NRNP 6675 Midterm Exam Questions and Answers 2024/2025, Exams of Nursing

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Discrepancy between anatomical sex and gender is known as? - CORRECT ANSWERS B) Gender Discordance Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply - CORRECT ANSWERS Rapid dose escalation; parental route of administration; higher potency typical antipsychotics Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of the following effects? - CORRECT ANSWERS B) Increases EPS Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which of the following receptors? - CORRECT ANSWERS D) NMDA type receptors Incorrect: GABA, serotonin, dopamine "receptors" The diagnosis used to describe a syndrome characterized by specific s/s resulting from recent ingestion or exposure to a substance is known as which of the folllowing? - CORRECT ANSWERS C) Substance use disorder Incorrect: substance intox, substance withdrawal, all of the above Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth, tongue jaw is known as which of the following? - CORRECT ANSWERS C) Tardive dyskinesia Incorrect: akathisia, dystonia, EPS A deeply held belief despite evidence to the contrary, lasting at least 1 month, without prominent hallucinations, with functional impairment that relates to the delusional system disorder called? - CORRECT ANSWERS Delusional disorder

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Which of the following is true about preoccupation with castration? - CORRECT ANSWERS A) This can be serious and life threatening if castration is carried out without medical supervision Incorrect: consistent with transvestiatic disorder, other specified paraphillic disorder, or sexual machochism disorder Which of the following is a system that provides a uniform language for describing medical and surgical procedures and diagnostics services rendered by clinicians? - CORRECT ANSWERS CPT Incorrect: HIPPA, DSM5-, DRG A patient on Chlorpromazine states his orgasm is dry and afterwards he will commonly have milky urine. The APRN realizes this is which of the following? - CORRECT ANSWERS A) This is likely a harmless response to the Chlorpromazine "Thorazine" A condition which results from absence of second female sex chromosome (XO) and is associated with web neck, dwarfism, cubitus valgus and infertility is known as which of the following? - CORRECT ANSWERS B) Turners Syndrome Turners syndrome: tx involves hormone therapy; fertility treatments for women when they decide to have a baby Which of the following would be characterized as a negative s/s of schizophrenia? - CORRECT ANSWERS B & C only

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B) impaired social and occupational functioning C) isolation and impaired self-care Which of the following are keys to distinguishing OCD from psychosis? - CORRECT ANSWERS Patients with OCD can almost always acknowledge the unreasonable nature of their symptoms A federal program administered nationally and locally which covers enrolled individuals 65+ who pays premiums and disabled individuals - CORRECT ANSWERS Both A& B (Medicare and Medicaid) Having an adequate legal description of nurse practitioner (NP) scope of practice according to state law is important for which of the following reasons? - CORRECT ANSWERS All of the above (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 reimbursed for physician services when provided by a NP Which of the following is the most widely consumed psychoactive substance? - CORRECT ANSWERS B) Caffeine Incorrect: alcohol, heroin, cannabis Which of the following is used to tx TD? - CORRECT ANSWERS None of the above (cogentin, artane, catapress) The APRN consensus model did which of the following? - CORRECT ANSWERS B & C B) adult and gerontology were merged and identified as PCP or acute care C) psychiatric mental health foci were stipulated as across the lifespan

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Which of the following behaviors are associated with an alcohol blood level of 0.05%? - CORRECT ANSWERS B) Thought judgement and restraints are impaired According to HIPPA, which of the following must the NP share their NPI with? Check all the above - CORRECT ANSWERS A) Health Plans B) Other providers C) Any entity that may need it for a billing purpose A patient presents with delusions, disorganized thoughts, and speech with poor self care all of which has persisted for the past 7 months. The APRN knowns this presentation means what diagnosis? - CORRECT ANSWERS Schizophrenia Major neurotransmitters possibly involved in developing substance abuse and substance dependence are which of the following? - CORRECT ANSWERS A) Dopamine Incorrect: GABA, serotonin, A& B only The dopamine hypothesis of schizophrenia, which of the following? - CORRECT ANSWERS A) Schizophrenia results from too much dopaminergic activity incorrect: results from a deprivation of dopamine A patient reports a panic attack several years ago in an elevator and since then has avoided elevators. The pt meets the criteria for: - CORRECT ANSWERS B) Specific phobia A patient with a substance use disorder who does not meet clinical criteria for hospitalization but lacks sufficient social and vocational skills and lack substance- free social supports is to - CORRECT ANSWERS D) All of the above (Residential tx, partial hospitalization, outpt tx)

