NRNP 6675 FINAL EXAM Walden University Updated 2023-2024 New Latest Version, Exams of Nursing

Download NRNP 6675 FINAL EXAM Walden University Updated 2023-2024 New Latest Version and more Exams Nursing in PDF only on Docsity! NRNP 6675 FINAL EXAM Walden University Updated 2023-2024 New Latest Version with All Questions and 100% Correct Answer 1 / 14 1. The 1/2 life of lithium is about?: 24 hours 2. Fluoxetine is the SSRI with the WD risk?: lowest due to long half life 3. What antipsychotics are good for pts who miss doses of their meds?: An- tipsychotics with long half-lives: 1. Cariprazine(Vrylar): (2-4 days-active metabolites up to 3 weeks) 2. Abilify (3 days) 3. Brexipiprazole (4 days) 4. Pimozide (4-5 days) 5. Pimavanserin (2 days, active metabolites 8 days) 4. Disulfiram's alcohol interactions persist for up to how long after the med- ication is stopped?: LONG Half life--2-3 days persist up to 2 weeks following stopping 5. What is the only TCA with a long half life?: Protriptyline (Vivactil) 6. Most psychotropics have a medium range 1/2 life of approx?: 24 hours 7. what does "steady state" mean in relation to 1/2 life?: steady state means that you are eliminating the drug at the same overall rate that you are ingesting it 8. Lithium reaches its 'steady state' when?: 5 half lives example: Day 1: Start pt on Lithium 600 mg daily Day 2: (24 hours later) the amount left in his body is 300 mg (day 2 min) because 24 hours has passed--one 1/2 life--therefore the pt has excreted 1/2 of the initial amount. THEN the pt takes his 2nd dose of 600 mg on DAY 2-resulting in a max dose of 900 (300 mg left in body + 600 mg of 2nd dose). DAY 3: starts off with 450 mg (1/2 of the 900 mg in pt's system) and after taking the day 3 600 mg dose, the pt now has a total of 1050 mg. 9. Due to the steady state of Lithium, when do we draw a blood level?: 5 half lives if you check any earlier, the trough level will underestimate the actual level the pt is on after achieving steady state 10. Fluoxetine has a half life of about?: 2 weeks 1/2 life take 2.5 months to achieve steady state 11. Most psychotropic medications operate in this fashion:: "when you double the dose, the serum dose doubles." NRNP 6675 FINAL EXAM Walden University Updated 2023-2024 New Latest Version with All Questions and 100% Correct Answer 2 / 14 *minus three SRIs and three anticonvulsants (Fluoxetine, fluvoxamine, paxil, gabapentin, valproate and carbamazepine) 12. induces it's own metabolism, hastening excretion and shorten- ing it's half life: A. Carbamazepine (Tegretol) *this effect begins to "rev up" after 2-4 weeks--which is why a carbamazepine level is so important on obtaining 1-2 months after starting Tegretol. 13. Carbamazepine (Tegretol) level should be checked how soon after starting to take this med?: 1-2 months due to Tegretol inducing it's own metabolism, hastening excretion and shortening it's half life. 14. has trouble getting a "serum" level because it binds to proteins that render it therapeutically inactive?: A. Valproate Acid (Depakote) -this is particularly true at the lower levels (eg. <50 mcg/mL), so you can expect dose changes to make a more dramatic difference when the pt's depakote level is in the higher range 15. 's serum level is the opposite of Valproic Acid: it rises quickly at first and then slows down?: Gabapentin *gabapentin saturates the transporters that absorb it in the small intestine, causing its levels to rise at a snails pace when the dosage goes above a certain saturation point (around 900 mg/day). -from there, the saturation trickles down; @ 900 mg/day--60% is absorbed. @ 1200 mg/day--50 % is absorbed. @3000 mg/day--30% of the gabapentin is absorbed. 16. Due to Gabapentin's serum pattern for dosage: @ 900 mg/day, how much is the patient absorbing?: @ 0900mg/day---60% is absorbed. 17. Due to Gabapentin's serum pattern for dosage: @ 1200 mg/day, how much is the patient absorbing?: @ 1200 mg/day--50 % is absorbed. 18. Due to Gabapentin's serum pattern for dosage: @ 3000 mg/day, how much is the patient absorbing?: @3000 mg/day--30% of the gabapentin is absorbed. 