Psychiatric Disorders and Treatments, Exams of Nursing

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Which of the following are risk factors for neurolep4c malignant syndrome? Select all that apply Rapid dose escala4on; parental route of administra4on; higher potency typical an4psycho4cs Discrepancy between anatomical sex and gender is known as? B) Gender Discordance An4psycho4c medica4on provides D2 blockage in the meso-coritcal pathway causing which of the following effects? B) Increases EPS Incorrect: reduces nega4ve s/s, causes prolac4nemia, reduces posi4ve symptoms Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which of the following receptors? D) NMDA type receptors Incorrect: GABA, serotonin, dopamine "receptors" The diagnosis used to describe a syndrome characterized by specific s/s resul4ng from recent inges4on or exposure to a substance is known as which of the folllowing? C) Substance use disorder Incorrect: substance intox, substance withdrawal, all of the above Abnormal involuntary movements in a rhythmic paVern affec4ng the face, mouth, tongue jaw is known as which of the following?

WALDEN UNIVERSITY NRNP

6675 / NRNP 6675N Final Exam

(QUESTIONS AND VERIFIED

ANSWERS) graded A+ with

complete solutions 2024/ 2025

C) Tardive dyskinesia Incorrect: akathisia, dystonia, EPS A deeply held belief despite evidence to the contrary, las4ng at least 1 month, without prominent hallucina4ons, with func4onal impairment that relates to the delusional system disorder called? Delusional disorder Which of the following is true about preoccupa4on with castra4on? A) This can be serious and life threatening if castra4on is carried out without medical supervision Incorrect: consistent with transves4a4c 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 diagnos4cs services rendered by clinicians? CPT Incorrect: HIPPA, DSM5-, DRG A pa4ent on Chlorpromazine states his orgasm is dry and a[erwards he will commonly have milky urine. The APRN realizes this is which of the following? A) This is likely a harmless response to the Chlorpromazine "Thorazine" A condi4on which results from absence of second female sex chromosome (XO) and is associated with web neck, dwarfism, cubitus valgus and infer4lity is known as which of the following? B) Turners Syndrome Turners syndrome: tx involves hormone therapy; fer4lity treatments for women when they decide to have a baby Which of the following would be characterized as a nega4ve s/s of schizophrenia?

B & C only B) impaired social and occupa4onal func4oning C) isola4on and impaired self-care Which of the following are keys to dis4nguishing OCD from psychosis? Pa4ents with OCD can almost always acknowledge the unreasonable nature of their symptoms A federal program administered na4onally and locally which covers enrolled individuals 65+ who pays premiums and disabled individuals Both A& B (Medicare and Medicaid) Having an adequate legal descrip4on of nurse prac44oner (NP) scope of prac4ce according to state law is important for which of the following reasons? All of the above (to avoid any charges of prac4cing medicine without a license, to place accountability for both benefits and harm to pa4ents squarely on the NP, to get reimbursed for physician services when provided by a NP Which of the following is the most widely consumed psychoac4ve substance? B) Caffeine Incorrect: alcohol, heroin, cannabis Which of the following is used to tx TD? None of the above (cogen4n, artane, catapress) The APRN consensus model did which of the following? B & C B) adult and gerontology were merged and iden4fied as PCP or acute care C) psychiatric mental health foci were s4pulated as across the lifespan Which of the following behaviors are associated with an alcohol blood level of 0.05%? 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

A) Health Plans B) Other providers C) Any en4ty that may need it for a billing purpose A pa4ent 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 presenta4on means what diagnosis? Schizophrenia Major neurotransmiVers possibly involved in developing substance abuse and substance dependence are which of the following? A) Dopamine Incorrect: GABA, serotonin, A& B only The dopamine hypothesis of schizophrenia, which of the following? A) Schizophrenia results from too much dopaminergic ac4vity incorrect: results from a depriva4on of dopamine A pa4ent reports a panic aVack several years ago in an elevator and since then has avoided elevators. The pt meets the criteria for: B) Specific phobia A pa4ent with a substance use disorder who does not meet clinical criteria for hospitaliza4on but lacks sufficient social and voca4onal skills and lack substance-free social supports is to D) All of the above (Residen4al tx, par4al hospitaliza4on, outpt tx) Obscene phone calling to an unsuspec4ng partner for sexual arousal is known as? C) Telephone Scatologia (not telephillia, par4alism, normal adolescent prank) The main psychological difference between fear and anxiety is best described by which of these statements? B) Anxiety is insidious, fear is sudden

