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NRNP 6675 Midterm Exam Questions and answers Updated 100% PASS

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  • 18 de febrero de 2025
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NRNP 6675 Midterm Exam Questions and
answers Updated 100% PASS
Discrepancy between anatomical sex and gender is known as? II! II! II! II! II! II! II! II!




B) Gender Discordance
II! II!




Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply
II! II! II! II! II! II! II! II! II! II! II! II! II! II!




Rapid dose escalation; parental route of administration; higher potency typical antipsychotics
II! II! II! II! II! II! II! II! II! II!




Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of the
II! II! II! II! II! II! II! II! II! II! II! II!




following effects?
II! II!




B) Increases EPS
II! II!




Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
II! II! II! II! II! II! II! II!




Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which of the following
II! II! II! II! II! II! II! II! II! II! II! II! II! II!




receptors?
II!




D) NMDA type receptors
II! II! II!




Incorrect: GABA, serotonin, dopamine "receptors" II! II! II! II!




The diagnosis used to describe a syndrome characterized by specific s/s resulting from recent ingestion or
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




exposure to a substance is known as which of the folllowing?
II! II! II! II! II! II! II! II! II! II! II!




C) Substance use disorder
II! II! II!




Incorrect: substance intox, substance withdrawal, all of the above
II! II! II! II! II! II! II! II!




Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth, tongue jaw is known as
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




which of the following?
II! II! II! II!




C) Tardive dyskinesia
II! II!




Incorrect: akathisia, dystonia, EPS II! II! II!




A deeply held belief despite evidence to the contrary, lasting at least 1 month, without prominent
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




hallucinations, with functional impairment that relates to the delusional system disorder called?
II! II! II! II! II! II! II! II! II! II! II! II!




Delusional disorder II!

,Which of the following is true about preoccupation with castration?
II! II! II! II! II! II! II! II! II!




A) This can be serious and life threatening if castration is carried out without medical supervision
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




Incorrect: consistent with transvestiatic disorder, other specified paraphillic disorder, or sexual
II! II! II! II! II! II! II! II! II! II!




machochism disorder
II! II!




Which of the following is a system that provides a uniform language for describing medical and surgical
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




procedures and diagnostics services rendered by clinicians?
II! II! II! II! II! II! II!




CPT

Incorrect: HIPPA, DSM5-, DRG II! II! II!




A patient on Chlorpromazine states his orgasm is dry and afterwards he will commonly have milky urine.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




The APRN realizes this is which of the following?
II! II! II! II! II! II! II! II! II!




A) This is likely a harmless response to the Chlorpromazine
II! II! II! II! II! II! II! II! II!




"Thorazine"

A condition which results from absence of second female sex chromosome (XO) and is associated with
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




web neck, dwarfism, cubitus valgus and infertility is known as which of the following?
II! II! II! II! II! II! II! II! II! II! II! II! II! II!




B) Turners Syndrome
II! II!




Turners syndrome: II!




tx involves hormone therapy; fertility treatments for women when they decide to have a baby
II! II! II! II! II! II! II! II! II! II! II! II! II! II!




Which of the following would be characterized as a negative s/s of schizophrenia?
II! II! II! II! II! II! II! II! II! II! II! II!




B & C only
II! II! II!




B) impaired social and occupational functioning
II! II! II! II! II!




C) isolation and impaired self-care
II! II! II! II!




Which of the following are keys to distinguishing OCD from psychosis?
II! II! II! II! II! II! II! II! II! II!




Patients with OCD can almost always acknowledge the unreasonable nature of their symptoms
II! II! II! II! II! II! II! II! II! II! II! II!




A federal program administered nationally and locally which covers enrolled individuals 65+ who pays
II! II! II! II! II! II! II! II! II! II! II! II! II!




premiums and disabled individuals
II! II! II! II!




Both A& B (Medicare and Medicaid)II! II! II! II! II!




Having an adequate legal description of nurse practitioner (NP) scope of practice according to state law is
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




important for which of the following reasons?
II! II! II! II! II! II! II!

,All of the above (to avoid any charges of practicing medicine without a license, to place accountability for
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




both benefits and harm to patients squarely on the NP, to get reimbursed for physician services when
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




provided by a NP
II! II! II! II!




Which of the following is the most widely consumed psychoactive substance?
II! II! II! II! II! II! II! II! II! II!