19. Carbamazepine (Tegretol's) serum level drops after how long after stop- ping taking it?: 1-2 months 20. For Valproate (Depakote), dose changes can have big effects once the level is beyond 50 mcg/mL?: SMALL NRNP 6675 FINAL EXAM Walden University Updated 2023-2024 New Latest Version with All Questions and 100% Correct Answer 5 / 14 47. Why is haldol contraindicated in lewy body?: first generation antipsychotic meds should not be used to tx lewy body due to increased confusion, severe parkinsonism/EPS, sedation and even death 48. 1st gen antipsychotics should be prescribed term for older adults with lewy body dementia?: SHORT TERM at a lose dose but only if the benefits outweigh the risks 49. What are the preferred tx of antipsychotics in lewy body?: Seroquel, Clozaril and Zyprexa **they don't make you stiff 50. Possible indications of lewy body dementia?: increased falls, delirium, pneu- monia/recent infections 51. What hallucination indicates paranoia?: bugs 52. scratching/itching/picking, talking about bugs in their skin?: meth 53. Bugs, animals, snakes, spiders, creepy crawlies indicate what?: A. NOT psychosis look into medication/medical options 54. The smaller the dose of Geodon, the more?: A. Activating *to sedate patients will need LARGE geodon doses 55. Charles Bonat: was no a psychiatrist- but believed that the brain creates things it wants that humans cannot see due to this it is important to assess hearing and sight prior to making a diagnosis of schizophrenia/ect for older adultsa 56. Red flags for older adults to indicate infection?: UTI, PNA, any infection Delirium, fatty liver 57. Abilify in bipolar mania?: NOT used, does not work well 58. what antipsychotics are used at baby doses with older adults?: C. A&B 59. Seroquel in older adults?: increases risk of falls and lowers BP--adding to increased falls *be cautious with all older adults 60. Topamax is also known as?: Dopamax--- increased brain fog/foggy/makes you feel stupid 61. is known to reduce appetite in individuals with weight gain related to antipsychotics?: Topamax NRNP 6675 FINAL EXAM Walden University Updated 2023-2024 New Latest Version with All Questions and 100% Correct Answer 6 / 14 62. what is the gold standard/preferred treatment of bipolar?: always start with an anticonvulsant for bipolar disorders-- preferred option for mood disorder 63. What anticonvulsant medications increase the risk of hyponatremia?: - Tegretol and Trileptal high association with increased risk of 64. Smaller doses of antipsychotics and anticonvulsants should be used with what population(s)?: Young and elderly 65. Chosen favorite anticonvulsants to combine to treat a mood disorder?: A. Lithium and depakote 66. How often do you need a creatinine clearance done if on Lithium and/or depakote?: yearly 67. What antipsychotic is used to treat psychosis?: A&B 68. Parkinson like s/s--what meds should be avoided as they can cause in- creased stiffness?: Haldol or risperidone ^makes patients stiff 69. What antipsychotic is preferred in parkinson's disease?: D All of the above -Seroquel #1 choice -then clozaril and zyprexa 70. Older adults and risperidone?: small doses of risperidone are used -available as liquid/ODT/ect other forms 71. Older adults and Zyprexa?: small doses of Zyprexa are used -available as liquid/ODT/ect other forms 72. Lisinopril can do what to Lithium levels?: INCREASE *always check a lithium level 73. dizziness, electric shock sensations, ear ringing, headache, fatigue, mood s/s and anxiety s/s?: Serotonin Withdrawal from SSRIs and SNRIs 74. Mood and anxiety related symptoms may make it look like?: the patient is relapsing on their depression /anxiety ect 75. Serotonin withdrawal when severe can cause?: A. increased risk of falls in relation to 1/ 2 life *ONLY EXCEPTION = Paxil due to long half life NRNP 6675 FINAL EXAM Walden University Updated 2023-2024 New Latest Version with All Questions and 100% Correct Answer 7 / 14 76. What is the only exception to severe serotonin withdrawal with a SSRI/SNRI?: Paxil due to long half life 77. Paxil's half life is longer than effexor?: 3-4x longer 78. is ranked beside venlafaxine to have the most notorious WD problems?: A) Paxil #1 ---ranked #1 due to half life of 24 hours Effexor #2 79. How long is venlafaxine's half life?: 5 hours 80. How does WD syndrome affect Paxil due to it's long metabolism of 24 hours?: Paxil slows down it's own metabolism by inhibiting the enzyme that me- tabolizes it: CYP2D6 -this hastens the withdrawal due to enzyme effectively shortening the 1/2 life 81. How does Paxil hasten it's WD syndrome?: it hastens the withdrawal