NRNP 6675 Week 6 Midterm Exam, Exams of Nursing

Download NRNP 6675 Week 6 Midterm Exam and more Exams Nursing in PDF only on Docsity!

A Bipolar disorder

.

B Substance use disorder

.

C Major depressive disorder

.

D Persistent depressive

disorder

.

(dysthymia)

A Bipolar disorder

.

B Substance use disorder

.

C Major depressive disorder

.

D Persistent depressive disorder

.

(dysthymia)

A Anxiety disorder

.

B Depressive disorder

.

C Autism spectrum

.

disorder

D Oppositional defiant

.

disorder

Exam Midterm

1. The ARNP asks the patient “Has there ever been a period of a week or more

when you were the opposite of depressed with super high energy and little

need for sleep?” to assess for which of the following diagnoses?

2. The ARNP asks the patient “Has there ever been a period of a week or more

when you were the opposite of depressed with super high energy and little

need for sleep?” to assess for which of the following diagnoses?

3. Applied behavioral analysis is typically indicated for which of the following disorders?

A Prescribing guidelines have formal legal status

.

B Guidelines are intended to apply to every individual for consistency and safety.

.

C The prescriber, not the prescribing guideline, has responsibility for the treatment.

.

D The prescriber following the prescribing guidelines will be legally protected if there is an

.

adverse response to the treatment.

A Ages 0–

.

B Ages 6–

.

C Ages 13–

.

D Ages 18+

.

A Prolonged sleep deprivation leads to death.

.

B Prolonged sleep deprivation leads to severe physical impairment.

.

C Prolonged sleep deprivation leads to severe cognitive impairment.

.

D Prolonged sleep deprivation while annoying and frustrating is not life

.

threatening.

A Become a surrogate decision maker for the patient.

.

B Consult a formally-designated surrogate for patient choices.

.

C Make safe choices for the patient based on the nurse’s beliefs

.

and values.

**4. Which of the following is true regarding prescribing guidelines?

5. ADHD, impulse-control, conduct disorder, and intellectual disabilities and** anxiety disorders are predominant during which of the following age **ranges?
6. Which of the following is inconsistent with what is known about prolonged** **sleep deprivation?
7. When the patient lacks capacity to make a decision the nurse has the ethical** responsibility to do which of the following?

D Continue to support all the patient’s choices until a surrogate

.

can be found.

A It is a succinct statement of the ethical values, obligation, duties, and professional ideals

.

of nurses individually and collectively.

B It is the profession’s non-negotiable ethical standard.

.

C It is an expression of nursing’s own understanding of its commitment to society.

.

D It clearly determines how ethical obligations of nurses are met.

.

A Lisdexamfetam

.

ine

B Desmopressin

.

C Pitolisant

.

D Ramelteon

.

A Psychosis

.

B Weight loss

.

C Severe

.

anhedonia

D B and C

.

8. Which of the following is not consistent with the purpose of The ANA’s Code **of Ethics for Nurses?

9. Which of the following medications is approved by the FDA for treatment of** excessive sleepiness in narcolepsy? 10.Which of the following symptoms are associated with Major Depressive Disorder with Melancholic Features? 11.Which of the following is consistent with what is known about prevalence of Bipolar I disorder?

A Bipolar I Disorder is more prevalent in^ men

.

B Bipolar I Disorder is more prevalent in women

.

C Manic episodes are more prevalent in women.

.

D Bipolar I Disorder has equal prevalence among men

.

and women.

A Psychotherapy is almost always the safest treatment option.

.

B Psychotherapy has the least potential for adverse effects.

.

C Psychotherapy has shown superior efficacy over psychotropic medications.

.

D When a person attributes behavior changes to their own actions the behavior is

.

more enduring.

A Sensory impairment

.

B Intellectual disability

.

C Substance use

.

disorder

D Mood or anxiety

.

disorder

A Abuse

.

B Bullying

.

C Medical conditions

.

D Persistent depressive disorder

.

(dysthymia) 12.Psychotherapy is an important treatment strategy for young people for which of the following reasons? Check all that apply. 13.When evaluating a child with poor academic performance which of the following diagnostic categories should be considered first? 14.When evaluating a child who is sad and withdrawn the clinician asks, “Did all your symptoms seem to start with fatigue?” in screening for which of the following diagnostic categories?

A Fluoxetine

.

B Quetiapine

.

C Sertraline

.

D Bupropion HCL extended-

release

A Integrity

.

B Justice

.

