What are some measures you can implement in your own practice to protect patient privacy and confidentiality.

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Question Answered step-by-step What are some measures you can implement in your own practice to protect patient privacy and confidentiality.           Health Science Science Nursing NUR 513 Share QuestionEmailCopy link Comments (0)

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QuestionAnswered step-by-stepQuestionSelect the best answer for each question: QUESTION 1 Select the...Select the best answer for each question:   QUESTION 1Select the most distinguishing feature in the course and prognosis of schizophrenia.A.Worsening after each relapseB.Increase in positive symptomsC.Decrease in negative symptomsD.Return to baseline after each relapse  QUESTION 2Select the negative symptom of schizophrenia.A.AnhedoniaB.DelusionsC.CatatoniaD.Hallucination QUESTION 3Select the factor associated with a four- to five-fold greater occurrence of gender dysphoria in male than in female children.A.Social stigma against male feminismB.Deficiency of androgenic hormonesC.Social acceptance of female masculinityD.Excess of estrogenic hormones  QUESTION 4Select the personality disorder in which patients are continually in crisis and exhibit unpredictable behavior.A.AntisocialB.ParanoidC.BorderlineD.Histrionic  QUESTION 5What theorist saw schizophrenia as a reaction to life stressors?A.SchneiderB.MeyerC.BleulerD.KraepelinQUESTION 6Select the disorder that is often comorbid with brief psychotic disorder.A.Generalized anxietyB.Bipolar IC.DepressiveD.Personality  QUESTION 7Select the neurotransmitter that has least involvement in drug-induced movement disorders.A.NorepinephrineB.AcetylcholineC.DopamineD.Serotonin (5-HT) QUESTION 8Select the personality disorder in which patients are preoccupied with perfectionism and interpersonal control.A.Passive-aggressiveB.Obsessive-compulsiveC.NarcissisticD.Avoidance QUESTION 9Select the primary method to assess cognition.A.Serum electrolytesB.Thyroid functionC.Mental status examD.Brief psychiatric rating scale  QUESTION 10Select the rating scale used to assess medication-induced movement disorders.A.CAGEB.MMSEC.AIMSD.BPRS  QUESTION 11Select the most frequently abused illicit drug.A.MarijuanaB.HeroinC.CocaineD.Phencyclidine  QUESTION 12Select the brain region that is associated with substance addiction.A.Prefrontal cortexB.Caudate nucleusC.Basal gangliaD.Ventral tegmental  QUESTION 13Select the difference between illusions and hallucinations.A.Hallucinations ARE based upon real images or sensation.B.Hallucinations ARE NOT based upon real images or sensations.C.Illusions ARE NOT based upon real images or sensations.D.None of the above.  QUESTION 14Select the comorbid disorder that is more frequent in children with gender dysphoria.A.Down syndromeB.Bipolar IC.Autism spectrumD.ADHD QUESTION 15Select the factor that increases suicidal risk in patients in early treatment with SSRI antidepressants.A.SuspicionB.IsolationC.EnergyD.GuiltQUESTION 16The enzyme ADH that catalyzes the conversion of alcohol into acetaldehyde is inhibited by which medication?A.DisulfiramB.HaloperidolC.LorazepamD.Naloxone QUESTION 17Select the personality disorder that presents the greatest challenge to diagnose by experienced providers.A.BorderlineB.ParanoidC.SchizotypalD.AntisocialQUESTION 18Select the two Freudian stages of psychosexual development.A.OlfactoryB.OralC.TactileD.Genital QUESTION 19Select the pair of terms that represents the greatest conflict regarding sexual behavior.A.gay and lesbianB.cultural and spiritualC.medical and legalD.political and religious QUESTION 20Select the neurotransmitter system that is most associated with the addictive rewarding properties of opioids.A.DopaminergicB.SerotonergicC.AdrenergicD.Glutamatergic QUESTION 21Select the most frequent cause of infant and childhood intellectual disability that is attributed to a specific gene.A.Fragile XB.Prader-WilliC.Down syndromeD.Cri-du-chatQUESTION 22Select the most common error by the provider in the practice of family-oriented therapy for persons with schizophrenia.A.Reducing drug dosage to eliminate adverse effects too quicklyB.Encouraging family to promote patients to resume normal activity too quicklyC.Controlling emotional intensity of family sessions with patients with schizophreniaD.Open discussion by practitioner with family about the patient's frightening psychotic symptoms QUESTION 23Select the disorder in which is characterized by lack breast development.A.Klinefelter's