteristics of Middle- to Older-Aged Adults

Source of my article: Tomlinson, David J., et al.” Journal of Nutrition, vol. 148, no. 11, Nov. 2018, pp. 1776–1785. EBSCOhost, doi:10.1093/jn/nxy185 Full text from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209810/pdf/nxy185.pdf

Professional Development – 2025 Part 5 In this Module s Discussion you were introduced to the concept of

Nursing Assignment Help

Professional Development – 2025

Part 5

In this Module’s Discussion, you were introduced to the concept of an academic portfolio to begin building your own brand. However, portfolios have value that goes beyond brand building. An academic and professional portfolio can also help you to build your own vision and mission and establish your development goals. In this regard, a portfolio becomes yet another tool in your toolbox as you build your success.

In this Assignment you will continue developing your Academic Success and Professional Development Plan by developing the fifth component–a portfolio for your academic and professional efforts.

To Prepare:

  • Consider your goals for academic accomplishments while a student of the MSN program.

The Assignment:

  • Using the Academic Success and Professional Development Plan Template document that you began to work on in Module 1 and have continued expanding throughout this course, you will develop a curriculum vitae (CV) in Part 5 based on your current education and professional background.
  • Write a statement identifying your professional development goals.
  • Write a statement proposing how you might align one or more of your professional development goals with the university’s emphasis on social change.

Note: Add your work for this Assignment to the original document you began in the Module 1 Assignment, which was built from the Academic Success and Professional Development Plan Template.

3 to 5 reference

DEVELOPING A SHARED VISION – 2025 Choose two issues or challenges that the leaders of today s health care

Nursing Assignment Help

DEVELOPING A SHARED VISION – 2025

Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

  1. Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)
  2. Reorganization in Response to Merger or Consolidation of Services
  3. Layoffs as a Result of Declining Revenues
  4. Influx of Registry, Part-Time, and Temporary Contract Staff
  5. Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars
  6. Poor Job Satisfaction Rates Resulting in Turnover

You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following:

  1. Inform the staff of the two issues (from the topics provided) your organization is facing.
  2. Describe the impact of these issues on your department.
  3. Describe how improved communication, collaboration, and teamwork can improve conditions in your department.
  4. Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.
  5. A minimum of three academic references from credible sources are required for this assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center. Only Word documents can be submitted to LopesWrite.

Critical Thinking/Research Critique – 2025 Hi I need the attached table to be filled out based on the article i provided PLEASE answer

Nursing Assignment Help

Critical Thinking/Research Critique – 2025

Hi,

I need the attached table to be filled out based on the article i provided. PLEASE answer all questions very carefully, be concise and make sure your answer perfectly cover the question. I had problem to attach article, if you copy and paste the link below in google, you will be able to to see the article, instruction is in the attached table, this assignment is really important and has lots of points, please make sure you can handle it well, before accepting the deal.

https://drive.google.com/file/d/1tpGg5VUQEI8zxcAkGUwUGiW4vyng1RwB/view?usp=sharing

Analysis Of The Case The Case In Mental Health – 2025 Transcultural Perspectives in Mental Health Nursing Read chapter 10 of the class textbook attached Once done develop and post an

Nursing Assignment Help

Analysis Of The Case The Case In Mental Health – 2025

  

Transcultural Perspectives in Mental Health Nursing

Read chapter 10 of the class textbook attached. 

Once done, develop and post an analysis of the following cases;

Case 1 :

1. Stephane, a 15-year-old Haitian refugee who is living at a center for children of refugees has a severe cough and fever. She is curled up in a corner of the community room wrapped in a towel. She looks like she has been crying.

How can the nurse ensure culturally competent care?

List three priorities for the nurse regarding the cultural values, beliefs, and possible practices that Stephane may have.

Case 2:

2. Jacob is an 87-year-old with bipolar I disorder. He came to the United States from Poland in 1937. He was institutionalized for 2 years in a large mental health facility; currently, he lives in a community mental health center (transitional housing).

a. Identify three questions that would be important to ask Jacob on your first encounter.

b. What is the main health issue for Jacob?

What structures are needed in a community to ensure that Jacob will get the care he needs?

APA format word document, Arial 12 

For grading and in Turnitin to verify originality

A minimum of 3 evidence-based references besides the class textbook must be used. 

  

Textbook title

Transcultural   Concepts in Nursing Care

 

Author

Joyceen   S. Boyle; Margaret M. Andrews

A minimum of 700 words is required. Please make sure to follow the instructions as given.

Due Friday July 5th midnight.

Module 01 Discussion – Clinical Judgment – 2025 Clinical Judgment is the process of integrating evidence based practice critical thought the Nursing Process knowledge skills

Nursing Assignment Help

Module 01 Discussion – Clinical Judgment – 2025

 

Clinical Judgment is the process of integrating evidence-based  practice, critical-thought, the Nursing Process, knowledge, skills, and  attitudes, as well as application of theory to practice in order to  promote safe, quality care to clients in all settings.