A diffuse, unpleasant, vague sense of apprehension o[en accompanied by autonomic symptoms varies upon persons is commonly known as which of the following? 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? 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 administra4on of a drug is known as which of the following? C) Neuroadap4on incorrect: cross-tolerance, neurotransforma4on, neurocogni4ve adjustment The recurrent and intense sexual arousal from the physical and psychological suffering of another person is known as which of the following? C) Sexual sadism Which of the following is not consistent with the onset of OCD? D) The onset of OCD is typically preceded by OCD personality traits 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 pa4ents occurs a[er a stressful event
• most pa4ents keep their symptoms secret ini4ally The recurrent urge to expose one's genitals to a stranger is known ass which of the following? C) Exhibi4onism Which of the following pa4ents would be appropriate for hospitaliza4on for substance use disorder? Select all that apply D) A&B only (Pa4ents who have a substance overdose who cannot be safely tx in an outpt

segng & pts who are at risk for severe or medically complicated withdrawal symptoms The nursing prac4ce model recommenda4on for nps by the na4onal Academy of Medicine and the Na4onal Council of State Boards of Nursing is which of the following? A) Full prac4ce Which of the following groups does medicare cover? Select all the above 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 neurotransmiVers increases libidio? D) Dopamine Incorrect: GABA, serotonin, oxytocin Which of the following factors are associated with poor prognosis for pa4ents with OCD? D) A & C (Childhood onset & Co-exis4ng major depressive disorder) Which of the following is inconsistent with current knowledge about schizophrenia? C) Dopamine level is a laboratory tests that assists in the diagnosis of schizophrenia A chronic disorder characterized by repe44ve hair pulling leading to variable hair loss that may be..to others known as? C) Tricho4llomania Which of the following are risk factors for neurolep4c malignant syndrome? B) Rapid dose escala4on C) Parental route of admin D) High potency typical an4psycho4cs 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? B) Con4ngency Management

The condi4ons in which people are born, grow, work, live and age are known as? Social determinants of health All of the following is consistent with the anccs rules regarding recer4fica4on EXCEPT: A) You are required to have a maximum of 25 credit hours during each cer4fica4on period Correct: B) you can start the recert process 1 year before your expira4on date, but no later than 3 months before C) You must have 1000 clinical prac4ce hours in a clinical speciality within the preceding 5 years 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 A) Bullying B) Being bullied C) Isola4on 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 4me are demonstra4ng characteris4cs with which of the following personality disorders? C) Dependent personality disorder Incorrect: avoid PD, passive PD, an4social PD Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the following lithium levels? D) >25 meq/L (TOXICITY) A form of child abuse in which a pa4ent or character repeatedly fabricates or actually inflicts injury or illness in a child for whom medical interven4on is then sought in an ER is known as which of the following? D) Munchausen Syndrome by Proxy

