NURS 6675 Week 6 Midterm Exam (100% Correct Answers)

1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply  Age  Rapid dose escalation  Parental route of administration  Higher potency typical antipsychotics 2. Antipsychotic medications provide D2 blockade in the mesocortical pathway 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 recent ingestion or 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? S - The Marketplace to Buy and Sell your Study Material  Akathisia  Dystonia  Tardive dyskinesia  Extrapyramidal side effects 6. A deeply held belief despite evidence to the contrary, lasting at least one month, without prominent hallucinations, with functional impairment that relates to the delusional system  Schizophrenia  Delusional disorder  Brief psychotic disorder  Schizophreniform disorder 7. Which of the following is true about preoccupation with castration?  This can be serious and life-threatening if castration is carried out without medical supervision.  This is consistent with Transvestic Disorder  This is consistent with other specified paraphilic disorder  This is consistent with sexual masochism disorder 8. Which of the following is a system that provides a uniform language for describing medical and surgical procedures and diagnostic services rendered by clinicians?  HIPPA  DSM-5  CPT  DRG 9. A patient on Chlorpromazine states that his orgasm is dry and afterward he will commonly have milky urine. The ARNP realizes which of the following?  This is likely a harmless response to the Chlorpromazine  This is abnormal and needs to be evaluated by a specialist  It is critical to stop the Chlorpromazine immediately S - The Marketplace to Buy and Sell your Study Material Downloaded by: LIBRARY | Distribution of this document is illegal Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material  This has nothing to do with the Chlorpromazine the patient be referred to his PCP for follow-up 10. A condition which results from absence of second female sex Chromosome (XO) and is associated with web neck, dwarfism, cubitus valgus, and infertility is known as which of the following?  Hermaphroditism  Turner's syndrome  Adrenogenital syndrome  Androgen insensitivity syndrome 11. Which of the following would be characterized as a negative symptom of schizophrenia?  Hallucinations and delusions  Impaired social and occupational functioning  Isolation and impaired self-care  B and C only 12. Which of the following are keys to distinguishing OCD from psychosis?  Patients with OCD can almost always acknowledge the unreasonable nature of their symptoms  Patients with OCD are better able to control their compulsions.  Patients with psychosis will have more obsessive thoughts.  Patients with OCD have less bizarre obsessions. 13. A federal program administered nationally and locally which covers enrolled individuals 65 years and older who pay premiums and disabled individuals....  Medicare  Medicaid  Both A and B  None of the above S - The Marketplace to Buy and Sell your Study Material Downloaded by: LIBRARY | Distribution of this document is illegal Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material 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 accountability 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)  Catapress (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 0.05 percent?  Voluntary motor actions usually become perceptibly clumsy  Thought judgment, and restraint are impaired  Confusion, stupor S - The Marketplace to Buy and Sell your Study Material Downloaded by: LIBRARY | Distribution of this document is illegal Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material  None of the above 19. According to HIPPA, which of the following must the NP 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 S - The Marketplace to Buy and Sell your Study Material Downloaded by: LIBRARY | Distribution of this document is illegal Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material 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 is ap  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, vague sense of apprehension often accompanied by autonomic symptoms which varies among persons is commonly known as which of the following? S - The Marketplace to Buy and Sell your Study Material Downloaded by: LIBRARY | Distribution of this document is illegal Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material  Fear  Stress  Normal anxiety  Pathological anxiety 28. If a pregnancy begins while the woman is taking high doses of methadone and withdrawal is desired, during which trimester is this least hazardous?  First trimester  Second trimester  Third trimester  Withdrawal from methadone should never be done while the woman is pregnant 29. Neurochemical or neurophysiologic changes in the body that result from the repeated administration of a drug is known as which of the following?  Cross-tolerance  Neurotransformation  Neuroadaptation  Neurocognitive adjustment 30. The recurrent and intense sexual arousal from the physical and psychological suffering of another person is known as which of the following?  Frotteurism  Voyeurism  Sexual sadism  Sexual masochism 31. Which of the following is not consistent with the onset of OCD?  More than half of patients with OCD have a sudden onset of symptoms  The onset of symptoms for about 50-70 percent of patients occurs after a stressful event.  Most patients keep their symptoms secret initially.  The onset of OCD is typically preceded by OCD personality traits. S - The Marketplace to Buy and Sell your Study Material Downloaded by: LIBRARY | Distribution of this document is illegal Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material 32. The recurrent urge to expose one's genitals to a stranger is known as which of the following?  Fetishism  Voyeurism  Exhibitionism  Paraphilic disorder 33. Which of the following patients would be appropriate for hospitalization for substance use disorder? Select all that apply.  