The PMHNP is working with a patient who experiences anxiety around her parents that later leads to poor impulse control. What will the PMHNP do to employ psychodynamic psychotherapy properly for this patient?

Question 1          

A PMHNP is treating a 45-year-old female patient who is upset that her brother has not been calling since his divorce. When asked to describe her brother and what prompts him not to call as frequently, she says, “Everything is about him, not me. I think he’s jealous that I have a good marriage and he wants me to be unhappy, too. So he doesn’t call to upset me and ruin my relationships.” Based on this information, the PMHNP can conclude that the patient _________.                                         

A. may lack ability to see independent motivations

B. has an insistent emphasis on the feelings of others

C. has an intrusive interpersonal relationship

D. all of the above      

Question 2

When a PMHNP is seeing a patient for the first time, what is an important step to assure that the patient and provider understand the limits of their discussion?

A. Assure the patient that she is safe to discuss her secrets

B. Talk about the importance of being truthful andopen

C. Have a discussion about the confidentiality andits limits

D. Mention the possible need for selective self-disclosure

Question 3          

You are seeing a 29-year-old widow whose husband recently died overseas while serving his country in the military. She has been mourning the loss of her husband for several months, and continues to grieve. She refuses to go to group grieving sessions, but reports that she is still able to go to work and her fitness classes sometimes, and even makes attempts to stay social. She says, “Sometimes it’s like he’s not even gone. Other times it feels like it’s been an eternity since I’ve seen him. It’s hard to talk about this type of stuff with my girlfriends, especially since all of their husbands are still alive.” The PMHNP understands that it is appropriate to employ which therapeutic principle?

A. Encouraging catharsis

B. Encouraging abreaction to repressed feelings

C. Identifying conflict-resolution techniques

D. All of the above

Question 4          

The PMHNP is treating a 35-year-old male officer in the military. He discloses that both of his parents are deceased and that he loved them. However, he says that he had feelings of inadequacy because his parents held him to a standard that he could never achieve. He went on to say that nothing he did ever felt good enough. The PMHNP assesses that this patient has perfect creases in his uniform with no strings or tags out of place; she also notices that he has perfect posture and questions him about ritualistic behaviors. She suspects that this patient has maladaptive responses to the expectations placed on him as a teenager and young adult. Which statements made by the patient would verify the PMHNP’s suspicion?

A.”I typically don’t listen to anyone. I take care of my own wants and needs so I feel like no one can judge me or criticize me, period.”

B.”I don’t mean to hurt other people’s feelings. When people cry or say that I have made them upset in some way, that’s not my fault; some people are just sensitive.”

C.”I like to listen to the beat of my own drum; I don’t mind spending most of my days alone. I don’t need recognition or praise; I would just like to be left alone.”

D.”I believe in systems; I have to have order and rules in my everyday life. If a task must be completed, I will often complete it myself versus depending on someone else.”

Question 5          

The PMHNP is working with a patient who experiences anxiety around her parents that later leads to poor impulse control. What will the PMHNP do to employ psychodynamic psychotherapy properly for this patient?              

A. Emphasize the past

B. Focus on expressions of emotion

C. Identify patterns in relationships

D. All of the above

What causes the rapid change in the resting membrane potential to initiate an action potential?

1. What causes the rapid change in the resting membrane potential to initiate an action potential?

a. Potassium gates open, and potassium rushes into the cell, changing the membrane potential from negative to positive.
b. Sodium gates open, and sodium rushes into the cell, changing the membrane potential from negative to positive.
c. Sodium gates close, allowing potassium into the cell to change the membrane potential from positive to negative.
d. Potassium gates close, allowing sodium into the cell to change the membrane potential from positive to negative.

2. What is a consequence of leakage of lysosomal enzymes during chemical injury?

a. Enzymatic digestion of the nucleus and nucleolus occurs, halting DNA synthesis.
b. Influx of potassium ions into the mitochondria occurs, halting the ATP production.
c. Edema of the Golgi body prevents the transport of proteins out of the cell.
d. Shift of calcium out of the plasma membrane occurs, destroying the cytoskeleton.

3. In hypoxic injury, sodium enters the cell and causes swelling because:

a. The cell membrane permeability increases for sodium during periods of hypoxia.
b. ATP is insufficient to maintain the pump that keeps sodium out of the cell.
c. The lactic acid produced by the hypoxia binds with sodium in the cell.
d. Sodium cannot be transported to the cell membrane during hypoxia.

4. What mechanisms occur in the liver cells as a result of lipid accumulation?

a. Accumulation of lipids that obstruct the common bile duct, preventing flow of bile from the liver to the gallbladder
b. Increased synthesis of triglycerides from fatty acids and decreased synthesis of apoproteins
c. Increased binding of lipids with apoproteins to form lipoproteins
d. Increased conversion of fatty acids to phospholipids

5. During an IgE-mediated hypersensitivity reaction, the degranulation of mast cells is a result of which receptor action?

a. Histamine bound to H2
b. Chemotactic factor binding to the receptor
c. Epinephrine bound to mast cells
d. Acetylcholine bound to mast cells

Which T-lymphocyte phenotype is the key determinant of childhood asthma?