Keeping that in mind, answer the following scenario:

You are the Charge Nurse in a large Urban Emergency Department (ED). You nursing staff include:

  1. RN with 12 years of Trauma ED experience
  2. New RN with 6 months ED experience
  3. RN from the Medical Surgical floor with 8 years of experience

The following patients are in the ED, which patient will you give to each of the nurses and why?

  1. A 76-year-old client who was involved in a motor vehicle accident and has hematuria.
  2. A 38-year-old client with kidney stones complaining of severe pain.
  3. A 24-year-old diabetic client with an acute urinary tract infection who will require discharge teaching.
  4. An 80-year-old client that has not had a bowel movement for 4 days.

Nursing – 2025 Course Project Milestone 1 Guidelines and Grading Rubric Updated 01 2019 Purpose To

Nursing Assignment Help

Nursing – 2025

Course Project Milestone 1 Guidelines and Grading Rubric

Updated 01/2019

Purpose

To apply lessons in quality improvement in nursing to a real-world nursing issue. This Course Project will use the Six Sigma DMAIC process.

Course Outcomes

The Course Project enables the student to meet the following Course Outcomes (COs):

· CO1: Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative interprofessional team. (POs 2 and 7)

· CO2: Discuss effective processes and strategies to improve quality in nursing. (POs 2 and 8)

Points

The entire Course Project is worth 600 points. Milestone 1 is worth 150 points of this total.

Due Date

Submit your completed NR392 Milestone 1 by Sunday, 11:59 p.m. MT, end of Week 1.

Requirements and Guidelines

o  Quality improvement is an important issue in professional nursing today. In Milestone 1, the student will define a nursing care issue (not a workforce issue such as staffing) from a current or former workplace or clinical setting that could be impacted by improved quality, and state the desired outcome of the improvement in quality. The student will then provide details about this issue, as well as explain the reason this issue was selected. Milestone 1 is due at the end of Week 1.

o  Download the required Milestone 1 Template (Links to an external site.).

o  Save it to your computer in Microsoft Word 2013 (or later) as a .docx file with the file name: Your Last Name NR392 Milestone 1.docx.

o  Carefully review the grading rubric criteria for Milestone 1.

o  Watch the video that provides a detailed overview of the requirements of Milestone 1.

· After you have developed your responses, type your responses directly in your saved Milestone 1 Template.

**Academic Integrity Reminder**

 College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

Rubric

NR392_Milestone1

NR392_Milestone1

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeNursing Care Issue and Outcome

Defines a nursing care issue from a current or former workplace (or clinical setting) that could be impacted by improved quality. States the desired outcome of the quality improvement process for the selected nursing care issue.

50.0 pts

Defines a nursing care issue from a current or former workplace (or clinical setting) that could be impacted by improved quality. States the desired outcome of the quality improvement process for the selected nursing care issue. Clarity and thoroughness are excellent.

44.0 pts

Defines a nursing care issue from a current or former workplace (or clinical setting) that could be impacted by improved quality. States the desired outcome. Clarity and thoroughness are good. Few revisions (if any) are needed.

40.0 pts

Defines a nursing care issue from a current or former workplace (or clinical setting) that could be impacted by improved quality. States desired outcome. Clarity and thoroughness are fair. Revisions are needed.

19.0 pts

Issue may be medical rather than nursing, OR issue poorly defined (lacks clarity and thoroughness). Outcome may not be stated. Issue is not approved.

0.0 pts

Does not define a nursing care issue.

50.0 pts

This criterion is linked to a Learning OutcomeDetails of the Issue

Explains selected nursing care issue, including why it is important to focus on this issue and how it impacts patients, staff, and/or facility.

50.0 pts

Explanation of selected nursing care issue is outstanding, including why it is important to focus on this issue and how it impacts patients, staff, and/or facility. Depth and detail are excellent.

44.0 pts

Explanation of selected nursing care issue is good, including why it is important to focus on this issue and how it impacts patients, staff, and/or facility. Depth and detail are good.

40.0 pts

Explanation of selected nursing care issue is fair. May or may not include why it is important OR how it impacts patients, staff, and/or facility. Depth and detail are fair.

19.0 pts

Description does not provide adequate explanation of details of the nursing care issue. May or may not include why it is important AND how it impacts patients, staff, and/or facility. Lacks depth and detail.

0.0 pts

No explanation of details is provided.

50.0 pts

This criterion is linked to a Learning OutcomeReason issue selected

Describes the reason the issue was selected.

50.0 pts

Description of reason the issue was selected is outstanding. Depth and detail are excellent.

44.0 pts

Description of reason the issue was selected is good. Depth and detail are good.

