NRNP 6675 FINAL EXAM 2 (2 VERSIONS 200 QUESTIONS AND ANSWERS LATEST 2023 WALDEN UNIVERSITY, Exams of Nursing

Download NRNP 6675 FINAL EXAM 2 (2 VERSIONS 200 QUESTIONS AND ANSWERS LATEST 2023 WALDEN UNIVERSITY and more Exams Nursing in PDF only on Docsity! NRNP 6675 FINAL EXAM 2 (2 VERSIONS 200 QUESTIONS AND ANSWERS LATEST 2023 WALDEN UNIVERSITY, 100% VERIFIED) 1. Concerns when treating geriatric patients with psychotherapeutic drugs include all of the following EXCEPT: ✔□ A. Elderly persons may be more susceptible to adverse effects of psychotherapeutic drugs. ✔□ B. Elderly persons may metabolize psychotherapeutic drugs more slowly. C. Elderly persons may metabolize psychotherapeutic drugs more rapidly. ✔□ D. Elderly persons may excrete psychotherapeutic drugs more slowly. Question 2 The treatment of others equitably and distribution of benefits/burdens fairly is known aswhich of the following? A. Fidelity ✔□ B. Justice C. Beneficence D. Non- maleficence Question 3 Persons who subordinate their own needs to those of others, get other to assume responsibility for major areas of the lives, lack self-confidence, and may experience intense discomfort when alone for more than a brief period of time are demonstrating characteristics consistent with which of thefollowing personality disorders? A. Avoidant personality disorder B. Passive personality disorder ✔□ C. Dependent personality disorder D. Antisocial personality disorder Question 4 According to Sullivan, which of the following are consistent with a mentor/mentee relationship? A. Mentors are assigned B. Mentor relationships are shorter term ✔□ C. Goals for the mentoring relationship are setmutually. D. A and B only Question 5 A form of child abuse in which a parent or caretaker repeatedly fabricates or actually inflicts injury or illness in a child for whom medical intervention is then sought, often in an emergencysetting, is known as which of the following? A. Korsakoff's syndrome B. Snyder's syndrome C. Munchausen syndrome ✔□ D. Munchausen syndrome by proxy Question 6 The need for nurse practitioners to practice to the full extent of their education and trainingis necessary for which of the following reasons? Select all that apply. A. The growth in number and proportion of older Americans ✔□ B. The projected primary care physician shortage by 2025 ✔□ C. Increased number of individuals who have access to healthcare ✔□ D. The economic push for cost-effective healthcare Question 7 The ARNP assessing lifestyle as a social determinant of health would ask about which ofthe following? ✔□ A. Diet B. Education A. High potency drugs with low levels of anticholinergic activity. B. Low potency drugs with low levels of anticholinergic activity. ✔□ C. High potency drugs with high levels of anticholinergic activity. D. Low potency drugs with high levels of anticholinergic activity. Question 17 Treatment aimed at reducing intimate partner violence and domestic violence includeswhich of the following? A. Enhancing self-efficacy of the victim. B. Reducing recidivism of the abuser. C. Hormonal therapy for the perpetrator of abuse ✔□ D. A and B only Question 18 A patient presents with a formal, tense manner. He reluctantly reports a longstanding (since early adulthood) pervasive suspiciousness of others, preoccupied with trustworthiness of friends,unjustified concerns about others deceiving him, angry about perceived insults and slights, reluctant to confide in the ARNP. The ARNP suspects the patient likely has which of the following personality disorders? A. Schizoid personality disorder ✔□ B. Paranoid personality disorder C. Borderline personality disorder D. Antisocial personality disorder Question 19 Which of the following is consistent with current perspectives on nurse practitioner competencies? ✔□ A . The National Organization of Nurse Practitioner Faculties has developed a list of core competencies that all students should have upon graduation from a master's program.B . Nursing specialty organizations DO NOT publish competencies for NPs who provide care in specialty areas. C . Employers DO NOT establish their own set of competencies.D . There are national standards for judging/evaluating nurse practitioner competencies. Question 20 Which of the following core competencies are quality competencies? A. Uses best available evidence to continually improve quality of practice. B. Integrates ethical policies in decision making. C. Evaluates the relationships among access cost quality safety and their influence on health care. ✔□ D. A and CQuestion 21 Which of the following are criteria for a particular suicide to be considered inevitable? A. Strong genetic history of suicide in one or more family members. B. A strong genetic loading of mental illness in the family. C. The patient must have received the highest standard of treatment and that treatment failed. ✔□ D. All of the above. Question 22 The misuse of the charge's funds for personal gain is known as which of the following? A. Neglect B. Physical abuse ✔□ C. Financial abuse/exploitation D. Emotional/psychological abuse Question 23 Which of the following professionals would be able to precept a nurse practitioner student? A. An advanced registered nurse practitioner B. A physician C. A unlicensed social worker ✔□ D. A and BQuestion 24 According to