syndromeB.5-α-reductase deficiencyC.Turner's syndromeD.Transvestic disorder QUESTION 24Select the diagnostic criterion for catatonia resulting from a medical condition.A.Loose associationB.Pressured speechC.Waxy flexibilityD.Involuntary movement QUESTION 25In the dopamine hypothesis, what is known to be linked to the severity of positive psychotic symptoms in schizophrenia?A.Excessive dopamine releaseB.Reduced dopamine releaseC.Increased muscarinic and nicotinic receptorsD.None of the aboveQUESTION 26Select the disorder in which the highest percentage of patients commit suicide.A.SchizophreniaB.AnxietyC.Alcohol dependenceD.Mood QUESTION 27Select the type of hallucinations most common in schizophrenia.A.TactileB.VisualC.AuditoryD.Olfactory QUESTION 28Select the most common paraphilic disorder.A.VoyeurismB.ZoophiliaC.PedophiliaD.Fetishism QUESTION 29Select the most effective form of questioning when taking a sex history.A.Multiple choiceB.Open-endedC.Yes-noD.Why QUESTION 30Select the drug of choice to treat psychosis in delirious patients.A.ChlorpromazineB.AlprazolamC.ClozapineD.Haloperidol QUESTION 31All of the following are symptoms of alcoholic withdrawal delirium EXCEPTA.AgitationB.Autonomic dysfunctionC.ConfusionD.Delusions QUESTION 32Select the psychiatric disorder for which the term neuroleptic is used to describe drug effects.A.Bipolar IB.SchizophreniaC.Generalized anxietyD.Depression QUESTION 33What is the term for patients who mimic mental health symptoms without having the disorder for secondary gain?A.SchizophreniaB.BorderlineC.FictitiousD.Maladaptation QUESTION 34Select the neurotransmitter that is most associated with the occurrence of ADHD.A.SerotoninB.DopamineC.AcetylcholineD.Glutamate QUESTION 35Select the neurotransmitter deficiency that is most associated with delirium.A.SerotoninB.AcetylcholineC.NorepinephrineD.Dopamine QUESTION 36Select the epidemiologic characteristic of tardive dyskinesia symptoms.A.Absence during sleepB.Most common in menC.Absence in age less than 50D.5% to 10% of patients require hospitalization QUESTION 37Heavy use of cannabis in individuals with no previous psychiatric illnesses can produce:A.DepressionB.TicsC.AmnesiaD.Psychosis  QUESTION 38Select the two most life-threatening adverse effects of cocaine use.A.Respiratory depressionB.Cardiac arrhythmiasC.Cerebrovascular infarctionD.Muscular paralysis QUESTION 39All of the following are criteria for gender dysphoria diagnosis in children EXCEPTA.Play preferred with same gender childrenB.Urinating in body position of desired genderC.Play preferred with opposite gender childrenD.Dressing in clothing of assigned genderQUESTION 40Select the characteristic found in persons with intersex conditions.A.Desire for opposite gender anatomyB.Birth with atypical anatomyC.Dissatisfaction dysphoriaD.Chromosome X abnormality QUESTION 41Select the rare adverse effect of SSRI antidepressants.A.Tardive dyskinesiaB.Restless leg syndromeC.Parkinsonian symptomsD.Hyperthermia  QUESTION 42Select the characteristic of masturbation.A.Can predispose to mental illnessB.Decreases sexual potencyC.Is most universally practicedD.Is a sin against religious doctrine QUESTION 43The presence of hallucinations or delusions IS needed for a diagnosis of schizophrenia.A.TrueB.False  QUESTION 44Select the youngest age at which childhood-onset schizophrenia can be distinguished from autism spectrum.A.3B.4C.5DQUESTION 45Select the characteristic of sexually abused children.A.More common in femalesB.Denial of abuse episodesC.Sexual knowledge beyond their ageD.Non-recognition of abusive behaviors QUESTION 46Select the intrinsic chemical released in orgasm that reinforces pleasurable sensation.A.DopamineB.SerotoninC.EpinephrineD.OxytocinQUESTION 47Select two terms preferred to describe sexual orientation.A.GayB.HeterosexualC.HomosexualD.Lesbian QUESTION 48Select the drug used to treat neuroleptic malignant syndrome.A.TrihexyphenidylB.ClonidineC.DantroleneD.Buspirone  QUESTION 49Select the most defining characteristic of inevitable suicide.A.Lack of family historyB.Unexpected adverse drug effectC.Provider loses hope in patientD.Failure of best therapy QUESTION 50What is an example of a thought disorder?A.IndifferenceB.ApathyC.AversionD.Delusion QUESTION 51Select the drug that is least likely to cause male sexual dysfunction.A.trazodoneB.lithiumC.sertralineD.cocaine QUESTION 52What is known as the peak age of onset for schizophrenia in males?A.3-9 years oldB.10-25 years oldC.25-40 years oldD.40+ years old  QUESTION 53Select the two characteristics that describe normal