40.0 pts

Description of reason the issue was selected is fair. Depth and detail are fair.

19.0 pts

Description does not provide adequate explanation of reasons for selecting the nursing care issue. Lacks depth and detail.

0.0 pts

Does not provide the reason the issue was selected.

50.0 pts

Total Points: 150.0

Summary Of A Nursing Article About Functional Therapy – 2025 Teacher Instructions Find research articles in a peer reviewed source about a successful functional therapy

Nursing Assignment Help

Summary Of A Nursing Article About Functional Therapy – 2025

Teacher Instructions:

  1. Find research articles in a peer-reviewed source about a successful functional therapy.
  2. Summarize the article by answering the following question:
    1. What is the therapy?
    2. How is the therapy used for illness prevention, health promotion, and heath restoration?
    3. Give an example of how this therapy can empower patients?
    4. Identify the actions you can take to work with patients who use functional medicine and safeguard a patient’s rights that choose to use this therapy.
    5. What are some of the limitations of this therapy?
    6. Include any other pertinent information.

Your paper should be 3-4 pages, including:

  • IMPORTANT!!!!! title page, reference page according to APA Writing Style
  • spacing and margin settings (APA Style)

My instructions

– This is a assignment I have to do for a Nursing class and is about functional Therapy. Down below I will give you some information about Functional Therapy so you can use these documents to support you paper but you MUST!  Find research articles in a peer-reviewed source about a successful functional therapy and summarize it and also answer all the question that the teacher wants.

Articles are attached use them to do the paper but you must research a peer-reviewed article and write about it.

**** The paper must be APA STYLE and must have a references page, no plagiarism and must be 15% or less in turnitin!!!!

Video links!

1) http://www.youtube.com/watch?v=zP0TjXiGF2Q

2)http://www.youtube.com/watch?v=XV1xo3gW8o8

3)http://www.youtube.com/watch?v=ECPPiZfhbIE

4)http://www.youtube.com/watch?v=I1HeV7xPLOk

Article Review On Malnutrition/Obesity And Improving Outcomes Research Journal Article – 2025 Choose a research article from a nursing nutritional journal that explores the issue of strategies to improve health related

Nursing Assignment Help

Article Review On Malnutrition/Obesity And Improving Outcomes Research Journal Article – 2025

  

Choose a research article from a nursing/nutritional journal that explores the issue of strategies to improve health related outcomes regarding obesity/malnutrition in our society today. Below are a few suggestions you might consider. 

This can include:

1. What are barriers to a healthy nutritional status?

2. Rates of obesity/malnutrition in Virginia.

3. Why do people have difficulty in maintaining a healthy lifestyle?

4. What impact can nurses have effecting changes in the health care system? 

5. Does preventive care make a difference?

Follow the posted rubric specific to this assignment. 

  

ARTICLE REVIEW

I.  Organization & Structure: 55 Points

a.  Paragraphs are coherent and transition smoothly. (20 Pts)

b.  Structure of article review includes an introduction, research, reflection and conclusion (35 Pts)

II. Article Assessment: 15 Points

a. Article review is no more than 2 pages excluding the cover, reference page. (5 Pts)

b. Article is researched regarding the issue of health care delivery, outcomes and vulnerable populations.  (10 Pts)

III. Grammar, Punctuation and Spelling: 20 Points

a. Article review has no more than 3 errors in grammar, punctuation and or spelling (10 Pts) 

b. Clear statements, well organized, smooth transitions and sequencing (10 Pts)

IV. APA Formatting & References: 20 Points

a. APA format, citing, title page, references if used other than article, page numbers (5 Pts)

b. Selections not older than 5 years (5 Pts)

c. Must be a research/journal article  (10 Pts)

MN568 Unit 10 Final Latest…GUARANTEED A+ ANSWERS! GOOD LUCK – 2025 Question 1 2 2 points Which statement about confusion is true Question options a Confusion is a

Nursing Assignment Help

MN568 Unit 10 Final Latest…GUARANTEED A+ ANSWERS! GOOD LUCK – 2025

 

Question 1 2 / 2 points

Which statement about confusion is true?

Question options:

a) Confusion is a disease process.

b) Confusion is always temporary.

c) Age is a reliable predictor of confusion.

d) Polypharmacy is a major contributor to confusion in older adults.

Question 2 0 / 2 points

Sondra’s peripheral vestibular disease causes dizziness and vertigo. Which of the following medications will help to decrease edema in the labyrinth of the ear?

Question options:

a) Meclizine

b) Diphenhydramine

c) Diamox

d) Promethazine

Question 3 2 / 2 points

The hallmark of an absence seizure is:

Question options:

a) No activity at all

b) A blank stare

c) Urine is usually voided involuntarily

d) The attack usually lasts several minutes

Question 4 2 / 2 points

How often should drug levels be monitored when a seizure medication has controlled the seizures, and the drug level is adequate?