Freud, passive and dependent personality traits are associated with whichstage of development? ✔□ A. Oral stage B. Anal stage C. Phallic stage D. Latency stage Question 25 Self-injurious behavior with a nonfatal outcome, accompanied by explicit or implicit evidence that the person intended to die, is most specifically known as which of the following? A. Suicide ✔□ B. Suicide intent C. Suicide attempt D. Aborted suicide attempt Question 26 The incidence of suicide is highest for which of the following populations? A. Older Latino men B. Older Caucasian men C. Older Caucasian women ✔□ D. Older African Americanmen Question 27 "Assumes complex and advanced leadership roles to initiate and guide change" is a NPcore competency for which NP competency area? A. Policy competencies B. Quality competencies ✔□ C. Leadership competencies D. Practice inquiry competencies Question 28 At a minimum, a psychiatric evaluation in an emergency should include which of the following? Select all that apply. ✔□ A. Is the patient psychotic? ✔□ B. Is the patient suicidal or homicidal? ✔□ C. Is the problem organic, functional, or a combination? companionship are demonstrating symptoms most consistent with which of the following personality disorders? A. Narcissistic personality disorder ✔□ B. Avoidant personality disorder C. Borderline personality disorder D. Schizoid personality disorder Question 33 Non-pharmacological treatment for abuse includes all of the following EXCEPT: A. Cognitive behavioral therapy B. Build a community of support C. Assist patient to devise safe escape plan ✔□ D. Involve the abuser in the treatmentplanning Question 34 Obsessive-compulsive, dependent, and avoidant personality traits are associated withwhich of the following personality clusters A. Cluster A B. Cluster B ✔□ C. Cluster C D. Cluster D Question 35 Which of the following is the therapeutic blood level range for lithium?A. 0.2-1.0 mEq/L B. 0.3-0.8 mEq/L ✔□ C. 0.3-1.2 mEq/L D. 0.5-1.5 mEq/L Question 36 The obligation to not inflict harm or balancing unavoidable harm with benefits of good achieved is known as which of the following? A. Fidelity B. Beneficence ✔□ C. Non-maleficence D. Respect for autonomy Question 37 Which of the following is not consistent with guidelines for a mentor?A . Reassure the mentee that the mentor is available at any time of need.B . Review basic concepts to ensure the mentee has the fundamentals prior to starting the mentoring process. C . Be prepared to fill the meeting time with specific issues and objectives. ✔□ D . Be specific and kind when giving constructive feedback that may not be what the mentee might want to hear. Question 38 An ARNP takes a position in which a specific amount is paid according to a set job description. This type of pay structure is known as which of the following? A. Straight salary B. Average percentage of net receipts C. Base salary plus percentage ✔□ D. Hourly rate Question 39 Acknowledging a person's right to make choices, to hold views, and to take actions basedon personal value is known as which of the following? A. Justice B. Fidelity C. Beneficence ✔□ D. Respect for autonomy Question 40 Narcissistic, borderline, antisocial, and histrionic subtypes are associated with which of the following Personality disorders? A. Cluster A ✔□ B. Cluster B C. Cluster C D. Cluster D Question 41 Using the LIAASE: A General Cultural Competence Tool, the ARNP would do which of the following? A. Agree to disagree on differences in values. B. Solicit other options or points of view. C. Acknowledge and validate powerful emotions when expressed. ✔□ D. All of the above. Question 42 Being knowledgeable about one's own thoughts, feelings, and sensations as well as the ability to reflect on how these can affect one's interactions with others is known as which of the following? ✔□ A. Cultural Awareness B. Cultural Competence C. Cultural Humility D. Cultural Sensitivity Question 43 The ARNP recognizes which of the following as long-term effects of sex trafficking on victims? A. Severe depression B. Spiritual questions C. Trauma bonding ✔□ D. All of the above Question 44 Which of the following is used for treating alcohol-dependent individuals seeking to continueto remain alcohol free after they have stopped drinking? A. Tacrine B. Amantadine C. Galantamine ✔□ D. Acamprosate Question 45 EXCEPT: A. Study in a distraction free environment. B. Six to eight hours of sleep is recommended. C. Drink lot of caffeine and eat high-concentrated sugars. ✔□ D. Plan to study for short periods of time over a longer timeperiod. Question 52 Which stage of the cycle of domestic violence is characterized by overt aggressive behavior towards the victim? A. Tension building phase ✔□ B. Abusive incident C. Honeymoon phase D. Planning phase Question 53 A term that defines a person who has distress with clinical symptomatology because their gender identity is not consistent with gender assigned at birth is which of the following? A. Cisgender B. Gender fluid C. Pangender ✔□ D. Gender dysphoria Question 54 A patient with an inability to conform to the social norms that ordinarily govern manyaspects of a person's behavior is consistent with which of the following personality disorders? A. Avoidant personality disorder ✔□ B. Antisocial personality disorder C. Borderline personality disorder