NRNP 6675 Week 6 Midterm Exam Solutions (100% Correct), Exams of Nursing

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NRNP 6675 Week 6 Midterm Exam Solutions (100%

Correct)

1. Whichofthefollowingareriskfacto

rsforneurolepticmalignantsyndro

me?

Selectallthata

p p ly

• Age
• Rapiddoseescalation
• Parentalrouteofadministration
• Higherpotencytypicalantipsych

otics

2. Antipsychoticmedicationsprovi

deD 2 blockadeinthemesocorticalp

athway

causingwhichofthefollowingeffec

ts?

• Reducesnegativesymptoms
• Increasesextrapyramidalsympto

ms(EPS)

• Causesprolactinemia
• Reducespositivesymptoms

3. Phencyclidine(PCP)andKetamin

eexer

t theiruniquebehavioraleff

ectsby

blockingwhichofthefollowingre

ceptors?

• GABAtypereceptors
• Serotoninreceptors
• Dopaminereceptors
• NMDAtypereceptors

4. Thediagnosisusedtodescribeasy

ndromecharacterizedbyspecifics

igns andsymptomsresultingfrom

recentingestionorexposuretoas

ubstanceis

knownaswhichofthefollowing?

• Substanceintoxication
• Substancewithdrawal
• Substanceusedisorder
• Anyoftheabove

5. Abnormalinvoluntarymovementsin

arhythmicpa

t ternaffectingface,mo

uth,

tongue,jawisknownaswhichofthef

ollowing?

• Akathisia
• Dystonia
• Tardivedyskinesia
• Extrapyramidalsideeffects

6. Adeeplyheldbeliefdespiteevid

encetothecontrary,lastingat

leastone

month,withoutprominenthalluc

inations,withfunctionalimpai

rmen

t that

relatestothedelusionalsystem

• Schizophrenia
• Delusionaldisorder
• Briefpsychoticdisorder
• Schizophreniform disorder

7. Whichofthefollowingistrueaboutp

reoccupationwithcastration?

• Thiscanbeseriousandlife-

threateningifcastrationisc

arriedoutwithout

medicalsupervision.

• ThisisconsistentwithTransvesti

cDisorder

• Thisisconsistentwithotherspeci

fiedparaphilicdisorder

• Thisisconsistentwithsexualmaso

chism disorder

8. Whichofthefollowingisasystem

thatprovidesauniform

languagefor

describingmedicalandsurgicalpr

oceduresanddiagnosticservices

rendered byclinicians?

• HIPP A

• DSM- 5

• CPT

• DRG

9. ApatientonChlorpromazinestate

sthathisorgasm

isdryandafterwardhe

willcommonlyhavemilkyurine.Th

eARNPrealizeswhichofthefollow

ing?

• Thisislikelyaharmle

s s

responsetotheChlorpromazine

• Thisisabnormalandneedstobeeval

uatedbyaspecialist

• ItiscriticaltostoptheChlorprom

azineimmediately

• ThishasnothingtodowiththeChlo

rpromazinethepatientbereferre

dtohisPCP forfo l ow-up

10. Aconditionwhichresultsfrom

absenceofsecondfemalesexChromo

some (XO)andisa

s s

ociatedwithwebneck,dwarfism,cub

itusvalgus,andinfertility

isknownaswhichofthefollowing?

• Hermaphroditism
• Turner'ssyndrome
• Adrenogenitalsyndrome
• Androgeninsensitivitysyndrome

11. Whichofthefollowingwouldbech

aracterizedasanegativesympt

om of schizophrenia?

• Ha l ucinationsanddelusions
• Impairedsocialandoccupationalfu

nctioning

• Isolationandimpairedself-care
• BandConly

12. Whichofthefollowingarekeystodi

stinguishingOCDfrom psychosis?

• PatientswithOCDcanalmostalwa

ysacknowledgetheunreasonable

natureof theirsymptoms

• PatientswithOCDarebe t erableto

controltheircompulsions.

• Patientswithpsychosiswi l havem

oreobsessivethoughts.

• PatientswithOCDhavele

s s

bizarreobsessions.

13. Afederalprogram

administerednationallyandloca

l ywhichcoversenrolled

individuals 65 yearsandolderwho

paypremiumsanddisabledindivid

uals....

• Medicare
• Medicaid
• BothAandB
• Noneoftheabove

14. Havinganadequatelegaldescrip

tionofnursepractitioner(NP)s

copeof

practiceaccordingtostatelawi

simportantforwhichofthefollo

wing reasons?

• Toavoidanychargesofpracticing

medicinewithoutalicense

• Toplacea

c countabilityforbothben

efitsandharm

topatientssquarelyontheNP

• Togetreimbursementforphysicia

nserviceswhenprovidedbyanNP

• A l oftheabove

15. Whichofthefollowingisthemostwid

elyconsumedpsychoactivesubstan

ce?