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Obscene phone calling to an unsuspecting partner for sexual arousal is known as? - CORRECT ANSWERS C) Telephone Scatologia (not telephillia, partialism, normal adolescent prank) The main psychological difference between fear and anxiety is best described by which of these statements? - CORRECT ANSWERS B) Anxiety is insidious, fear is sudden A diffuse, unpleasant, vague sense of apprehension often accompanied by autonomic symptoms varies upon persons is commonly known as which of the following? - CORRECT ANSWERS C) Normal anxiety (incorrect- fear, stress, pathological anxiety If a pregnancy begins while the woman is taking high doses of methadone and withdrawal is desired during which trimester is the least hazardous? - CORRECT ANSWERS D) Withdrawal from methadone should never be done while the woman is pregnant Neurochemical or neurophysiological changes in the body that results from the repeated administration of a drug is known as which of the following? - CORRECT ANSWERS C) Neuroadaption incorrect: 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? - CORRECT ANSWERS C) Sexual sadism Which of the following is not consistent with the onset of OCD? - CORRECT ANSWERS D) The onset of OCD is typically preceded by OCD personality traits

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True answers about OCD: -more than 1/2 of pts with OCD have a sudden onset of symptoms -the onset of symptoms for about 50-70% of patients occurs after a stressful event -most patients keep their symptoms secret initially The recurrent urge to expose one's genitals to a stranger is known ass which of the following? - CORRECT ANSWERS C) Exhibitionism Which of the following patients would be appropriate for hospitalization for substance use disorder? Select all that apply - CORRECT ANSWERS D) A&B only (Patients who have a substance overdose who cannot be safely tx in an outpt setting & pts who are at risk for severe or medically complicated withdrawal symptoms The nursing practice model recommendation for NPs by the NAtional Academy of Medicine and the National Council of State Boards of Nursing is which of the following? - CORRECT ANSWERS A) Full practice Which of the following groups does medicare cover? Select all the above - CORRECT ANSWERS A) Individuals 65+ years and older who have enrolled and pay premiums B) Disabled individuals who quality for social security disability payments and benefits Which of the following neurotransmitters increases libidio? - CORRECT ANSWERS D) Dopamine Incorrect: GABA, serotonin, oxytocin

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Which of the following factors are associated with poor prognosis for patients with OCD? - CORRECT ANSWERS D) A & C (Childhood onset & Co-existing major depressive disorder) Which of the following is inconsistent with current knowledge about schizophrenia? - CORRECT ANSWERS C) Dopamine level is a laboratory tests that assists in the diagnosis of schizophrenia A chronic disorder characterized by repetitive hair pulling leading to variable hair loss that may be..to others known as? - CORRECT ANSWERS C) Trichotillomania Which of the following are risk factors for neuroleptic malignant syndrome? - CORRECT ANSWERS B) Rapid dose escalation C) Parental route of admin D) High potency typical antipsychotics A method of therapy used to tx individuals with substance use based on the fundamental principle of a psychology that reinforced behaviors are likely to be..is known as the following? - CORRECT ANSWERS B) Contingency Management The conditions in which people are born, grow, work, live and age are known as? - CORRECT ANSWERS Social determinants of health All of the following is consistent with the ANCCs rules regarding recertification EXCEPT: - CORRECT ANSWERS A) You are required to have a maximum of 25 credit hours during each certification period Correct: B) you can start the recert process 1 year before your expiration date, but no later than 3 months before C) You must have 1000 clinical practice hours in a clinical speciality within the preceding 5 years

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D)you must have at least 25 contact hours in pharmacotherapy Risks factors for school violence include which of the following? Select all that apply