due to the enzyme effectively shortening the 1/2 life (CYPD26) 82. How many half life's need to pass in order to avoid drug interactions prior to starting a MAOI from a SSRI/SNRI?: FIVE half life's of the drug 83. how long do you have to wait when taking fluoxetine and switching to a MAOI?: A. wait 6 weeks 84. how long do you have to wait when taking Vortioxetine and switching to a MAOI?: A. Wait 2 weeks 85. how long do you have to wait when taking "most other antidepres- sants"(outside of Prozac and Trintellix) and switching to a MAOI?: normally 3-5 days 86. How do you manage withdrawal symptoms with? (two options): -option 1: taper slowly over a couple of months -option 2: switch to a longer half life drug, such as Prozac 87. How do you manage withdrawal symptoms with SSRIs?: A. Switch to a drug with a longer half-life ex. Fluoxetine 88. How do you manage withdrawal syndrome with Benzodiazepines?: A. Switch to a drug with a longer half life ex. diazepam *Important to remember that you may still need to taper off the old med as you add NRNP 6675 FINAL EXAM Walden University Updated 2023-2024 New Latest Version with All Questions and 100% Correct Answer 1 / 14 1. The 1/2 life of lithium is about?: 24 hours 2. Fluoxetine is the SSRI with the WD risk?: lowest due to long half life 3. What antipsychotics are good for pts who miss doses of their meds?: An- tipsychotics with long half-lives: 1. Cariprazine(Vrylar): (2-4 days-active metabolites up to 3 weeks) 2. Abilify (3 days) 3. Brexipiprazole (4 days) 4. Pimozide (4-5 days) 5. Pimavanserin (2 days, active metabolites 8 days) 4. Disulfiram's alcohol interactions persist for up to how long after the med- ication is stopped?: LONG Half life--2-3 days persist up to 2 weeks following stopping 5. What is the only TCA with a long half life?: Protriptyline (Vivactil) 6. Most psychotropics have a medium range 1/2 life of approx?: 24 hours 7. what does "steady state" mean in relation to 1/2 life?: steady state means that you are eliminating the drug at the same overall rate that you are ingesting it 8. Lithium reaches its 'steady state' when?: 5 half lives example: Day 1: Start pt on Lithium 600 mg daily Day 2: (24 hours later) the amount left in his body is 300 mg (day 2 min) because 24 hours has passed--one 1/2 life--therefore the pt has excreted 1/2 of the initial amount. THEN the pt takes his 2nd dose of 600 mg on DAY 2-resulting in a max dose of 900 (300 mg left in body + 600 mg of 2nd dose). DAY 3: starts off with 450 mg (1/2 of the 900 mg in pt's system) and after taking the day 3 600 mg dose, the pt now has a total of 1050 mg. 9. Due to the steady state of Lithium, when do we draw a blood level?: 5 half lives if you check any earlier, the trough level will underestimate the actual level the pt is on after achieving steady state 10. Fluoxetine has a half life of about?: 2 weeks 1/2 life take 2.5 months to achieve steady state 11. Most psychotropic medications operate in this fashion:: "when you double the dose, the serum dose doubles." NRNP 6675 FINAL EXAM Walden University Updated 2023-2024 New Latest Version with All Questions and 100% Correct Answer 2 / 14 *minus three SRIs and three anticonvulsants (Fluoxetine, fluvoxamine, paxil, gabapentin, valproate and carbamazepine) 12. induces it's own metabolism, hastening excretion and shorten- ing it's half life: A. Carbamazepine (Tegretol) *this effect begins to "rev up" after 2-4 weeks--which is why a carbamazepine level is so important on obtaining 1-2 months after starting Tegretol. 13. Carbamazepine (Tegretol) level should be checked how soon after starting to take this med?: 1-2 months due to Tegretol inducing it's own metabolism, hastening excretion and shortening it's half life. 14. has trouble getting a "serum" level because it binds to proteins that render it therapeutically inactive?: A. Valproate Acid (Depakote) -this is particularly true at the lower levels (eg. <50 mcg/mL), so you can expect dose changes to make a more dramatic difference when the pt's depakote level is in the higher range 15. 's serum level is the opposite of Valproic Acid: it rises quickly at first and then slows down?: Gabapentin *gabapentin saturates the transporters that absorb it in the small intestine, causing its levels to rise at a snails pace when the dosage goes above a certain saturation point (around 900 mg/day). -from there, the saturation trickles down; @ 900 mg/day--60% is absorbed. @ 1200 mg/day--50 % is absorbed. @3000 mg/day--30% of the gabapentin is absorbed. 