NRNP 6675 Midterm Exam (Latest-2022-2023, 100 Q _ A) NRNP-6675N Midterm Exam Walden Univer, Exams of Nursing

Download NRNP 6675 Midterm Exam (Latest-2022-2023, 100 Q _ A) NRNP-6675N Midterm Exam Walden Univer and more Exams Nursing in PDF only on Docsity! Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects? Reduces negative symptoms 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 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 Any of the above Abnormal involuntary movements in a rhythmic pattern affecting face, mouth, tongue, jaw is known as which of the following? Akathisia Dystonia Extrapyramidal side effects 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 NRNP 6675 Midterm Exam (Latest-2022-2023, 100 Q_ A) NRNP-6675N Midterm Exam Walden University 100 Verified Q_A and surgical procedures and diagnostic services rendered by clinicians... HIPPA B. DSM-5S DRG A federal program administered nationally and locally which covers enrolled individuals 65 years and older who pay premiums and disabled individuals... Medicare Medicaid 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 Which of the following is the most widely consumed psychoactive substance? Alcohol NRNP 6675 Midterm Exam (Latest-2022-2023, 100 Q_ A) NRNP-6675N Midterm Exam Walden University 100 Verified Q_A Heroine Cannabis Which of the following is used to treat Tardive Dyskinesia? Cogentin (benztropine) Artane (trihexyphenidyl) Catapress (Clonidine) 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 Which of the following behaviors are associated with an alcohol blood level of 0.05 percent? Voluntary motor actions usually become perceptibly clumsy Confusion, stupor None of the above According to HIPPA, which of the following must the NP share their NPI with? Check all that apply. Aand C only A patient presents with delusions, disorganized thoughts, and speech with poor self care all of which have persisted for the past 7 months. The APRN this presentation is.......with which of the following diagnosis? Schizophreniform disorder Brief psychotic disorder Delusional disorder Major neurotransmitters possibly involved in developing substance abuse and substance dependence..... which of the following? GABA Serotonin Aand B only The Dopamine hypothesis of schizophrenia....which of the following? 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 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 masochism Which of the following is not consistent with the onset of OCD? More than half of patients with OCD have a sudden onset of symptoms The onset of symptoms for about 50-70 percent of patients occurs after a stressful event. Most patients keep their symptoms secret initially. The onset of OCD is typically preceded by OCD personality traits. The recurrent urge to expose one's genitals to a stranger is known as which of the following? Fetishism Voyeurism Paraphilic disorder Which of the following patients would be appropriate for hospitalization for substance use disorder? Select all that apply. Patients who have a substance overdose who cannot be safely treated in an outpatient setting Patients who are at risk for severe or medically complicated withdrawal syndromes Patients who have a history of not benefiting from treatment in a less intensive setting The nursing practice model recommended for NPs by the National Academy of Medicine and the National Council of State Boards of Nursing is which of the following? Reduced practice Restricted practice Arbitrary practice Which of the following groups does Medicare cover? Select all that apply. 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 (Latest-2022-2023, 100 Q_ A) NRNP-6675N Midterm Exam Walden University 100 Verified Q_A Which of the following neurotransmitters increases libido? GABA Serotonin Oxytocin Which of the following factors are associated with poor prognosis for patients with OCD? Childhood onset The presence of a precipitating event Co-existing major depressive disorder 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. Schizophrenia likely comprises a group pf disorders with heterogeneous etiologies and variable presentations. A Chronic disorder characterized by repetitive hair pulling leading to variable hair loss that may be....to others is known as which of the following? Obsessive-Compulsive Disorder Impulse Control Disorder All the following is consistent with ANCC rules regarding recertification EXCEPT: You can start the recertification process 1 year before your expiration date, but no later than 3 months before. You must have 1000 clinical practice hours in the clinical specialty within the preceding 5 years. You must have at least 25 contact hours in pharmacotherapy. Risk factors for school violence include which of the following? Select all that apply. Involvement in school organizations. Persons who subordinate their own needs to those of others, get other to assume responsibility for major areas of the lives, lack of self-confidence, and may experience intense discomfort when alone for more than a brief period of time are demonstrating characteristics consistent with which of the following personality disorders? Avoidant personality disorder Passive 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 seed 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 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 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 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 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 Idiosyncratic alcohol intoxication 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 Group therapy Behavioral therapy Psychotherapy The differences in the quality of healthcare across individuals or groups in regard to access, treatment options, and p....following? Racism Vulnerable populations Social determinants of health The incidence of suicide is highest for which of the following populations? Older Latino men Older Caucasian men Older Caucasian women 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 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 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 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. 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 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? Panic attacks attributable to another medical condition Hypoglycemia with anxiety None of the above Which of the following is not consistent with benzodiazepine withdrawal? Benzodiazepine withdrawal can continue to develop for several weeks 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 Clinical findings that may indicate abuse include which of the following? Select all that apply. Delay between onset of injury and seeking treatment 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. 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 Bleuler identified four fundamental symptoms of schizophrenia known as the 4 As, which include which of the following symptoms? 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 Generalized anxiety disorder 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 Discrepancy between anatomical sex and gender identity is known as which of the following? Gender role behavior Gender nonconformity Internalized sexual prejudice Which of the following is not a common physical effect of cannabis? Mild tachycardia Orthostatic 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? 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