Question options:

a) Every 3 months

b) Every 6 months

c) Annually

d) Whenever there is a problem

Question 5 2 / 2 points

Which of the following persons fits the classic description of a patient with multiple sclerosis (MS)?

Question options:

a) A teenage male

b) A 65-year-old male

c) A 25-year-old female

d) A 60-year-old female

Question 6 2 / 2 points

Which of the following is a specific test to MS?

Question options:

a) Magnetic resonance imaging (MRI)

b) Computed tomography (CT) scan

c) A lumbar puncture

d) There is no specific test.

Question 7 2 / 2 points

Which drug for Alzheimer’s disease should be administered beginning at the time of diagnosis?

Question options:

a) Cholinesterase inhibitors

b) Anxiolytics

c) Antidepressants

d) Atypical antipsychotics

Question 8 2 / 2 points

Which hematoma occurs along the temporal cranial wall and results from tears in the middle meningeal artery?

Question options:

a) Epidural hematoma

b) Subdural hematoma

c) Subarachnoid hematoma

d) Intraparenchymal hemorrhage

Question 9 2 / 2 points

Which cranial nerve is affected in a patient with a cerebrovascular accident who has difficulty chewing?

Question options:

a) CN V

b) CN VII

c) CN IX

d) CN X

Question 10 2 / 2 points

Which statement best describes a carotid bruit?

Question options:

a) It is felt with the middle three fingers over the carotid artery.

b) A bruit becomes audible when the lumen is narrowed to 1 mm or less.

c) A low-pitched bruit is a medical emergency.

d) The higher the pitch of the bruit, the higher the degree of stenosis.

Question 11 2 / 2 points

Which patient is more likely to have a cluster headache?

Question options:

a) A female in her reproductive years

b) A 40-year-old African American male

c) A 55-year-old female who drinks 10 cups of coffee daily

d) A 45-year-old male awakened at night

Question 12 2 / 2 points

Inattention and a sleep-wake cycle disturbance are the hallmark symptoms of?

Question options:

a) Dementia

b) Alzheimer’s disease

c) Parkinson’s disease

d) Delirium

Question 13 2 / 2 points

Which type of meningitis is more benign, self-limiting, and caused primarily by a virus?

Question options:

a) Purulent meningitis

b) Chronic meningitis

c) Aseptic meningitis

d) Herpes meningitis

Question 14 2 / 2 points

Which is the most sensitive neuroimaging test to evaluate patients with encephalitis?

Question options:

a) MRI

b) CT

c) Electroencephalogram (EEG)

d) An initial lumbar puncture

Question 15 2 / 2 points

What is usually the first sign or symptom that a patient would present with that would make you suspect herpes zoster?

Question options:

a) A stabbing pain on one small area of the body

b) A vesicular skin lesion on one side of the body

c) A pain that is worse upon awakening

d) A lesion on the exterior ear canal

Question 16 1 / 1 point

Gabby, aged 22, has Bell’s palsy on the right side of her face. Her mouth is distorted, and she is concerned about permanent paralysis and pain. What do you tell her?

Question options:

a) “Most patients have complete recovery in 3 to 6 months.”

b) “Unfortunately, you’ll probably have a small amount of residual damage.”

c) “Don’t worry, I’ll take care of everything.”

d) “You may have a few more episodes over the course of your lifetime but no permanent damage.”

Question 17 2 / 2 points

Sam, aged 65, is started on L-dopa for his Parkinson’s disease (PD). He asks why this is necessary. You tell him:

Question options:

a) “L-dopa is neuroprotective.”

b) “The primary goal of therapy is to replace depleted stores of dopamine.”

c) “This is the only drug that can provide symptomatic benefit.”

d) “This is the initial monotherapy drug.”

Question 18 2 / 2 points

Which of the following signs is seen in a patient with more advanced PD?

Question options:

a) Resting tremor

b) Bradykinesia

c) Rigidity

d) Postural instability

Question 19 2 / 2 points

Which of the following is the most commonly experienced symptom of migraine?

Question options:

a) Light sensitivity

b) Pulsatile pain

c) Sound sensitivity

d) Experiencing an aura

Question 20 2 / 2 points

Which of the following characteristics differentiates peripheral vertigo from central vertigo?

Question options:

a) The duration of central vertigo is shorter than that of peripheral vertigo.

b) There is an auditory-associated symptom with peripheral vertigo and a visual-associated symptom with central vertigo.

c) Central vertigo is positional, and peripheral vertigo is not.

d) The onset of central vertigo is more sudden than that of peripheral vertigo.

Question 21 2 / 2 points

Carotid endarterectomy should be considered only for symptomatic patients with greater than what percentage of stenosis?

