NURS 6675 Mid Term Exam / NRNP- Midterm Exam

NURS 6675 Mid Term Exam / NRNP-6675 2022 Midterm Exam Week 6Which of the following are consistent with current data related to the prevalence of drinking alcohol? A Men and women with higher education and income are less likely to drink alcohol. . B Men and women with higher education and income are more likely to drink alcohol. . C Men and women with lower education and higher income are more likely to drink alcohol. . D Education and income are not a factor in prevalence of drinking alcohol. . Discrepancy between anatomical sex and gender identity is known as which of the following? A Gender role behavior . B Gender discordance . C Gender nonconformity . D Internalized sexual prejudice . S - The Marketplace to Buy and Sell your Study Material STUVIAU The fear of social situations, including situations that involve scrutiny or contact with strangers is known as which of the following? A Specific phobia . B Social anxiety disorder . C Generalized anxiety disorder . D Avoidant personality disorder . Recurrent preoccupation with sexual urges and fantasies involving the act of being humiliated, beaten, bound, or otherwise made to suffer is known as which of the following? A Frotteurism . B Sexual Sadism . C Sexual Masochism* . D Other Specified Paraphilic Disorder . Which of the following is not consistent with the onset of OCD? A More than half of patients with OCD have a sudden onset of symptoms. . B The onset of symptoms for about 50 – 70 percent of patients occurs after a stressful event. . C Most patients keep their symptoms secret initially. . D The onset of OCD is typically preceded by OCD personality traits. . Which of the following neurotransmitters increases libido? S - The Marketplace to Buy and Sell your Study Material STUVIAU A term used to designate the behavioral patterns of family members who have been significantly affected by another family member’s substance use or addiction is which of the following? Data indicate which of the following regarding women drinking while pregnant or breast feeding? A Women who are pregnant or are breast-feeding should not drink alcohol. . B Women who are pregnant should not drink alcohol but drinking alcohol while breast-feeding is not a risk to the baby. . C Women who are pregnant or breast-feeding can drink one alcoholic drink up to 3 times per week without concern for risk to the fetus or baby. . D Women who are pregnant or breastfeeding can safely drink occasionally without risk to the fetus . The recurrent urge to expose one’s genitals to a stranger is known as which of the following? A Fetishism . B Voyeurism S - The Marketplace to Buy and Sell your Study Material STUVIAU . C Exhibitionism . D Paraphilic disorder . A patient reports having 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? A Social phobia . B Specific phobia . C General anxiety disorder unspecified . D Obsessive-compulsive disorder . The APRN consensus model did which of the following? A Merged adult, gerontology and pediatric foci so that all NPs could truly work across the lifespan. . B Adult and gerontology were merged and identified as primary care or acute care. . C Psychiatric-mental health foci was stipulated as across the lifespan. . D B and C . Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects? A Reduces negative symptoms . B Increases extrapyramidal symptoms (EPS) . C Causes prolactinemia . D Reduces positive symptoms . Major neurotransmitters possibly involved in developing substance abuse and substance dependence include which of the following? S - The Marketplace to Buy and Sell your Study Material STUVIAU Which of the following is not consistent with benzodiazepine withdrawal? A Benzodiazepine withdrawal can continue to develop for several weeks. . B The best way to proceed with benzodiazepine withdrawal is to stop it immediately and treat withdrawal symptoms. . C It may be helpful to switch to a long-acting benzodiazepine for withdrawal. . D If patient is on a therapeutic benzodiazepine dose, initiate 10–25 percent dose reduction and evaluate response. . A disorder characterized by acquiring and not discarding things that are deemed to be of little or no value, resulting in excessive clutter of living spaces is A Specific Phobia . B Trichotillomania . C Hoarding Disorder . D Obsessive-Compulsive Disorder . A period of at least 6 months of recurrent and intense sexual arousal from cross-dressing that causes clinically significant distress or impairment is consistent with which of the following? A Gender dysphoria . B Turner’s syndrome . C Transvestic Disorder . D Klinefelter’s syndrome . Testosterone increases libido in which of the following? S - The Marketplace to Buy and Sell your Study Material STUVIAU A Testosterone increases libido in men. . B Testosterone increases libido in women . C Testosterone increases libido in men and women. . D Testosterone effects male characteristics but is not instrumental in libido. . According to HIPPA, which of the following must the NP share their NPI number with? Check all that apply. A Health plans . B Other providers . C Any entity that may need it for billing purposes . D A and C only . Which of the following would be characterized as a negative symptom of schizophrenia? A Hallucinations and delusions . B Impaired social and occupational functioning . C Isolation and impaired self-care . D B and C only . 