Patients who have a substance overdose who cannot be safely treated in an outpatient setting  Patients who are at risk for severe or medically complicated withdrawal syndromes  Patients who have a history of not benefiting from treatment in a less intensive setting  A and B only 34. The nursing practice model recommended for NPs by the National Academy of Medicine and the National Council of State Boards of Nursing is which of the following?  Full practice  Reduced practice  Restricted practice  Arbitrary practice 35. Which of the following groups does Medicare cover? Select all that apply.  Individuals 65 years and older who have enrolled and pay premiums  Disabled individuals who qualify for Social Security Disability payments and benefits  Adults who are disabled for one year or less and who qualify on the basis of poverty  Mothers and children who qualify on the basis of poverty. 36. Which of the following neurotransmitters increases libido? S - The Marketplace to Buy and Sell your Study Material Downloaded by: LIBRARY | Distribution of this document is illegal Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material  GABA  Serotonin  Oxytocin  Dopamine 37. Which of the following factors are associated with poor prognosis for patients with OCD?  Childhood onset  The presence of a precipitating event  Co-existing major depressive disorder  A and C 38. Which of the following is inconsistent with current knowledge about schizophrenia?  Schizophrenia is one of the most common of the serious mental disorders.  A diagnosis of schizophrenia is based entirely on the psychiatric history and mental status examination.  Dopamine level is a laboratory test that assists in the diagnosis of schizophrenia.  Schizophrenia likely comprises a group pf disorders with heterogeneous etiologies and variable presentations. 39. A Chronic disorder characterized by repetitive hair pulling leading to variable hair loss that may be....to others is known as which of the following?  Obsessive-Compulsive Disorder  Impulse Control Disorder  Trichotillomania  ..... PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP 40. A method of therapy used to treat individuals with substance abuse based on the fundamental principle of a psychology that reinforced behaviors are likely to be...is known as which of the following?  Exposure therapy  Contingency management S - The Marketplace to Buy and Sell your Study Material Downloaded by: LIBRARY | Distribution of this document is illegal Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material  Motivational interviewing  Cognitive behavioral therapy 41. The conditions in which people are born, grow, work, live, and age are known as which of the following?  Health literacy  Health disparities  Health vulnerabilities  Social determinants of health 42. All the following is consistent with ANCC rules regarding recertification EXCEPT:  You are required to have a maximum of 25 credit hours during each certification period  You can start the recertification process 1 year before your expiration date, but no later than 3 months before.  You must have 1000 clinical practice hours in the clinical specialty within the preceding 5 years.  You must have at least 25 contact hours in pharmacotherapy. 43. Risk factors for school violence include which of the following? Select all that apply.  Bullying  Being bullied  Isolation  Involvement in school organizations. 44. Persons who subordinate their own needs to those of others, get other to assume responsibility for major areas of the lives, lack of 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?  Avoidant personality disorder  Passive personality disorder S - The Marketplace to Buy and Sell your Study Material Downloaded by: LIBRARY | Distribution of this document is illegal Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material  Dependent personality disorder  Antisocial personality disorder 45. Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the following lithium levels?  0.8-1.5 mEq/L  1.5-2.0 mEq/L  2.0-2.5 mEq/L  2.5 mEq/L 46. .....form of child abuse in which a patient or character repeatedly fabricates or actually inflicts injury or illness in a child for whom medical intervention is then sought in an emergency setting is known as which of the following?  Korsakoff's syndrome  Snyder's syndrome  Munchausen syndrome  Munchausen syndrome by proxy 47. Self-care strategies for the ARNP in preparing for the certification exam include all of the following EXCEPT?  Study in a distraction free environment  Six to eight hours of sleep is recommended  Drink lot of caffeine and eat high concentrated sugars  Plan to study for short periods of time over a longer time period. 48. 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 that the patient likely has which of the following personality disorders?  Schizoid personality disorder  Paranoid personality disorder  Borderline personality disorder S - The Marketplace to Buy and Sell your Study Material Downloaded by: LIBRARY | Distribution of this document is illegal Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material  Antisocial personality disorder 49. A patient with a history of alcohol use presents to the emergency department with oculomotor disturbances, cerebellar ataxia, and confusion.... Symptoms as consistent with which of the following psychiatric emergencies?  Akathisia  Korsakoff's syndrome  Wernicke's encephalopathy  Idiosyncratic alcohol intoxication 50. Cluster A personality disorders are more common in biological families of patients with which of the following disorders?  Depression  Obsessive-compulsive disorder  Alcohol use disorders  Schizophrenia 51. NP core competencies for INDEPENDENT practice include all of the following EXCEPT:  Maintains a collaboration agreement with physician  Demonstrates the highest level of accountability for professional practice...  Practices independently managing previously diagnosed and undiagnosed patient  Practices patient-centered care recognizing culture diversity and the patient or designee as a full partner in decision making