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Download NRNP 6675 Midterm Exam (100 Questions & Answers) (Latest, 2025): Walden University and more Exams Nursing in PDF only on Docsity!
1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply Age 2. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects? Reduces negative symptoms 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 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 Any of the above 5. Abnormal involuntary movements in a rhythmic pattern affecting face, mouth, tongue, jaw is known as which of the following? Akathisia Dystonia Extrapyramidal side effects 6. Adeeply held belief despite evidence to the contrary, lasting at least one month, without prominent hallucinations, with functional impairment that relates to the delusional syste..... Schizophrenia Brief psychotic disorder Schizophreniform disorder 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 Which of the following are keys to distinguishing OCD from psychosis? 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... HIPPA. B. DSM-S DRG A federal program administered nationally and locally which covers enrolled individuals 65 years and older who pay premiums and disabled individuals... Medicare Medicaid None of the above 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 Which of the following is the most widely consumed psychoactive substance? Alcohol Heroine According to HIPPA, which of the following must the NP share their NPI with? Check all that apply. Aand 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. ith which of the following diagnosis? Schizophreniform disorder Brief psychotic disorder Delusional disorder Major neurotransmitters possibly involved in developing substance abuse and substance dependence. which of the following? GABA Serotonin Aand B only The Dopamine hypothesis of schizophreni ...which of the following? Schizophrenia results from a deprivation of dopamine. Schizophrenia is not related to dopamine activity None of the above 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 General anxiety disorder unspecified Obsessive-compulsive disorder 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 Obscene phone calling to an unsuspecting partner for sexual arousal is known as which of the following? Telephilia Partialism Normal adolescent prank 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 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 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 Voyeurism Paraphilic disorder 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 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? Reduced practice Restricted practice Arbitrary practice Which of the following groups does Medicare cover? Select all that apply. 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. Obsessive-Compulsive Disorder Impulse Control Disorder Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects? Reduces negative symptoms. 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 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 Any of the above 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 Brief psychotic disorder Schizophreniform disorder Amethod 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 Motivational interviewing Cognitive behavioral therapy The conditions in which people are born, grow, work, live, and age are known as which of the following? Health literacy 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 awed 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 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 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 Borderline 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 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 Idiosyncratic alcohol intoxication 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 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 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? Narcissistic, borderline, antisocial, and histrionic subtypes ‘Obsessive-compulsive, dependent, and avoidant subtypes Depressive, anxious, hypomanic subtypes Cultural Dimensions Therapy is a framework for cross-cultural communication that describes the effects of a society's culture on the values of its members....by which of the following theorists? Leininger Purcell Campinha-Bacote The treatment of choice for patients with paranoid personality disorder includes which of the fallowing? Group therapy Behavioral therapy Psychotherapy The differences in the quality of healthcare across individuals or groups in regard to access, treatment options, and p....following? Racism Vulnerable populations Social determinants of health The incidence of suicide is highest for which of the following populations? Older Latino men Older Caucasian men Older Caucasian women 
