Mod 5 CH 22-25

Question 1

Which area of the brain is responsible for normal regulation of emotions, such as fear, anger, anxiety and panic?

a. Thalamus
b. Hippocampus
c. Amygdala
d. Frontal lobe

Answer 1

c. Amygdala

Question 2

The neurotransmitter primarily associated with initiative, focus, and energy is

a. serotonin
b. y-aminobutyric acid (GABA(
c. dopamine
d. norepinephrine

Answer 2

d. norepinephrine

adrenaline/ flight or fight

Question 3

An order for what lab test would be indicated for a person experiencing fatigue, low mood, and sleep problems?

a. CRP
b. TSH
c. Serotonin
d. LDH and LDL

Answer 3

b. TSH

hypothyroidism presents like depression, and hyperthyroidism presents like anxiety disorder

Question 4

A patient experienced a physical assault 2 weeks ago and has symptoms such as nightmares, irritability, sleep disturbance, and intrusive thoughts of being harmed. What is the most likely current diagnosis?

a. Acute Stress disorder
b. PTSD
c. Adjustment disorder with disturbance of conduct
d. anxiety disorder

Answer 4

a. Acute Stress disorder

Question 5

Serious medical disorders (bipolar, thought disorders, and sever persistent mental health disorders) generally are first diagnosed

a. in childhood
b. late adolescents
c. in middle age
d. in preschool years

Answer 5

b. late adolescents

Question 6

Which of the following is not a component of the mental status exam related to appearance?

a. affect
b. Posture
c. Hygiene
d. reflexes

Answer 6

d. reflexes

Question 7

If you ask a person whether he or she is thinking about killing himself or herself, it will give him or her the idea and increase the risk he or she will now attempt suicide?

a. true
b. false

Answer 7

b. false

Question 8

A key indicator that the patients meet criteria for a mental disorder is?

a. their symptoms are interfering with functioning at work and home
b. they have had the symptoms for more than a month
c. they see a psychotherapist
d. they have a family history of schizophrenia

Answer 8

a. their symptoms are interfering with functioning at work and home

Question 9

Which is not a mental health screening instrument for children or tens that would identify depression, anxiety, or a mood disorder?

a. SCARED
b. PSC
c. PHQ-9 A
d. Audit-C

Answer 9

d. Audit-C

Question 10

which statement is not true about depression in adolescents?

a. CBT is the first line intervention for mild to moderate depression
b. irritability and anger are symptoms of depression in adolescents
c. Racing thoughts, rapid speech, and staying up all night are common depression symptoms
d. Hopelessness and acquiring a gun indicate high risk for suicide

Answer 10

C. Racing thoughts, rapid speech, and staying up all night are common depression symptoms

Question 11

Which level of alcohol consumption would be defined as moderate drinking

a. any level of consumption, as long as it is not daily
b. up to one 6 ounce glass of wine per day for women
c. up to three 12 ounce cans of beer per day for men
d. any level of consumption as long as it tis only beer or wine

Answer 11

b. up to one 6 ounce glass of wine per day for women

Question 12

Having an empathetic approach to discussing substance misuse with patent implies that the clinician

a. feels sorry for these individuals because they lack will power
b. has the ability to share emotion and consider patients’ perceptions
c. is justifiably angry at their choices but is able to treat them with sympathy
d. can treat individuals with tolerance despite their low motivation to change

Answer 12

b. has the ability to share emotion and consider patients’ perceptions

Question 13

Which clinician is most likely to be effective in intervening with individuals experiencing opioid use disorder? The clinician who

a. is able to strongly confront the patient about his or her destructive behavior
b. does not allow the patient’s past to be an excuse for the patient’s current unethical behavior
c. recognizes that stress can add to the patient’s vulnerability for opioid use disorder
d. successfully holds addicts accountable for their shameful behavior
e. uses the pateint’s fears and guilt to point out to him or her the need to change

Answer 13

c. recognizes that stress can add to the patient’s vulnerability for opioid use disorder

other factors that contribute to substance disorder are adverse childhood events, lack of social suport, and other factors contriute to patent vulnerablility

Question 14

Which ismost accurate about components of the SBIRT clinial model?

a. Screening is a discussion between the patient and clnician using the clinicians’s experience of working with patients with addiction
b. SBIRT is focused on diagnosing substance use disorder
c. Brief intervention is meaningful converstion about a patiet’s opioid use
d. After a brief inervention, the clinician shoud ressess if a referal to treatmetn is necessary.

Answer 14

c. Brief intervention is meaningful converstion about a patiet’s opioid use

Question 15

Which clinician actions would be the most effective when the screening of an idividual indicates that more discussion is needed about his or her substance use, including opportinitires for treatmetn?

a. acknoledging tht the individual has the choice to change and advising him or her that he or she can
b. Completing a random drug screen to prove that the individual needs intervention
c. organizing a formal intervention to confront the indivuals denial
d. Referring the individual to the best option for treatment as determned by the clinician

Answer 15

a. acknoledging tht the individual has the choice to change and advising him or her that he or she can

Question 16

Which is the most useful, empathetic, and patient-centered response by the clinican after assessing that individual is misusing opioids?

a. “you need to stop before you overdose”
b. “ tell me more abou what leads you to use opioids”
c. “let us discuss options todecreas the risk of overdose”
d. “here is more information about overdose”

