NRNP 6675 Week 6 Midterm Exam Solutions 100 Correct, Exams of Clinical Psychology

Download NRNP 6675 Week 6 Midterm Exam Solutions 100 Correct and more Exams Clinical Psychology in PDF only on Docsity! A+ QUIZ BANK WITH EDITED AND TESTED ANSWERS NRNP 6675 WEEK 6 MIDTERM EXAM SOLUTIONS 100% CORRECT 1. Whichofthefollowingareriskfactorsforneurolepticmalignantsyndrome? Select all that apply • Age • Rapid dose escalation// • Parental route of administration// • Higher potency typical antipsychotics// 2. Antipsychotic medicationsprovideD2blockadeinthemesocorticalpathway 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 recentingestionor 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? 14. 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 acountability 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// 15. Which of the following is the most widely consumed psychoactive substance? • Alcohol • Caffeine// • Heroine • Cannabis 16. Which of the following is used to treat Tardive Dyskinesia? • Cogentin (benztropine) • Artane (trihexyphenidyl) • Catapres (Clonidine) • None of the above// 17. 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// 18. Which of the following behaviors are associated with an alcohol blood level of 0.05percent? • Voluntary motor actions usually become perceptibly clumsy • Thought judgment and restraint are impaired// • Confusion, stupor • None of the above 19. According to HIPPA, which of the following must the NPs 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 20. 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 21. Major neurotransmitters possibly involved in developing substance abuse and substance dependence ..... which of the following? • Dopamine// • GABA • Serotonin • A and B only 22. The Dopamine hypothesis of schizophrenia .. which of the following? • Schizophrenia results from too much dopaminergic activity// • Schizophrenia results from a deprivation of dopamine. • Schizophrenia is not related to dopamine activity • None of the above 23. 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 24. 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 isap • Residential treatment • Partial hospitalizations • Outpatient treatment • All of the above// 25. Obscene phone calling to an unsuspecting partner for sexual arousal is known as which of the following? • Telephilia • Partialism • Telephone scatologia// • Normal adolescent prank 26. 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 27. A diffuse, unpleasant,vaguesenseofap rehensionoftenaccompaniedby autonomicsymptomswhichvariesamongpersonsiscommonlyknownas whichofthefollowing? • GABA • Serotonin • Oxytocin • Dopamine// 37. Whichofthefollowingfactorsareassociatedwithpo rprognosisforpatients withOCD? • Childhoodonset • Thepresenceofaprecipitatingevent • Co-existingmajordepresivedisorder • AandC// 38. Whichofthefollowingisinconsistentwithcurentknowledgeabout schizophrenia? • Schizophreniaisoneofthemostcommonoftheseriousmentaldisorders. • Adiagnosisofschizophreniaisbasedentirelyonthepsychiatrichistoryand mentalstatusexamination. • Dopaminelevelisalaboratorytesthatasistsinthediagnosisofschizophrenia.// • Schizophrenialikelycomprisesagrouppfdisorderswithheterogeneous etiologiesandvariablepresentations. 39. AChronicdisordercharacterizedbyrepetitivehairpullingleadingtovariable hairlos thatmaybe .................. toothersisknownaswhichofthefollowing? • Obsesive-CompulsiveDisorder • ImpulseControlDisorder • Trichotilomania// • ..... P 40. Amethodoftherapyusedtotreatindividualswithsubstanceabusebasedon thefundamentalprincipleofapsychologythatreinforcedbehaviorsarelikely tobe isknownaswhichofthefollowing? • Exposuretherapy • Contingencymanagement// • Motivationalinterviewing • Cognitivebehavioraltherapy 41. Theconditionsinwhichpeopleareborn,grow,work,live,andageareknown aswhichofthefollowing? • Healthliteracy • Healthdisparities • Healthvulnerabilities • Socialdeterminantsofhealth// 42. AllthefollowingisconsistentwithANCCrulesregardingrecertification EXCEPT: • Youarerequiredtohaveamaximum of25credithoursduringeachcertification period// • Youcanstartherecertificationproces 1yearbeforeyourexpirationdate,butno laterthan3monthsbefore. • Youmusthave1000clinicalpracticehoursintheclinicalspecialtywithinthe preceding5years. • Youmusthaveatleast25contacthoursinpharmacotherapy. 43. Riskfactorsforscho lviolenceincludewhichofthefollowing?Selectallthat ap ly. • Bulying// • Beingbulied// • Isolation// • Involvementinschoolorganizations. 