A 68-year-old male patient on an inpatient geropsychiatric unit scored 3 on the Lewy Body Composite Risk Score (LBCRS). What does this score indicate?
Nonprobable Lewy body case
Probable Lewy body case
Minimally probable Lewy body case
Highly probable Lewy body case
The Correct Answer is B
Choice A reason: Nonprobable cases would have low or zero scores, inconsistent with a score of 3.
Choice B reason: A score of 3 falls within the range indicating probable Lewy body disease, suggesting sufficient clinical features are present for diagnosis.
Choice C reason: Minimally probable cases usually have lower scores, with fewer core features than observed in this patient.
Choice D reason: Highly probable cases are associated with higher LBCRS scores and more pronounced clinical signs than a score of 3.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The MMR vaccine is contraindicated during pregnancy because it is a live attenuated vaccine, which could pose a risk to the fetus.
Choice B reason: The Varicella vaccine is also live attenuated and not recommended during pregnancy; vaccination is advised prior to conception.
Choice C reason: The MenB vaccine is generally not part of routine prenatal immunization unless there is a specific risk factor.
Choice D reason: The Tdap vaccine protects against pertussis, which is critical during pregnancy to confer passive immunity to the newborn. It is recommended in the third trimester regardless of previous vaccination status.
Correct Answer is B
Explanation
Choice A reason: Providing limited information without consent still breaches patient confidentiality and legal protections under HIPAA.
Choice B reason: The patient, being 18, is legally an adult and has the right to confidentiality regarding her medical and psychiatric care. Consent must be obtained before sharing any information.
Choice C reason: Health insurance coverage does not give a parent the right to access a patient’s medical details; legal protections ensure patient privacy.
Choice D reason: Telling the father to make an appointment does not resolve the confidentiality issue and could lead to inappropriate disclosure.
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