16. Due to Gabapentin's serum pattern for dosage: @ 900 mg/day, how much is the patient absorbing?: @ 0900mg/day---60% is absorbed. 17. Due to Gabapentin's serum pattern for dosage: @ 1200 mg/day, how much is the patient absorbing?: @ 1200 mg/day--50 % is absorbed. 18. Due to Gabapentin's serum pattern for dosage: @ 3000 mg/day, how much is the patient absorbing?: @3000 mg/day--30% of the gabapentin is absorbed. 19. Carbamazepine (Tegretol's) serum level drops after how long after stop- ping taking it?: 1-2 months 20. For Valproate (Depakote), dose changes can have big effects once the level is beyond 50 mcg/mL?: SMALL NRNP 6675 FINAL EXAM Walden University Updated 2023-2024 New Latest Version with All Questions and 100% Correct Answer 5 / 14 47. Why is haldol contraindicated in lewy body?: first generation antipsychotic meds should not be used to tx lewy body due to increased confusion, severe parkinsonism/EPS, sedation and even death 48. 1st gen antipsychotics should be prescribed term for older adults with lewy body dementia?: SHORT TERM at a lose dose but only if the benefits outweigh the risks 49. What are the preferred tx of antipsychotics in lewy body?: Seroquel, Clozaril and Zyprexa **they don't make you stiff 50. Possible indications of lewy body dementia?: increased falls, delirium, pneu- monia/recent infections 51. What hallucination indicates paranoia?: bugs 52. scratching/itching/picking, talking about bugs in their skin?: meth 53. Bugs, animals, snakes, spiders, creepy crawlies indicate what?: A. NOT psychosis look into medication/medical options 54. The smaller the dose of Geodon, the more?: A. Activating *to sedate patients will need LARGE geodon doses 55. Charles Bonat: was no a psychiatrist- but believed that the brain creates things it wants that humans cannot see due to this it is important to assess hearing and sight prior to making a diagnosis of schizophrenia/ect for older adultsa 56. Red flags for older adults to indicate infection?: UTI, PNA, any infection Delirium, fatty liver 57. Abilify in bipolar mania?: NOT used, does not work well 58. what antipsychotics are used at baby doses with older adults?: C. A&B 59. Seroquel in older adults?: increases risk of falls and lowers BP--adding to increased falls *be cautious with all older adults 60. Topamax is also known as?: Dopamax--- increased brain fog/foggy/makes you feel stupid 61. is known to reduce appetite in individuals with weight gain related to antipsychotics?: Topamax NRNP 6675 FINAL EXAM Walden University Updated 2023-2024 New Latest Version with All Questions and 100% Correct Answer 6 / 14 62. what is the gold standard/preferred treatment of bipolar?: always start with an anticonvulsant for bipolar disorders-- preferred option for mood disorder 63. What anticonvulsant medications increase the risk of hyponatremia?: - Tegretol and Trileptal high association with increased risk of 64. Smaller doses of antipsychotics and anticonvulsants should be used with what population(s)?: Young and elderly 65. Chosen favorite anticonvulsants to combine to treat a mood disorder?: A. Lithium and depakote 66. How often do you need a creatinine clearance done if on Lithium and/or depakote?: yearly 67. What antipsychotic is used to treat psychosis?: A&B 68. Parkinson like s/s--what meds should be avoided as they can cause in- creased stiffness?: Haldol or risperidone ^makes patients stiff 69. What antipsychotic is preferred in parkinson's disease?: D All of the above -Seroquel #1 choice -then clozaril and zyprexa 70. Older adults and risperidone?: small doses of risperidone are used -available as liquid/ODT/ect other forms 71. Older adults and Zyprexa?: small doses of Zyprexa are used -available as liquid/ODT/ect other forms 72. Lisinopril can do what to Lithium levels?: INCREASE *always check a lithium level 73. dizziness, electric shock sensations, ear ringing, headache, fatigue, mood s/s and anxiety s/s?: Serotonin Withdrawal from SSRIs and SNRIs 74. Mood and anxiety related symptoms may make it look like?: the patient is relapsing on their depression /anxiety ect 75. Serotonin withdrawal when severe can cause?: A. increased risk of falls in relation to 1/ 2 life *ONLY EXCEPTION = Paxil