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 STUVIAU A condition in which an enzymatic defect in the production of adrenal cortisol, beginning prenatally, leads to overproduction of adrenal androgens and, when the chromosomes are XX, virilization of the female fetus, is known as which of the following? A Congenital adrenal hyperplasia . B Androgen insensitivity syndrome . C Turner’s syndrome . D 5-α-reductase deficiency . Which of the following neurological symptoms are consistent with inhalant use? A Sensory illusions, distortions of body size . B Fearfulness, auditory and visual hallucinations . C Irritability, emotional lability, euphoria . D Slurred speech, decreased rate of speech, ataxia . A condition in which an enzymatic defect in the production of adrenal cortisol, beginning prenatally, leads to overproduction of adrenal androgens and, when the chromosomes are XX, virilization of the female fetus, is known as which of the following? A Congenital adrenal hyperplasia . B Androgen insensitivity syndrome . C Turner’s syndrome . D 5-α-reductase deficiency . Non-bizarre delusions present for a least 1 month without other symptoms of schizophrenia or mood disorder warrants a diagnosis of which of the following? S - The Marketplace to Buy and Sell your Study Material STUVIAU A Schizoaffective disorder . B Delusional disorder . C Borderline personality disorder . D Brief psychotic disorder . A deeply held belief despite evidence to the contrary, lasting a least one month, without prominent hallucinations, with functional impairment that relates to the delusional system, is consistent with which of the following diagnoses? A Schizophrenia . B Delusional disorder . C Brief psychotic disorder . D Schizophreniform disorder. . Fantasies and sexual urges to dress in opposite gender clothing as a means of arousal and as an adjunct to masturbation or coitus is known as which of the following? A Fetishism . B Voyeurism . C Transvestis . m D Scatologia . S - The Marketplace to Buy and Sell your Study Material STUVIAU 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 . C Symptom of increased autonomic arousal . D Derealization . According to the American Psychiatric Association (APA) which of the following is consistent with the evidence base practice for telepsychiatry? A There are few studies exploring the evidence for telepsychiatry. . B In populations with severe anxiety, telepsychiatry is preferred. . C The effectiveness is comparable to in-person care in terms of therapeutic engagement, quality of care, validity/reliability of assessment, and clinical outcomes. . D The evidence base for children and adolescents is very weak. . The experience of anxiety has which of the following components? A Increased self-awareness and fear . B Awareness of physiological sensations and shame . C Awareness of being nervous or frightened and shame . D Awareness of physiological sensations and awareness of being nervous or frightened . Which of the following behaviors are associated with an alcohol blood level of 0.05 percent? A Voluntary motor actions usually become perceptibly clumsy. . B Thought, judgment, and restraint are impaired. . C Confusion, stupor S - The Marketplace to Buy and Sell your Study Material STUVIAU . D None of the above . Which of the following services are usually excluded from both primary and secondary Medicare benefits? A Medicare does not reimburse for the same services covered by VA benefits. . B Medicare does not reimburse for services covered under the Federal Black Lung program. . C Medicare does not reimburse for services related to workers compensation. . D A and B only . Which of the following anticholinergic medications is used to treat extrapyramidal symptoms? A Diphenhydramine . B Amantadine . C Propranolol . D Benztropine . Which of the following symptoms represent peripheral manifestations of anxiety? S - The Marketplace to Buy and Sell your Study Material STUVIAU Variations from norms in gender role behavior such as toy preferences, rough-and-tumble play, aggression, or playmate gender in known as which of the following? A Gender discordance . B Gender role behavior . C Gender identity variance . D Childhood gender non- conformity . Methadone withdrawal usually begins how soon after the last dose? A 6dose–8 hours after the last . B 8dose–12 hours after the last . C 24dose hours after the last . D 1dose–3 days after the last . Which of the following is not a common physical effect of cannabis? A Mild tachycardia . B Mild bradycardia . C Orthostatic hypotension . S - The Marketplace to Buy and Sell your Study Material STUVIAU D Dilation of the conjunctival blood vessels . The inability to recall important personal information, usually of a traumatic or stressful nature that is too extensive to be explained by normal forgetfulness, direct physiological effects of a substance or other medical condition is the main feature of which of the following disorders? A Dissociative Amnesia . B Derealization Disorder . C Depersonalization Disorder . D Posttraumatic Stress Disorder . Which of the following is true about preoccupation with castration? A This can be serious and life-threatening if castration is carried out without medical supervision. . B This is consistent with Transvestic Disorder. . S - The Marketplace to Buy and Sell your Study Material C This is consistent with other specified paraphilic disorder. . D This is consistent with sexual masochism disorder. . Which of the following patients would be appropriate for hospitalization for substance use disorder? Select all that apply. A Patients who have a substance overdose who cannot be safely treated in an outpatient setting . B Patients who are at risk for severe or medically complicated withdrawal syndromes . C Patients who have a history of not benefiting from treatment in a less intensivesetting . D A and B only . The fear of or anxiety regarding places from which escape might be difficult is known as which of the following? A Depression . B Panic disorder . C Agoraphobia . D Generalized anxiety disorder . The genotype XXY is associated with which of the following? A Klinefelter’s syndrome . B Androgen insensitivity syndrome . C Turner’s syndrome . D Adrenogenital syndrome . Which of the following neurotransmitters is released with orgasm and is believed to reinforce pleasurable activities? S - The Marketplace to Buy and Sell your Study Material Substance seeking activities, along with related evidence of pathological use patterns, are emphasized when discussing which of the following concepts related to substance use and addictive disorders? A Addiction . B Behavioral dependence . C Physical dependence . D Psychological dependence . Researchers have identified particular neurotransmitters or neurotransmitter receptors involved with most substances of abuse except for which of the following? Which of the following is consistent with what is known about the epidemiology of anxiety? A Men have a higher lifetime prevalence of anxiety than women. . B Women have a higher lifetime prevalence of anxiety than men. . C Men and women have equal lifetime prevalence. . D The lifetime prevalence of anxiety is not gender specific. . Antipsychotic medications can cause metabolic symptom. Which of the following is not consistent with metabolic syndrome? A Obesity . B Dyslipidemia . C Hypotension . D Impaired glucose tolerance . According to the AANP State Practice Environment, the following statement is consistent with which level of practice? S - The Marketplace to Buy and Sell your Study Material “State practice and licensure laws restrict the ability of NPs to engage in at least one element of NP practice. State law requires career-long supervision, delegation or team management by another health provider in order for the NP to provide patient care.” A Full practice . B Reduced practice . C Restricted practice . D None of the above . Obscene phone calling to an unsuspecting partner for sexual arousal is known as which of the following? A Telephilia . B Partialism . C Telephone scatologia . D Normal adolescent prank . When one’s sexual focus is on objects that are intimately associated with the human body or on non-genital body parts it is known as which of the following? A Fetishism . B Voyeurism . C Exhibitionism . D Within the range of normal adult behavior . Antipsychotic medications provide D2 blockade in the mesolimbic system which results in which of the following? S - The Marketplace to Buy and Sell your Study Material A Decrease positive symptoms . B Reduce positive symptoms . C Increase extrapyramidal symptoms(EPS) . D Decrease extrapyramidal symptoms (EPS) . Neurochemical or neurophysiologic changes in the body that result from the repeated administration of a drug is known as which of the following? A Cross-tolerance . B Neurotransformation . C Neuroadaptation . D Neurocognitive adjustment . A disorder characterized by an emotional response to a stressful event within three months of the stressor is known as which of the following? A Insomnia . B Conduct Disorder . C Adjustment Disorder . D Generalized Anxiety Disorder . Sexual stimuli or acts that are deviations from normal sexual behaviors but are necessary for some persons to experience arousal and orgasm are known as which of the following? A Paraphilias . B