44. Personswhosubordinatetheirownneedstothoseofothers,getotherto assumeresponsibilityformajorareasofthelives,lackofself-confidence,and mayexperienceintensediscomfortwhenaloneformorethanabriefperiodof timearedemonstratingcharacteristicsconsistentwithwhichofthefollowing personalitydisorders? • Avoidantpersonalitydisorder • Pasivepersonalitydisorder • Dependentpersonalitydisorder// • Antisocialpersonalitydisorder 45. Generalizedconvulsions,oliguria,andrenalfailurearesymptomsseenwith whichofthefollowinglithium levels? • 0.8-1.5mEq/L • 1.5-2.0mEq/L • 2.0-2.5mEq/L • >2.5mEq/L// 46 .... form ofchildabuseinwhichapatientorcharacterrepeatedlyfabricatesor actuallyinflictsinjuryorillnessinachildforwhom medicalinterventionis thensoughtinanemergencysetingisknownaswhichofthefollowing? • Korsakoff'ssyndrome • Snyder'ssyndrome • Munchausensyndrome • Munchausensyndromebyproxy// 47. Self-carestrategiesfortheARNPinpreparingforthecertificationexam includeallofthefollowingEXCEPT? • Studyinadistractionfreeenvironment • Sixtoeighthoursofsleepisrecommended • Drinklotofcaffeineandeathighconcentratedsugars • Plantostudyforshortperiodsoftimeoveralongertimeperiod.// 48. Apatientpresentswithaformal,tenseman er.Hereluctantlyreportsa longstanding(sinceearlyadultho d)pervasivesuspiciousnessofothers, preoccupiedwith .. trustworthinessofriends,unjustifiedconcernsabout othersdeceivinghim,angryaboutperceivedinsultsandslights,reluctanto confideintheARNP.TheARNPsuspectsthathepatientlikelyhaswhichof thefollowingpersonalitydisorders? • Schizoidpersonalitydisorder • Paranoidpersonalitydisorder// • Borderlinepersonalitydisorder 58. Thedifferencesinthequalityofhealthcareacros individualsorgroupsin regardtoaccess,treatmentoptions,andp .........following? • Racism • Healthdisparities// • Vulnerablepopulations • Socialdeterminantsofhealth 59. Theincidenceofsuicideishighestforwhichofthefollowingpopulations? • OlderLatinomen • OlderCaucasianmen • OlderCaucasianwomen • OlderAfricanAmericanmen// 60. Apatientonlithium withahistoryofalcoholusedisorderpresentswithdry mouth,ataxia,diziness,abdominalpain,andsluredspeech.TheARNP shoulddowhichofthefollowing? • TheARNPrecognizesthisislikelyarelapseonalcoholsosendsthepatient hometosleepitoff. • TheARNPrecognizesthesearesymptomsofmildtomoderatelithium toxicity, decreasesthelithium byhalf,andencouragethepatientodrinkmorefluids • TheARNPrecognizesthesearesymptomsofmildtomoderatelithium toxicity, discontinuesthelithium immediately,orderslithium level,serum electrolytes,and renalfunctiontests// • TheARNPrecognizesthesearesymptomsofmoderatetoseverelithium toxicity, discontinuesthelithium andtelsthepatienthemodialysiswilmostprobablybe needed. 61. AnARNPtakesapositioninwhichaspecificamountispaidaccordingtoaset jobdescription.Thistypeofpaystructureisknownaswhichofthefollowing? • Straightsalary • Averagepercentageofnetreceipts • Basesalarypluspercentage • Hourlyrate// 62. Apersonalitydisordercharacterizedbyemotionalconstriction,orderliness, perseverance,stub orn ess,indecisiveness,a .......... inflexibilityaswhichofthe following? • Depresivepersonalitydisorder • Borderlinepersonalitydisorder • Dependentpersonalitydisorder • Obsesive-compulsivepersonalitydisorder// 63. Whichofthefollowingisconsistentwithwhatisknownabouthe epidemiologyofanxiety? • Menhaveahigherlifetimeprevalenceofanxietythanwomen. • Womenhaveahigherlifetimeprevalenceofanxietythanmen// • Menandwomenhaveequalifetimeprevalence. • Thelifetimeprevalenceofanxietyisnotgenderspecific 64. WhichofthefollowingisconsistentwithNPpracticeparameterswhen prescribingbuprenorphine? • NPswithfulpracticeauthoritycanprescribeandadministerbuprenorphine undertheirstateNPlicense. • AsaqualifiedpractitionertheNPsimplyneedstonotifySAMHSApriorto prescribingoradministeringbuprenorphine • TheNPcanprovidebuprenorphineto300patientspermonth • TheNPisrequiredtocompletespecifictrainingtoprescribeanddispense buprenorphine// 65. Whichofthefollowingareconsistentwithcurentdatarelatedtothe prevalenceofdrinkingalcohol? • Menandwomenwithhighereducationandincomeareles likelytodrink alcohol. • Menandwomenwithhighereducationandincomearemorelikelytodrink alcohol// • Menandwomenwithlowereducationandhigherincomearemorelikelytodrink alcohol. • Educationandincomearenotafactorinprevalenceofdrinkingalcohol. 66. Apatientwithhistoryofhypoglycemiareportsfeelingsofear,wory,and restlessnessthathaspersistedoverthepast6months.Thepatientstates thesefeelingsareworsewhenglucoseislow.TheARNPsuspectsthepatient haswhichofthefollowingdiagnoses? • Generalizedanxietydisorderatributabletoanothermedicalcondition// • Panicatacksatributabletoanothermedicalcondition • Hypoglycemiawithanxiety • Noneoftheabove 67. Whichofthefollowingisnotconsistentwithbenzodiazepinewithdrawal? • Benzodiazepinewithdrawalcancontinuetodevelopforseveralweeks • Thebestwaytoproceedwithbenzodiazepinewithdrawalistostopitimmediately andtreatwithdrawalsymptoms// • Itmaybehelpfultoswitchtoalong-actingbenzodiazepineforwithdrawal • Ifpatientisonatherapeuticbenzodiazepinedose,initiate10-25percentdose reductionandevaluateresponse. 68. Whichofthefollowingistrueabouthelegalpracticeofthepsychiatric-mental healthnursepractitioner? • AlhavesomedegreeofprescriptiveprivilegesinalstatesandtheDistrictof Columbia. • AlareconsideredprimaryprovidersinalstatesandtheDistrictofColumbia. • Alhavetheabilitytomanagepatientsmedicalywithintheirscopeofpractice withoutacolaborativepracticeagreement. • AandBonly// 69. Flashbacksinwhichtheindividualmayactandfeelasifthetraumawere reoccuringrepresentwhichofthefollowingclinicalfeaturesofPTSD? • Intrusionsymptom// • Symptom ofavoidance// • Symptom ofincreasedautonomicarousal • Derealization • Autism,apperception,amotivation,automatism. 79. Thefearoforanxietyregardingplacesfrom whichescapemightbedifficultis knownaswhichofthefollowing? • Depresion • Panicdisorder • Agoraphobia// • Generalizedanxietydisorder 80. Allofthefollowingareoneofthefivemajorcategoriesofthird-partypayers EXCEPT: • Medicare/Medicaid • Managed-careorganizations(MCOs) • Indemnityinsurancecompanies • OnlyAandB// 81. Discrepancybetweenanatomicalsexandgenderidentityisknownaswhichof thefollowing? • Genderolebehavior • Genderdiscordance// • Gendernonconformity • Internalizedsexualprejudice 82. Whichofthefollowingisnotacommonphysicaleffectofcan abis? • Mildtachycardia • Mildbradycardia// • Orthostatichypotension • Dilationoftheconjunctivalbloodvesels 83. Aconsciousstandardizedrecurentbehaviorsuchascounting,checking, avoidingthatinterferessignificantlywiththeperson'snormalroutineand functioningisknownaswhichofthefollowing? • Acompulsion// • Anobsesion • Obsesive-CompulsiveDisorder • Obsesive-CompulsivePersonalityDisorder 84. Mosteveryonehasafirm convictionthatheyaremaleorfemalebywhichage range? • 0-1yearsofage • 2-3yearsofage// • 4-5yearsofage • 6-7yearsofage 85. Apatientwhopresentsabsentmovementwithdifficultystartingactivitiesflat affect,andavolitionwouldbeassessedashavingwhichofthefollowing? • Dystonia • Akathisia • Akinesia • Pseudo-Parkinson's// 86. Whichofthefollowingisconsistentwithcurentepidemiologyliteratureabout genderandObsessive-CompulsiveDisorder(OCD)? • AdultmenaremorelikelytohaveOCDthanadultwomen. • AdultwomenaremorelikelytohaveOCDthanadultmen • AdolescentgirlsaremorelikelytohaveOCDthanadolescentboys. • AdultmenandadultwomenareequalylikelytohaveOCD.// 87. Atypeofschizophreniainwhichtheindividualhasamarkeddisturbancein motorfunctionandmayinvolvestupor,negativism,rigidity,excitementor posturingormutism is • ResidualType • CatatonicType// • DisorganizedType • UndifferentiatedType 88. Apatientwhopresentswiththeinabilitytoremainstill,withmotor restlessness,wouldbeassessedtohavewhichofthefollowing? • Dystonia • Akathisia// • Akinesia • Tardivedyskinesia 89. TheARNPasksthepatient“Hasthereeverbeenaperiodofawe kormore whenyouweretheop ositeofdepressedwithsuperhighenergyandlitle needforsleep?”toassessforwhichofthefollowingdiagnoses? • Bipolardisorder// • Substanceusedisorder • Majordepresivedisorder • Persistentdepresivedisorder 90. Ap liedbehavioralanalysisistypicalyindicatedforwhichofthefollowing disorders? • Anxietydisorder • Depresivedisorder • Autism spectrum disorder// • Oppositionaldefiantdisorder 91. Whichofthefollowingistrueregardingprescribingguidelines? • Prescribingguidelineshaveformalegalstatus// • Guidelinesareintendedtoapplytoeveryindividualforconsistencyandsafety. • Theprescriber,notheprescribingguideline,hasresponsibilityforthetreatment. • Theprescriberfolowingtheprescribingguidelineswilbelegalyprotectedif thereisanadverseresponsetothetreatment 92. ADHD,impulse-control,conductdisorder,andintellectualdisabilitiesand anxietydisordersarepredominantduringwhichofthefollowingageranges? • Ages0–5 • Ages6–12// • Ages13–18 • Ages18+ 93. Aperiodofatleastoneweekinwhichbothamanicepisodeandamajor depressiveepisodeoccuralmostdailyisconsistentwithwhichdiagnosis