D. Narcissistic personality disorder Question 55 The treatment of choice for patients with paranoid personality disorder includes which of thefollowing? A. Group therapy B. Behavioral therapy C. Psychotherapy ✔□ D. B and C Question 56 In about half of the cases in which suicides occur while patients are on a psychiatric unit, a lawsuit results. Which of the following is not consistent with what courts expect related to inpatient psychiatric unit suicide events? A. Courts expect suicides to occur in inpatient settings. ✔□ B. Courts require zero suicide rates in inpatient setting. C. Periodic patient evaluation for suicide risk D. Evidence of formulation of a treatment plan with a high level of security Question 57 Type of employment in which either party may terminate for any reason at any time isknown as which of the following? A. Locum tenens ✔□ B. At will employment C. Employment by contract D. Profit sharing employment Question 58 Which of the following medical conditions can present with prominent mental statuschanges that mimic common psychiatric illnesses? Select all that apply. ✔□ A. Diabetes Mellitus ✔□ B. Thyroid disease C. AIDS ✔□ D. Head trauma Question 59 According to the AANP Process of Care Standards, performing or ordering preventative anddiagnostic procedures based on the patient's age and history is part of which of the following components? ✔□ A. Assessment of health status B. Development of a treatment plan C. Implementation of the treatment plan D. Care priorities Question 60 A patient on Lithium and Quetiapine presents to the emergency room with anorexia, persistent nausea and vomiting, blurred vision, choreoathetoid movements, muscle fasciculations, and hyperactive deep tendon reflexes. The ARNP should do all of the following EXCEPT: ✔□ A. Discontinue the Lithium. B. Obtain vital signs, and obtain a neurological evaluation with complete formal mental examination. C. Obtain lithium level, serum electrolytes, renal function tests and ECG. D. Give activated charcoal to remove unabsorbed Lithium. Question 61 A patient currently on risperidone presents to the emergency department with increased agitation, restlessness, muscle discomfort, and dysphoria. The APRN recognizes these symptoms of akathisia and recommends which of the following? Select all that may apply. A. Reduce antipsychotic dosage B. Benztropine IM C. Benadryl po or IM ✔□ D. B and C only Question 62 In order to qualify for ANCC board certification testing you must have a minimum of how many supervised clinical hours in the respective specialty for which you are seeking certification? A. 300 supervised clinical hours ✔□ B. 500 supervised clinicalhours to minor criticism. The ARNP recognizes these symptoms as consistent with which of the following personality disorders? A. Schizotypal personality disorder B. Borderline personality disorder ✔□ C. Narcissistic personality disorder D. Histrionic personality disorder Question 71 The emotional burnout and lack of empathy towards clients that healthcare providers experience after treating victims of trauma is known as which of the following? ✔□ A. Compassion fatigue B. Primary traumatization C. Transference D. Countertransference Question 72 The ARNP recognizes which of the following as short-term effects of sex trafficking on victims? A. Depersonalization B. Post-traumatic stress disorder C. Higher risk behaviors (i.e., drug and alcohol abuse) ✔□ D. A and C only Question 73 According to Freud, stubborn, parsimonious, and highly conscientious traits are associated with which stage of development? A. Oral stage B. Anal stage ✔□ C. Phallic stage D. Latency stage Question 74 Risk factors for school violence include which of the following? Select all that apply. ✔□ A. Bullying ✔□ B. Being bullied ✔□ C. Isolation D. Involvement in school organizations Question 75 As a PMHNP, one of the most common areas you will counsel your patients about is the importance of sleep hygiene. Which of the following is NOT consistent with common recommendations for good sleep hygiene? A. Avoid alcohol and caffeine. ✔□ B. Set a cool room temperature. C. Set TV to turn off within 1 hour of falling asleep. D. Go to bed at the same time each night. Question 76 Affirmatively acting to benefit another or others, going beyond what is required by law is known as which of the following? A. Fidelity B. Justice ✔□ C. Beneficence D. Non- maleficence Question 77 The term "suicide survivor" refers to which of the following? A. Those who have lost a loved one to suicide. B. Someone who has attempted suicide but failed. ✔□ C. Only those who have had a serious suicide attempt with a near deathexperience. D. This is an ambiguous term that should not be used. Question 78 Curriculum content that supports the NP scientific foundation competency area includes which of the following? Select all that apply. ✔□ A. Comparison of patient data sets with evidence-based standards to improve care B. Science from other disciplines relevant to health care ✔□ C. High reliability organization principles. D. Compliance issues related to patient privacy with use of technology. Question 79 In Canterbury v. Spence the U.S. Court of Appeals for the District of Columbia Circuit listed physician responsibilities for disclosure. Which of the following is not listed as a