Self-care strategies for the ARNP in preparing for the cer4fica4on exam include all of the following EXCEPT? D) plan to study for short periods over a longer period of 4me A pa4ent presents with a formal, tense manner. He reluctantly reports a longstanding (since early adulthood) pervasive suspiciousness of others, preoccupied with..trustworthiness of friends, unjus4fied 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? B) Paranoid PD Incorrect: schizoid PD, BDP, An4social 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? C) Wernickes Encephalopathy Incorrect: akathisia, korsakoff's syndromes, idiosyncra4c alcohol intoxica4on Cluster A personality disorders are more common in biological families of pts with which of the following disorders? D) Schizophrenia Incorrect: depression, OCD, alcohol use disorder NP core competencies for INDEPENDENT prac4ce includes all of the following EXCEPT: B) Demonstrates the highest level of accountability for professional prac4ce NP competencies for independent prac4ce: A) Maintain a collabora4on agreement with physician C) Prac4ces independently managing previously diagnosed and under- diagnosed pts D) Prac4ces pa4ent centered care recognizing culture diversity and the pt or designee as a full prac4ce in decision making Cluster A personality traits consists of which of the following? A) Schizotypal, schizoid, and paranoid subtypes The misuse of the charge's funds for personal gain is known as which of the following?

C) Financial abuse /exploita4on The ARNP recognizes which of the following as long term effects of sex trafficking on vic4ms? D) All of the above A) Severe depression B) Spiritual ques4ons 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 impa4ent psychiatric unit suicide events? B) Courts provide ZERO suicide rates in inpt segng Cultural Dimensions Therapy is a framework for cross-cultural communica4on that describes the effects of a society's culture on the values of its members..by which of the following therorists? A) Hofstede The tx of choice for pts with paranoid PD includes which of the following? D) B&C B) Behavioral Therapy and C) Psychotherapy The differences in quality of healthcare ac4ons across individuals or groups regard to access, tx op4ons and p..following? B) Health dispari4es The incidence of suicide is highest for which of the following popula4ons? 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? C) The ARNP recognizes the symptoms of moderate lithium toxicity, discon4nues the lithium immediately, orders lithium level, serum electrolytes and renal func4on tests The ARNP takes a posi4on in which a specific amount is paid according to a set job descrip4on. The ARNP should do which of the following?

C) The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, discon4nues the lithium immediately, orders a lithium level, serum electrolytes and renal func4on tests The ARNP takes a posi4on in which a specific amount is paid according to a set job descrip4on. This type of pay structure is known as? D) Hourly rate A PD characterized by emo4onal constric4on, orderliness, perseverance, stubbornness, indecisiveness, a inflexibility as which of the following? Obsessive compulsive PD Which of the following is consistent with NP prac4ce parameters when prescribing buprenorphine? 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? B) Men and women with higher educa4on 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? A_) GAD aVributable to another medical condi4on Which of the following is not consistent with benzo withdrawal? 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 prac4ce of the PMHNP? D) A&B only A) all have some degrees of prescrip4ve 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? A) Intrusion Symptom B) Symptom of Avoidance

In which ways are nps and pas different? D) A&B A) nps differ from pas in legal defini4on, scope of prac4ce, licensure, and independence of prac4ce B) nps prac4ce under their own license and independent of the physician, pas always work under the supervision of a physician Which of the following ini4als would a PMHNP use to designate appropriate creden4als? PMHNP-BC Varia4ons from norms in gender roles such as toy preferences, rough and tumble play, aggression, or playmate gender is known as which of the following? B) Gender role behavior 3 major neurotransmiVers associated with anxiety, based on animal studies and response to drug tx include? B) GABA, norepinephrine and serotonin Which of the following is consistent with the epidemiology of schizophrenia in the US? D) 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 B) Explana4on by the pt which is inconsistent with the type of injury C) Psychological distress such as depression, anxiety, SI, and/or sleep disorder D) Explana4on 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? B) In popula4ons with severe anxiety, tele psychiatry is preferred Which of the following is consistent with literature regarding the term psychosexual? D) None of the above

• psychosexual is used to describe personality development and func4oning
• psychosexual is synonymous with libidio in the Freudian sense
• Psychosexual basically refers only to sexual feelings and behavior

