Assignment: Diagnosis of Major Depression

Assignment: Diagnosis of Major Depression

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A patient has been taking fluoxetine (Prozac) since being diagnosed with major depression, first episode, 2 months ago. She reports considerable improvement in her symptoms and her intention to discontinue the medication. What should be the nurse practitioner’s recommendation?

Question 24

Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid?

Question 25

Risk factors for prostate cancer include all of the following except:

Question 26

An obese hyperlipidemic patient, newly diagnosed with type 2 diabetes mellitus, has fasting glucose values 180 to 250 mg/Dl. What is the most appropriate initial treatment to consider?

Question 27

The primary goals of treatment for patients with alcohol abuse disorder are:

Question 28

What is the most commonly abused substance?

Question 29

Central obesity, “moon” face, and dorsocervical fat pad are associated with:

Question 30

Reed-Sternberg B lymphocytes are associated with which of the following disorders:

Question 31

Deficiency of which nutritional source usually presents with an insidious onset of paresthesias of the hands and feet that are usually painful?

Question 32

The most commonly recommended method for prostate cancer screening in a 55 year old male is:

Question 33

What is the most common cause of Cushing’s syndrome?

Question 34

Urine cultures should be obtained for which of the following patients?

Question 35

The cornerstone of treatment for stress fracture of the femur or metatarsal stress fracture is:

Question 36

The 4 classic features of Parkinson’s disease are:

Question 37

The correct treatment for ankle sprain during the first 48 hours after injury includes:

Question 38

Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of swimming. What do you suspect?

Question 39

The nurse practitioner is following a child with juvenile rheumatoid arthritis (JRA) who has been previously diagnosed and is being managed for the disease by a pediatric rheumatologist. The mother asks for information about the child’s long term prognosis. What is the most appropriate reply?

Question 40

Josh, age 22, is a stock boy and has an acute episode of low back pain. You order and NSAID and tell him which of the following?

Question 41

The initial clinical sign of Dupuytren’s contracture is:

Question 42

A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks later with the same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What action(s) should the nurse practitioner take?

Question 43

In which of the following presentations is further diagnostic testing not warranted?

Question 44

A 27 year old female patient with epilepsy is well controlled with phenytoin (Dilantin). She requests information about contraception. The nurse practitioner should instruct her that while taking phenytoin:

Question 45

A patient complains of generalized joint pain and stiffness associated with activity and relieved with rest. This patient history is consistent with which of the following disorders?

Question 46

Beth, age 49, comes in with low back pain. An x-ray of the lumbosacral spine is within normal limits. Which of the following diagnoses do you explore further?

Question 47

The intervention known to be most effective in the treatment of severe depression, with or without psychosis, is:

Question 48

Establishment of a definitive diagnosis of osteomyelitis requires:

Question 49

Dave, age 38, states that he thinks he has an ear infection because he just flew back from a business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action?

Question 50

Successful management of a patient with attention deficit hyperactivity disorder (ADHD) may be achieved with: