NRNP 6675-15 Week 6 Midterm Exam: Questions and Answers, Exams of Nursing

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NRNP 6675-15 WEEK 6 MIDTERM EXAM

QUESTIONS WITH COMPLETE SOLUTIONS

1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that applyAge Rapid dose escalation Parental route of administration Higher potency typical antipsychotics
2. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of thefollowing effects? Reduces negative symptoms Increases extra pyramidal symptoms (EPS)Causes prolactinemia Reduces positive symptoms
3. Phencyclidine (PCP) and Ketamine exert their unique behavioral effects by blocking which of thefollowing receptors? GABA type receptorsSerotonin receptors

Dopamine receptors NMDA type receptors

4. The diagnosis used to describe a syndrome characterized by specific signs and symptoms resultingfrom recent ingestion or exposure to a substance is known as which of the following? Substance intoxicationSubstance withdrawal Substance use disorderAny of the above
5. Abnormal involuntary movements in a rhythmic pattern affecting face, mouth, tongue, jaw is knownas which of the following? Akathisi a Dystonia Tardive dyskinesia Extrapyramidal side effects
6. A deeply held belief despite evidence to the contrary, lasting at least one month, without prominenthallucinations, with functional impairment that relates to the delusional syste..... Schizophrenia

Delusional disorder Brief psychotic disorder Schizophreniform disorder

7. Which of the following is true about preoccupation with castration? This can be serious and life-threatening if castration is carried out without medical supervision. This is consistent with Transvestic Disorder This is consistent with other specified paraphilic disorder This is consistent with sexual masochism disorder
8. Which of the following is a system that provides a uniform language for describing medical andsurgical procedures and diagnostic services rendered by clinicians? HIPPA DSM- 5 CPT DRG
9. A patient on Chlorpromazine states that his orgasm is dry and afterward he will commonly have milkyurine. The ARNP realizes which of the following? This is likely a harmless response to the Chlorpromazine This is abnormal and needs to be evaluated by a specialistIt is critical to stop the Chlorpromazine immediately This has nothing to do with the Chlorpromazine the patient be referred to his PCP for follow-up
10. A condition which results from absence of second female sex Chromosome (XO) and is

associatedwith web neck, dwarfism, cubitus valgus, and infertility is known as which of the following? Hermaphroditism

Turner's syndrome Adrenogenital syndrome Androgen insensitivity syndrome

11. Which of the following would be characterized as a negative symptom of schizophrenia?Hallucinations and delusions Impaired social and occupational functioningIsolation and impaired self-care B and C only

Which of the following are keys to distinguishing OCD from psychosis? Patients with OCD can almost always acknowledge the unreasonable nature of their symptoms

Patients with OCD are better able to control their compulsions. Patients with psychosis will have more obsessive thoughts. Patients with OCD have less bizarre obsessions.

13. Which of the following is a system that provides a uniform language for describing medical

and surgical procedures and diagnostic services rendered by clinicians...

HIPPA

B. DSM-

CPT

DRG

A federal program administered nationally and locally which covers enrolled individuals 65 years and older who pay premiums and disabled individuals.... Medicare Medicaid Both A and B None of the above

Having an adequate legal description of nurse practitioner (NP) scope of practice according to state lawis important for which of the following reasons? To avoid any charges of practicing medicine without a license To place accountability for both benefits and harm to patients squarely on the NP To get reimbursement for physician services when provided by an NP All of the above

Which of the following is the most widely consumed psychoactive substance? Alcohol Caffeine Heroine

Cannabis

Which of the following is used to treat Tardive Dyskinesia?Cogentin (benztropine) Artane (trihexyphenidyl) Catapress (Clonidine) None of the above

The APRN consensus model did which of the following? Merged adult, gerontology and pediatric foci so that all NPs could truly work across the.... Adult and gerontology were merged and identified as primary care or acute care Psychiatric mental health foci were stipulated as across the lifespan B and C

Which of the following behaviors are associated with an alcohol blood level of 0.05 percent? Voluntary motor actions usually become perceptibly clumsy Thought judgment, and restraint are impairedConfusion, stupor None of the above

According to HIPPA, which of the following must the NP share their NPI with? Check all that apply. Health plans Other providers Any entity that may need it for billing purposeA and C only

A patient presents with delusions, disorganized thoughts, and speech with poor self care all of whichhave persisted for the past 7 months. The APRN this presentation is. with which of the following diagnosis? Schizophrenia Schizophreniform disorderBrief psychotic disorder Delusional disorder

Major neurotransmitters possibly involved in developing substance abuse and substance dependence..... which of the following? Dopamin eGABA Serotonin A and B only

The Dopamine hypothesis of schizophrenia .. which of the following? Schizophrenia results from too much dopaminergic activity

Schizophrenia results from a deprivation of dopamine.Schizophrenia is not related to dopamine activity None of the above

A patient reports a panic attack several years ago in an elevator and since then has avoided usingelevators. This patient meets criteria for which of the following? Social phobia Specific phobia General anxiety disorder unspecifiedObsessive-compulsive disorder

A patient with a substance abuse disorder who does not meet the clinical criteria for hospitalization but who lacks sufficient social and vocational skills and lack substance-free social supports is ap Residential treatment Partial hospitalizations Outpatient treatment All of the above

