Download NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University and more Exams Nursing in PDF only on Docsity! NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University 1. 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 2. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following 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 the following receptors? GABA type receptors Serotonin receptors NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University Dopamine receptors NMDA type receptors 4. 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 intoxication Substance withdrawal Substance use disorder Any of the above 5. Abnormal involuntary movements in a rhythmic pattern affecting face, mouth, tongue, jaw is known as which of the following? Akathisia Dystonia Tardive dyskinesia Extrapyramidal side effects 6. 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 syste..... Schizophrenia Delusional disorder Brief psychotic disorder Schizophreniform disorder NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University 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 functioning Isolation 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... NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University HIPPA B. DSM-5 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 law is 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 NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University 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 impaired Confusion, stupor None of the above NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University 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 using elevators. This patient meets criteria for which of the following? Social phobia Specific phobia General anxiety disorder unspecified Obsessive-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 NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University 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 trimester Third trimester Withdrawal from methadone should never be done while the woman is pregnant NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University Neurochemical or neurophysiologic changes in the body that result from the repeated administration of a 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 person is known as which of the following? Frotteurism 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 NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University Obsessive-Compulsive Disorder Impulse 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 the following 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 the following receptors? GABA type receptors Serotonin receptors Dopamine receptors NMDA type receptors NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University 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 intoxication Substance withdrawal Substance use disorder Any 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 principle of 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? NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University Health literacy NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University Antisocial personality disorder Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the following lithium levels? 0.8-1.5 mEq/L 1.5-2.0 mEq/L 2.0-2.5 mEq/L >2.5 mEq/L .....form of child abuse in which a patient or character repeatedly fabricates or actually inflicts injury or illness in a child for whom medical intervention is then sought in an emergency setting is known as which of the following? Korsakoff's syndrome Snyder's syndrome Munchausen syndrome Munchausen syndrome by proxy Self-care strategies for the ARNP in preparing for the certification exam include all of the following EXCEPT? 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(100 Questions & actual Answers) Walden University 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 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 following lithium 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 with which of the following psychiatric emergencies? Akathisia Korsakoff's syndrome Wernicke's encephalopathy Idiosyncratic alcohol intoxication NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University Cluster A personality disorders are more common in biological families of patients with which of the following disorders? Depression Obsessive-compulsive disorder Alcohol use disorders Schizophrenia NP core competencies for INDEPENDENT practice include all of the following EXCEPT: Maintains a collaboration agreement with physician Demonstrates the highest level of accountability for professional practice... Practices independently managing previously diagnosed and undiagnosed patient Practices patient-centered care recognizing culture diversity and the patient or designee as a full partner in decision making Cluster A personality traits consist of which of the following? Schizotypal, schizoid, and paranoid subtypes Narcissistic, borderline, antisocial, and histrionic subtypes Obsessive-compulsive, dependent, and avoidant subtypes Depressive, anxious, hypomanic subtypes The misuse of the charge's funds for personal gain is known as which of the following? Neglect Physical abuse Financial abuse/exploitation NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University A patient on lithium with a history of alcohol use disorder presents with dry mouth, ataxia, dizziness, abdominal pain, and slurred speech. The ARNP should do which of the following? The ARNP recognizes this is likely a relapse on alcohol so sends the patient home to sleep it off. The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, decreases the lithium by half, and encourage the patient to drink more fluids The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, discontinues the lithium immediately, orders lithium level, serum electrolytes, and renal function tests The ARNP recognizes these are symptoms of moderate to severe lithium toxicity, discontinues the lithium and tells the patient hemodialysis will most probably be needed. 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? Straight salary Average percentage of net receipts Base salary plus percentage Hourly rate A personality disorder characterized by emotional constriction, orderliness, perseverance, stubbornness, indecisiveness, a inflexibility as which of the following? Depressive personality disorder Borderline personality disorder Dependent personality disorder Obsessive-compulsive personality disorder NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University 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 men Men 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 administering buprenorphine 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. A patient with history of hypoglycemia reports feelings of fear, worry, and restlessness that has persisted over 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? NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University Generalized anxiety disorder attributable to another medical condition NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University The three major neurotransmitters associated with anxiety, based on animal studies and response to drug 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 Explanation by the patient which is inconsistent with the type of injury According to the American Psychiatric Association (APA) which of the following is consistent with the evidence base practice for telepsychiatry? There are few studies exploring the evidence for telepsychiatry. NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University In populations with severe anxiety, telepsychiatry is preferred. The effectiveness is comparable to in-person care in terms of therapeutic engagement, quality of care, validity and reliability of assessment, and clinical outcomes The evidence base for children and adolescents is very weak. Which of the following is consistent with literature regarding the term psychosexual? Psychosexual is used to describe personality development and functioning Psychosexual is synonymous with libido in the Freudian sense Psychosexual basically refers only to sexual feelings and behavior None of the above Bleuler identified four fundamental symptoms of schizophrenia known as the 4 As, which include which of the following symptoms? Associations, affect, autism and ambivalence Associations, alogia, abstraction, anxiety. Affect, apraxia, anhedonia, audible thoughts. Autism, apperception, amotivation, automatism. The fear of or anxiety regarding places from which escape might be difficult is known as which of the following? Depression Panic disorder Agoraphobia NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University Generalized anxiety disorder NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University An obsession Obsessive-Compulsive Disorder Obsessive-Compulsive Personality Disorder Most everyone has a firm conviction that they are male or female by which age range? 0-1 years of age 2-3 years of age 4-5 years of age 6-7 years of age A patient who presents absent movement with difficulty starting activities flat affect, and avolition would be assessed as having which of the following? Dystonia Akathisia Akinesia Pseudo-Parkinson's Which of the following is consistent with current epidemiology literature about gender and Obsessive- Compulsive Disorder (OCD)? Adult men are more likely to have OCD than adult women. Adult women are more likely to have OCD than adult men Adolescent girls are more likely to have OCD than adolescent boys. Adult men and adult women are equally likely to have OCD. NRNP 6675 Midterm Exam(100 Questions & actual Answers) Walden University A type of schizophrenia in which the individual has a marked disturbance in motor function and may involve 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 to have which of the following? Dystonia Akathisia Akinesia Tardive dyskinesia A method of therapy used to treat individuals with substance abuse based on the fundamental principle of 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