• Alcohol
• Caffeine
• Heroine
• Cannabis

16. Whichofthefollowingisusedtotrea

tTardiveDyskinesia?

• Cogentin(benztropine)
• Artane(trihexyphenidyl)
• Catapress (Clonidine)
• Noneoftheabove

17. TheAPRNconsensusmodeldidwhicho

fthefollowing?

• Mergedadult,gerontologyandp

ediatricfocisothata l NPscoul

dtrulywork acro

s s the....

• Adultandgerontologyweremerged

andidentifiedasprimarycareorac

utecare

• Psychiatricmentalhealthfociwe

restipulatedasacross

thelifespan

• BandC

18. Whichofthefollowingbehaviorsar

eassociatedwithanalcoholbloo

dlevelof

1. 05 percent?

• Voluntarymotoractionsusua l ybe

comeperceptiblyclumsy

• Thoughtjudgment,andrestraintar

eimpaired

• Confusion,stupor

• Noneoftheabove

19. AccordingtoHIPPA,whichofthefoll

owingmusttheNPsharetheirNPIwith

?

Checkallthatapp ly.

• Healthplans
• Otherproviders
• Anyentitythatmayneeditforbi l i

ngpurpose

• AandConly

20. Apatientpresentswithdelusions,

disorganizedthoughts,andspeech

with poo

rselfcareallofwhichhavepersist

edforthepast 7 months.TheAPRNthi

s presentationis

withwhichofthefollowingdiagnosi

s?

• Schizophrenia
• Schizophreniform disorder
• Briefpsychoticdisorder
• Delusionaldisorder

21. Majorneurotransmitterspossiblyi

nvolvedindevelopingsubstancea

buseand substancedependence

whichofthefollowing?

• Dopamine

• GABA

• Serotonin
• AandBonly

22. TheDopaminehypothesisofschizop

hrenia

whichofthefollowing?

• Schizophreniaresultsfrom

toomuchdopaminergicactivity

• Schizophreniaresultsfrom

adeprivationofdopamine.

• Schizophreniaisnotrelatedtodop

amineactivity

• Noneoftheabove

23. Apatientreportsapanicattacksev

eralyearsagoinanelevatorandsi

ncethen

hasavoidedusingelevators.Thisp

atientmeetscriteriaforwhichoft

he following?

• Socialphobia
• Specificphobia
• Generalanxietydisorderunspecifi

ed

• Obsessive-compulsivedisorder

24. Apatientwithasubstanceabusedi

sorderwhodoesnotmeettheclinical

criteriaforhospitalizationbutw

holackssufficientsocialandvocati

onalskills andlacksubstance-

freesocialsu

p p ortsisap

• Residentialtreatment
• Partialhospitalizations
• Outpatienttreatment
• A l oftheabove

25. Obscenephonecallingtoanunsuspe

ctingpartnerforsexualarousalis

known aswhichofthefollowing?

• Telephilia
• Partialism
• Telephonescatologia
• Normaladolescentprank

26. Themainpsychologicaldifferenceb

etweenfearandanxietyisbestdes

cribed

bywhichofthefollowingstatement

s?

• Fearisinsidious;anxietyissudde

n

• Anxietyisinsidious;fearissudde

n.

• Thereisnodifferencebetweenfeara

ndanxiety.

• Bothanxietyandfeararealerting

signals

27. Adiffuse,unpleasant,vaguesens

eofapp

rehensionoftenaccompaniedby

autonomicsymptomswhichvaries

amongpersonsiscommonlyknowna

s whichofthefollowing?

• Fear
• Stre

s s

• Normalanxiety
• Pathologicalanxiety

28. Ifapregnancybeginswhilethewoma

nistakinghighdosesofmethadonea

nd

withdrawalisdesired,duringwhic

htrimesteristhisleasthazardous

?

• Firs

t trimester

• Secondtrimester
• Thirdtrimester
• Withdrawalfrom

methadoneshouldneverbedonewhil

ethewomanispregnant

29. Neurochemicalorneurophysiolog

icchangesinthebodythatresultf

rom the

repeatedadministrationofadrug

isknownaswhichofthefollowing?

• Cro

s s-tolerance

• Neurotransformation
• Neuroadaptation
• Neurocognitiveadjustment

30. Therecurrentandintensesexualaro

usalfrom

thephysicalandpsychological

sufferingofanotherpersonisknown

aswhichofthefollowing?

• Fro t eurism
• Voyeurism
• Sexualsadism
• Sexualmasochism

31. Whichofthefollowingisnotconsist

entwiththeonsetofOCD?

