NRNP6675 Midterm Exam Quiz Bank Complete Guide

NRNP6675 Midterm Exam Quiz Bank (2023/ 2024) | Complete Guide Questions and Verified Answers – Walden

1. Which of the following is not consistent with benzo withdrawal?: B) The

best way to proceed with benzo withdrawal is to stop it immediately and tx withdrawal s/s

2. Which of the following is true about the legal practice of the PMHNP?: D)

A&B only

• all have some degrees of prescriptive privileges in all states and the district of

columbia

• all are considered primary providers in all states and the district of columbia
• 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

• Symptom of Avoidance

4. In which ways are NPs and PAs different?: D) A&B

• NPs differ from PAs in legal definition, scope of practice, licensure, and indepen-

dence of practice

• NPs practice under their own license and independent of the physician, PAs

always work under the supervision of a physician

• Which of the following initials would a PMHNP use to designate appropri-

ate credentials?: PMHNP-BC

• Variations from norms in gender roles such as toy preferences, rough

and tumble play, aggression, or playmate gender is known as which of the

following?: B) Gender role behavior

• 3 major neurotransmitters associated with anxiety, based on animal stud-

ies and response to drug tx include?: B) GABA, norepinephrine and serotonin

• Which of the following is consistent with the epidemiology of schizophre-

nia in the US?: D) Onset of schizophrenia before the age of 25 is extremely rare

• Clinical findings that may indicate abuse include which of the following?

Select all that apply: B) Explanation by the pt which is inconsistent with the type of injury

• Psychological distress such as depression, anxiety, SI, and/or sleep disorder
• Explanation by the parent that is inconsistent with the type of injury
• According to the APA, which of the following is consistent with the EBP for

telepsych?: B) In populations with severe anxiety, tele psychiatry is preferred 1 / 4

• Which of the following is consistent with literature regarding the term

psychosexual?: D) None of the above

-psychosexual is used to describe personality development and functioning -psychosexual is synonymous with libidio in the Freudian sense -Psychosexual basically refers only to sexual feelings and behavior

• Bleuler identified 4 fundamental s//s of schizophrenia, known as the 4 A's,

which include which symptoms?: A) Associations, Affect, Autism, Ambivalence

• The fear/anxiety regarding places from which escape may be difficult is

known as which of the following:: C) Agoraphobia

• All of the following are one of the 5 major categories of third-party payers

EXCEPT:: D) only A & B

• Medicare/medicaid
• Managed care organization (MCOs)
• Which of the following are risk factors for sexual assault EXCEPT:: A)

Religion

Incorrect: serious mental illness, substance use disorder, family hx of sexual abuse

• Which of the following is consistent with what is known about PP depres-

sion?: D) All of the above

(feelings of guilt/ and inadequacy are often present and excessive; thoughts of harming the baby are often present; typical onset is within 3-06 months of delivery)

• Affirmatively acting to benefit another or others, going beyond what is

required by law is known as which of the following?>: C) Beneficence

• Which of the following is used for treating alcohol dependence individuals

seeking to continue to remain alcohol free after they have stopped drinking?-

: D) Acamprosate

• The NP can impact health policy and healthcare by doing which of the

following?: D) All of the above

-becomes an active member of local, state, and/or national NP -becomes familiar with the resources available on NP organization websites -Volunteer to serve on legislature committees within professional NP organizations

• The tx of others equitably and distribution of benefits/burdens fairly is

known as?: B) Justice 2 / 4

• Which of the following is INCONSISTENT with current literature about

victims of sexual abuse?: C) The pre-existing relationship and\ familiarity with the abuser may impeded the victim's ability to make rational decisions

• Which of the following would constitute negligence? Select all that apply-

: A) Failure to give necessary care

• Failure to refer when necessary
• Failure to follow up with a patient
• Failure to disclose necessary info to a patient
• Which of the following developed a biblically-based cultural competence

model for healthcare professionals?: B) Camipinha-Cacote`

• the ARNP recognizes which of the following as long term effects of sex

trafficking on victims?: D) All of the above

-severe depression -spiritual questions -trauma bonding

• A patient appears odd, with a pervasive hx of magical thinking, ideas

of reference, illusions or derealization. This is consistent with which of the

folllowing PDs?: C) Schizotypal PD

• Which of the following are criteria for a particular suicide to be considered

inevitable?: D) All of the above

-strong genetic hx of suicide in one or more family members -a strong genetic loading of mental illness in the family -the pt may have received the highest standard of tx and that txd failed

• A pt with a hx of alcohol use disorder presents to the ED with oculomotor

disturbances, cerebellar ataxia, and confusion. The ARNP recognizes these

symptoms as consistent with which of the following psych emergencies?: C)

Wernicke's encephalopathy

• The emotional burnout and lack of empathy towards clients that healthcare

providers experience after treating victims is known as the following?: B)

Primary traumatization

• The ACE study found that which of the following relationships between

child traumatic events and high-risk behaviors exhibited by adults?: D) The

study revealed an indirect relationship between child traumatic events and high risk adult behaviors

• Walking on eggshells and appeasement/avoidance behaviors by the vic-

tim is characteristic of which phase of the cycle of DV?: A) Honeymoon phase

31. What are the different phases of DV?: 1. Tension building phase

• Incident

• / 4

2 / 39

• Reconciliation
• Calm

32. Discrepancy between anatomical sex and gender is known as?: B)

Gender Discordance

• Which of the following are risk factors for neuroleptic malignant

syndrome? Select all that apply: Rapid dose escalation; parental route of

administration; higher potency typical antipsychotics

• Antipsychotic medication provides D2 blockage in the meso-coritcal

path- way causing which of the following effects?: B) Increases EPS

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

• Phencyclidine (PCP) and ketamine exert their unique behavioral effects

by blocking which of the following receptors?: D) NMDA type receptors

Incorrect: GABA, serotonin, dopamine "receptors"

• The diagnosis used to describe a syndrome characterized by specific

s/s resulting from recent ingestion or exposure to a substance is known as

which of the folllowing?: C) Substance use disorder

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

• Abnormal involuntary movements in a rhythmic pattern affecting the

face, mouth, tongue jaw is known as which of the following?: C) Tardive

dyskinesia

Incorrect: akathisia, dystonia, EPS

• A deeply held belief despite evidence to the contrary, lasting at least 1

month, without prominent hallucinations, with functional impairment that re-

lates to the delusional system disorder called?: Delusional disorder

39. 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

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

• Which of the following is a system that provides a uniform language for

de- scribing medical and surgical procedures and diagnostics services

rendered by clinicians?: CPT

Incorrect: HIPPA, DSM5-, DRG

• / 4