NRNP 6675 MIDTERM EXAM (YEAR 2023 – 100/100 POINTS) LATEST UPDATE, Exams of Medicine

Download NRNP 6675 MIDTERM EXAM (YEAR 2023 – 100/100 POINTS) LATEST UPDATE and more Exams Medicine in PDF only on Docsity! NRNP 6675 MIDTERM EXAM (YEAR 2023 – 100/100 POINTS) LATEST UPDATE 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 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? Akathisi a Dystoni a Tardive dyskinesia Extrapyramidal side effects Chlorpromazine immediately This has nothing to do with the Chlorpromazine the patient be referred to his PCP for follow- up 10. 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? Hermaphroditism 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... 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 According to HIPPA, which of the following must the NP share their NPI with? Check all that apply. Health plans Other providers Any entity that may need it for billing purpose A and 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? Schizophrenia Schizophreniform disorder Brief psychotic disorder Delusional disorder Major neurotransmitters possibly involved in developing substance abuse and substance dependence..... which of the following? Dopamin e GABA Serotonin A and B only The Dopamine hypothesis of schizophrenia which of the following? Schizophrenia results from too much dopaminergic activity 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 Stres s 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 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 Neurotransformatio n 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? Frotteuris m Voyeuris m 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 Which of the following groups does Medicare cover? Select all that apply. Individuals 65 years and older who have enrolled and pay premiums Disabled individuals who qualify for Social Security Disability payments and benefits 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. Which of the following neurotransmitters increases libido? GABA Serotoni n Oxytoci n Dopamine 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 A and C 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. Dopamine level is a laboratory test that assists in the diagnosis of schizophrenia. 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? 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? Health literacy Health disparities Health vulnerabilities Social determinants of health All the following is consistent with ANCC rules regarding recertification EXCEPT: You are required to have a maximum of 25 credit hours during each certification period 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. Bullying Being bullied Isolation...... 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 Drink lot of caffeine and eat high concentrated sugars Plan to study for short periods of time over a longer time period. 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 Emotional/psychological abuse The ARNP recognizes which of the following as long term effects of sex trafficking on victims? Severe depression Spiritual questions Trauma bonding All of the above In about half of the cases in which suicides occur while parents 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? Courts expect suicides to occur in inpatient settings Courts require zero suicide rates in inpatient setting Periodic patient evaluation for suicide risk Evidence of formulation of a treatment plan with a high level of security 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 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 theorists? Hofsted e Leining er Purcell Campinha-Bacote The treatment of choice for patients with paranoid personality disorder includes which of the following? Group therapy Behavioral therapy Psychotherapy B and C The differences in the quality of healthcare across individuals or groups in regard to access, treatment options, and p following? Racism Health disparities Vulnerable populations Social determinants of health personality disorder Dependent personality disorder Obsessive-compulsive 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. 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? Generalized anxiety disorder attributable to another medical condition Symptom of increased autonomic arousal Derealization In which ways are nurse practitioners (NPs) and physician's assistants (Pas) different? NPs differ from PAs in legal definition, scope of practice, licensure, and independence of practice. NPs practice under their own license and independent of the physician, PAs always work under the supervision of a physician. There is essentially no difference functionally between an NP and a PA. A and B Which of the following initials would a psychiatric-mental health nurse practitioner use to designate appropriate credentials? ANP-C CPNP CPNP- AC PMHNP-BC Variations from norms in gender role behavior such as toy preferences, rough-and- tumble play, aggression, or playmate gender is known as which of the following? Gender discordance Gender role behavior Gender identity variance Childhood gender non-conformity 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 Panic disorder Agoraphobia 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 Only A and B Discrepancy between anatomical sex and gender identity is known as which of the following? Gender role behavior Gender discordance Gender nonconformity Internalized sexual prejudice Which of the following is not a common physical effect of cannabis? Mild tachycardia Mild bradycardia 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? A compulsion 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 Akathisi a Akinesi a 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