due to long half life NRNP 6675 FINAL EXAM Walden University Updated 2023-2024 New Latest Version with All Questions and 100% Correct Answer 7 / 14 76. What is the only exception to severe serotonin withdrawal with a SSRI/SNRI?: Paxil due to long half life 77. Paxil's half life is longer than effexor?: 3-4x longer 78. is ranked beside venlafaxine to have the most notorious WD problems?: A) Paxil #1 ---ranked #1 due to half life of 24 hours Effexor #2 79. How long is venlafaxine's half life?: 5 hours 80. How does WD syndrome affect Paxil due to it's long metabolism of 24 hours?: Paxil slows down it's own metabolism by inhibiting the enzyme that me- tabolizes it: CYP2D6 -this hastens the withdrawal due to enzyme effectively shortening the 1/2 life 81. How does Paxil hasten it's WD syndrome?: it hastens the withdrawal due to the enzyme effectively shortening the 1/2 life (CYPD26) 82. How many half life's need to pass in order to avoid drug interactions prior to starting a MAOI from a SSRI/SNRI?: FIVE half life's of the drug 83. how long do you have to wait when taking fluoxetine and switching to a MAOI?: A. wait 6 weeks 84. how long do you have to wait when taking Vortioxetine and switching to a MAOI?: A. Wait 2 weeks 85. how long do you have to wait when taking "most other antidepres- sants"(outside of Prozac and Trintellix) and switching to a MAOI?: normally 3-5 days 86. How do you manage withdrawal symptoms with? (two options): -option 1: taper slowly over a couple of months -option 2: switch to a longer half life drug, such as Prozac 87. How do you manage withdrawal symptoms with SSRIs?: A. Switch to a drug with a longer half-life ex. Fluoxetine 88. How do you manage withdrawal syndrome with Benzodiazepines?: A. Switch to a drug with a longer half life ex. diazepam *Important to remember that you may still need to taper off the old med as you add NRNP 6675 FINAL EXAM Walden University Updated 2023-2024 New Latest Version with All Questions and 100% Correct Answer 10 / 14 117. Which of the following is the therapeutic blood level range for lithium?: C. 0.3 to 1.2 mEq/L 118. The obligation to not inflict harm or balancing unavoidable harm with ben- efits of good achieved is known as which of the following?: C. Non-maleficence *do not harm 119. Acknowledging a person's right to make choices, to hold views and to take actions based on personal value is known as which of the following?: D. Respect for autonomy 120. Narcissistic, borderline, antisocial and histrionic subtypes belong to which PD cluster?: B. Cluster B 121. Using the LIAASE: A general cultural competence tool---the ARNP would do which of the following?: D. ALl of the above 122. 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 123. the ARNP recognizes which of the following long term effects of sex trafficking on victims??: D. All of the above 124. Which of the following is used for treating alcohol dependent individuals seeking to continue to remain alcohol free after they have stopped drinking?- : D. Acamprosate 125. All of the following are risk factors for sexual assault EXCEPT?: A. Religion 126. Characterized by emotional constriction, orderliness, perseverance, stub- bornness, indecisiveness and a pervasive pattern of perfectionism and inflex- ibility is known as which PD?: D. Obsessive compulsive PD 127. Pt with hx of alcohol use presents to the ED with oculomotor distur- bances, cerebellar ataxia, and confusion. The ARNP recognizes these symp- toms as consistent with which of the following psych emergencies?: D. Idio- syncratic alcohol 128. A patient on lithium with a hx of alcohol use disorder presents with dry mouth, ataxia, dizziness, abdominal pain and slurred speech. The NP should do?: ***** B. The ARNP recognizes these symptoms as mild to moderate lithium toxicity, decreases the Lithium by half and encourages the pt to drink more as mild 129. Lithium is toxic above?: >1.5 mEq *close to therapeutic range of 0.4 to 1.2 130. Mild s/s of lithium toxicity?: Fine tremor, lightheadedness lack of coordina- tion, and weakness NRNP 6675 FINAL EXAM Walden University Updated 2023-2024 New Latest Version with All Questions and 100% Correct Answer 11 / 14 131. Walking on eggshells and appeasement and avoidance behaviors by the victim is characteristic of which phase of the cycle of DV?: D. Refractory phase 132. First phase of the DV cycle? Phase 