Dyspareunium . C Orgasmic anhedonias . D Persistent genital arousal . disorder S - The Marketplace to Buy and Sell your Study Material Which of the following is consistent with literature regarding the term psychosexual? A Psychosexual is used to describe personality development and functioning. . B Psychosexual is synonymous with libido in the Freudian sense. . C Psychosexual basically refers only to sexual feelings and behavior. . D None of the above . The ability of one drug to be substituted for another, each usually producing the same physiological and psychological effect is known as which of the following? A Tolerance . B Codependence . C Cross-tolerance . D Neuroadaptation . Antipsychotic medications provide D2 blockade in the nigrostriatal, which causes which of the following? A Prolactinemia . B Galactorrhea . C Gynecomastia . D Extrapryramidal symptoms (EPS) . Phencyclidine (PCP) and Ketamine exert their unique behavioral effects by blocking which of the following receptors? S - The Marketplace to Buy and Sell your Study Material A GABA type receptors . B Serotonin receptors . C Dopamine . receptors D NMDA type receptors . Which of the following antipsychotic medications has been shown to shorten QTc? The three major neurotransmitters associated with anxiety, based on animal studies and response to drug treatment, include which of the following? A Glutamate, Norepinephrine, Serotonin . B GABA, Norepinephrine, Serotonin . C GABA, Dopamine, Glutamate . D Dopamine, Norepinephrine, Serotonin . Which of the following should be considered when prescribing medications? Check all that apply. S - The Marketplace to Buy and Sell your Study Material A Can the patient afford the medication? . B Is the drug available at the hospital or at a local pharmacy? . C Can the patient read? . D Is there potential for abuse? . Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply. A Age . B Rapid dose escalation . C Parental route of administration . D Higher potency typical antipsychotics . If a pregnancy begins while the woman is taking high doses of methadone and withdrawal is desired, during which trimester is this least hazardous? A First trimester . B Second trimester . C Third trimester . D Withdrawal from methadone should never be done while the womanis pregnant. . An excessive anxiety and worry about several events or activities for most days during at least a 6 month period is known as which of the following? A Specific phobia . B Social anxiety disorder . C Anxiety personality disorder . D Generalized anxiety disorder . Which of the following is used to treat Tardive Dyskinesia? S - The Marketplace to Buy and Sell your Study Material A Cogentin (benztropine) . B Artane (trihexyphenidyl) . C Catapress (clonidine) . D None of the above . Which of the following groups does Medicare cover? Select all that apply. A Individuals 65 years and older who have enrolled and pay premiums . B Disabled individuals who qualify for Social Security Disability paymentsand benefits . C Adults who are disabled for one year or less and who qualify on the basis of poverty . D Mothers and children who qualify on the basis of pover . Which of the following is true about the legal practice of the psychiatric-mental health nurse practitioner? A All have some degree of prescriptive privileges in all states and the District of Columbia. . B All are considered primary providers in all states and the District of Columbia. . C All have the ability to manage patients medically within their scope of practice without a collaborative practice agreement. . D A and B only . Nsytagmus, or marked slurring of speech and blackouts, are likely impairments at which of the following blood alcohol concentrations? S - The Marketplace to Buy and Sell your Study Material A 30 – 80 mg/dL . B 80mg/dL – 200 . C 200mg/dL – 300 . D 300mg/dL – 400 . Activities, interests, use of symbols, styles, or other personal and social attributes that are recognized as masculine or feminine is known as which of the following? A Gender identity . B Gender role behavior . C Gender discordance . D Internalizes sexual prejudice . A condition which results from absence of second female sex chromosome (XO) and is associated with web neck, dwarfism, cubitus valgus, and infertility in known as which of the following? A Hermaphroditism . B Turner’s syndrome . C Adrenogenital syndrome . D Androgen insensitivity syndrome . All of the following are one of the five major categories of third-party payers EXCEPT: A Medicare/Medicaid . B Managed-care organizations (MCOs) . C Indemnity insurance companies . D Only A and B S - The Marketplace to Buy and Sell your Study Material . Which of the following statements is NOT consistent with literature related to the prevalence of drinking alcohol with respect to ethnicity? A Irish populations have higher rates of severe alcohol problems and higher rates of abstentions. . B Among