sexual behavior.A.Varies from era to eraB.Reflects cultural moresC.Remains consistent from era to eraD.Is compulsive  QUESTION 54Select the development time of symptoms in neuroleptic malignant syndrome.A.12-24 hoursB.24-72 hoursC.4-7 daysD.10-14 daysQUESTION 55Select the most reliable method to make a diagnosis of schizophrenia.A.Mental status examB.Intermittent hallucinationsC.Impaired abstract thinkingD.Patient history  QUESTION 56Select the two patient populations in which delirium occurs most frequently.A.General surgicalB.Terminally illC.Long-term careD.Critical care   QUESTION 57Select the two patient populations most likely suffer neuroleptic-induced parkinsonian symptoms.A.FemaleB.MaleC.ElderlyD.Adolescents   QUESTION 58Select the usual time delay to the onset of tardive dyskinesia symptoms after initiating antipsychotic drug therapy.A.7-10 daysB.6 weeksC.3 monthsD.6 months   QUESTION 59Select the drug that is most safe and effective in treating mild to moderate memory loss in early Alzheimer's disease.A.DonepezilB.RisperidoneC.BenztropineD.Tacrine QUESTION 60Select the infectious disease that when untreated may lead to an incorrect diagnosis of depression.A.SyphilisB.LymeC.RabiesD.Meningitis QUESTION 61Select the drug most likely to be effective treating paraphilic disorders.A.DexamethasoneB.NandroloneC.FluticasoneD.Medroxyprogesterone QUESTION 62Select the distinguishing characteristic of paraphilic disorders.A.Deviation from normal sexual behaviorB.Motivated by need to procreateC.Expression of love between two personsD.Cooperation to achieve mutual pleasure QUESTION 63Select two treatments for adults who identify as transgender.A.HormonalB.Mood stabilizersC.ECTD.SurgicalQUESTION 64Select the percent blood alcohol level at which voluntary motor activity becomes impaired.A.0.4B.0.3C.0.2D.0. QUESTION 65Select the neurotransmitter for which the metabolite 5-HIAA in CSF is evident and predictive of suicide.A.SerotoninB.DopamineC.NorepinephrineD.GABA QUESTION 66Select the most distinguishing characteristic of delirium.A.Prolonged worsening courseB.Sudden onsetC.Lack of a stimulusD.Gradual increase QUESTION 67Select the medical condition in which erectile dysfunction drugs (e.g., sildenafil) are likely to be ineffective.A.Insulin-dependent diabetesB.Rheumatoid arthritisC.Chronic obstructive pulmonary disease (COPD)D.Ischemic heart disease  QUESTION 68Select the main cause female orgasmic disorder.A.CulturalB.GeneticC.HormonalD.Psychological QUESTION 69Schizophrenia is equally prevalent in men and women.A.TrueB.False QUESTION 70Select two comorbid factors common in schizophrenic patients.A.Substance abuseB.Residing in a low population densityC.Lack of seasonal influenza vaccinationD.Undiagnosed medical illness  QUESTION 71Select the category of symptoms that is most commonly comorbid with cognitive disorders.A.BehavioralB.EmotionalC.MedicalD.Physical  QUESTION 72Select the factor that best correlates with attempted and completed suicide.A.Mental illnessB.Socioeconomic statusC.ReligionD.Age  QUESTION 73Select the primary defense mechanism that is common in delusional disorder.A.ProjectionB.RepressionC.SuppressionD.Rationalization  QUESTION 74Select the personality disorder in which patients seek social withdrawal.A.SchizoidB.ParanoidC.AntisocialD.Schizotypal  QUESTION 75Select the theorist who first studied social and cultural influences on suicide.A.FreudB.DurkheimC.MenningerD.Beck QUESTION 76Select the brain region devoid of cannabinoid receptors.A.Brain stemB.Basal gangliaC.CerebellumD.Hippocampus QUESTION 77Select the characteristic that is greater in childhood than adult onset schizophrenia.A.DelusionsB.Social withdrawalC.HallucinationsD.Disorganized speech  QUESTION 78Select the patient population at most risk of mortality from delirium.A.Elderly hospitalizedB.Substance usersC.Alcohol withdrawalD.Postpartum mothers  QUESTION 79Select the non-drug therapy in which mastery of anxiety through desensitization is critical to successful treatment of sexual dysfunction.A.MindfulnessB.AnalyticallyC.BehaviorD.Group  QUESTION 80Select the hepatic enzyme that performs the initial metabolism of alcohol.A.ADHB.ALTC.GGTD.ASTQUESTION 81Select the factor that exerts the strongest influence on the initiation of substance use disorder in adolescents.A.PeersB.GeneticsC.ParentsD.Anxiety   QUESTION 82Select the medical condition that occurs less frequently in schizophrenic patients than in the general population.A.Diabetes mellitusB.ObesityC.Cardiovascular diseaseD.Rheumatoid arthritis QUESTION 83Select the two defense