1. What two types of hearing loss are associated with noise?

a. Acoustic trauma and noise-induced
b. High frequency and low frequency
c. High frequency and acoustic trauma
d. Noise-induced and low frequency

2. A hypersensitivity reaction that produces an allergic response is called:

a. Hemolytic shock
b. Anaphylaxis
c. Necrotizing vasculitis
d. Systemic erythematosus

3. Which cytokine is produced and released from virally infected host cells?

a. IL-1
b. IL-10
c. TNF- a
d. IFN-a

4. Which T-lymphocyte phenotype is the key determinant of childhood asthma?

a. Cluster of differentiation (CD) 4 T-helper Th1 lymphocytes
b. CD4 T-helper Th2 lymphocytes
c. CD8 cytotoxic T lymphocytes
d. Memory T lymphocytes

5. Some older adults have impaired inflammation and wound healing because of which problem?

a. Circulatory system cannot adequately perfuse tissues.
b. Complement and chemotaxis are deficient.
c. Underlying chronic illness(es) exists.
d. Number of mast cells is insufficient.

Your patient complains of a feeling of heaviness in the lower legs daily. You note varicosities, edema, and dusky color of both ankles and feet. Which of the following is the most likely cause for these symptoms?

1. In examination of the nose, the clinician observes gray, pale mucous membranes with clear, serous discharge. This is most likely indicative of

A. Bacterial sinusitis
B. Allergic rhinitis
C. Drug abuse
D. Skull fracture

2. Your patient complains of a feeling of heaviness in the lower legs daily. You note varicosities, edema, and dusky color of both ankles and feet. Which of the following is the most likely cause for these symptoms?

A. Femoral vein thrombosis
B. Femoral artery thrombus
C. Venous insufficiency
D. Musculoskeletal injury

3. Which of the following is the most important question to ask during cardiovascular health history?

A. Number of offspring
B. Last physical examination
C. Sudden death of a family member
D. Use of caffeine

4. Rheumatic heart disease is a complication that can arise from which type of infection?

A. Epstein-Barr virus
B. Diptheria
C. Group A beta hemolytic streptococcus
D. Streptococcus pneumoniae

5. A cough is described as chronic if it has been present for:

A. 2 weeks or more
B. 8 weeks or more
C. 3 months or more
D. 6 months or more

Which predominantly female valvular disorder is thought to have an autosomal dominant inheritance pattern and is thought to be associated with connective tissue disease?

Question 1. Stress-age syndrome directly results in the depressed function of which system?

Respiratory 

Endocrine 

Digestive 

Immune 

Question 2. Which predominantly female valvular disorder is thought to have an autosomal dominant inheritance pattern and is thought to be associated with connective tissue disease?

Mitral valve prolapse 

Tricuspid stenosis 

Tricuspid valve prolapse 

Aortic insufficiency 

Question 3. Sitting up in a forward-leaning position generally relieves which breathing disorder?

Hyperpnea 

Orthopnea 

Apnea 

Dyspnea on exertion 

Question 4. Which intracardiac pressure is generated by atrial contraction?

A wave 

C wave 

Y descent 

X descent 

Question 5. Which T-lymphocyte phenotype is the key determinant of childhood asthma?

CD4 helper T 1 (Th1) lymphocytes 

CD4 helper T 2 (Th2) lymphocytes 

CD8 cytotoxic T (Tc) lymphocytes 

Memory T lymphocytes 

Post your Final Evidence-Based Project presentation to the Discussion Board.

Post your Final Evidence-Based Project presentation to the Discussion Board.

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By the due date assigned, go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

Which of the following is characteristic of a single-exposure, common-vehicle outbreak?

Question 1

Endemic means that a disease:

a. Occurs clearly in excess of normal expectancy

b. Is habitually present in human populations

c. Affects a large number of countries simultaneously

d. Exhibits a seasonal pattern

e. Is prevalent among animals

Question 2

The first table shows the total number of persons who eat each of two specified food items that were possibly ifeffective with group A streptococci. The second table shows the number of sick persons (with acute sore throat) who eat each of the various specified combinations of the food items. 

Total number of persons who ate each   specified combination of food items

Ate   Tuna

Did   not Ate Tuna

Ate   egg salad

75

100

Did   not egg salad

200

50

Total   number of persons who ate each specified combination of food items & who   later became sick (with acute sore throats)

Ate   Tuna

Did   not Ate Tuna

Ate   egg salad

60

75

Did   not egg salad

70

15

What is the sore throat attack rate in persons who ate both egg salad & tuna

a. 60/75

b. 70/200

c. 60/133

d. 60/275

e. None of the above

Question 3

According to the results shown in the preceding tables, which of the following food items (or combination of food items) is most likely to be infective?

a. Tuna only

b. Egg salad only

c. Neither tuna nor egg salad

d. Both tuna & egg salad

e. Cannot be calculated from the data

Question 4

In the study of an outbreak of an infectious disease, plotting an epidemic curve is useful because:

a. It helps to determine what type of an outbreak (e.g. single-source, person-to-person) has occurred

b. It shows whether herd immunity has occurred

c. It helps to determine the median incubation period

d. A & c

e. A,b, & c

Question 5

Which of the following is characteristic of a single-exposure, common-vehicle outbreak?

a. Frequent secondary cases

b. Increasing severity with increasing age

c. Explosive

d. Cases include both people who have been exposed & those who were not exposed

e. All of the above