Answer 16

b. “ tell me more abou what leads you to use opioids

Question 17

what are the steps of assessment and intevention when an individual has tobacco use disorder?

a. Admit, Assess, Analyze, Admonish, Admire
b. Ask, advise assess, assist, arrange
c. seek stop solve support succeed
d. start stop strngthen support succeed

Answer 17

b. Ask, advise assess, assist, arrange

Question 18

Which of the following statements is tue about adolescents substance use?

a. rarely, an adolescent would develop substance use disrder or addiction.
b. Rarely, an adolescent would havce changes in brain function from substance use
c. neuroplasticity protects the adolescent brain from the effects of substance use.
d. Neuroadaptiations from substance use can be dramtic during adolescence

Answer 18

d. Neuroadaptiations from substance use can be dramtic during adolescence

which is why screening for substance use is reccomended as a routeine part of adolescent care.

neuroadaptations results from substance use

Question 19

What thre regions in the brain are involved in teh neuroadaptations underlying the development and persistence of substance use disorders? choose three

a. Basal ganglia
b. Cerebellum
c. extended amygdala
d. hypothalamus
e. Prefrontal cortex

Answer 19

a. Basal ganglia
c. extended amygdala
e. Prefrontal cortex

Question 20

Which of the following statements is true about an individual with a substance use disorder being in recovery?

a. Individuals in recovery rarely stay sober
b. Individuals in recovery often feel more isolated
c. Clinicians should avoid asking an individual in recovery about substance use
d. clinicians should ask an individual in recovery about his or her substance use.

Answer 20

d. clinicians should ask an individual in recovery about his or her substance use.

ask about sponsorship and sobriety. Positive clinician feedback can be a significant part of breaking the cycle

Question 21

Which of the following injuries should prompt the clinician to be concerned about physical abuse? Select all that apply

a. Ear bruising in a 4-year-old
b. Abrasions to the elbow in a 6 year old
c. bilat shin bruising in a 2 year old
d. subconjunctival hemorrhage in a 3-month old
e. abdominal bruising in a 22 month old.

Answer 21

a, d, e

Question 22

a 2 month old presents to the clinic for routine well child check. upon physical examination a bruise is found on the chest. What do you do next?

a. call in a report to children services because of the concern for physical abuse
b. obtain a head T and skeletal survey
c. ask the caregiver about the injury
d. obtain hematology laboratory studies

Answer 22

c. ask the caregiver about the injury

Question 23

which of the following statement are true regarding child sexual abuse (select all the apply)?

a. the majority. of child sexual abuse victims will have a normal nonspecific anogenital examination
b. most children disclose their victimization soon after experiencing sexual abuse
c. healthcare clinicians must be knowledgeable regarding stat laws/protocols defining acute versus non-acute child sexual abuse
d. the ultimate goal of the anogenital examination for child sexual abuse is to provide reassurance to patients and families that their bodies are normal and/or will heal despite their experiences of sexual abuse

Answer 23

a.c.d

Question 24

Healthcare assessments findings that are highly suggestive of sexual abuse include

a. a spontaneous disclosure of sexual abuse made by the child
b. genital warts noted on examination of an 18-month old female delivered vaginally to a mother known to have genital warts
c. urine NAAT positive for chlamydia in a 6 year old female
d. absence of hymenal tissue at a 6-o clock when examined in both supine and knee-chest position

Answer 24

a, c, d

Question 25

according to ACE study, childhood adversity and household dysfunction impact all but which of the following later i life?

a. healthcare utilization
b. disease incidence and risk factors
c. incidence of criminal behavior in adulthood
d. quality of life

Answer 25

c. incidence of criminal behavior in adulthood

Question 26

Which are true about traumatic experiences? select all the apply

a. traumatic experience overwhelms a person’s capacity to cope
b. one time incidents are generally not considered to be traumatic
c. no two individuals will experience trauma in the same way
d. there are consistent patterns of reasons commonly seen in survivors of trauma

Answer 26

a. traumatic experience overwhelms a person’s capacity to cope
c. no two individuals will experience trauma in the same way
d. there are consistent patterns of reasons commonly seen in survivors of trauma

Question 27

who does the USPTF recommends routine screening for IPV at all preventative health encounters at regular intervals?

a. children aged 0- 18
b. women of childbearing years
c. people of low socioeconomic status
d. heterosexual couples

Answer 27

b. women of childbearing years

Question 28

Which statements is true regarding the relationships between IPV and child abuse?

a. there is no correlation between IPV and child abuse
b. when IPV occurs in a home, children are not affected unless they become involved in the violent episode between caregivers
c. in a family in which iPV is occurring, it is more likely that child abuse is also occurring
d. pregnancy decreases a woman’s risk of experiencing IPV

Answer 28

c. in a family in which iPV is occurring, it is more likely that child abuse is also occurring

Question 29

What parental risk factors may carry an association with emotional maltreatment? select all that apply

a. poor parenting skills
b. substance use
c. depression
d. suicidal ideation and/or attempt
e. low self esteem
f. inadequate social support
g. all of the above

Answer 29

g. all of the above

Question 30

what are some ways to help prevent or reduce exposure to emotional maltreatment?

a. the nurse-family partnership program
b. in home vising program for first time mother’s
c. anticipatory guidance on developmental expectations
d. all of these are ways to prevent and reduce exposure to maltreatment

Answer 30

d. all of these are ways to prevent and reduce exposure to maltreatment