A 67-year-old man is brought in by his son, who is deeply concerned by his father’s sudden onset of ataxia, myoclonus, and neurocognitive defects. Diffusion weighted MRI identifies multifocal gray matter hyperintensities in the subcortical and cortical regions. An EEG reveals slow, symmetric sharp spikes. What is the most likely diagnosis?
Lewy body dementia
Alzheimer's disease
Huntington’s disease
Sporadic Creutzfeldt-Jakob disease
The Correct Answer is D
Choice A reason: Lewy body dementia presents with cognitive fluctuations, visual hallucinations, and parkinsonism, but the acute onset of myoclonus and multifocal MRI findings are not typical.
Choice B reason: Alzheimer’s disease presents with gradual cognitive decline rather than sudden onset of ataxia and myoclonus, making it less likely.
Choice C reason: Huntington’s disease is a hereditary neurodegenerative disorder with chorea, psychiatric symptoms, and gradual cognitive decline, not acute multifocal neurologic deficits.
Choice D reason: Sporadic Creutzfeldt-Jakob disease is a prion disease characterized by rapidly progressive dementia, myoclonus, ataxia, and characteristic MRI and EEG findings, matching this patient’s presentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Incorporating criminal justice and mental health systems may be part of forensic practice, but forensic risk assessment specifically evaluates risk, not merely system integration.
Choice B reason: Forensic risk assessment is designed to identify individuals with mental disorders who may pose a threat to public safety due to dangerous, violent, or criminal behavior, directly aligning with this description.
Choice C reason: While some forensic interactions involve investigation, this statement describes the context rather than the specific risk assessment process.
Choice D reason: This refers to a specific type of psychiatric evaluation post-arrest but does not fully define forensic risk assessment.
Correct Answer is A
Explanation
Choice A reason: The emergence of the PMHNP role represents an expansion of advanced practice nursing and recognition of specialized skills, facilitating growth by increasing access to mental health services and establishing new professional opportunities.
Choice B reason: Overlapping scopes of practice may create confusion and role ambiguity rather than facilitate growth, as it can lead to conflict between different NP specialties.
Choice C reason: Reimbursement challenges create financial barriers that constrain the growth of NP roles rather than facilitate it, as limited reimbursement reduces sustainability and independence of practice.
Choice D reason: Growing competition in the job market generally creates pressure rather than facilitation; it may challenge new NPs to secure positions, acting as a constraining factor.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.