• CORRECT ANSWERS A) Bullying B) Being bullied C) Isolation Persons who subordinate their own needs to those of others, get others to assume responsibility for major areas in the lives, lack of self-confidence, and may experience intense discomfort when alone for more than a brief period of time are demonstrating characteristics with which of the following personality disorders? - CORRECT ANSWERS C) Dependent personality disorder Incorrect: avoid PD, passive PD, antisocial PD Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the following lithium levels? - CORRECT ANSWERS D) >25 mEq/L (TOXICITY) A 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 ER is known as which of the following? - CORRECT ANSWERS D) Munchausen Syndrome by Proxy Self-care strategies for the ARNP in preparing for the certification exam include all of the following EXCEPT? - CORRECT ANSWERS D) plan to study for short periods over a longer period of time 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 pt likely has which of the following PDs? - CORRECT ANSWERS B) Paranoid PD

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Incorrect: schizoid PD, BDP, Antisocial PD A pt will a hx of alcohol use presents to the ED with oculomotor disturbances, cerebellar ataxia, and confusion. Symptoms are consistent with which of the following psychiatric emergencies? - CORRECT ANSWERS C) Wernickes Encephalopathy Incorrect: akathisia, korsakoff's syndromes, idiosyncratic alcohol intoxication Cluster A personality disorders are more common in biological families of pts with which of the following disorders? - CORRECT ANSWERS D) Schizophrenia Incorrect: depression, OCD, alcohol use disorder NP core competencies for INDEPENDENT practice includes all of the following EXCEPT: - CORRECT ANSWERS B) Demonstrates the highest level of accountability for professional practice NP competencies for independent practice: - CORRECT ANSWERS A) Maintain a collaboration agreement with physician C) Practices independently managing previously diagnosed and under-diagnosed pts D) Practices patient centered care recognizing culture diversity and the pt or designee as a full practice in decision making Cluster A personality traits consists of which of the following? - CORRECT ANSWERS A) Schizotypal, schizoid, and paranoid subtypes The misuse of the charge's funds for personal gain is known as which of the following? - CORRECT ANSWERS C) Financial abuse /exploitation the ARNP recognizes which of the following as long term effects of sex trafficking on victims? - CORRECT ANSWERS D) All of the above

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A) Severe depression B) Spiritual questions C) Trauma bonding In about half of the cases in which suicides occur while pts 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? - CORRECT ANSWERS B) Courts provide ZERO suicide rates in inpt setting Cultural Dimensions Therapy is a framework for cross-cultural communication that describes the effects of a society's culture on the values of its members..by which of the following therorists? - CORRECT ANSWERS A) Hofstede The tx of choice for pts with paranoid PD includes which of the following? - CORRECT ANSWERS D) B&C B) Behavioral Therapy and C) Psychotherapy The differences in quality of healthcare actions across individuals or groups regard to access, tx options and p..following? - CORRECT ANSWERS B) Health disparities The incidence of suicide is highest for which of the following populations? - CORRECT ANSWERS D) Older African American men The pt on lithium with a hx of alcohol use disorder presents with dry mouth, ataxia, dizziness, abdominal pain, and slurred speech. The ARNP should do which of the following? - CORRECT ANSWERS C) The ARNP recognizes the symptoms of moderate lithium toxicity, discontinues the lithium immediately, orders lithium level, serum electrolytes and renal function tests The ARNP takes a position in which a specific amount is paid according to a set job description. The ARNP should do which of the following? - CORRECT ANSWERS

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C) The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, discontinues the lithium immediately, orders a lithium level, serum electrolytes and renal function tests The 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? - CORRECT ANSWERS D) Hourly rate A PD characterized by emotional constriction, orderliness, perseverance, stubbornness, indecisiveness, a inflexibility as which of the following? - CORRECT ANSWERS Obsessive compulsive PD Which of the following is consistent with what is known about the epidemiology of anxiety? - CORRECT ANSWERS B) Women have a higher lifetime prevalence of anxiety than men Which of the following is consistent with NP practice parameters when prescribing buprenorphine? - CORRECT ANSWERS D) the NP is require 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? - CORRECT ANSWERS B) Men and women with higher education and income are more likely to drink alcohol A pt with hx of hypoglycemia reports feelings of fear, worry and restlessness that has persisted over the past 6 months. The pt states these feelings are worse when glucose is low. the ARNP suspects the pt has which of the following dx? - CORRECT ANSWERS A_) GAD attributable to another medical condition Which of the following is not consistent with benzo withdrawal? - CORRECT ANSWERS B) The best way to proceed with benzo withdrawal is to stop it immediately and tx withdrawal s/s Which of the following is true about the legal practice of the PMHNP? - CORRECT ANSWERS D) A&B only