Bleuler iden4fied 4 fundamental s//s of schizophrenia, known as the 4 a's, which include which symptoms? A) Associa4ons, Affect, Au4sm, Ambivalence The fear/anxiety regarding places from which escape may be difficult is known as which of the following: C) Agoraphobia All of the following are one of the 5 major categories of third-party payers EXCEPT: D) only A & B A) Medicare/medicaid B) Managed care organiza4on (mcos) Which of the following are risk factors for sexual assault EXCEPT: A) Religion 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? D) All of the above (feelings of guilt/ and inadequacy are o[en present and excessive; thoughts of harming the baby are o[en present; typical onset is within 3-06 months of delivery) Affirma4vely ac4ng to benefit another or others, going beyond what is required by law is known as which of the following?> C) Beneficence Which of the following is used for trea4ng alcohol dependence individuals seeking to con4nue to remain alcohol free a[er they have stopped drinking? D) Acamprosate The NP can impact health policy and healthcare by doing which of the following? D) All of the above

• becomes an ac4ve member of local, state, and/or na4onal NP
• becomes familiar with the resources available on NP organiza4on websites

• Volunteer to serve on legislature commiVees within professional NP organiza4ons The tx of others equitably and distribu4on of benefits/burdens fairly is known as? B) Jus4ce Which of the following is INCONSISTENT with current literature about vic4ms of sexual abuse? C) The pre-exis4ng rela4onship and\ familiarity with the abuser may impeded the vic4m's ability to make ra4onal decisions Which of the following would cons4tute negligence? Select all that apply A) Failure to give necessary care B) Failure to refer when necessary C) Failure to follow up with a pa4ent D) Failure to disclose necessary info to a pa4ent Which of the following developed a biblically-based cultural competence model for healthcare professionals? B) Camipinha-Cacote` The ARNP recognizes which of the following as long term effects of sex trafficking on vic4ms? D) All of the above
• severe depression
• spiritual ques4ons
• trauma bonding A pa4ent appears odd, with a pervasive hx of magical thinking, ideas of reference, illusions or derealiza4on. This is consistent with which of the folllowing pds? C) Schizotypal PD Which of the following are criteria for a par4cular suicide to be considered inevitable? D) All of the above
• strong gene4c hx of suicide in one or more family members
• a strong gene4c 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? C) Wernicke's encephalopathy The emo4onal burnout and lack of empathy towards clients that healthcare providers experience a[er trea4ng vic4ms is known as the following? B) Primary trauma4za4on, WRONG ANS The ACE study found that which of the following rela4onships between child trauma4c events and high-risk behaviors exhibited by adults? D) The study revealed an indirect rela4onship between child trauma4c events and high risk adult behaviors Walking on eggshells and appeasement/avoidance behaviors by the vic4m is characteris4c of which phase of the cycle of DV? A) Honeymoon phase, I dont accept this it should be Tension building phase What are the different phases of DV?

1. Tension building phase
2. Incident
3. Reconcilia4on
4. Calm The only appproved therapy in the US for moderate to severe Alzheimers Disease is which of the following? B) Meman4ne Meman4ne is? A) Namenda, cogni4on enhancing medica4on for alzheimers/demen4a A term that defines a person who has distress with clinical symptomology because their gender iden4ty is not consistent with gender assigned at birth is which of the following? D) Gender Dysphoria Narcissis4c, borderline, an4social, and histrionic subtypes are associated with which cluster of pds? B) Cluster B Odd, eccentric cluster of pds?

Cluster A a. Paranoid PD b. Schizoid PD C. Schizotypal PD Characterized by appearing drama4c, emo4onal, or erra4c PD? Cluster B a., an4social b. Borderline c. Histrionic d. Narcissis4c Inner emp4ness, unstable rela4onships and emo4onal dysregula4on? BPD AVen4on seeking and excessive emo4onability? Histrionic Social irresponsibility, diregard for others, deceivulness, and manipula4on of others for personal gain An4social Self-grandiosity, need for admira4on and lack of empathy Narcissis4c PD Eccentric ideas and behaviors PD? Schizotypal PD Disinterest in others PD? Schizoid Mistrust and suspicion PD? Paranoid PD Characterized by appearing anxious or fearful. It includes which pds? Cluster C a. Avoidant PD b. Dependent PD c. Obsessive compulsive PD Perfec4onism, rigidity and obs4nacy traits PD? OCD PD