Question options:

a) Greater than 25%

b) Greater than 50%

c) Greater than 75%

d) Only for 100% occlusion

Question 22 2 / 2 points

What antiplatelet agent is most widely used for secondary prevention of stroke?

Question options:

a) Aspirin

b) Ticlopidine

c) Clopidogrel

d) Aspirin and clopidogrel

Question 23 2 / 2 points

Which adjunctive diagnostic test should be used in the work-up of a patient with suspected Creutzfeldt-Jakob disease or transient epileptic amnesia?

Question options:

a) MRI

b) CT

c) Cerebrospinal fluid analysis

d) EEG

Question 24 2 / 2 points

Which herbal preparation may cause delirium and should be avoided in an elderly patient?

Question options:

a) Sam-e

b) Saint John’s Wort

c) Melatonin

d) Saw Palmetto

Question 25 0 / 2 points

Which of the following activities is part of the functional activities questionnaire?

Question options:

a) Asking the patient to unravel a Rubik’s cube

b) Determining if the patient can drive on the highway

c) Asking the patient about a news event from the current week

d) Seeing if the patient can keep his or her home clean

Question 26 2 / 2 points

About 90% of all headaches are?

Question options:

a) Tension

b) Migraine

c) Cluster

d) Without pathological cause

Question 27 2 / 2 points

Which statement is true regarding driving and patients with a seizure disorder?

Question options:

a) Once diagnosed with a seizure disorder, patients must never drive again.

b) After being seizure free for 6 months, patients may drive.

c) Each state has different laws governing driving for individuals with a seizure disorder.

d) These persons may drive but never alone.

Question 28 2 / 2 points

Julie has relapsing-remitting muscular sclerosis. She has not had a good response to interferon. Which medication might help given intravenously once a month?

Question options:

a) Glatiramer acetate

b) Natalizumab

c) Fingolimod

d) Glucocorticoids

Question 29 2 / 2 points

The ‘freezing phenomenon’ is a cardinal feature of?

Question options:

a) Parkinson’s disease

b) Alzheimer’s disease

c) A CVA

d) Bell’s palsy

Question 30 2 / 2 points

A ratchet-like rhythmic contraction, especially in the hand, during passive stretching is known as?

Question options:

a) Spinothalamic dysfunction

b) Ratcheting

c) Cogwheeling

d) Hand tremors

Question 31 2 / 2 points

Clinical features of insidious onset, slow progression, and a lack of other findings to explain the symptoms are fairly diagnostic of which condition?

Question options:

a) Guillain-Barré syndrome

b) Parkinson’s disease

c) Alzheimer’s disease

d) Huntington’s disease

Question 32 1 / 1 point

Which condition is characterized by the impaired ability to learn new information along with either a cognitive disturbance in language, function, or perception?

Question options:

a) Guillain-Barré syndrome

b) Parkinson’s disease

c) Alzheimer’s disease

d) Delirium

Question 33 2 / 2 points

A score of 20 to 25 on this test indicates early-stage Alzheimer’s disease:

Question options:

a) SLUMS

b) MoCA

c) FAST

d) MMSE

Question 34 2 / 2 points

Intravenous thrombolytic therapy following an ischemic CVA should be given within how many hours of symptom onset?

Question options:

a) 1 hour

b) 3 hours

c) 6 hours

d) 12 hours

Question 35 2 / 2 points

When administered at the beginning of an attack, oxygen therapy may help this kind of headache?

Question options:

a) Tension

b) Migraine

c) Cluster

d) Stress

Question 36 2 / 2 points

The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the following neurotransmitters plays a role in anxiety?

Question options:

a) Acetylcholine

b) Gamma-aminobutyric acid (GABA)

c) Dopamine

d) Serotonin

Question 37 2 / 2 points

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:

Question options:

a) 1 month

b) 3 months

c) 6 months

d) 12 months

Question 38 1 / 1 point

A patient presents to the clinician after experiencing four episodes in the last month of sweating, palpitations, chest pain, nausea, and shaking. Each episode lasted about 10 minutes. The patient is now becoming very fearful of future events and has been reluctant to leave the house. The clinician suspects panic disorder but wants to rule out any possible medical causes. Which of the following medical conditions can mimic the symptoms of a panic attack?

Question options:

a) Pheochromocytoma

b) Hyperthyroidism

c) Cardiac arrhythmias

d) All of the above

Question 39 2 / 2 points

Which of the following is considered first-line treatment for panic disorders?

Question options:

a) Benzodiazepines

b) Selective serotonin reuptake inhibitors (SSRIs)

c) Tricyclic antidepressants

d) Cognitive behavioral therapy

Question 40 1 / 1 point

Which of the following symptoms is not part of the diagnostic criteria for post-traumatic stress disorder (PTSD)?

Question options:

a) Hypersomnolence

b) Blunted feelings

c) Loss of interest in significant activities

d) Intrusive recurrent recollections of the event

Question 41 2 / 2 points

Which of the following neuroendocrine abnormalities is implicated in depression?

