Walden University NRNP 6675 Week 11 Final Exam Updated 2023-2024 New Latest Version, Exams of Nursing

Download Walden University NRNP 6675 Week 11 Final Exam Updated 2023-2024 New Latest Version and more Exams Nursing in PDF only on Docsity! Walden University NRNP 6675 Week 11 Final Exam Updated 2023-2024 New Latest Version All 100 Questions Question: 1 Concerns when treating geriatric patients with psychotherapeutic drugs include all of the following EXCEPT: A. Elderly persons may be more susceptible to adverse effects of psychotherapeutic drugs. B. Elderly persons may metabolize psychotherapeutic drugs more slowly. C. Elderly persons may metabolize psychotherapeutic drugs more rapidly. D. Elderly persons may excrete psychotherapeutic drugs more slowly. Question 2 The treatment of others equitably and distribution of benefits/burdens fairly is known as which of the following? A. Fidelity B. Justice C. Beneficence D. Non-maleficence Question 3 Persons who subordinate their own needs to those of others, get other to assume responsibility for major areas of the lives, lack 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? A. Avoidant personality disorder B. Passive personality disorder C. Dependent personality disorder D. Antisocial personality disorder Question 4 According to Sullivan, which of the following are consistent with a mentor/mentee relationship? A. Mentors are assigned B. Mentor relationships are shorter term C. Goals for the mentoring relationship are set mutually. D. A and B only Question 5 A form of child abuse in which a parent or caretaker repeatedly fabricates or actually inflicts injury or illness in a child for whom medical intervention is then sought, often in an emergency A. Psychoanalytic oriented individual psychotherapy B. Psychoanalytic oriented group psychotherapy C. Exposure therapy D. A or B Question 16 The antipsychotics which are most likely to cause neuroleptic-induced parkinsonism are which have which of the following effects? A. High potency drugs with low levels of anticholinergic activity. B. Low potency drugs with low levels of anticholinergic activity. C. High potency drugs with high levels of anticholinergic activity. D. Low potency drugs with high levels of anticholinergic activity. Question 17 Treatment aimed at reducing intimate partner violence and domestic violence includes which of the following? A. Enhancing self-efficacy of the victim. B. Reducing recidivism of the abuser. C. Hormonal therapy for the perpetrator of abuse D. A and B only Question 18 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 the patient likely has which of the following personality disorders? A. Schizoid personality disorder B. Paranoid personality disorder C. Borderline personality disorder D. Antisocial personality disorder Question 19 Which of the following is consistent with current perspectives on nurse practitioner competencies? A. The National Organization of Nurse Practitioner Faculties has developed a list of core competencies that all students should have upon graduation from a master's program. B. Nursing specialty organizations DO NOT publish competencies for NPs who provide care in specialty areas. C. Employers DO NOT establish their own set of competencies. D. There are national standards for judging/evaluating nurse practitioner competencies. Question 20 Which of the following core competencies are quality competencies? A. Uses best available evidence to continually improve quality of practice. B. Integrates ethical policies in decision making. C. Evaluates the relationships among access cost quality safety and their influence on health care. D. A and C Question 21 Which of the following are criteria for a particular suicide to be considered inevitable? A. Strong genetic history of suicide in one or more family members. B. A strong genetic loading of mental illness in the family. C. The patient must have received the highest standard of treatment and that treatment failed. D. All of the above. Question 22 The misuse of the charge's funds for personal gain is known as which of the following? A. Neglect B. Physical abuse C. Financial abuse/exploitation D. Emotional/psychological abuse Question 23 Which of the following professionals would be able to precept a nurse practitioner student? A. An advanced registered nurse practitioner B. A physician C. A unlicensed social worker D. A and B Question 24 According to Freud, passive and dependent personality traits are associated with which stage of development? A. Oral stage B. Anal stage C. Phallic stage D. Latency stage Question 25 Self-injurious behavior with a nonfatal outcome, accompanied by explicit or implicit evidence that the person intended to