NRNP 6675 FINAL EXAM (WEEK 11) 2024 VERIFIED CORRECT ANSWERS – LATEST UPDATE, Exams of Nursing

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NRNP 6675 FINAL EXAM (WEEK 11)

2024 VERIFIED CORRECT ANSWERS

– LATEST UPDATE

Question: 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 as which 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 the following 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 set mutually. 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 emergency setting, 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 training is 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 of the following? A. Diet B. Education C. Health literacy D. Inherited diseases Question 8 In educating the patient beginning to take Lithium, the ARNP explains which of the following related to diet and fluid intake? A. Caffeine and alcohol act as hydration agents and can raise your lithium concentrations. B. Drink at least a gallon or more of water per day and limit your salt intake. C. If you go on a diet, your doctor may need to increase frequency of blood tests. D. All of the above Question 9 The goal of psychotropic treatment is to eliminate all manifestations of a disorder to below the syndromal threshold, which is defined as which of the following? A. Response B. Remission C. Resistance D. Sensitization Question 10 The NP can impact health policy and healthcare by doing which of the following?

A. Become an active member of local, state, and/or national NP organizations. B. Become familiar with the resources available on NP organization websites. C. Volunteer to serve on legislative committees within professional NP organizations. D. All the above Question 11 A term used to describe individuals and families who are found to live in overcrowded homes, relocate frequently, and struggle to pay rent and monthly expenses is which of the following? A. Homelessness B. Housing instability C. Transiency D. A and B Question 12 Which of the following is consistent with current literature regarding the epidemiology of dependent personality disorder? A. Dependent personality is more common in men than in women. B. Dependent personality disorder is more common in young children than in older ones. C. Persons with chronic physical illness in childhood may be most susceptible to this disorder. D. B and C only Question 13 Patients who injure themselves by self-mutilation (i.e., cutting their skin) but who usually do not wish to die are said to have which of the following? A. Suicide intent B. Suicidal ideations C. Parasuicidal behavior D. Aborted suicide attempt Question 14 The NP preceptor should have which of the following? A. Knowledge of the NP role B. The ability to be a role model for the preceptee C. Solid clinical skill set in the specialty for which the NP student is being precepted D. All the above Question 15 The treatment of choice for patients with histrionic personality disorder include which of the following_?_

A. Psychoanalytic oriented individual psychotherapy B. Psychoanalytic oriented group psychotherapy C. Exposure therapy D. A or B Question 16 The antipsychotics which are most likely to cause neuroleptic-induced parkinsonism are which have which of the following effects? 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 includes which 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 C Question 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 B Question 24 According to Freud, passive and dependent personality traits are associated with which stage 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 American men Question 27 "Assumes complex and advanced leadership roles to initiate and guide change" is a NP core 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? D. Is it safe for the patient to be in the emergency room? Question 29 Which stage of the cycle of domestic violence is characterized by the abuser subconsciously implementing defense mechanisms and cognitive distortions to alleviate the ego dystonic implication of the abuse? A. Sweetheart phase B. Honeymoon phase C. Tension building phase D. Defensive phase Question 30 An ARNP takes a position in which the ARNP is guaranteed a set salary but can make additional salary if he or she generates practice income over some set amount. This is known as what type of pay structure?

A. Fee for service B. Average percentage of net receipts C. Base salary plus percentage D. Hourly rate with bonus Question 31 A patient with history of schizophrenia, currently prescribed Haldol, presents to the emergency department with hyperthermia, muscle rigidity, autonomic instability, and elevated phosphokinase. The ARNP recognizes these symptoms are consistent with which of the following psychiatric emergencies? A. Nutmeg intoxication B. Bromide intoxication C. Extrapyramidal symptoms D. Neuroleptic malignant syndrome Question 32 Patients with extreme sensitivity to rejection who are socially withdrawn because they consider themselves socially inept, although are not asocial, and show a great desire for 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 treatment planning Question 34 Obsessive-compulsive, dependent, and avoidant personality traits are associated with which 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 based on 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?