C

A Hypnagogic

.

B Hypnopompic

.

C Complex

.

hallucinations

D Paranormal

.

hallucinations

A Bipolar II Disorder

.

B Cyclothymic Disorder

.

C Bipolar I Disorder, mixed

.

episode

D Bipolar I Disorder, cyclothymic

.

type 15.Sleep-related hallucinations occurring at sleep onset are known as which of the following? 16.Which of the following medications is FDA approved for the treatment of Major Depressive Disorder with Seasonal variation (previously known as Seasonal affective disorder)? 17.A period of at least one week in which both a manic episode and a major depressive episode occur almost daily is consistent with which diagnosis? 18.According to the APA, “Psychologists seek to promote accuracy, honesty, and truthfulness in the practice of psychology,” reflecting which of the following ethical principles?

.

D Nonmalefice

.

nce

A Fidelity

.

B Autonomy

.

C Beneficence

.

D Nonmalefice

.

nce

A Bulimia nervosa

.

B Anorexia nervosa

.

C Binge eating

.

disorder

D Night eating

.

syndrome

A These easy-to-use screens can be filled out prior to coming in for a formal evaluation

. to expedite assessment of this child

B These Level 1 and Level 2 assessments can help the practitioner identify the presenting

.

problem for this child.

C Systematic use of the Level 1 and Level 2 cross cutting assessments will provide

.

measurable outcomes for this child.

D There is no Level 1 and Level 2 cross-cutting assessments for use with a 5-year-old.

.

19.The American Academy of Child and Adolescent Psychiatry Code of Ethics Principle II: Promoting the Welfare of Children and Adolescents addresses which of the following ethical issues? 20.Which of the following disorders is characterized by episodic bouts of intake of excessive amounts of food but without purging or similar compensatory behavior? 21.The ARNP working with a 5-year-old child in a busy pediatric practice is seeking to use Level 1 and Level 2 cross-cutting symptoms measures. Which of the following is true in this situation?

A Ropinirole

.

B Modafinil

A Sertraline

.

B Fluoxetine

.

C Fluvoxamine

.

D Clomipramine

.

A Group CBT

.

B Trauma-Focused CBT

.

C Motivational Interviewing

.

D Dialectical-behavioral

.

therapy

A 2

.

weeks

B 1

.

month

C 2

.

months

D 3

.

months 22.Which of the following medications are approved by the FDA for treating OCD in children ages 6–17? 23.A form of cognitive behavioral therapy (CBT) that requires attending skills groups in addition to individual therapy sessions are known as which of the following? 24.Manic episodes are considered distinct when they are separated by what length of time without significant symptoms of mania or hypomania.? 25.Which of the following medications is NOT FDA approved to treat Restless Leg syndrome?

C Pramipexole

.

D Gabapentin

.

enacarbil

A Bipolar disorder

.

B Substance use disorder

.

C Major depressive disorder

.

D Persistent depressive disorder

.

A Sleep state

.

misperception

B Psychophysiological

.

insomnia

C Persistent insomnia

.

D Non-organic insomnia

.

A A code of ethics for the nursing profession informs every aspect of

.

the nurse’s life.

B A code of ethics makes explicit the primary obligations of the nursing

.

profession.

C A code of ethics addresses the values and ideals of the nursing

.

profession.

D B and C only

.

26.The clinician asks an adolescent “Have you felt persistently sad or gloomy for more than a year?” to assess for which of the following common diagnostic possibilities? 27.A dissociation between the patient’s experience of sleeping and the objective polygraphy measures of sleep is known as which of the following? 28.Which of the following is NOT consistent with the code of ethics for the nursing profession?

A Sertraline

.

B Fluoxetine

.

C Fluvoxamine

.

D Clomipramine

.

A Bipolar II Disorder

.

B Dysthymic Disorder

.

C Cyclothymic Disorder

.

D Bipolar I Disorder, hypomanic

.

type

A Corticotrophin-releasing hormone

.

(CRH)

B Luteinizing hormone (LH)

.

C Follicle-stimulating hormone (FSH)

.

D Thyroid-stimulating hormone

.

(TSH)

29.Which of the following medications are approved by the FDA for treating obsessive- compulsive disorder in children ages 10–17? Check all that apply. 30.A variant of Bipolar I disorder characterized by episodes of major depression and hypomania is known as which of the following? 31.Which of the following hormone levels is increased in anorexia nervosa? Question 32 Which of the following initials would a psychiatric-mental health nurse practitioner use to designate appropriate credentials?