• MorethanhalfofpatientswithOCDh

aveasuddenonsetofsymptoms

• Theonsetofsymptomsforabout

50 -

70 percentofpatientso

c cursaf

tera stressfulevent.

• Mostpatientskeeptheirsymptoms

secretinitia l y.

• TheonsetofOCDistypica l ypreced

edbyOCDpersonalitytraits.

32. Therecurrenturgetoexposeone'sge

nitalstoastrangerisknownaswhic

hof thefollowing?

• Fetishism
• Voyeurism
• Exhibitionism
• Paraphilicdisorder

33. Whichofthefollowingpatientswo

uldbeapp

ropriateforhospitalizationfor

substanceusedisorder?

Selectallthatapp ly.

• Patientswhohaveasubstanceo

verdosewhocannotbesafelytr

eatedinan outpatientse t ing

• Patientswhoareatriskforse

vereormedica l ycomplicated

withdrawal syndromes

• Patientswhohaveahistoryofno

tbenefitingfrom

treatmentinaless intensive

se t ing

• AandBonly

34. Thenursingpracticemodelrecomme

ndedforNPsbytheNationalAcademy

of

MedicineandtheNationalCouncilo

fStateBoardsofNursingiswhichof

the following?

• Fu l practice
• Reducedpractice
• Restrictedpractice
• Arbitrarypractice

35. WhichofthefollowinggroupsdoesMe

dicarecover?Selectallthatapp

ly.

• Individuals 65 yearsandolderwhoh

aveenro l edandpaypremiums

• Disabledindividualswhoquali

fyforSocialSecurityDisabil

itypaymentsand benefits

• Adultswhoaredisabledforoney

earorless

andwhoqualifyonthebasisof

poverty

• Mothersandchildrenwhoqualifyon

thebasisofpoverty.

36. Whichofthefollowingneurotransm

i

t tersincreaseslibido?

• GABA

• Serotonin
• Oxytocin
• Dopamine

37. Whichofthefollowingfactorsarea

ssociatedwithpoo

rprognosisforpatients withOCD?

• Childhoodonset
• Thepresenceofaprecipitatingev

ent

• Co-

existingmajordepressivedisorder

• AandC

38. Whichofthefollowingisincons

istentwithcurrentknowledgea

bout schizophrenia?

• Schizophreniaisoneofthemostcom

monoftheseriousmentaldisorders

.

• Adiagnosisofschizophreniais

basedentirelyonthepsychiat

richistoryand

mentalstatusexamination.

• Dopaminelevelisalaboratorytestt

hatassistsinthediagnosisofschiz

ophrenia.

• Schizophrenialikelycompris

esagrouppfdisorderswithhet

erogeneous

etiologiesandvariablepres

entations.

39. AChronicdisordercharacterized

byrepetitivehairpullingleadin

gtovariable hairlo

s s thatmaybe

toothersisknownaswhichofthefo

llowing?

• Obsessive-CompulsiveDisorder
• ImpulseControlDisorder
• Trichoti l omania

• .....

P

40. Amethodoftherapyusedtotreatin

dividualswithsubstanceabuseba

sedon

thefundamentalprincipleofapsy

chologythatreinforcedbehavior

sarelikely tobe

isknownaswhichofthefollowing?

• Exposuretherapy
• Contingencymanagement

• Motivationalinterviewing
• Cognitivebehavioraltherapy

41. Theconditionsinwhichpeopleare

born,grow,work,live,andageare

known aswhichofthefollowing?

• Healthliteracy
• Healthdisparities
• Healthvulnerabilities
• Socialdeterminantsofhealth

42. Allthefollowingisconsistentw

ithANCCrulesregardingrecert

ification EXCEPT:

• Youarerequiredtohaveamaximu

m

of 25 credithoursduringeachcer

tification period

• Youcanstarttherecertificationp

rocess

1 yearbeforeyourexpirationdat

e,butno

laterthan 3 monthsbefore.

• Youmusthave 1000 clinicalpra

cticehoursintheclinicalspec

ialtywithinthe

preceding 5 years.

• Youmusthaveatleast 25 contactho

ursinpharmacotherapy.

43. Riskfactorsforschoo

lviolenceincludewhichofthefoll

owing?Selectallthat a

p p ly.

• Bu l ying
• Beingbu l ied
• Isolation
• Involvementinschoolorganizati

ons.

44. Personswhosubordinatetheirownn

eedstothoseofothers,getotherto

assumeresponsibilityformajorare

asofthelives,lackofself-

confidence,and

mayexperienceintensediscomfort

whenaloneformorethanabriefperi

odof

timearedemonstratingcharacter

isticsconsistentwithwhichofthe

following personalitydisorders?