Avoidance of interpersonal contact due not rejec4on sensi4vity PD? `Avoidant Submissiveness and a need to be taken care of PD? Dependent PD Which of the following is NOT consistent with recommenda4ons for psychiatric hx taking and the MSE of older adults? B) Pt should be seen alone even in cases of clear evidence of impairment to persevere the privacy of a doctor/pt rela4onship Low health literacy has been linked with which of the following? D_ All of the above

• poor health outcomes
• lower rates of hospitaliza4on
• less frequent use of preventa4ve services A claim of malprac4ce requires that a pa4ent/plain4ff prove which of the following? Select all that apply A) The existence of a client-professional rela4onship--duty 4 care 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? D) All of the above
• an individual whose primary residence during the night is a supervised public or private facility that provides temporary living accommoda4ons
• an individual who is a resident in transi4onal housing
• a person who is living w /a friendA par4cular form of psychotherapy used for pts with BPD, especially those with parasuicidal behaviors, such as frequent cugng is known as which of the following? A) DBT incorrect: mentaliza4on based tx; transference focused psychotherapy and exposure therapy

As a pmhnp, one of the most common areas you will counsel your pa4ents about is the importance of sleep hygiene. Which of the following is NOT consistent with common recommenda4ons for good sleep hygiene? B) Set a cool room temp True sleep hygiene 4ps:

• avoid alcohol and caffeine
• set TV to turn off within 1 hr of falling asleep
• go to bed at the same 4me each night The need for nps to prac4ce to the full extent of their educa4on and training is necessary for which of the following reasons? Select all of the above A) The growth in number and propor4on of older Americans B) The projected PCP shortages by 2025 C) increased number of individuals who have access to healthcare According to Freud, stubborn, parsimonious and highly conscien4ous traits are associated with? B) Anal stage Freud's Psychosexual Theory and 5 Stages of Human Development? 1.Oral stage

2. Anal stage
3. Phallic stage
4. Latent stage
5. Genital stage The mouth, sucking, swallowin ect Stage 1- oral stage EGO develops in which phase? ORAL phase 1 The penis or vagina-sexual intercourse? Stage 5 genital `The anus- withholding or expelling feces
6. Anal stage LiVle to no sexual mo4va4on present? Stage 4. Latent phase The penis or clitoris- masturba4on Stage 3 Phallic

The SUPEREGO develops at what phase? Stage 3 Phallic Features that point to a medical cause of a mental disorder includes which of the following? D) A& C A) Acute onset C) Visual hallucina4ons A pa4ent currently on risperidone presents to the ED with increased agita4on, restlessness, muscle discomfort and dysphoria. The ARNP recognizes these symptoms of akathisia and recommends which of the following? Select all that apply B) Benztropine IM only incorrect: reduce an4psycho4c dosage, Benadryl PO or IM, B&C only Self-care strategies in prepara4on for the cer4ficate exam includes all of the following EXCEPT: C) Drink lots of caffeine and eat high concentrated sugars good self care strategies:

• plan to study for short periods over a long 4me
• study in a distrac4on free environment
• 6 - 8 hours of sleep is recommended Which of the following professionals would be able to precept a NP student? 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; dysfunc4on. Which of the following is true? C) An atypical an4psycho4c such as olanzapine or risperidone should be used Pts with this PD are described as excitable, emo4onal and behave in a colorful, drama4c, extroverted, aVen4on-seeking fashion, o[en with an inability to maintain deep long-las4ng aVachments B) Histrionic PD

A PD characterized by emo4onal constric4on, orderliness, perseverance, stubbornness, indecisiveness and a paVern of perfec4onism and inflexibility is known as which of the following? D) OCD PD Which of the following core competencies are quality competencies? D) A&C A) use best available evidence to con4nually improve quality of prac4ce C) evaluates the rela4onship among access cost quality safety and their influence on health care Non-pharmacologic tx for abuse includes all of the following EXCEPT: D) Involve the abuser in the tx planning Non-pharmacologic tx op4ons for abuse vic4ms?

