NRNP 6675 Midterm Exam: Questions and Answers for Walden University, Exams of Nursing

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NRNP 6675 Midterm Exam / NRNP

Midterm Exam (2 Versions)(Each 100

Questions & Answers)(2024-2025):Walden

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NRNP 6675 Midterm Exam

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

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 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 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. Which of the following is a system that provides a uniform language for describing medical and surgical procedures and diagnostic services rendered by clinicians...

Cannabis Which of the following is used to treat Tardive Dyskinesia? Cogentin (benztropine) Artane (trihexyphenidyl) Catapress (Clonidine) None of the above 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 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 None of the above

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 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 Major neurotransmitters possibly involved in developing substance abuse and substance dependence..... which of the following? Dopamine GABA Serotonin A and B only The Dopamine hypothesis of schizophrenia ... which of the following? Schizophrenia results from too much dopaminergic activity

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 A diffuse, unpleasant, vague sense of apprehension often accompanied by autonomic symptoms which varies among persons is commonly known as which of the following? Fear Stress Normal anxiety Pathological anxiety 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

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 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 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. The recurrent urge to expose one's genitals to a stranger is known as which of the following? Fetishism

Which of the following neurotransmitters increases libido? GABA Serotonin Oxytocin Dopamine 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 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. 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 ..... 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 Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects? Reduces negative symptoms Increases extrapyramidal symptoms (EPS) Causes prolactinemia Reduces positive symptoms 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

Health disparities Health vulnerabilities Social determinants of health 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. Risk factors for school violence include which of the following? Select all that apply. Bullying Being bullied Isolation...... Involvement in school organizations. 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 Dependent personality disorder

Antisocial personality disorder 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 .....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 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.

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 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 Cluster A personality traits consist of which of the following? Schizotypal, schizoid, and paranoid subtypes Narcissistic, borderline, antisocial, and histrionic subtypes Obsessive-compulsive, dependent, and avoidant subtypes Depressive, anxious, hypomanic subtypes The misuse of the charge's funds for personal gain is known as which of the following? Neglect Physical abuse Financial abuse/exploitation

Emotional/psychological abuse The ARNP recognizes which of the following as long term effects of sex trafficking on victims? Severe depression Spiritual questions Trauma bonding All of the above In about half of the cases in which suicides occur while parents are on a psychiatric unit, a lawsuit results. Which of the following is not consistent with what courts. ...related to impatient psychiatric unit suicide events? Courts expect suicides to occur in inpatient settings Courts require zero suicide rates in inpatient setting Periodic patient evaluation for suicide risk Evidence of formulation of a treatment plan with a high level of security Cluster A personality traits consist of which of the following? Schizotypal, schizoid, and paranoid subtypes Narcissistic, borderline, antisocial, and histrionic subtypes Obsessive-compulsive, dependent, and avoidant subtypes Depressive, anxious, hypomanic subtypes