die, is most specifically known as which of the following? A. Suicide B. Suicide intent C. Suicide attempt D. Aborted suicide attempt Question 26 The incidence of suicide is highest for which of the following populations? A. Older Latino men B. Older Caucasian men C. Older Caucasian women D. Older African American men Question 27 "Assumes complex and advanced leadership roles to initiate and guide change" is a NP core competency for which NP competency area? A. Policy competencies B. Quality competencies C. Leadership competencies D. Practice inquiry competencies Question 28 At a minimum, a psychiatric evaluation in an emergency should include which of the following? Select all that apply. A. Is the patient psychotic? B. Is the patient suicidal or homicidal? C. Is the problem organic, functional, or a combination? D. Is it safe for the patient to be in the emergency room? Question 29 Which stage of the cycle of domestic violence is characterized by the abuser subconsciously implementing defense mechanisms and cognitive distortions to alleviate the ego dystonic implication of the abuse? A. Sweetheart phase B. Honeymoon phase C. Tension building phase D. Defensive phase Question 30 An ARNP takes a position in which the ARNP is guaranteed a set salary but can make additional salary if he or she generates practice income over some set amount. This is known as what type of pay structure? A. Cluster A B. Cluster B C. Cluster C D. Cluster D Question 41 Using the LIAASE: A General Cultural Competence Tool, the ARNP would do which of the following? A. Agree to disagree on differences in values. B. Solicit other options or points of view. C. Acknowledge and validate powerful emotions when expressed. D. All of the above. Question 42 Being knowledgeable about one's own thoughts, feelings, and sensations as well as the ability to reflect on how these can affect one's interactions with others is known as which of the following? A. Cultural Awareness B. Cultural Competence C. Cultural Humility D. Cultural Sensitivity Question 43 The ARNP recognizes which of the following as long-term effects of sex trafficking on victims? A. Severe depression B. Spiritual questions C. Trauma bonding D. All of the above Question 44 Which of the following is used for treating alcohol-dependent individuals seeking to continue to remain alcohol free after they have stopped drinking? A. Tacrine B. Amantadine C. Galantamine D. Acamprosate Question 45 All of the following are risk factors for sexual assault EXCEPT A. Religion B. Serious mental illness C. Substance use disorder D. Family history of sexual abuse Question 46 A personality disorder characterized by emotional constriction, orderliness, perseverance, stubbornness, indecisiveness, and a pervasive pattern of perfectionism and inflexibility is known as which of the following? A. Depressive personality disorder B. Borderline personality disorder C. Dependent personality disorder D. Obsessive-compulsive personality disorder Question 47 A patient with a history of alcohol use presents to the emergency department with oculomotor disturbances, cerebellar ataxia, and confusion. The ARNP recognizes these symptoms as consistent with which of the following psychiatric emergencies? A. Akathisia B. Korsakoff's syndrome C. Wernicke's encephalopathy D. Idiosyncratic alcohol intoxication Question 48 A patient on lithium with a history of alcohol use disorder presents with dry mouth, ataxia, dizziness, abdominal pain, and slurred speech. The ARNP should do which of the following? A. The ARNP recognizes this is likely a relapse on alcohol so sends the patient home to sleep it off. B. The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, decreases the lithium by half, and encourages the patient to drink more fluids. C. The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, discontinues the lithium immediately, orders lithium level, serum electrolytes, and renal function tests. D. The ARNP recognizes these are symptoms of moderate to severe lithium toxicity, discontinues the lithium and tells the patient hemodialysis will most probably be needed. Question 49 "Walking on eggshells" and appeasement and avoidance behaviors by the victim is characteristic of which phase of the cycle of domestic violence? A. Honeymoon phase B. Abusive incident phase C. Tension-building phase D. Refractory phase Question 50 Which of the following is inconsistent with current literature about victims of sexual abuse? A. All victims of sexual abuse are aware that they are in an abusive relationship. B. Victims of sexual abuse may willingly participate in sexual acts with an idolized authority figure. C. The pre-existing relationship and familiarity