Question options:

a) Decrease in adrenal size

b) Increased cortisol and corticotrophin-releasing hormone

c) An exaggerated response of thyrotropin (TRH) to infusion of thyroid-releasing hormone

d) Increased inhibitory response of glucocorticoids to dexamethasone

Question 42 2 / 2 points

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?

Question options:

a) SSRIs are more effective than TCAs.

b) SSRIs take less time to work than TCAs.

c) SSRIs have a more favorable side-effect profile than TCAs.

d) SSRIs are not lethal in overdose.

Question 43 2 / 2 points

After discontinuing fluoxetine, how long must a person wait before starting a monoamine oxidase inhibitor?

Question options:

a) 2 weeks

b) 3 weeks

c) 4 weeks

d) 5 weeks

Question 44 2 / 2 points

It is important to educate patients with depression and their family members about reporting signs of increasing depression and suicidal thoughts. This is especially true during which time period?

Question options:

a) Before the initiation of treatment

b) 1 to 2 weeks after the initiation of treatment

c) When switching to a different medication

d) 1 to 2 weeks after tapering off medications

Question 45 2 / 2 points

A patient is experiencing extrapyramidal side effects from his antipsychotic medications. The clinician would most likely take which of the following approaches to treating these side effects?

Question options:

a) Give the patient a “drug holiday” until the symptoms resolve and then restart the medication.

b) Switch the patient to a different antipsychotic.

c) Treat the patient with anticholinergics.

d) Treat the patient with anticonvulsants.

Question 46 1 / 1 point

According to Kübler-Ross, the stages of grief occur in which order?

Question options:

a) Anger, denial, depression, bargaining, acceptance

b) Anger, denial, bargaining, acceptance, depression

c) Denial, anger, depression, bargaining, acceptance

d) Denial, anger, bargaining, depression, acceptance

Question 47 1 / 1 point

The clinician is educating a patient about the effects of marijuana. The patient stated she has been smoking for years and believes the use does not interfere with her life. What is a significant long-term sequelae of marijuana use that the clinician should educate this patient about?

Question options:

a) Memory impairment

b) Sexual dysfunction

c) Dry mouth

d) There are no long-term consequences of marijuana use.

Question 48 2 / 2 points

Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter?

Question options:

a) GABA

b) Acetylcholine

c) Dopamine

d) Serotonin

Question 49 2 / 2 points

What blood alcohol level corresponds with the signs of stupor and confusion?

Question options:

a) 0.05

b) 0.1

c) 0.2

d) 0.3

Question 50 2 / 2 points

Rapid eye movement (REM) sleep occurs how frequently during non-REM sleep?

Question options:

a) Every 30 minutes

b) Every 60 minutes

c) Every 90 minutes

d) Every 180 minutes

Question 51 2 / 2 points

Which of the following is a laboratory finding commonly found in patients with anorexia nervosa?

Question options:

a) Hypercholesterolemia

b) Hypermagnesmia

c) Leukocytosis

d) Decreased TRH

Question 52 2 / 2 points

Which of the following is the only drug for bulimia approved by the U.S. Food and Drug Administration?

Question options:

a) Sertraline

b) Fluoxetine

c) Citoprolam

d) Imipramine

Question 53 2 / 2 points

Which of the following would be important to monitor in a child receiving methylphenidate for treatment of attention deficit-hyperactivity disorder (ADHD)?

Question options:

a) Liver function

b) Vision

c) Growth parameters

d) Renal function

Question 54 2 / 2 points

It is important for the clinician to discuss the long-term effects of sexual assault with survivors. Which of the following is the most common long-term effect of sexual assault?

Question options:

a) Depression

b) Obsessive-compulsive disorder

c) Substance abuse

d) PTSD

Question 55 2 / 2 points

Women are at the highest risk for developing postpartum depression for up to how long after childbirth?

Question options:

a) 2 weeks

b) 1 month

c) 3 months

d) 6 months

Question 56 2 / 2 points

Which is the most prevalent psychiatric condition in the United States?

Question options:

a) Depression

b) Anxiety

c) Substance-related addictions

d) Gambling

Question 57 1 / 1 point

What is recorded as clinical category two of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision)?

Question options:

a) Clinical disorder or focus of clinical attention

b) Personality or environmental problems

c) Environmental and psychosocial stressors

d) Global assessment of functioning

Question 58 2 / 2 points

Which of the following may be used to evaluate a person’s suicide risk?

Question options:

a) CAGE

b) SANE

c) SAD PERSONAS

d) DIGFAST

Question 59 2 / 2 points

Assessing for adherence with prescribed medications and developing a plan for what to do if they are stopped is a major treatment issue for which of the following diagnostic groups?