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A) all have some degrees of prescriptive privileges in all states and the district of columbia B) all are considered primary providers in all states and the district of columbia Flashbacks in which the individual may act and feel as if the trauma were reoccurring represent which of the following clinical features of PTSD? - CORRECT ANSWERS A) Intrusion Symptom B) Symptom of Avoidance In which ways are NPs and PAs different? - CORRECT ANSWERS D) A&B A) NPs differ from PAs in legal definition, scope of practice, licensure, and independence of practice B) NPs practice under their own license and independent of the physician, PAs always work under the supervision of a physician Which of the following initials would a PMHNP use to designate appropriate credentials? - CORRECT ANSWERS PMHNP-BC Variations from norms in gender roles such as toy preferences, rough and tumble play, aggression, or playmate gender is known as which of the following? - CORRECT ANSWERS B) Gender role behavior 3 major neurotransmitters associated with anxiety, based on animal studies and response to drug tx include? - CORRECT ANSWERS B) GABA, norepinephrine and serotonin Which of the following is consistent with the epidemiology of schizophrenia in the US? - CORRECT ANSWERS D) Onset of schizophrenia before the age of 25 is extremely rare

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Clinical findings that may indicate abuse include which of the following? Select all that apply - CORRECT ANSWERS B) Explanation by the pt which is inconsistent with the type of injury C) Psychological distress such as depression, anxiety, SI, and/or sleep disorder D) Explanation by the parent that is inconsistent with the type of injury According to the APA, which of the following is consistent with the EBP for telepsych? - CORRECT ANSWERS B) In populations with severe anxiety, tele psychiatry is preferred Which of the following is consistent with literature regarding the term psychosexual?

• CORRECT ANSWERS D) None of the above -psychosexual is used to describe personality development and functioning -psychosexual is synonymous with libidio in the Freudian sense -Psychosexual basically refers only to sexual feelings and behavior Bleuler identified 4 fundamental s//s of schizophrenia, known as the 4 A's, which include which symptoms? - CORRECT ANSWERS A) Associations, Affect, Autism, Ambivalence The fear/anxiety regarding places from which escape may be difficult is known as which of the following: - CORRECT ANSWERS C) Agoraphobia All of the following are one of the 5 major categories of third-party payers EXCEPT: - CORRECT ANSWERS D) only A & B A) Medicare/medicaid B) Managed care organization (MCOs) Which of the following are risk factors for sexual assault EXCEPT: - CORRECT ANSWERS A) Religion

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Incorrect: serious mental illness, substance use disorder, family hx of sexual abuse Which of the following is consistent with what is known about PP depression? - CORRECT ANSWERS D) All of the above (feelings of guilt/ and inadequacy are often present and excessive; thoughts of harming the baby are often present; typical onset is within 3-06 months of delivery) Affirmatively acting to benefit another or others, going beyond what is required by law is known as which of the following?> - CORRECT ANSWERS C) Beneficence Which of the following is used for treating alcohol dependence individuals seeking to continue to remain alcohol free after they have stopped drinking? - CORRECT ANSWERS D) Acamprosate The NP can impact health policy and healthcare by doing which of the following? - CORRECT ANSWERS D) All of the above -becomes an active member of local, state, and/or national NP -becomes familiar with the resources available on NP organization websites -Volunteer to serve on legislature committees within professional NP organizations The tx of others equitably and distribution of benefits/burdens fairly is known as? - CORRECT ANSWERS B) Justice Which of the following is INCONSISTENT with current literature about victims of sexual abuse? - CORRECT ANSWERS C) The pre-existing relationship and
familiarity with the abuser may impeded the victim's ability to make rational decisions

