A 67-year-old female smoker with a family history of high blood pressure and heart disease presents with acute onset neck pain, headache, and a blood pressure of 175/100 mm Hg. What should the physical therapist do FIRST?

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Question 1 of 5

A 67-year-old female smoker with a family history of high blood pressure and heart disease presents with acute onset neck pain, headache, and a blood pressure of 175/100 mm Hg. What should the physical therapist do FIRST?

Correct Answer: A

Rationale: The correct answer is A: Refer the patient for assessment by a physician. Given the patient's age, smoking history, family history, and elevated blood pressure, there is a high likelihood of cardiovascular issues. As a physical therapist, it is crucial to prioritize patient safety and rule out any serious medical conditions before proceeding with any interventions. Referring the patient for immediate medical assessment allows for proper diagnosis and management of potential cardiovascular emergencies. This is the first and most important step to ensure the patient's well-being. Other choices are incorrect because: B: Assuming it is a 'white coat' effect overlooks the serious symptoms and risks associated with the patient's presentation. C: Continuing the examination with modifications may delay necessary medical intervention and put the patient at risk. D: Modifying the examination and avoiding manual therapy may not address the underlying cause of the symptoms and delay appropriate medical care.

Question 2 of 5

The nurse is interviewing a client on the psychiatric unit. The client tilts his head to the side, stops talking in midsentence, and listens intently. The nurse recognizes from these signs that the client is likely experiencing:

Correct Answer: C

Rationale: The correct answer is C: Auditory hallucinations. When a client tilts their head to the side, stops talking, and listens intently, it suggests that they are hearing something that others cannot, indicating auditory hallucinations. This behavior aligns with the sensory experience of hearing voices. Somatic delusions (A) involve false beliefs about one's body, not auditory experiences. Catatonic stupor (B) is characterized by immobility and unresponsiveness, not specific behavioral cues like tilting the head. Pseudoparkinsonism (D) refers to drug-induced symptoms resembling Parkinson's disease, not related to the client's behavior during the interview.

Question 3 of 5

In the harmful dysfunction definition of psychological disorders, dysfunction involves

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

The diathesis-stress model presumes that psychopathology results from

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which of the following best illustrates a compulsion?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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