responsibility? A. Adopt a standard of full disclosure with patients. B. Alert the patient to symptoms of bodily abnormality. C. Inform the patient when the ailment does not respond to the physician's ministrations. ✔□ D. Inform the patient about precautionary therapy that he or she should seek in the future. Question 80 Which of the following is the treatment of choice for patients with depressive personality? A. Exposure therapy B. Light-exposure therapy ✔□ C. Insight oriented psychotherapy D. Transmagnetic Stimulation (TMS) Question 81 Which of the following should be avoided when working with practice guidelines? ✔□ A Write guidelines with minute details that everyone will follow it in the exact same way. B . Base guidelines on evidence from widely used resources and reference those resources in the guidelines. C . Adopt an already published set of guidelines. B. Contingency management C. Motivational interviewing ✔□ D. Cognitive behavioraltherapy Question 87 Cluster A personality traits consist of which of the following? ✔□ A. Schizotypal, schizoid, and paranoid subtypes B. Narcissistic, borderline, antisocial, and histrionic subtypes C. Obsessive-compulsive, dependent, and avoidant subtypes D. Depressive, anxious, hypomanic subtypes Question 88 Sexual assault is most often which of the following? A. A stranger B. An acquaintance ✔□ C. A familymember D. A professional Question 89 Which of the following is consistent with what is known about terrorist-bomber suicides? A. The goal is death or escape. B. The motivation is vengeance and mass murder. C. Psychological/psychiatric disorder is present in most cases. ✔□ D. A and B only Question 90 Which of the following is not consistent with recommendations for psychiatric history taking and the mental status evaluation of older adults?A . When a patient is cognitively impaired, an independent history should be obtained from a family member or caretaker. B . The patient should still be seen alone even in cases of clear evidence of impairmentto preserve the privacy of the doctor/patient relationship. ✔□ C If the patient is cognitively impaired, the patient should never be seen alone. D . Even in patients with cognitive impairment, it is important to elicit any suicidal thoughts or paranoid ideations privately. Question 91 The ARNP working as an at will employee realizes which of the following? Unless the ARNP has a contract for a specified term of employment, the employeeA . has no legal right to a job.B . Employment will not be covered by equal opportunity or disability laws.C . He or she must negotiate terms of employment on a piecemeal basis. ✔□ D . A and C only Question 92 The United States Supreme Court upheld the psychotherapist-patient privilege in which ofthe following cases? ✔□ A. Jaffee v. Redmon B. Tarasoff I C. Tarasoff II D. O'Conner v. Donaldson Question 93 Loyalty, fairness, truthfulness, advocacy, and dedication in professional relationships is known as which of the following? A. Justice ✔□ B. Fidelity C. Non-maleficence D. Respect for autonomy Question 94 Which of the following is consistent with what is known about personality disorders?A . Typical onset in early childhoodB . Is stable over time ✔□ C . Involves impairment in at least one of four areas of cognition, affectivity, interpersonal function or impulse control D . B and C only Question 95 A clause in an employment contract that specifies that an employer and employee may endthe working agreement without cause within a specified number of days is known as which ofthe following? A. A restrictive covenant ✔□ B. An employment clause C. A termination clause D. A and C Question 96 A late-appearing adverse effect of neuroleptic drugs is known as which of the following? A. Akathisia B. Parkinsonism ✔□ C. Neuroleptic malignant syndrome D. Neuroleptic-induced tardive dyskinesia NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE 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 receptors Serotonin receptors NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE 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 intoxication Substance 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 Dystoni a Tardive dyskinesia NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE 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 NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE 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. NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE 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... NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE HIPPA B. DSM-5 CPT DR G A federal program administered nationally and locally which covers enrolled individuals 65 years andolder who pay premiums and disabled individuals.... Medicar e Medicai d 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 NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE percent?Voluntary motor actions usually become perceptibly clumsy Thought judgment, and restraint are impairedConfusion, stupor None of the above NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE 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? NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE Dopamin eGABA Serotonin A and B only The Dopamine hypothesis of schizophrenia which of the following? Schizophrenia results from too much dopaminergic activity NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE The main psychological difference between fear and anxiety is best described by which of the followingstatements? 