A ANP-C

.

B CPNP

.

C CPNP-AC

.

D

PMHNP-

.

BC

Question 33 Bleuler identified four fundamental symptoms of schizophrenia known as the 4 As, which include which of the following symptoms?

A

Associations, affect, autism and

.

ambivalence.

B

Associations, alogia, abstraction,

.

anxiety

C

Affect, apraxia, anhedonia, audible

.

thoughts

D

Autism, apperception, amotivation,

.

automatism Question 34 According to the AANP State Practice Environment, the following statement is consistent with which level of practice? “State practice and licensure laws restrict the ability of NPs to engage in at least one element of NP practice. State law requires career-long supervision, delegation or team management by another health provider in order for the NP to provide patient care.”

A Full practice

.

B

Reduced

.

practice

C Restricted

.

practice

D

None of the

.

above Question 35 The phenomenon in which, after repeated administration, a given dose of drug produces a decreased effect is known as which of the following?

A Tolerance

.

B Cross-

.

tolerance

C Addiction

.

D Intoxication

.

Question 36 Billing responsibilities related to Medicare providers include which of the following?

A

Collecting patient employment and insurance

.

information

B Identifying payers other than Medicare

.

C

Determining if Medicare is a primary or secondary

.

provider

D All of the above

.

Question 37 If a pregnancy begins while the woman is taking high doses of methadone and withdrawal is desired, during which trimester is this least hazardous?

A First trimester

.

B Second trimester

.

C Third trimester

.

D

Withdrawal from methadone should never be done while the woman

.

is pregnant. Question 38 Which of the following is not a common physical effect of cannabis?

A Mild tachycardia

.

B Mild bradycardia

.

C Orthostatic hypotension

.

D Dilation of the conjunctival blood

.

vessels Question 39 A condition which results from absence of second female sex chromosome (XO) and is associated with web neck, dwarfism, cubitus valgus, and infertility in known as which of the following?

A Hermaphroditism

.

B Turner’s syndrome

.

C Adrenogenital syndrome

.

D

Androgen insensitivity

.

syndrome Question 40 The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was developed for which of the following purposes?

A

To facilitate a seamless transition into immediate use by clinicians and insurers to

.

maintain continuity of care

B To facilitate more precisely identifying and diagnosing mental disorders

.

C To eliminate need for ICD-9 codes

.

D A and B

.

Question 41 Telepsychiatrists adjust clinical care in which of the following ways to make it as personal as in- person care?

A

Use fewer physical gestures as patients are not able to clearly appreciate

.

them anyway.

B

Check in with the patient to see how the patient is experiencing

.

telepsychiatry.

C Insist every other appointment is an in-person appointment.

.

D

Send things to the patient such as a box of tissues to facilitate the patient

.

feeling cared for. Question 42 Which of the following is consistent with literature regarding the term psychosexual?

A

Psychosexual is used to describe personality development and

.

functioning.

B Psychosexual is synonymous with libido in the Freudian sense.

.

C

Psychosexual basically refers only to sexual feelings and

.

behavior.

D None of the above

.

Question 43 The Dopamine hypothesis of schizophrenia posits which of the following?

A

Schizophrenia results from too much

.

dopaminergic activity.

B

Schizophrenia results from a deprivation of

.

dopamine.

C Schizophrenia is not related to dopamine activity.

.

D None of the above

.

Question 44 According to the American Psychiatric Association (APA) which of the following is consistent with the evidence base practice for telepsychiatry?

A There are few studies exploring the evidence for telepsychiatry.

.

B In populations with severe anxiety, telepsychiatry is preferred.

.

C

The effectiveness is comparable to in-person care in terms of therapeutic

.

engagement, quality of care, validity/reliability of assessment, and clinical outcomes.

D The evidence base for children and adolescents is very weak.

Question 45 Which of the following is consistent with current literature regarding positive and negative symptoms of schizophrenia?

A Negative symptoms occur earlier in the disease process; positive symptoms tend to

.

decrease over time.

B

Positive symptoms occur earlier in the disease process; negative symptoms tend to

.

decrease over time.

C Positive and negative symptoms occur and vary simultaneously throughout the

.

course of the disease.

D None of the above

.

Question 46 Which of the following is consistent with current epidemiology literature about gender and Obsessive-Compulsive Disorder (OCD)?

A

Adult men are more likely to have OCD than adult

.

women.

B Adult women are more likely to have OCD than adult

.

men.