Question options:

a) ADHD

b) Bipolar

c) Depression

d) Anxiety

Question 60 1 / 1 point

Bipolar disorder requires differential diagnosis from all of the following except?

Question options:

a) Substance abuse and medication effects

b) Medical and neurological disorders

c) Cluster B personality disorders and depression

d) Obsessive-compulsive disorder

Question 61 1 / 1 point

The use of benzodiazepines in the patient with generalized anxiety disorder and comorbid depression can exacerbate depressive symptoms.

Question options:

a) True

b) False

Question 62 1 / 1 point

Depressive episodes associated with bipolar disorder are treated the same as major depressive disorder.

Question options:

a) True

b) False

Question 63 1 / 1 point

Women in abusive relationships have a greater chance of being killed by their batterers when they leave the relationship than women who stay.

Question options:

a) True

b) False

Question 64 1 / 1 point

Adults must show childhood onset of symptoms to receive a diagnosis of ADHD.

Question options:

a) True

b) False

Question 65 1 / 1 point

Parkinson’s disease and dementing illnesses may commonly manifest depressive symptoms.

Question options:

a) True

b) False

Question 66 1 / 1 point

The best predictor of suicide risk is a history of suicide attempts.

Question options:

a) True

b) False

Question 67 1 / 1 point

A no-suicide contract can prevent a suicide attempt.

Question options:

a) True

b) False

Question 68 1 / 1 point

Depression is the most chronic disabling and economically catastrophic medical disorder of the severe mental illnesses.

Question options:

a) True

b) False

Question 69 1 / 1 point

Clozapine (Clozaril) requires laboratory monitoring at specified frequencies with results reported to a national registry.

Question options:

a) True

b) False

Question 70 1 / 1 point

When combined with certain other medications, serotonin-specific antidepressants can have significant liver P450-interaction effects.

Question options:

a) True

b) False

Question 71 1 / 1 point

A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her examination?

Question options:

a) Human papillomavirus (HPV)

b) Endometrial hyperplasia

c) Vagismus

d) Polycystic ovarian syndrome

Question 72 2 / 2 points

A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea. Which of the following is the treatment of choice for gonorrhea?

Question options:

a) Ceftriaxone

b) Doxycycline

c) Acyclovir

d) Metronidazole

Question 73 1 / 1 point

A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease has she most probably been exposed to?

Question options:

a) Gonorrhea

b) HPV

c) Chlamydia

d) Trichomonas

Question 74 1 / 1 point

A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear.Which of the following diagnoses is associated with this finding?

Question options:

a) Trichomonas

b) Bacterial vaginosis

c) HPV

d) Herpes simplex virus

Question 75 2 / 2 points

Which of the following medications is the treatment of choice for trichomonas?

Question options:

a) Metronidazole

b) Ceftriaxone

c) Diflucan

d) Doxycycline

Question 76 1 / 1 point

A 36-year-old woman is seen with complaints of vaginal itching, burning, and discharge. On potassium hydroxide (KOH) wet mount of vaginal discharge, the clinician notices hyphae. Which of the following treatments would be appropriate?

Question options:

a) Fluconazole

b) Estrogen vaginal cream

c) Metronidazole

d) Doxycycline

Question 77 2 / 2 points

Mandy presents with a cauliflower-like wart in her anogenital region. You suspect it was sexually transmitted and document this as a:

Question options:

a) Filiform/digitate wart

b) Dysplastic cervical lesion

c) Condyloma acuminata

d) Koilocytosis

Question 78 0 / 2 points

During a DRE on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?

Question options:

a) An enlarged rubbery gland

b) A hard irregular gland

c) A tender gland

d) A boggy gland

Question 79 2 / 2 points

Of the following types of cellulitis, which is a streptococcal infection of the superficial layers of the skin that does not involve the subcutaneous layers?

Question options:

a) Necrotizing fasciitis

b) Periorbital cellulitis

c) Erysipelas

d) “Flesh-eating” cellulitis

Question 80 2 / 2 points

The forced vital capacity is decreased in:

Question options:

a) Asthma

b) Chronic bronchitis

c) Emphysema

d) Restrictive disease

Question 81 2 / 2 points

The most common cause of CAP is?

Question options:

a) Streptococcus pneumoniae

b) Klebsiella pneumoniae

c) Legionella pneumoniae

d) Pseudomonas aeruginosa

Question 82 2 / 2 points

Which of the following is a possible consequence of sleep apnea?

Question options:

a) Asthma

b) Increased white blood cells

c) Insulin resistance

d) Hyperactivity

Question 83 2 / 2 points

The majority of HSV-1 and HSV-2 infections are asymptomatic so that only which elevated antibody titer shows evidence of previous infection?

Question options:

a) IgA

b) IgE

c) IgG

d) IgM

Question 84 2 / 2 points

A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find?