• CBT
• build a community of support
• assist pt to devise a safe escape plan A PD characterized by extraordinarily unstable affect, mood, behavior, object rela4ons and self-image is known as? BPD A par4cular form of psychotherapy based on OVo Kernbeg's object rela4ons theory is known as which of the following?> C) Transference-focused psychotherapy Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the following Lithium levels? C) > 2.5 meq/L Nausea, vomi4ng, anorexia, blurred vision, clonic limb movements, convulsions, oliguria and renal failure Moderate Lithium toxicity: 2.0-2. Lithium therapeu4c window 0.6-1.2 meq/L First med approved for bipolar d/o Lithium Common side effects of Lithium, Tremor, nausea., fa4gue, increased thirst, slowed thinking

Important serious side effects of Lithium: Hypothyroidism, weight gain, diabetes insipidus, and lithium toxicity How do we decrease the risk of lithium toxicity? Blood level monitoring therapeu4c range: 0.6 - 1. Lithium levels are known to (increase/decrease) when used concurrently with diure4cs, thiazides, ACE inhibitors and nsaids? Increase ACE inhibitors: lisinopril, catopril, enalapril Lithium levels are known to (increase/decrease) when used with drugs including caffeine, acetazolamide and theophylline Decrease Concurrent use of lithium and an4depressants and/or an4psycho4cs can cause what? Serotonin syndrome & Neurolep4c malignant syndrome The term "suicide survivor" refers to which of the following? A) those who have lost a loved one to suicide At a minimum, a psychiatric evalua4on in an emergency should include which of the following? Select all the above C) is the problem organic, func4onal or a combina4on? 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, unjus4fied 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? B) Paranoid PD The obliga4on to not inflict harm or balancing unavoidable harm with benefits of good achieved is known as which of the following? 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? D) Evidence of formula4on 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? D) all of the above

• agree to disagree on differences in values
• solicit other op4ons or points of view
• acknowledge and validate powerful emo4ons when expressed Which of the following is NOT consistent with what is known about PP psychosis? A) symptoms of PP psychosis can o[en begin within days of delivery Concerns when trea4ng geriatric pa4ents with psychotherapeu4c drugs includes all of the following EXCEPT: B) Elderly persons may be more suscep4ble to adverse effects of psychotherapeu4c 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? C) Termina4on 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? 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 op4ons, and preventa4ve services is known as? B)Health dispari4es incorrect: racism, vulnerable popula4ons, SDOH Which of the following medical condi4ons can present with prominent mental status changes that mimic common psychiatric illnesses. Select all that apply

B) Thyroid diseases C) Head trauma Incorrect: DM, AIDS Risks factors for school violence include which of the following? Select all the above A) bullying B) being bullied C) Isola4on Being knowledgeable about one's own thoughts, feelings and sensa4ons as well as the ability to reflect on how these can affect one's interac4ons with others is known as? A) Cultural awareness A pt with an inability to conform to the social norms that ordinarily govern many aspects of a person's behavior is consistent with which of the following pds? D) Narcissis4c PD Which of the following meds are associated with neural tube defects when given during pregnancy? C. Valproic acid Curriculum content supports the NP scien4fic competency area includes which of the following? Select all that apply A) Comparison of pt data sets with evidenced based standards to improve care B) Science from other disciplines relevant to heath care Self-injurious behaviors with a nonfatal outcome, accompanied by explicit or implicit evidence that the person intended to die, is most specifically known as what? C) Suicide aVempt The ARNP is working with a pt who has heightened sense of self-importance and grandiose feelings of uniqueness. The pt also lacks empathy for others, although is very sensi4ve to minor cri4cisms. The ARNP recognizes these s/s as consistent with which of the following PD? C) Narcissis4c PD