• Avoidantpersonalitydisorder
• Passivepersonalitydisorder

• Dependentpersonalitydisorder
• Antisocialpersonalitydisorder

45. Generalizedconvulsions,oligur

ia,andrenalfailurearesymptoms

seenwith

whichofthefollowinglithium

levels?

• 1. 8 - 1. 5 mEq/L
• 1. 5 - 2. 0 mEq/L
• 2. 0 - 2. 5 mEq/L

• 2. 5 mEq/L

46 form

ofchildabuseinwhichapatientorcha

racterrepeatedlyfabricatesor

actuallyinflictsinjuryorillnessin

achildforwhom

medicalinterventionis

thensoughtinanemergencysettingi

sknownaswhichofthefollowing?

• Korsakoff'ssyndrome
• Snyder'ssyndrome
• Munchausensyndrome
• Munchausensyndromebyproxy

47.Self-

carestrategiesfortheARNPinp

reparingforthecertificatione

xam

includeallofthefollowingEXC

EPT?

• Studyinadistractionfreeenviro

nment

• Sixtoeighthoursofsleepisrecomm

ended

• Drinklotofcaffeineandeathighcon

centratedsugars

• Plantostudyforshortperiodsofti

meoveralongertimeperiod.

48.Apatientpresentswithaformal,

tensemann

er.Hereluctantlyreportsa

longstanding(sinceearlyadult

h

o o

d)pervasivesuspiciousnessofo

thers, preoccupiedwith

trustworthinesso

f friends,unjus

tifiedconcernsabout

othersdeceivinghim,angryabout

perceivedinsultsandslights,re

luctan

t to

confideintheARNP.TheARNPsuspect

sthatthepatientlikelyhaswhicho

f

thefollowingpersonalitydisorde

rs?

• Schizoidpersonalitydisorder
• Paranoidpersonalitydisorder
• Borderlinepersonalitydisorder

• Antisocialpersonalitydisorder

49.Apatientwithahistoryofalcoholu

sepresentstotheemergencydepar

tment

withoculomotordisturbances,cer

ebellarataxia,andconfusion

Symptoms

asconsistentwithwhichofthefollo

wingpsychiatricemergencies?

• Akathisia
• Korsakoff'ssyndrome
• Wernicke'sencephalopathy
• Idiosyncraticalcoholintoxicati

on

50.ClusterApersonalitydisorders

aremorecommoninbiologicalfami

liesof

patientswithwhichofthefollowi

ngdisorders?

• Depre

s sion

• Obsessive-compulsivedisorder
• Alcoholusedisorders
• Schizophrenia

51.NPcorecompetenciesforINDEPEND

ENTpracticeincludeallofthefoll

owing EXCEPT:

• Maintainsaco l aborationagreeme

ntwithphysician

• Demonstratesthehighestlevelof

a

c countabilityforprofe

s sionalpra

ctice...

• Practicesindependentlymanag

ingpreviouslydiagnosedandun

diagnosed patient

• Practicespatient-

centeredcarerecognizingcultu

rediversityandthepatientor

designeeasafu l partnerindecis

ionmaking

52. ClusterApersonalitytraitsconsi

stofwhichofthefollowing?

• Schizotypal,schizoid,andparano

idsubtypes

• Narcissistic,borderline,antisoc

ial,andhistrionicsubtypes

• Obse

s sive-

compulsive,dependent,andavoida

ntsubtypes

• Depre

s sive,anxious,hypomanicsub

types

53.Themisuseofthecharge'sfundsfo

rpersonalgainisknownaswhichof

the following?

• Neglect
• Physicalabuse
• Financialabuse/exploitation
• Emotional/psychologicalabuse

54.TheARNPrecognizeswhichofthef

ollowingaslongterm

effectsofsex

traffickingonvictims?

• Severedepression
• Spiritualquestions
• Traumabonding
• A l oftheabove

55.Inabouthalfofthecasesinwhichsu

icidesoccurwhileparentsareona

psychiatricunit,alawsuitresult

s.Whichofthefollowingisnotcons

istentwith whatcourts

relatedtoimpatientpsychiatric

unitsuicideevents?

• Courtsexpectsuicidestooccurinin

patientse t ings

• Courtsrequirezerosuicideratesi

ninpatientse t ing

• Periodicpatientevaluationfors

uiciderisk

• Evidenceo

f formulationofatreatm

entplanwithahighlevelofsecuri

ty

56.CulturalDimensionsTherapyisafr

ameworkforcross -

culturalcommunication

thatdescribestheeffectsofasocie

ty'scultureonthevaluesofits

members

bywhichofthefollowingtheorists

?

• Hofstede
• Leininger - Purce l