Question options:

a) The scrotum will be dark.

b) The scrotum will appear light pink or yellow.

c) The scrotum will appear milky white.

d) The internal structures will be clearly visible.

Question 85 0 / 2 points

During a DRE on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?

Question options:

a) An enlarged rubbery gland

b) A hard irregular gland

c) A tender gland

d) A boggy gland

Question 86 2 / 2 points

A 78-year-old man is diagnosed with C2 prostate cancer, and he asks the clinician what that means. In order to answer the patient, the clinician must have which of these understandings of the Jewett rating system?

Question options:

a) The cancer involves the seminal vesicles.

b) There is metastatic disease to regional lymph nodes.

c) The cancer is confined to the capsule.

d) There is metastasis to distant organs.

Question 87 1 / 1 point

A 58-year-old patient has been receiving leuprolide as treatment for prostate cancer. The clinician should instruct the patient about which of these side effects?

Question options:

a) Risk of osteoporosis

b) May have hot flushes

c) May have impotence

d) All of the above

Question 88 1 / 1 point

A 22-year-old male is seen in the clinic because he found a hard lump in his testicle when performing testicular self-examination (TSE).Which of the following should be included in the list of differential diagnoses?

Question options:

a) Testicular cancer

b) Inguinal hernia

c) Varicocele

d) All of the above

Question 89 1 / 1 point

What is the treatment of choice for a patient diagnosed with testicular cancer?

Question options:

a) Radical orchidectomy

b) Lumpectomy

c) Radiation implants

d) All of the above

Question 90 1 / 1 point

A patient with testicular cancer is being followed after completing treatment 1 year ago. He has been symptom-free with no evidence of disease. How often should he have a CT scan?

Question options:

a) Every month

b) Every 3 to 4 months

c) Every 6 to 12 months

d) Every year

Question 91 2 / 2 points

Simon presents with alopecia areata with well-circumscribed patches of hair loss on the crown of his head. How do you respond when he asks you the cause?

Question options:

a) “You must be under a lot of stress lately.”

b) “It is hereditary. Did your father experience this also?”

c) “The cause is unknown, but we suspect it is due to an immunologic mechanism.”

d) “We’ll have to do some tests.”

Question 92 2 / 2 points

Which of the following is “a linear crack extending from the epidermis to the dermis?”

Question options:

a) An ulcer

b) A fissure

c) Lichenification

d) An excoriation

Question 93 2 / 2 points

A bulla is:

Question options:

a) A vesicle larger than 1 cm in diameter

b) An elevated solid mass with a hard texture; the shape and borders can be regular or irregular

c) A superficial elevated lesion filled with purulent fluid

d) Thinning of the skin (epidermis and dermis) that appears white or translucent

Question 94 1 / 1 point

A 70-year-old female has fallen 2 weeks ago and developed immediate pain in her left wrist. She thought she just bruised it but is worried because it has not improved. She has used Tylenol® and ice at home, and that has helped slightly. You examine her and find she has moderate swelling and ecchymosis but no overtly obvious deformity. Her ROM is uncomfortable and severely diminished due to the pain. No crepitus is heard or felt. Her fingers are warm; her pulse is strong; and capillary refill is less than 2 seconds.What should you do?

Question options:

a) Make an immediate referral for an orthopedic evaluation without further assessment.

b) Tell her that it takes time for these bruises to improve, so she should be patient.

c) Obtain a wrist x-ray and place her wrist in a splint or prescribe a splint.

d) Send her to the emergency room for reduction of this obvious wrist fracture.

Question 95 1 / 1 point

Osteoarthritis is primarily a noninflammatory condition.

Question options:

a) True

b) False

Question 96 1 / 1 point

The presence of a positive rheumatoid factor is always indicative of rheumatoid arthritis.

Question options:

a) True

b) False

Question 97 2 / 2 points

Which of the following medications can cause hyperglycemia?

Question options:

a) Prednisone

b) Metformin

c) Synthroid

d) Cephalexin

Question 98 2 / 2 points

Which of the following is diagnostic for diabetes mellitus?

Question options:

a) A1C 7.0 on one occasion

b) Fasting blood sugar (FBS) of 100 mg/dL on two occasions

c) Random glucose of 200 mg/dL on two occasions

d) Two-hour post-load plasma glucose of 300 mg/dL on one occasion

Question 99 2 / 2 points

Which of the following medications for type 2 diabetes mellitus should not be prescribed during pregnancy?

Question options:

a) Insulin

b) Metformin

c) Glucotrol

d) Precose

Question 100 1 / 1 point

A 35-year-old woman presents with symptoms of hypoglycemia.There is no history of diabetes mellitus. Which of the following should be included in the differential diagnosis?

Question options:

a) Anxiety disorder

b) Pheochromocytoma

c) Psychosis

d) All of the above