B) Caffeine II!




Incorrect: alcohol, heroin, cannabis II! II! II!




Which of the following is used to tx TD? II! II! II! II! II! II! II! II!




None of the above II! II! II!




(cogentin, artane, catapress) II! II!




The APRN consensus model did which of the following?
II! II! II! II! II! II! II! II!




B&C II! II!




B) adult and gerontology were merged and identified as PCP or acute care
II! II! II! II! II! II! II! II! II! II! II! II!




C) psychiatric mental health foci were stipulated as across the lifespan
II! II! II! II! II! II! II! II! II! II!




Which of the following behaviors are associated with an alcohol blood level of 0.05%?
II! II! II! II! II! II! II! II! II! II! II! II! II!




B) Thought judgement and restraints are impaired
II! II! II! II! II! II!




According to HIPPA, which of the following must the NP share their NPI with? Check all the above
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




A) Health Plans
II! II!




B) Other providers
II! II!




C) Any entity that may need it for a billing purpose
II! II! II! II! II! II! II! II! II! II!




A patient presents with delusions, disorganized thoughts, and speech with poor self care all of which has
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




persisted for the past 7 months. The APRN knowns this presentation means what diagnosis?
II! II! II! II! II! II! II! II! II! II! II! II! II! II!




Schizophrenia

Major neurotransmitters possibly involved in developing substance abuse and substance dependence are
II! II! II! II! II! II! II! II! II! II! II!




which of the following?
II! II! II! II!




A) Dopamine II!




Incorrect: GABA, serotonin, A& B only II! II! II! II! II!




The dopamine hypothesis of schizophrenia, which of the following?
II! II! II! II! II! II! II! II!




A) Schizophrenia results from too much dopaminergic activity
II! II! II! II! II! II! II!




incorrect: results from a deprivation of dopamine II! II! II! II! II! II!

, A patient reports a panic attack several years ago in an elevator and since then has avoided elevators. The
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




pt meets the criteria for:
II! II! II! II! II!




B) Specific phobia
II! II!




A patient with a substance use disorder who does not meet clinical criteria for hospitalization but lacks
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




sufficient social and vocational skills and lack substance-free social supports is to
II! II! II! II! II! II! II! II! II! II! II! II!




D) All of the above
II! II! II! II!




(Residential tx, partial hospitalization, outpt tx) II! II! II! II! II!




Obscene phone calling to an unsuspecting partner for sexual arousal is known as?
II! II! II! II! II! II! II! II! II! II! II! II!




C) Telephone Scatologia
II! II!




(not telephillia, partialism, normal adolescent prank)
II! II! II! II! II!




The main psychological difference between fear and anxiety is best described by which of these
II! II! II! II! II! II! II! II! II! II! II! II! II! II!




statements?
II!




B) Anxiety is insidious, fear is sudden
II! II! II! II! II! II!




A diffuse, unpleasant, vague sense of apprehension often accompanied by autonomic symptoms varies
II! II! II! II! II! II! II! II! II! II! II! II!




upon persons is commonly known as which of the following?
II! II! II! II! II! II! II! II! II! II!




C) Normal anxiety
II! II!




(incorrect- fear, stress, pathological anxiety II! II! II! II!




If a pregnancy begins while the woman is taking high doses of methadone and withdrawal is desired
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




during which trimester is the least hazardous?
II! II! II! II! II! II! II!




D) Withdrawal from methadone should never be done while the woman is pregnant
II! II! II! II! II! II! II! II! II! II! II! II!




Neurochemical or neurophysiological changes in the body that results from the repeated administration II! II! II! II! II! II! II! II! II! II! II! II!




of a drug is known as which of the following?
II! II! II! II! II! II! II! II! II! II!




C) Neuroadaption
II!




incorrect: cross-tolerance, neurotransformation, neurocognitive adjustment II! II! II! II!




The recurrent and intense sexual arousal from the physical and psychological suffering of another person
II! II! II! II! II! II! II! II! II! II! II! II! II! II!




is known as which of the following?
II! II! II! II! II! II! II!




C) Sexual sadism
II! II!




Which of the following is not consistent with the onset of OCD?
II! II! II! II! II! II! II! II! II! II! II!




D) The onset of OCD is typically preceded by OCD personality traits
II! II! II! II! II! II! II! II! II! II! II!




True answers about OCD: II! II! II!

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