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Which of the following would constitute negligence? Select all that apply - CORRECT ANSWERS A) Failure to give necessary care B) Failure to refer when necessary C) Failure to follow up with a patient D) Failure to disclose necessary info to a patient Which of the following developed a biblically-based cultural competence model for healthcare professionals? - CORRECT ANSWERS B) Camipinha-Cacote` the ARNP recognizes which of the following as long term effects of sex trafficking on victims? - CORRECT ANSWERS D) All of the above -severe depression -spiritual questions -trauma bonding A patient appears odd, with a pervasive hx of magical thinking, ideas of reference, illusions or derealization. This is consistent with which of the folllowing PDs? - CORRECT ANSWERS C) Schizotypal PD Which of the following are criteria for a particular suicide to be considered inevitable? - CORRECT ANSWERS D) All of the above -strong genetic hx of suicide in one or more family members -a strong genetic loading of mental illness in the family -the pt may have received the highest standard of tx and that txd failed A pt with a hx of alcohol use disorder presents to the ED with oculomotor disturbances, cerebellar ataxia, and confusion. The ARNP recognizes these symptoms as consistent with which of the following psych emergencies? - CORRECT ANSWERS C) Wernicke's encephalopathy

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The emotional burnout and lack of empathy towards clients that healthcare providers experience after treating victims is known as the following? - CORRECT ANSWERS B) Primary traumatization The ACE study found that which of the following relationships between child traumatic events and high-risk behaviors exhibited by adults? - CORRECT ANSWERS D) The study revealed an indirect relationship between child traumatic events and high risk adult behaviors Walking on eggshells and appeasement/avoidance behaviors by the victim is characteristic of which phase of the cycle of DV? - CORRECT ANSWERS A) Honeymoon phase What are the different phases of DV? - CORRECT ANSWERS 1. Tension building phase

2. Incident
3. Reconciliation
4. Calm The only appproved therapy in the US for moderate to severe Alzheimers Disease is which of the following? - CORRECT ANSWERS B) Memantine Memantine is? - CORRECT ANSWERS A) Namenda, cognition enhancing medication for alzheimers/dementia A term that defines a person who has distress with clinical symptomology because their gender identity is not consistent with gender assigned at birth is which of the following? - CORRECT ANSWERS D) Gender Dysphoria Narcissistic, borderline, antisocial, and histrionic subtypes are associated with which cluster of PDs? - CORRECT ANSWERS B) Cluster B

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Odd, eccentric cluster of PDs? - CORRECT ANSWERS Cluster A a. Paranoid PD b. Schizoid PD C. Schizotypal PD Characterized by appearing dramatic, emotional, or erratic PD? - CORRECT ANSWERS Cluster B a., antisocial b. borderline c. histrionic d. narcissistic inner emptiness, unstable relationships and emotional dysregulation? - CORRECT ANSWERS BPD Attention seeking and excessive emotionability? - CORRECT ANSWERS Histrionic Social irresponsibility, diregard for others, deceitfulness, and manipulation of others for personal gain - CORRECT ANSWERS Antisocial Self-grandiosity, need for admiration and lack of empathy - CORRECT ANSWERS Narcissistic PD Eccentric ideas and behaviors PD? - CORRECT ANSWERS Schizotypal PD Disinterest in others PD? - CORRECT ANSWERS Schizoid Mistrust and suspicion PD? - CORRECT ANSWERS Paranoid PD

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Characterized by appearing anxious or fearful. it includes which PDs? - CORRECT ANSWERS Cluster C a. avoidant PD b. dependent PD c. obsessive compulsive PD Perfectionism, rigidity and obstinacy traits PD? - CORRECT ANSWERS OCD PD Avoidance of interpersonal contact due not rejection sensitivity PD? - CORRECT ANSWERS `Avoidant Submissiveness and a need to be taken care of PD? - CORRECT ANSWERS Dependent PD Which of the following is NOT consistent with recommendations for psychiatric hx taking and the MSE of older adults? - CORRECT ANSWERS B) Pt should be seen alone even in cases of clear evidence of impairment to persevere the privacy of a doctor/pt relationship Low health literacy has been linked with which of the following? - CORRECT ANSWERS D_ All of the above -poor health outcomes -lower rates of hospitalization -less frequent use of preventative services A claim of malpractice requires that a patient/plaintiff prove which of the following? Select all that apply - CORRECT ANSWERS A) The existence of a client- professional relationship--duty ti care