religious denominations, Jewish populations have the highest proportion of people who consume alcohol but lower rates of alcohol dependence. . C More than 60 percent of men and women in Native American and Inuit populations have been alcohol dependent at some time. . D Caucasians have the lowest rate of alcohol use. . Which of the following is consistent with NP practice parameters when prescribing buprenorphine? A NPs with full practice authority can prescribe and administer buprenorphine under their state NP license. . B As a qualified practitioner the NP simply needs to notify SAMHSA prior to prescribing or administering buprenorphine. . C The NP can provide buprenorphine to 300 patients per month. . D The NP is required to complete specific training to prescribe and dispense buprenorphine. . Which of the following is true about the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) A Combines the first three DSM-IV TR axes into one list that contains all mental . disorders. B While it combines the first three DMS-IV TR axes, personality disorders and medical . disorders are still recorded separately, using the multi-axial framework. C Psychosocial and environmental factors still need to be specified as part of the DSM. 5 diagnosis. D A and C only . Which of the following is consistent with the epidemiology of schizophrenia in the United States? S - The Marketplace to Buy and Sell your Study Material The lifetime prevalence of schizophrenia is about 50 percent. Schizophrenia is more prevalent in children than in adolescents. Peak age of onset in men is 10 to 25 years of age. Onset of schizophrenia before the age of 25 is extremely r Which of the following is true about use of CPT codes? A CPT codes are optional, but often used to assist providers in billing. . B CPT codes are required by HIPPA to be used to record care by all health care professionals in the United States. . C CPT codes are an international classification of disorders. . D CPT codes are not required by non-governmental insurance companies. . Which of the following initials would a psychiatric-mental health nurse practitioner use to designate appropriate credentials? A ANP-C . B CPNP . C CPNP-AC . D PMHNP-BC . A conscious, standardized, recurrent behavior such as counting, checking, avoiding that interferes significantly with the person’s normal routine and functioning is known as which of the following? A A compulsion . B An obsession . C Obsessive-Compulsive Disorder . D Obsessive-Compulsive Personality Disorder . In the DSM-V the need for treatment is based on assessment of diagnosis and which of the following? S - The Marketplace to Buy and Sell your Study Material A Severity of symptoms . B Dangerous to self or others . C Disability in social and self-care spheres . D All of the above . Which of the following physiological symptoms are consistent with hallucinogen use? Select all that apply. A Sweating . B Palpitations . C Pupillary dilation . D None of the above . Which of the following is consistent with current epidemiology literature about gender and Obsessive-Compulsive Disorder (OCD)? A Adult men are more likely to have OCD than adult women. . B Adult women are more likely to have OCD than adult men. . C Adolescent girls are more likely to have OCD than adolescent boys. . D Adult men and adult women are equally likely to have OCD. . Which of the following is the leading cause of premature death among people with schizophrenia? S - The Marketplace to Buy and Sell your Study Material A Cardiovascular Disease . B Substance Abuse . C Suicide . D Diabetes Mellitus . The recurrent and intense sexual arousal from the physical and psychological suffering of another person is known as which of the following? A Frotteurism . B Voyeurism . C Sexual sadism . D Sexual masochism . 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 realizes this presentation is consistent with which of the following diagnoses? A Schizophrenia . B Schizophreniform disorder . C Brief psychotic disorder . S - The Marketplace to Buy and Sell your Study Material D Delusional disorder . Which of the following is not true about reimbursement from third party payers? A Each type of third-party payer has its own reimbursement policies and fee schedules. . B Each type of third-party payer operates under a separate body of law. . C Not every third-party payer will pay every NP for every service. . D All third-party payers must reimburse NPs in the same manner that they reimburse physicians. . There are five “schedules” of controlled substances. Which schedule of controlled substances have no accepted medical use in the United States and have high abuse potential? One’s sense of being male or female is known as which of the following? A Gender identity . B Sexual orientation . S - The Marketplace to Buy and Sell your Study Material C Sexual behavior . D Sexual preference . Abnormal involuntary movements