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NR547 Week 8: Final Exam (Dec-2025)
An inpatient client has a CIWA-Ar score of 12. What is the most appropriate action by the nurse practitioner?
Answers: A – D
A prescribe STAT dose of oral lorazepam and reassess CIWA-Ar every hour ✅
B prescribe oral lorazepam every 4 hours and reassess CIWA-Ar every hour
C prescribe STAT dose of oral diazepam and reassess CIWA-Ar every 4 hours
D reassess CIWA-Ar every 4 hours; do not prescribe medication at this time
A client diagnosed with a personality disorder states that he does not trust any of his work colleagues because they constantly “spy” on his work and “verbally attack” him during meetings. He also states that he doesn’t trust his wife because she is probably cheating on him with the Amazon deliveryman and is more loyal to their children than to him. Which is the most likely diagnosis?
Answers: A – D
A schizoid personality disorder
B paranoid personality disorder ✅
C schizotypal personality disorder
D histrionic personality disorder
Which drug class is most likely to be prescribed upon diagnosis of Alzheimer’s disease?
Answers: A – D
A atypical antipsychotic
B cholinesterase inhibitor ✅
C anxiolytic
D anticholinergic
A client who uses “recreational” oxycodone presents for treatment. He states that he has tried to reduce his use but he often takes more than planned to and finds himself thinking about using quite a bit. He maintains full-time employment and limits his use to weekends when he has time to relax. What is the client’s most likely diagnosis?
Answers: A – D
A moderate opioid use disorder
B severe opioid use disorder
C opioid withdrawal disorder
D mild opioid use disorder ✅
A client presents to the emergency department following a nonfatal suicide attempt. She states that her boyfriend just broke up with her due to her bad temper and constant moodiness, and she can’t be alone. Her forearms and thighs show thin cuts and scars at various stages of healing. What is this client’s most likely diagnosis?
Answers: A – D
A dependent personality disorder
B borderline personality disorder ✅
C narcissistic personality disorder
D antisocial personality disorder
A client presents for treatment following a breakup with her girlfriend. She is dressed in a short skirt and a low-cut blouse. She is very friendly and flirtatious, dramatically providing intimate details about several past relationships. The client’s presentation is consistent with which personality disorder?
Answers: A – D
A histrionic personality disorder ✅
B borderline personality disorder
C narcissistic personality disorder
D dependent personality disorder…………………………………………………………………………$60
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