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C) a causal link b/t the provider's failure to confirm to tx standards and harm to the pt D) Actual injury to the pt According to USDHHS and the Federal Bureau of Primary Health Care, which of the following individuals would be considered homeless? - CORRECT ANSWERS D) All of the above -an individual whose primary residence during the night is a supervised public or private facility that provides temporary living accommodations -an individual who is a resident in transitional housing -a person who is living w /a friend` A particular form of psychotherapy used for pts with BPD, especially those with parasuicidal behaviors, such as frequent cutting is known as which of the following?

• CORRECT ANSWERS A) DBT incorrect: mentalization based tx; transference focused psychotherapy and exposure therapy` 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? - CORRECT ANSWERS B) Set a cool room temp True sleep hygiene tips: -avoid alcohol and caffeine -set TV to turn off within 1 hr of falling asleep -go to bed at the same time each night The need for NPs to practice to the full extent of their education and training is necessary for which of the following reasons? Select all of the above - CORRECT ANSWERS A) The growth in number and proportion of older Americans

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B) The projected PCP shortages by 2025 C) increased number of individuals who have access to healthcare according to Freud, stubborn, parsimonious and highly conscientious traits are associated with? - CORRECT ANSWERS B) Anal stage Freud's Psychosexual Theory and 5 Stages of Human Development? - CORRECT ANSWERS 1.Oral stage

2. Anal stage
3. Phallic stage
4. Latent stage
5. genital stage The mouth, sucking, swallowin ect - CORRECT ANSWERS Stage 1- oral stage EGO develops in which phase? - CORRECT ANSWERS ORAL phase 1 The penis or vagina-sexual intercourse? - CORRECT ANSWERS Stage 5 genital `The anus- withholding or expelling feces - CORRECT ANSWERS 2. Anal stage Little to no sexual motivation present? - CORRECT ANSWERS Stage 4. Latent phase The penis or clitoris- masturbation - CORRECT ANSWERS Stage 3 Phallic the SUPEREGO develops at what phase? - CORRECT ANSWERS Stage 3 Phallic

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Features that point to a medical cause of a mental disorder includes which of the following? - CORRECT ANSWERS D) A& C A) Acute onset C) Visual hallucinations A patient 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

• CORRECT ANSWERS B) Benztropine IM only incorrect: reduce antipsychotic dosage, Benadryl PO or IM, B&C only Self-care strategies in preparation for the certificate exam includes all of the following EXCEPT: - CORRECT ANSWERS C) Drink lots of caffeine and eat high concentrated sugars good self care strategies: -plan to study for short periods over a long time -study in a distraction free environment -6-8 hours of sleep is recommended Which of the following professionals would be able to precept a NP student? - CORRECT ANSWERS D) A&B A) ARNP B) Physician the ARNP is txing a 27 year old female who bipolar disorder who is obese and has renal; dysfunction. Which of the following is true? - CORRECT ANSWERS C) An atypical antipsychotic such as olanzapine or risperidone should be used

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Pts with this PD are described as excitable, emotional and behave in a colorful, dramatic, extroverted, attention-seeking fashion, often with an inability to maintain deep long-lasting attachments - CORRECT ANSWERS B) Histrionic PD a PD characterized by emotional constriction, orderliness, perseverance, stubbornness, indecisiveness and a pattern of perfectionism and inflexibility is known as which of the following? - CORRECT ANSWERS D) OCD PD Which of the following core competencies are quality competencies? - CORRECT ANSWERS D) A&C A) use best available evidence to continually improve quality of practice C) evaluates the relationship among access cost quality safety and their influence on health care Non-pharmacologic tx for abuse includes all of the following EXCEPT: - CORRECT ANSWERS D) Involve the abuser in the tx planning Non-pharmacologic tx options for abuse victims? -CBT -build a community of support -assist pt to devise a safe escape plan a PD characterized by extraordinarily unstable affect, mood, behavior, object relations and self-image is known as? - CORRECT ANSWERS BPD A particular form of psychotherapy based on Otto Kernbeg's object relations theory is known as which of the following?> - CORRECT ANSWERS C) Transference- focused psychotherapy generalized convulsions, oliguria, and renal failure are symptoms seen with which of the following Lithium levels? - CORRECT ANSWERS C) > 2.5 mEq/L