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 whichvaries among persons is commonly known as which of the following? Fear Stres s Normal anxiety Pathological anxiety NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE 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 NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE Neurochemical or neurophysiologic changes in the body that result from the repeated administration ofa drug is known as which of the following? Cross-tolerance Neurotransformatio n 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 Voyeuris m Sexual sadism Sexual masochism NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE Arbitrary 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 poverty Mothers and children who qualify on the basis of poverty. NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE Which of the following neurotransmitters increases libido?GABA Serotoni n Oxytoci n 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. NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE 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? NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE The diagnosis used to describe a syndrome characterized by specific signs and symptoms resulting fromrecent ingestion or exposure to a substance is known as which of the following? Substance intoxication Substance withdrawal Substance use disorderAny of the above A deeply held belief despite evidence to the contrary, lasting at least one month, without prominenthallucinations 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 NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE 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 NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE 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 monthsbefore. 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 NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE followingEXCEPT? Study in a distraction free environment Six to eight hours of sleep is recommended Drink lot of caffeine and eat high concentrated sugars Plan to study for short periods of time over a longer time period. NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE A patient presents with a formal, tense manner. He reluctantly reports a longstanding (since early adulthood) pervasive suspiciousness of others, preoccupied with...trustworthiness of friends, unjustifiedconcerns about others deceiving him, angry about perceived insults and slights, reluctant to confide in the ARNP. The ARNP suspects that the patient likely has which of the following personality disorders? Schizoid personality disorder Paranoid personality disorder Borderline personality disorder Antisocial personality disorder Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the followinglithium levels? 0.8-1.5 mEq/L 1.5-2.0 mEq/L 2.0-2.5 mEq/L > 2.5 mEq/L A patient with a history of alcohol use presents to the emergency department with oculomotor disturbances, cerebellar ataxia, and confusion Symptoms as consistent NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE with which of the following psychiatric emergencies? Akathisia Korsakoff's syndrome Wernicke's encephalopathy Idiosyncratic alcohol intoxication NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE Emotional/psychological abuse The ARNP recognizes which of the following as long term effects of sex trafficking on victims?Severe depression Spiritual questions Trauma bonding All of the above In about half of the cases in which suicides occur while parents are on a psychiatric unit, a lawsuit results. Which of the following is not consistent with what courts. related to impatient psychiatric unit suicide events? Courts expect suicides to occur in inpatient settings Courts require zero suicide rates in inpatient settingPeriodic patient evaluation for suicide risk Evidence of formulation of a treatment plan with a high level of security Cluster A personality traits consist of which of the following? NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE Schizotypal, schizoid, and paranoid subtypes Narcissistic, borderline, antisocial, and histrionic subtypes Obsessive-compulsive, dependent, and avoidant subtypes Depressive, anxious, hypomanic subtypes NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE Cultural Dimensions Therapy is a framework for cross-cultural communication that describes the effectsof a society's culture on the values of its members. by which of the following theorists? Hofsted e Leininge rPurcell Campinha-Bacote The treatment of choice for patients with paranoid personality disorder includes which of the following?Group therapy Behavioral therapy Psychotherapy B and C The differences in the quality of healthcare across individuals or groups in regard to access, treatmentoptions, and p following? Racism Health disparities Vulnerable populations Social determinants of health NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE Depressive personality disorder Borderline personality disorder Dependent personality disorder Obsessive-compulsive personality disorder NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE Which of the following is consistent with what is known about the epidemiology of anxiety?Men have a higher lifetime prevalence of anxiety than women. Women have a higher lifetime prevalence of anxiety than menMen and women have equal lifetime prevalence. The lifetime prevalence of anxiety is not gender specific Which of the following is consistent with NP practice parameters when prescribing buprenorphine? NPs with full practice authority can prescribe and administer buprenorphine under their state NP license. As a qualified practitioner the NP simply needs to notify SAMHSA prior to prescribing or administeringbuprenorphine The NP can provide buprenorphine to 300 patients per month The NP is required to complete specific training to prescribe and dispense buprenorphine Which of the following are consistent with current data related to the prevalence of drinking alcohol?Men and women with higher education and income are less likely to drink alcohol. Men and women with higher education and income are more likely to drink alcohol Men and women with lower education and higher income are more likely to drink alcohol.Education and income are not a factor in prevalence of drinking alcohol. NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE A patient with history of hypoglycemia reports feelings of fear, worry, and restlessness that has persistedover the past 6 months. The patient states these feelings are worse when glucose is low. The ARNP suspects the patient has which of the following diagnoses? Generalized anxiety disorder attributable to another medical condition NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE Symptom of increased autonomic arousalDerealization In which ways are nurse practitioners (NPs) and physician's assistants (Pas) different? NPs differ from PAs in legal definition, scope of practice, licensure, and independence of practice. NPs practice under their own license and independent of the physician, PAs always work under thesupervision of a physician. There is essentially no difference functionally between an NP and a PA. A and B Which of the following initials would a psychiatric-mental health nurse practitioner use to designateappropriate credentials? ANP-C CPNP CPNP- AC PMHNP-BC Variations from norms in gender role behavior such as toy preferences, rough-and- NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE tumble play,aggression, or playmate gender is known as which of the following? Gender discordance Gender role behavior Gender identity variance Childhood gender non-conformity NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE The three major neurotransmitters associated with anxiety, based on animal studies and response todrug treatment include which of the following? Glutamate, Norepinephrine, Serotonin GABA, Norepinephrine, Serotonin GABA, Dopamine, Glutamate Dopamine, Norepinephrine, Serotonin Which of the following is consistent with the epidemiology of schizophrenia in the United States?The lifetime prevalence of schizophrenia is about 50 percent Schizophrenia is more prevalent in children than in adolescents.Peak age of onset in men is 10 to 25 years of age Onset of schizophrenia before the age of 25 is extremely rare. Clinical findings that may indicate abuse include which of the following? Select all that apply.Delay between onset of injury and seeking treatment Explanation by the patient which is inconsistent with the type of injury Psychological distress such as depression, anxiety, suicidal ideations and/or sleep disorder NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE The fear of or anxiety regarding places from which escape might be difficult is known as which of thefollowing? Depression Panic disorder Agoraphobia Generalized anxiety disorder NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE All of the following are one of the five major categories of third-party payers EXCEPT: Medicare/Medicaid Managed-care organizations (MCOs)Indemnity insurance companies Only A and B Discrepancy between anatomical sex and gender identity is known as which of the following?Gender role behavior Gender discordance Gender nonconformity Internalized sexual prejudice Which of the following is not a common physical effect of cannabis?Mild tachycardia Mild bradycardia Orthostatic NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE hypotension Dilation of the conjunctival blood vessels A conscious standardized recurrent behavior such as counting, checking, avoiding that interferes significantly with the person's normal routine and functioning is known as which of the following? A compulsion NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE A type of schizophrenia in which the individual has a marked disturbance in motor function and mayinvolve stupor, negativism, rigidity, excitement or posturing or mutism is Residual Type Catatonic Type Disorganized Type Undifferentiated Type A patient who presents with the inability to remain still, with motor restlessness, would be assessed tohave which of the following? Dystonia Akathisi a Akinesi a Tardive dyskinesia A method of therapy used to treat individuals with substance abuse based on the NRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE 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