in a rhythmic pattern affecting face, mouth, tongue, jaw in known as which of the following? A Akathisia . B Dystonia . C Tardive dyskinesia . D Extrapyramidal side effects . A federal program administered nationally and locally which covers enrolled individuals 65 years and older who pay premiums and disabled individuals who qualify for Social Security disability payments and benefits is C Both A and B . D None of the above . Which of the following is true about the Global Assessment of Functioning (GAF)? A The GAF is still an essential score in the DSM-5 diagnosis. . B The clinician-researchers at the APA do not believe that a single GAF score is adequate to assess all aspects of functioning. . C The clinician-researchers at the APA developing the used only by clinicians and researchers who have specific training to support good DSM-5 recommend the GAF be . reliability of the GAF score. D The GAF should only be used for patients who are suicidal. . Nurse practitioners (NPs) differ from other advanced practice nurses in which of the following ways? S - The Marketplace to Buy and Sell your Study Material A NPs offer a wide range of services to a wide portion of the population. . B NPs offer a narrow range of services to a narrow base of patients. . C NPs offer a medium range of series to a narrow patient base. . D NPs offer a narrow range of services to a medium-sized baseof patients . A psychotic condition that involves the sudden onset of psychotic symptoms, which lasts one day or more but less than 1 month with full return to the premorbid level of functioning is known as which of the following? A Brief psychotic disorder . B Schizophreniform disorder . C Schizophrenia, first episode . D Schizophrenia, undifferentiated type . The phenomenon in which, after repeated administration, a given dose of drug produces a decreased effect is known as which of the following? A Tolerance . B Cross- tolerance . C Addiction . D Intoxication . Clinical findings that may indicate abuse include which of the following? Select all that apply. S - The Marketplace to Buy and Sell your Study Material A Delay between onset of injury and seeking treatment. . B Explanation by the patient which is inconsistent with the type of injury. . C Psychological distress such as depression, anxiety, suicidal ideations and/or sleep disorder. . D Explanation by the patient which is inconsistent with the type of injury. . When a manic or depressive syndrome develops concurrently with the major symptoms of schizophrenia, the appropriate diagnosis would be which of the following? A Bipolar schizophrenia . B Mood disorder with psychosis . C Schizoaffective disorder . D Bipolar disorder with psychosis . Preoccupation with an imagined defect in appearance that causes clinically significant distress or impairment in important areas of functioning is consistent with which of the following disorders? A Anorexia . B Body Dysmorphic Disorder . C Obsessive-Compulsive Disorder . D Dissociative Disorder . Which of the following is consistent with what is known regarding metabolism of alcohol? A About 90 percent of absorbed alcohol is metabolized through oxidation in the liver, the remaining 10 percent is excreted unchanged by the kidneys and lungs. . B About 70 percent of absorbed alcohol is metabolized in the liver, 20 percent metabolized and excreted through the kidneys. . C The body can metabolize 50 mg/dL or 40% alcohol per hour. . D Alcohol is metabolized by alcohol hydrogenase (ADH) and aldehyde hydrogenase. . Billing responsibilities related to Medicare providers include which of the following? S - The Marketplace to Buy and Sell your Study Material A Collecting patient employment and insurance information . B Identifying payers other than Medicare . C Determining if Medicare is a primary or secondaryprovider . D All of the above . The Dopamine hypothesis of schizophrenia posits which of the following? A Schizophrenia results from too much dopaminergic activity. . B Schizophrenia results from a deprivation of dopamine. . C Schizophrenia is not related to dopamine activity. . D None of the above . In which ways are nurse practitioners (NPs) and physician’s assistants (PAs) different? A NPs differ from PAs in legal definition, scope of practice, licensure, and independence of practice. . B NPs practice under their own license and independent of the physician, PAs always work under the supervision of a physician. . C There is essentially no difference functionally between an NP and a PA. . D A and B . As a Medicare Part B provider, you should do which of the following? A Obtain billing information at the time service is rendered. . B Obtain payment at the time service is rendered. . C Submit an explanation of benefits (EOB) form with all appropriate MSP information to the designated carrier. . S - The Marketplace to Buy and Sell your Study Material D A and C only . Powered by TCPDF (. org)