Obscene phone calling to an unsuspecting partner for sexual arousal is known as which of the following?Telephilia Partialism Telephone scatologia

Normal adolescent prank

The main psychological difference between fear and anxiety is best described by which of the following statements? Fear is insidious; anxiety is sudden Anxiety is insidious; fear is sudden. There is no difference between fear and anxiety.Both anxiety and fear are alerting signals

A diffuse, unpleasant, vague sense of apprehension often accompanied by autonomic symptoms which varies among persons is commonly known as which of the following? Fear Stress Normal anxiety Pathological anxiety

If a pregnancy begins while the woman is taking high doses of methadone and withdrawal is desired, during which trimester is this least hazardous? First trimester Second trimesterThird

trimester Withdrawal from methadone should never be done while the woman is pregnant

Neurochemical or neurophysiologic changes in the body that result from the repeated administration ofa drug is known as which of the following? Cross-tolerance Neurotransformation Neuroadaptation Neurocognitive adjustment

The recurrent and intense sexual arousal from the physical and psychological suffering of another personis known as which of the following? Frotteuris m Voyeurism Sexual sadism Sexual masochism

Which of the following is not consistent with the onset of OCD? More than half of patients with OCD have a sudden onset of symptoms The onset of symptoms for about 50-70 percent of patients occurs after a stressful event. Most patients keep their symptoms secret initially. The onset of OCD is typically preceded by OCD personality traits.

The recurrent urge to expose one's genitals to a stranger is known as which of the following? Fetishism

Voyeurism Exhibitionism Paraphilic disorder

Which of the following patients would be appropriate for hospitalization for substance use disorder? Select all that apply. Patients who have a substance overdose who cannot be safely treated in an outpatient setting Patients who are at risk for severe or medically complicated withdrawal syndromes Patients who have a history of not benefiting from treatment in a less intensive setting A and B only

The nursing practice model recommended for NPs by the National Academy of Medicine and theNational Council of State Boards of Nursing is which of the following? Full practice Reduced practice Restricted practiceArbitrary practice

Which of the following groups does Medicare cover? Select all that apply. Individuals 65 years and older who have enrolled and pay premiums Disabled individuals who qualify for Social Security Disability payments and benefits Adults who are disabled for one year or less and who qualify on the basis

of povertyMothers and children who qualify on the basis of poverty.

Which of the following neurotransmitters increases libido?GABA Serotoni n Oxytocin Dopamine

Which of the following factors are associated with poor prognosis for patients with OCD? Childhood onset The presence of a precipitating eventCo-existing major depressive disorder A and C

Which of the following is inconsistent with current knowledge about schizophrenia? Schizophrenia is one of the most common of the serious mental disorders. A diagnosis of schizophrenia is based entirely on the psychiatric history and mental status examination. Dopamine level is a laboratory test that assists in the diagnosis of schizophrenia. Schizophrenia likely comprises a group pf disorders with heterogeneous etiologies and variable presentations.

A Chronic disorder characterized by repetitive hair pulling leading to variable hair loss that may be to

others is known as which of the following?

Obsessive-Compulsive DisorderImpulse Control Disorder ..... Trichotillomania .....

Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply.Age Rapid dose escalation Parental route of administration Higher potency typical antipsychotics

Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of thefollowing effects? Reduces negative symptoms Increases extrapyramidal symptoms (EPS)Causes prolactinemia Reduces positive symptoms Phencyclidine (PCP) and Ketamine exert their unique behavioral effects by blocking which of thefollowing receptors? GABA type receptorsSerotonin receptors Dopamine receptors NMDA type receptors

The diagnosis used to describe a syndrome characterized by specific signs and symptoms resulting from recent ingestion or exposure to a substance is known as which of the following? Substance intoxicationSubstance withdrawal Substance use disorderAny of the above

A deeply held belief despite evidence to the contrary, lasting at least one month, without prominent hallucinations with functional impairment that relates to the delusional system... Schizophrenia Delusional disorder Brief psychotic disorder Schizophreniform disorder

A method of therapy used to treat individuals with substance abuse based on the fundamental principleof a psychology that reinforced behaviors are likely to be...is known as which of the following? Exposure therapy Contingency management Motivational interviewing Cognitive behavioral therapy

The conditions in which people are born, grow, work, live, and age are known as which of the following? Health literacy

Health disparities Health vulnerabilities Social determinants of health

All the following is consistent with ANCC rules regarding recertification EXCEPT: You are required to have a maximum of 25 credit hours during each certification period You can start the recertification process 1 year before your expiration date, but no later than 3 months before. You must have 1000 clinical practice hours in the clinical specialty within the preceding 5 years. You must have at least 25 contact hours in pharmacotherapy.

Risk factors for school violence include which of the following? Select all that apply. Bullying Being bullied Isolation...... Involvement in school organizations.

Persons who subordinate their own needs to those of others, get other to assume responsibility for major areas of the lives, lack of self-confidence, and may experience intense discomfort when alone for more than a brief period of time are demonstrating characteristics consistent with which of the followingpersonality disorders? Avoidant personality disorderPassive personality disorder

Dependent personality disorder