Barkley physical assessment /psych Barkley Exam Questions and Answers (Solved)

Barkley physical assessment /psych Barkley Exam Questions and Answers

. During a suicide intervention with your 28yo male patient, to which agreement should you ask for his consent, verbally or in writing?

 a. -"No Harm" contract- health care professionals are obligated to ask suicidal patients to agree to a no harm contract, verbally or in writing, detailing specifically that the patient will restrain from harming themselves

 b. "No Suicide" contract- typical contracts used in the prevention of suicide

c. "Prevention" Contract- typical contracts used in the prevention of suicide

d. "Affirming Life" contract- typical contracts used in the prevention of suicide

Courtney 35 is a rape victim. You note that she has an expressed style of coping in her acute rape trauma syndrome. Which of the following would most lead you to this conclusion?

 a. Patients Masked face

 b. Patients Distractibiity

c. Patient Smiling

d. patient having diffuculty making decisions

Which of the following patients would not require hospitalization?

a. A 29yo self-admitted bulimic male with bradycardia

 b. A 27yo female with repeated use of laxatives and diuretics at least two times a week for 3 months

 c. A 20yo male suffering from persistent hypothermia

d. A 18yo young woman who is 5'4" and weighs 92 pounds

. Terry, 35yo, visits your office with the assumption that he is experiencing depression. Terry explains that he has a history of substance abuse and a family history of mood disorders. He claims that he has recently been incredibly fatigued, possessing no energy to even perform day to day activities. Even with the sudden onset of fatigue. Terry explains that he is still experiencing insomnia. He also complains about recurring confusion and loss of weight, and confesses that he has been experiencing more recurrent suicidal thoughts. Of the following which is the best medication to prescribe Terry for his situation?

 a. Sympathomimetics- thought to be most effective pharmacological treatment for depression, however they have a potential for abuse

b. Bupropion- better choice due to history of substance abuse

 c. Olanzapine- mood stabilizer more effective for bipolar

d. Risperidone- for mania

ou are attending to a 30yo male after he was shot at and almost killed. By showing empathy, confrontation, and immediacy, you are exhibiting which of the following?

 a. Identifying the hazard and precipitating event- involves differentiating the precipitating event from long term psychological problems.

b. Counseling keystones relevant to assessment of a crisis- Three of the counseling keystones relevant to assessment of a crisis are empathy, confrontation, and immediacy.

c. Identifying coping mechanisms- does not involve wide-ranging keystones such as empathy, but rather specific actions such as questioning and increasing adaptive coping by recommending the patient seek information.

d. Situational support

patient with which of the following findings should be referred to primary care for cardiovascular problems?

 a. A patient with a blood pressure of 130/85- considered prehypertension and should be referred to primary care.

b. Systole

 c. Diastole

d. Low density lipoprotein level (LDL) of 69 mg/dl- is the desired LDL for patients, anything over 100 mg/dl should warrant a referral to primary care for evaluation of cholesterol.

7. Patients with severe and persistent mental illness (SPMI) exhibit symptoms which interfere with occupational, academic, and social functioning. Which of the following illnesses eventually touches 100% of patients affected with SPMI?

a. Unipolar depression- affects 20-30% of SPMI patients

b. Schizophrenia- affects 90% of SPMI patients

 c. Dementia- 100% of patients with SPMI are eventually affected by varying degrees of dementia which interfere with occupational, academic and social functioning

d. Bipolar Depression- affects 40-50% of SPMI patients

Before patients enter a hospice they are advised of their right to refuse care, but only if they have which of the following?

 a. Decisional capability

 b. A living will

c. A healthcare directive

 d. Informed consent

Which of the following statements is not a correct association with the Bronfenbrenner's ecological system model?

 a. Children are dynamic entities and develop the skills necessary to _____ that setting

b. The ___ child ____ may be established as _____ by the parents relationships

c. Objective reality influences behaviors and development more than ones perception of environment

d Changes in family structure such as the birth of a sibling affect a child's development