The degree to which individuals have the cogni4ve and social capacity to access, process, and u4lize basic health info and services to maintain good health, make appropriate health decisions and meet their goals is known as? A) Health Literacy Risk factors for physical abuse includes all of the following EXCEPT: A) Literacy Risk factors for physical abuse?:

• pregnancy, serious mental illness, hx of vic4miza4on during the developmental years According to Freud, passive and dependent personality traits are associated with which stage of development? B) Anal stage Sexual assault is most o[en which of the following? C) family member incorrect: stranger, acquaintance, professional Which of the following is the tx of choice for pt's with depressive personality? A) Exposure therapy incorrect: light exposure therapy, insight oriented psychotherapy, transmagne4c s4mula4on (TMS) Which of the following medica4ons is associated with Ebstein's anomaly when gievn during pregnancy? B) Lithium *Actually a very small risk to pregnancy-- should be used more In Canterbury v Spence in the US Court of Appeals for the District of Columbia Circuit listed physician responsibili4es for disclosure. Which of the following is NOT listed as a responsibility? D) inform the pt about precau4onary therapy that he or she should seek in the future Ethnocentrism results in which of the following? C) Provides caregivers with the ability to beVer care for pt's of various culture

Which of the following demographic characteris4cs is consistent with high suicide risk? D) Over 45 years of age An ARNP takes a posi4on in which the ARNP is guaranteed a set salary but can make addi4onal salary if he/or she generates prac4ce income over some set amount; this is known as what type of pay structure? C) Base salary plus percentage Which of the following is NOT consistent with guidelines as a mentor? D) Be specific and kind when giving construc4ve feedback that ay not be what the mentee might want to hear Which stage of the cycle of DV is characterized by overt aggressive Cluster A PD includes which 3 disorders? Schizotypal, schizoid, paranoid subtypes Cultural dimensions therapy: Hofstede describes the effects of a society's culture on the values of its members Tx of choice with a pt with paranoid PD? B&C

• behavioral therapy
• psychotherapy Which of the following is NOT a common physical effect of cannabis? B) Mild bradycardia S/.s of cannabis physical effects? Mild tachycardia, orthosta4c hypotension, dila4on of the conjunc4val blood vessels A conscious standard recurrent behavior such as coun4ng, checking, avoiding that interferes with the person's normal rou4ne and func4oning is known as? A_ Compulsion Most everyone has a firm convic4on that they are male or female by which age range? B) 2-3 years of age A pt who presents absent movements with difficulty star4ng ac4vi4es, flat affect and avoli4on would be assessed as having?

D)_ Pseduo-parkinsonism What of the following is consistent with current epidemiology literature about gender and OCD? D) Adult men and women are equally likely to have OCD A type of schizophrenia in which the individual has a marked disturbance of motor func4on and may involve stupor, nega4vism, rigidity, excitement or posturing or mu4sm is? B) Catatonic A pt who presents with the inability to remain s4ll with motor restlessness, would be assessed to have? B) Akathisia Method of therapy used to tx individuals with substance use disorders? B) Con4ngency Management Ethnocentrism results in which of the following? C) provides care givers the ability to care for pts of various cultures Which of following demographic characteris4cs is consistent with high suicide risk? D) Over age 45 In educa4ng the pt beginning to take Lithium, the ARNP explains which of the following is related to diet and fluid intake? D) All of the above

• caffeine and alcohol act as hydra4on agents and can raise your lithium concentra4ons
• drink @ least 1 gal of water or more each day & limit your salt intake
• if you go on A diet, your doctor may need to increase the frequency of blood tests Three major neurotransmiVers associated with ANXIETY, based on animal studies and response to drug tx include? B) GABA, norepinephrine and serotonin What neurotransmiVer increases libidio? D) Dopamine Concerns when trea4ng geriatric pts with psychotherapeu4c drugs includes all of the following EXCEPT? C) Elderly persons may metabolize psychotherapeu4c drugs more rapidly