with the abuser may impede the victim's ability to make rational decisions. D. The victim may make excuses for the abuser's behavior. Question 51 Self-care strategies for the ARNP in preparing for the certification exam include all of the following EXCEPT: A. Study in a distraction free environment. B. Six to eight hours of sleep is recommended. C. Drink lot of caffeine and eat high-concentrated sugars. D. Plan to study for short periods of time over a longer time period. Question 52 Which stage of the cycle of domestic violence is characterized by overt aggressive behavior towards the victim? A. Tension building phase B. Abusive incident C. Honeymoon phase D. Planning phase Question 53 A term that defines a person who has distress with clinical symptomatology because their gender identity is not consistent with gender assigned at birth is which of the following? A. Cisgender B. Gender fluid C. Pangender D. Gender dysphoria Question 54 A patient 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 personality disorders? A. Avoidant personality disorder B. Antisocial personality disorder C. Borderline personality disorder D. Narcissistic personality disorder Question 64 Low health literacy has been linked with which of the following? A. Poor health outcomes B. lower rates of hospitalization C. Less frequent use of preventive services D. All of the above Question 65 A patient appears odd, with a pervasive history of magical thinking, ideas of reference, illusions and derealization. This is consistent with which of the following personality disorders? A. Schizoid personality disorder B. Paranoid personality disorder C. Schizotypal personality disorder D. Avoidant personality disorder Question 66 Which of the following medications is associated with Ebstein's anomaly when given during pregnancy? A. Haldol B. Lithium C. Valproic acid D. Chlorpromazine Question 67 Which of the following symptoms of borderline personality disorder assist in differentiating borderline personality disorder from schizophrenia? A. Chronic feelings of emptiness B. Prolonged psychotic episodes C. Demand extraordinary relationships D. A and C only Question 68 A patient presents and is unapproachable, with poor eye contact, reporting a lifelong pattern of isolation, uncomfortable with human interaction, and constricted affect. This presentation is consistent with which of the following personality disorders? A. Schizoid personality disorder B. Borderline personality disorder C. Avoidant personality disorder D. Schizotypal personality disorder Question 69 Nurse practitioner preceptors should have at least how much experience as a nurse practitioner in the relevant specialty prior to precepting? A. A minimum of 6 months of experience as a licensed NP in the specialty B. A minimum of 9 months of experience as a licensed NP in the specialty C. A minimum of 1 year of experience as a licensed NP in the specialty D. A minimum of 2 years of experience as a licensed NP in the specialty Question 70 The ARNP is working with a patient who has a heightened sense of self-importance and grandiose feelings of uniqueness. The patient also lacks empathy for others, although is very sensitive to minor criticism. The ARNP recognizes these symptoms as consistent with which of the following personality disorders? A. Schizotypal personality disorder B. Borderline personality disorder C. Narcissistic personality disorder D. Histrionic personality disorder Question 71 The emotional burnout and lack of empathy towards clients that healthcare providers experience after treating victims of trauma is known as which of the following? A. Compassion fatigue B. Primary traumatization C. Transference D. Countertransference Question 72 The ARNP recognizes which of the following as short-term effects of sex trafficking on victims? A. Depersonalization B. Post-traumatic stress disorder C. Higher risk behaviors (i.e., drug and alcohol abuse) D. A and C only Question 73 According to Freud, stubborn, parsimonious, and highly conscientious traits are associated with which stage of development? A. Oral stage B. Anal stage C. Phallic stage D. Latency stage Question 74 Risk factors for school violence include which of the following? Select all that apply. A. Bullying B. Being bullied C. Isolation D. Involvement in school organizations Question 75 As a PMHNP, one of the most common areas you will counsel your patients about is the importance of sleep hygiene. Which of the following is NOT consistent with common recommendations for good sleep hygiene? A. Avoid alcohol and caffeine. B. Set a cool room temperature. C. Set TV to turn off within 1 hour of falling asleep. D. Go to bed at the same time each night. Question 