1 is?: A. Tension Building victims report their partner becoming increasingly irritated/unable to cope with daily stressors. If abuser lashes out here, they will generally stop and become apologetic 133. Phase 2 of the Dv cycle is?: A. A battering incident This is where the abuser teaches the victim a lesson/only the abuser can end phase 2---a victim needs to go to a safe place during this phase 134. What is stage 3 of the DV cycle?: A. Honeymoon phase after cycles of violence, the abuser exhibits kind and loving behavior towards the victim -- apologetic and charming 135. Which of the following is inconsistent with current literature about victims of sexual abuse?: A. All victims of sexual abuse are aware they are in an abusive relationship 136. Self-care strategies for the ARNP to prepare for the certification exam includes all of the following EXCEPT?: C. Drink lot of caffeine and high concen- trated sugar foods 137. What phase of the cycle of DV is characterized by overt aggressive behavior towards the victim?: B. Abusive incident/ battering incident 138. Term that defines a person who has distress with clinical symptomology because their gender identify is not consistent with their gender assigned at birth?: D. Gender dysphoria 139. Pt with the inability to conform to the social norms that ordinarily govern many aspects of a person's behavior is consistent with which PD?: B. Antiso- cial PD 140. Tx of choice for pt's with paranoid PD includes?: D. B&C 141. In about 1/2 the cases in which suicide occurs while patients are on a psych unit, a lawsuit results. Which of the following is NOT consistent with what court expects related to inpatient psychiatric unit suicide events?: B. Court requires suicide rates to be zero in an inpatient setting 142. According to the AANP process of care standards, performing or ordering preventative and diagnostic procedures based on the patients age and hx is part of which of the following components?: A. Assessment of health status NRNP 6675 FINAL EXAM Walden University Updated 2023-2024 New Latest Version with All Questions and 100% Correct Answer 12 / 14 143. A pt on Lithium and Quetiapine presents to the ER with anorexia, persis- tant 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 144. Pt currently on risperidone presents to the ED with increased agitation, restlessness, muscle discomfort, and dysphoria. The ARNP recognizes these symptoms of akathisia and recommends which of the following? Select all that apply: D. B&C only 145. In order to qualify for the the ANCC board certification testing, you must have a minimum of how many supervised clinical settings in the respective specialty for which you are seeking certifiication?: B. 500 hours 146. In a judicial system one organization may publish one standard of care and an expert may testify to an alternative version of the standard of care. In this scenario, who is the final arbiter of the standard of care: A. The organization where the NP worked at the time 147. Low health literacy has been linked with which of the following?: D. All of the above 148. Pt appears with odd, pervasive history of magical thinking, ideas of reference, illusions and derealization. This is consistent with which PD?: C. Schizotypal PD 149. Ebstein's anomaly: Lithium 150. Which of the following symptoms of BPD assist in differentiating BPD from schizophrenia?: D. A&C only 151. Pt presents and is unapproachable, poor eye contact and reports a life- long pattern of isolation, uncomfortable with human interaction, and constrict- ed affect: A. Schizoid PD 152. NP preceptors should have at least how much experience as a NP in the specialty prior to precepting?: D. A minimum of 2 years experience in the specialty 153. Pt has a heightened sense of self-importance, grandiose feelings of uniqueness. Pt also lacks empathy, although is very sensitive to minor crit- icism. Consistent with what PD?: C. Narcissistic PD 154. The emotional burnout and lack of empathy towards clients that health- care providers experience after treating victims of trauma is known as?: A. Compassion fatigue 155. The ARNP recongizes which of the following short term effects of sex trafficking on the victims?: D. A&C only 156. According to Freud, stubborn, parsimonious and highly conscientious traits are associated with which stage of development?: C. Phallic stage