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nausea, vomiting, anorexia, blurred vision, clonic limb movements, convulsions, oliguria and renal failure - CORRECT ANSWERS Moderate Lithium toxicity: 2.0-2.5 Lithium therapeutic window - CORRECT ANSWERS 0.6-1.2 mEq/L first med approved for bipolar d/o - CORRECT ANSWERS lithium Common side effects of Lithium, - CORRECT ANSWERS tremor, nausea., fatigue, increased thirst, slowed thinking Important serious side effects of Lithium: - CORRECT ANSWERS hypothyroidism, weight gain, diabetes insipidus, and lithium toxicity How do we decrease the risk of lithium toxicity? - CORRECT ANSWERS Blood level monitoring therapeutic range: 0.6 - 1.2 Lithium levels are known to (increase/decrease) when used concurrently with diuretics, thiazides, ACE inhibitors and NSAIDs? - CORRECT ANSWERS Increase ACE inhibitors: lisinopril, catopril, enalapril Lithium levels are known to (increase/decrease) when used with drugs including caffeine, acetazolamide and theophylline - CORRECT ANSWERS Decrease concurrent use of lithium and antidepressants and/or antipsychotics can cause what? - CORRECT ANSWERS Serotonin syndrome & Neuroleptic malignant syndrome

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The term "suicide survivor" refers to which of the following? - CORRECT ANSWERS A) those who have lost a loved one to suicide At a minimum, a psychiatric evaluation in an emergency should include which of the following? Select all the above - CORRECT ANSWERS C) is the problem organic, functional or a combination? A pt presents with a formal, tense manner. He reluctantly responds 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 pt likely has which of the following PDs? - CORRECT ANSWERS B) Paranoid PD The obligation to not inflict harm or balancing unavoidable harm with benefits of good achieved is known as which of the following? - CORRECT ANSWERS B) Beneficence `In about 1/2 the cases in which suicides occur while pts are in a psychiatric unit, a lawsuit occurs. Which of the following is NOT consistent with what court expects related to inpt psych unit suicide events? - CORRECT ANSWERS D) Evidence of formulation of a tx plan with a high level of security Using the LIAASE: A general cultural competency tool, the ARNP would do which of the following? - CORRECT ANSWERS D) all of the above -agree to disagree on differences in values -solicit other options or points of view -acknowledge and validate powerful emotions when expressed Which of the following is NOT consistent with what is known about PP psychosis? - CORRECT ANSWERS A) symptoms of PP psychosis can often begin within days of delivery

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Concerns when treating geriatric patients with psychotherapeutic drugs includes all of the following EXCEPT: - CORRECT ANSWERS B) Elderly persons may be more susceptible to adverse effects of psychotherapeutic drugs A clause in an employment contract that specifies that an employer and employee may end the working agreement without cause within a specific number of days is known as which? - CORRECT ANSWERS C) Termination clause Standards of care are now being set, modified, monitored and publicized by certain self-appointed consumer-oriented agencies as well as government agencies, including which of the following? - CORRECT ANSWERS D) All of the above -Medicare -the Joint Commission -The agency for healthcare research and quality The differences in the quality of healthcare across individuals and groups in regards to access of care, treatment options, and preventative services is known as? - CORRECT ANSWERS B)Health disparities incorrect: racism, vulnerable populations, SDOH Which of the following medical conditions can present with prominent mental status changes that mimic common psychiatric illnesses. Select all that apply - CORRECT ANSWERS B) Thyroid diseases C) Head trauma Incorrect: DM, AIDS Risks factors for school violence include which of the following? Select all the above

• CORRECT ANSWERS A) bullying B) being bullied C) Isolation