76 Affirmatively acting to benefit another or others, going beyond what is required by law is known as which of the following? A. Fidelity B. Justice C. Beneficence D. Non-maleficence Question 77 The term "suicide survivor" refers to which of the following? A. Those who have lost a loved one to suicide. B. Someone who has attempted suicide but failed. C. Only those who have had a serious suicide attempt with a near death experience. D. This is an ambiguous term that should not be used. Question 78 Curriculum content that supports the NP scientific foundation competency area includes which of the following? Select all that apply. A. Comparison of patient data sets with evidence-based standards to improve care B. Science from other disciplines relevant to health care A. Schizotypal, schizoid, and paranoid subtypes B. Narcissistic, borderline, antisocial, and histrionic subtypes C. Obsessive-compulsive, dependent, and avoidant subtypes D. Depressive, anxious, hypomanic subtypes Question 88 Sexual assault is most often which of the following? A. A stranger B. An acquaintance C. A family member D. A professional Question 89 Which of the following is consistent with what is known about terrorist-bomber suicides? A. The goal is death or escape. B. The motivation is vengeance and mass murder. C. Psychological/psychiatric disorder is present in most cases. D. A and B only Question 90 Which of the following is not consistent with recommendations for psychiatric history taking and the mental status evaluation of older adults? A. When a patient is cognitively impaired, an independent history should be obtained from a family member or caretaker. B. The patient should still be seen alone even in cases of clear evidence of impairment to preserve the privacy of the doctor/patient relationship. C. If the patient is cognitively impaired, the patient should never be seen alone. D. Even in patients with cognitive impairment, it is important to elicit any suicidal thoughts or paranoid ideations privately. Question 91 The ARNP working as an at will employee realizes which of the following? Unless the ARNP has a contract for a specified term of employment, the employee A. has no legal right to a job. B. Employment will not be covered by equal opportunity or disability laws. C. He or she must negotiate terms of employment on a piecemeal basis. D. A and C only Question 92 The United States Supreme Court upheld the psychotherapist-patient privilege in which of the following cases? A. Jaffee v. Redmon B. Tarasoff I C. Tarasoff II D. O'Conner v.Donaldson Question 93 Loyalty, fairness, truthfulness, advocacy, and dedication in professional relationships is known as which of the following? A. Justice B. Fidelity C. Non-maleficence D. Respect for autonomy Question 94 Which of the following is consistent with what is known about personality disorders? A. Typical onset in early childhood B. Is stable over time C. Involves impairment in at least one of four areas of cognition, affectivity, interpersonal function or impulse control D. B and C only Question 95 A clause in an employment contract that specifies that an employer and employee may end the working agreement without cause within a specified number of days is known as which of the following? A. A restrictive covenant B. An employment clause C. A termination clause D. A and C Question 96 A late-appearing adverse effect of neuroleptic drugs is known as which of the following? A. Akathisia B. Parkinsonism C. Neuroleptic malignant syndrome D. Neuroleptic-induced tardive dyskinesia Question 97 The failure of a professional to exercise that degree of skill and learning commonly applied by the average prudent, reputable member of the profession is known as which of the following? A. Negligence B. Malpractice C. Causation of injury D. Duty liability Question 98 A somatopsychic illness triggered by changing levels of sex steroids that accompany an ovulatory menstrual cycle about one week before the onset of menses characterized by irritability, emotional lability, HA, anxiety, and depression is known as which of the following? A. Premenstrual syndrome B. Premenstrual depression C. Premenstrual dysphoric disorder D. Premenstrual psychosomatic disorder Question 99 Persons who exhibit impulsive traits also show high levels of which of the following hormones? Select all that apply. A. Testosterone B. 17-estradiol C. Estrone D. A and C only Question 100 Features that point to a medical cause of mental disorder include which of the following? Select all that apply. A. Acute onset (within hours or minutes with prevailing symptoms) B. Nonauditory disturbances of perception C. Current medical illness or injury D. Constructional