mechanisms used commonly by patients with personality disorders.A.IntrojectionB.RepressionC.SplittingD.Projection QUESTION 84Select the personality disorder in which patients are most likely to tolerate spousal abuse to avoid losing sense of attachment.A.DependentB.NarcissisticC.Passive-aggressiveD.Depressive QUESTION 85Select the drug that is least life-threatening when consumed in an overdose.A.PentobarbitalB.ZolpidemC.EszopicloneD.Diazepam QUESTION 86Select the age range at which most children with gender dysphoria begin to show increased anxiety over anticipated changes to their bodies.A.11 to 14B.7 to 10C.6 to 8D.3 to 4QUESTION 87Select the neurotransmitter that increases sexual desire.A.NorepinephrineB.DopamineC.GABAD.SerotoninQUESTION 88What is the term that describes the ability of one drug to substitute for another?A.AddictionB.IntoxicationC.ToleranceD.Cross-tolerance  QUESTION 89All of the following are subtypes of schizophrenia EXCEPTA.Schizophreniform typeB.Paranoid typeC.Catatonic typeD.Residual type  QUESTION 90Select the procedure most applicable to confirming a diagnosis of delirium.A.MRIB.CTC.EEGD.PET QUESTION 91Differential diagnoses for consideration when assessing gender dysphoria in adolescents and adults include all of the following EXCEPTA.Body Dysmorphic DisorderB.Transvestic DisorderC.SchizophreniaD.Fetishistic Disorder QUESTION 92Select the psychiatric disorder in which patients refuse mental health care and deny their problems.A.Obsessive-compulsiveB.DepressiveC.PersonalityD.AnxietyQUESTION 93Select the youngest age by which early-onset schizophrenia occurs.A.10B.13C.15D.18   QUESTION 94Select the main goal of psychosocial therapies for persons with schizophrenia.A.Reduce frequency of auditory hallucinationsB.Develop coping skills for adverse effects of antipsychotic drugsC.Develop skills for independent livingD.Reduce exacerbations and re-hospitalizations 1 points  QUESTION 95Select the substance of abuse with the strongest evidence for genetic association.A.HeroinB.MarijuanaC.AlcoholD.Cocaine 1 points  QUESTION 96Select the psychoactive substance that is most frequently consumed worldwide.A.NicotineB.CaffeineC.AlcoholD.Marijuana 1 points  QUESTION 97Select the two main conditions to initially identify in adult psychiatric emergencies.A.ViolenceB.SuicideC.PsychosisD.Substance intoxication 1 points  QUESTION 98Select the type of neurochemical receptor that is blocked by caffeine.A.GABAB.GlutamateC.AdenosineD.Norepinephrine 1 points  QUESTION 99Select the gender dysphoria in which genital surgery is usually not chosen.A.GenderqueerB.TranssexualC.CrossdresserD.Transgender QUESTION 100What substance is known to decrease blood concentrations of antipsychotics, yet improve cognitive impairments and parkinsonism in schizophrenia illnesses?A.AlcoholB.BenzodiazepinesC.MarijuanaD.Nicotine   Health ScienceScienceNursingNRNP 6635Share Question
Question Answered step-by-step Case Study:Phil is a 54-year-old male who presents to the provider with an enlarging abdomen and weight gain despite no appetite. He describes difficulty climbing stairs due to feeling short of breath and has needed to sleep in a recliner for the last four weeks. He has no chronic medical conditions and only takes twice-daily acetaminophen for backaches associated with his job as an auto repair specialist. He consumes alcohol on a near daily basis, going to the local bar at least 4 evenings per week and usually one weekend afternoon, especially during football season. He prefers to drink vodka or whiskey, usually 3-4 drinks, but says he is never "drunk" and has never missed a day of work. Phil does not smoke cigarettes, but has smoked marijuana daily for over 30 years. Following the evaluation, Phil is found to have advanced cirrhosis of the liver with splenomegaly, malnutrition and ascites.  The top priority for Phil's care is his dyspnea, which is secondary to his ascites.  What is the pathophysiology of ascites?  What procedure will the nurse anticipate the doctor will perform and how will this help the dyspnea?Based on the scenario including the diagnoses, what two additional (besides dyspnea and ascites) concerns require a deeper assessment?  How do these concerns affect the pathophysiology of cirrhosis?Phil says he could sign up for a program to get a new liver.  What are the ethical and medical considerations for patients with recent alcohol abuse being added to liver transplant lists? Health Science Science Nursing NUR 376 Share QuestionEmailCopy link Comments (0)
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