C

Adolescent girls are more likely to have OCD than

.

adolescent boys.

D Adult men and adult women are equally likely to have

.

OCD.

Question 47 Which of the following neurotransmitters exerts an inhibitory effect of sexual function?

A

Dopami

.

ne

B

Oxytoci

.

n

C

Serotoni

.

n

D

Glutama

.

te

Question 48 Sexual stimuli or acts that are deviations from normal sexual behaviors but are necessary for some persons to experience arousal and orgasm are known as which of the following?

A Paraphilias

.

B Dyspareunium

.

C Orgasmic anhedonias

.

D

Persistent genital arousal

.

disorder Question 49 Nsytagmus, or marked slurring of speech and blackouts, are likely impairments at which of the following blood alcohol concentrations?

A 30 – 80 mg/dL

.

B 80 – 200

.

mg/dL

C

200 – 300

.

mg/dL

D 300 – 400

.

mg/dL Question 50 Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply.

A Age

.

B Rapid dose escalation

.

C Parental route of administration

D Higher potency typical

.

antipsychotics Question 51 Nurse practitioners (NPs) differ from other advanced practice nurses in which of the following ways?

A

NPs offer a wide range of services to a wide portion of the

.

population.

B

NPs offer a narrow range of services to a narrow base of

.

patients.

C NPs offer a medium range of series to a narrow patient base.

.

D NPs^ offer^ a^ narrow^ range^ of^ services^ to^ a^ medium-sized^ base

.

of patients. Question 52 Researchers have identified particular neurotransmitters or neurotransmitter receptors involved with most substances of abuse except for which of the following?

A Alcohol

.

B Opioids

.

C

Amphetamin

.

es

D Cocaine

.

Question 53 Which of the following neurological symptoms are consistent with inhalant use?

A

Sensory illusions, distortions of body

.

size

B

Fearfulness, auditory and visual

.

hallucinations

C Irritability, emotional lability, euphoria

.

D

Slurred speech, decreased rate of

.

speech, ataxia Question 54 Which of the following is a guideline for prescribing legally?

A

Prescribe the right medicine at the right times for the right indication for the right

.

patient.

B If there is a practice protocol or guideline in the facility, follow it.

.

C If there is no facility-wide protocol for prescribing, the standard of care for

.

prescribing may be assumed to be the Physician’s Desk Reference or Epocrates.

D All the above

.

Question 55 Substance seeking activities, along with related evidence of pathological use patterns, are emphasized when discussing which of the following concepts related to substance use and addictive disorders?

A Addiction

.

B Behavioral

.

dependence

C Physical dependence

.

D

Psychological

.

dependence Question 56 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 appropriate for which of the following levels of treatment?

A

Residential

.

treatment

B

Partial

.

hospitalizations

C

Outpatient

.

treatment

D All of the above

.

Question 57 Recurrent preoccupation with sexual urges and fantasies involving the act of being humiliated, beaten, bound, or otherwise made to suffer is known as which of the following?

A Frotteurism

.

B Sexual Sadism

.

C Sexual Masochism*

.

D Other Specified Paraphilic

.

Disorder Question 58 The three major neurotransmitters associated with anxiety, based on animal studies and response to drug treatment, include which of the following?

A

Glutamate, Norepinephrine,

.

Serotonin

B

GABA, Norepinephrine,

.

Serotonin

C GABA, Dopamine, Glutamate

.

D

Dopamine, Norepinephrine,

.

Serotonin Question 59 Because the DSM-V and ICD disorders names may not match, the ARNP should document which of the following?

A The DSM-V diagnosis is all that is required, so if there is not a match the ICD code is

. not needed.

B As the ICD code is what is used for billing, this is the only documentation required.

.

C The DSM-V diagnosis should always be recorded by name in the medical record in

. addition to listing the ICD code.

D Document the DSM-V code and several ICD codes so the insurer cannot deny the

. claim.

Question 60

Methadone withdrawal usually begins how soon after the last dose?

A

6–8 hours after the last

.

dose

B

8–12 hours after the last

.

dose

C 24 hours after the last

dose

D

1–3 days after the last

.

dose Question 61 The object of a person’s sexual impulses is known as which of the following?

A

Sexual

.

behavior

B Sexual

.

orientation

C

Gender

.

identity

D Sexual identity

.

Question 62 Which of the following are consistent with what is known about the effect of alcohol on sleep?

A

Drinking alcohol in the evening increases the ease of falling and

.

staying asleep.

