THAN 400 QUESTIONS - THAN 400 QUESTIONS 1. Discrepancy between anato...

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NRNP 6675 Midterm Exam VERIFIED ANSWERS 2023/2024 MORE

THAN 400 QUESTIONS

1. 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

8. 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

• A patient on Chlorpromazine states his orgasm is dry and afterwards 1 / 4

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he will commonly have milky urine. The APRN realizes this is which of the following?: A) This is likely a harmless response to the Chlorpromazine 2 / 4

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"Thorazine"

• A condition which results from absence of second female sex chromo-

some (XO) and is associated with web neck, dwarfism, cubitus valgus and

infertility is known as which of the following?: B) Turners Syndrome

Turners syndrome:

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

• Which of the following would be characterized as a negative s/s of schiz-

ophrenia?: B & C only

• impaired social and occupational functioning
• isolation and impaired self-care

13. Which of the following are keys to distinguishing OCD from psychosis?: -

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

• A federal program administered nationally and locally which covers en-

rolled individuals 65+ who pays premiums and disabled individuals: Both A&

B (Medicare and Medicaid)

• Having an adequate legal description of nurse practitioner (NP) scope

of practice according to state law is important for which of the following reasons?: All of the above (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 reimbursed for physician services when provided by a NP

• Which of the following is the most widely consumed psychoactive sub-

stance?: B) Caffeine

Incorrect: alcohol, heroin, cannabis

17. Which of the following is used to tx TD?: None of the above

(cogentin, artane, catapress)

18. The APRN consensus model did which of the following?: B & C

• adult and gerontology were merged and identified as PCP or acute care
• psychiatric mental health foci were stipulated as across the lifespan
• Which of the following behaviors are associated with an alcohol blood level

of 0.05%?: B) Thought judgement and restraints are impaired 3 / 4

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• According to HIPPA, which of the following must the NP share their NPI

with? Check all the above: A) Health Plans

• Other providers
• Any entity that may need it for a billing purpose
• A patient presents with delusions, disorganized thoughts, and speech with

poor self care all of which has persisted for the past 7 months. The APRN

knowns this presentation means what diagnosis?: Schizophrenia

• Major neurotransmitters possibly involved in developing substance abuse

and substance dependence are which of the following?: A) Dopamine

Incorrect: GABA, serotonin, A& B only

23. The dopamine hypothesis of schizophrenia, which of the following?: A)

Schizophrenia results from too much dopaminergic activity

incorrect: results from a deprivation of dopamine

• A patient reports a panic attack several years ago in an elevator and since

then has avoided elevators. The pt meets the criteria for:: B) Specific phobia

• A patient with a substance use disorder who does not meet clinical criteria

for hospitalization but lacks sufficient social and vocational skills and lack

substance-free social supports is to: D) All of the above

(Residential tx, partial hospitalization, outpt tx)

• Obscene phone calling to an unsuspecting partner for sexual arousal is

known as?: C) Telephone Scatologia

(not telephillia, partialism, normal adolescent prank)

• The main psychological difference between fear and anxiety is best de-

scribed by which of these statements?: B) Anxiety is insidious, fear is sudden

• A diffuse, unpleasant, vague sense of apprehension often accompanied by

autonomic symptoms varies upon persons is commonly known as which of

the following?: C) Normal anxiety

(incorrect- fear, stress, pathological anxiety

• If a pregnancy begins while the woman is taking high doses of methadone

and withdrawal is desired during which trimester is the least hazardous?: D)

Withdrawal from methadone should never be done while the woman is pregnant

• Neurochemical or neurophysiological changes in the body that results

from the repeated administration of a drug is known as which of the follow-

ing?: C) Neuroadaption

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