B

Alcohol use is associated with an increase in rapid eye movement

.

sleep.

C Alcohol use is associated with increase in Stage 4 sleep.

.

D Alcohol increases sleep fragmentation.

.

Question 63 The genotype XXY is associated with which of the following?

A Klinefelter’s syndrome

.

B

Androgen insensitivity

.

syndrome

C Turner’s syndrome

.

D Adrenogenital syndrome

.

Question 64 A patient with a history of Alcohol Use Disorder presents with confusion, clouding of consciousness, myoclonus, oppositional hypertonia, fatigue, apathy irritability, anorexia, and insomnia. Symptoms do not improve with thiamine treatment. This presentation is consistent with which of the following?

A Wernicke-Korsakoff syndrome

.

B

Idiosyncratic alcohol

.

intoxication

C

Alcoholic pellagra

.

encephalopathy

D

Alcohol-induced Persisting

.

Dementia Question 65 Which of the following neurotransmitters is released with orgasm and is believed to reinforce pleasurable activities?

A GABA

.

B

Serotoni

.

n

C

Oxytoci

.

n

D

Dopami

.

ne Question 66 Which of the following are used to treat symptoms of Neuroleptic Malignant Syndrome?

A Dantrolene

.

B

Bromocriptin

.

e

C

Chlorpromazi

.

ne

D A and B only

.

Question 67 Which of the following services are usually excluded from both primary and secondary Medicare benefits?

A Medicare does not reimburse for the same services covered by VA benefits.

.

B

Medicare does not reimburse for services covered under the Federal Black

.

Lung program.

C Medicare does not reimburse for services related to workers compensation.

.

D A and B only

.

Question 68 The APRN consensus model did which of the following?

A

Merged adult, gerontology and pediatric foci so that all NPs could truly work across

.

the lifespan.

B Adult and gerontology were merged and identified as primary care or acute care.

.

C Psychiatric-mental health foci was stipulated as across the lifespan.

.

D B and C

.

Question 69 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

A Residual Type

.

B Catatonic Type

.

C Disorganized Type

.

D

Undifferentiated

.

Type Question 70 A patient reports having 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?

A Social phobia

.

B Specific phobia

.

C

General anxiety disorder

.

unspecified

D Obsessive-compulsive disorder

.

Question 71 Which of the following is consistent with what is known about the epidemiology of anxiety?

A

Men have a higher lifetime prevalence of anxiety

.

than women.

B

Women have a higher lifetime prevalence of anxiety

.

than men.

C Men and women have equal lifetime prevalence.

.

D

The lifetime prevalence of anxiety is not gender

.

specific. Question 72 A psychotic condition that involves the sudden onset of psychotic symptoms, which lasts one day or more but less than 1 month with full return to the premorbid level of functioning is known as which of the following?

A Brief psychotic disorder

.

B Schizophreniform disorder

.

C Schizophrenia, first episode

.

D

Schizophrenia,

.

undifferentiated type Question 73 The ability of one drug to be substituted for another, each usually producing the same physiological and psychological effect is known as which of the following?

A Tolerance

.

B

Codependenc

.

e

C Cross-tolerance

D

Neuroadaptati

.

on Question 74 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 realizes this presentation is consistent with which of the following diagnoses?

A Schizophrenia

.

B

Schizophreniform

.

disorder

C

Brief psychotic

.

disorder

D Delusional disorder

.

Question 75 Non-bizarre delusions present for a least 1 month without other symptoms of schizophrenia or mood disorder warrants a diagnosis of which of the following?

A Schizoaffective disorder

.

B Delusional disorder

.

C

Borderline personality

.

disorder

D Brief psychotic disorder

.

Question 76 A diffuse, unpleasant, vague sense of apprehension, often accompanied by autonomic symptoms which varies among persons is commonly known as which of the following?

A Fear

.

B Stress

.

C Normal anxiety

.

D

Pathological

.

anxiety Question 77 Which of the following would be characterized as a negative symptom of schizophrenia?

A Hallucinations and delusions

.

B

Impaired social and occupational

.

functioning

C Isolation and impaired self-care

.

D B and C only

.

Question 78 Which of the following symptoms represent peripheral manifestations of anxiety?

A

Hyperreflexi

.

a

B Palpitations

.

C

Hyperhidrosi

.

s

D

All of the

.

above Question 79 Discrepancy between anatomical sex and gender identity is known as which of the following?

A Gender role behavior

.

B Gender discordance

.