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Exam (elaborations)

NRNP 6566 WK1-5 MIDTERM QUESTIONS AND ANSWERS

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NRNP 6566 WK1-5 MIDTERM QUESTIONS AND ANSWERS

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  • August 23, 2024
  • 43
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NRNP 6665
  • NRNP 6665
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NRNP 6675 Midterm Exam



1. Discrepancy between anatomical sex and gender is known as?: B) GenderDi v v v v v v v v v v v


scordance
2. Which of the following are risk factors for neuroleptic malignant syndrome?S
v v v v v v v v v v v


elect all that apply: Rapid dose escalation; parental route of administration; higherpote
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ncy typical antipsychotics
v v


3. Antipsychotic medication provides D2 blockage in the meso-coritcal path- v v v v v v v v


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




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


4. Phencyclidine (PCP) and ketamine exert their unique behavioral effects bybl v v v v v v v v v v


ocking which of the following receptors?: D) NMDA type receptors
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Incorrect: GABA, serotonin, dopamine "receptors"v v v v


5. The diagnosis used to describe a syndrome characterized by specific s/s res
v v v v v v v v v v v


ulting from recent ingestion or exposure to a substance is known as whichof the
v v v v v v v v v v v v v v


vfolllowing?: C) Substance use disorder v v v v




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


6. Abnormal involuntary movements in a rhythmic pattern affecting the face,m
v v v v v v v v v v


outh, tongue jaw is known as which of the following?: C) Tardive dyskinesia
v v v v v v v v v v v v




Incorrect: akathisia, dystonia, EPS v v v


7. A deeply held belief despite evidence to the contrary, lasting at least 1 mont
v v v v v v v v v v v v v


h, without prominent hallucinations, with functional impairment that re-
v v v v v v v v


lates to the delusional system disorder called?: Delusional disorder
v v v v v v v v v


8. Which of the following is true about preoccupation with castration?: A) This
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can be serious and life threatening if castration is carried out without medicalsupervi
v v v v v v v v v v v v v


sion

Incorrect: consistent with transvestiatic disorder, other specified paraphillic disorder,or
v v v v v v v v v


vsexual machochism disorder v v


9. Which of the following is a system that provides a uniform language for de-
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scribing medical and surgical procedures and diagnostics services renderedb
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y clinicians?: CPT
v v




1v/v39

,Incorrect: HIPPA, DSM5-, DRG
v v v


10. A patient on Chlorpromazine states his orgasm is dry and afterwards he
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will commonly have milky urine. The APRN realizes this is which of thefollo
v v v v v v v v v v v v v


wing?: A) This is likely a harmless response to the Chlorpromazine
v v v v v v v v v v




2v/v39

,"Thorazine"
11. A condition which results from absence of second female sex chromo-
v v v v v v v v v v


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


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




Turners syndrome: v




tx involves hormone therapy; fertility treatments for women when they decide to havea b
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aby
12. Which of the following would be characterized as a negative s/s of schiz-
v v v v v v v v v v v v


ophrenia?: B & C only
v v v v v




B) impaired social and occupational functioning v v v v


C) isolation and impaired self-care v v v


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


Patients with OCD can almost always acknowledge the unreasonable nature of theirsy
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mptoms
14. A federal program administered nationally and locally which covers en-
v v v v v v v v v


vrolled individuals 65+ who pays premiums and disabled individuals: Both A&B
v v v v v v v v v v v v


(Medicare and Medicaid) v v


15. Having an adequate legal description of nurse practitioner (NP) scope of
v v v v v v v v v v v


practice according to state law is important for which of the following reasons
v v v v v v v v v v v v


?: All of the above (to avoid any charges of practicing medicine without alicense, to pl
v v v v v v v v v v v v v v v v


ace accountability for both benefits and harm to patients squarely onthe NP, to get re
v v v v v v v v v v v v v v v


imbursed for physician services when provided by a NP
v v v v v v v v


16. Which of the following is the most widely consumed psychoactive sub-
v v v v v v v v v v


stance?: B) Caffeine
v v v




Incorrect: alcohol, heroin, cannabis v v v


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




(cogentin, artane, catapress) v v


18. The APRN consensus model did which of the following?: B & C
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B) adult and gerontology were merged and identified as PCP or acute care
v v v v v v v v v v v


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


19. Which of the following behaviors are associated with an alcohol blood levelof
v v v v v v v v v v v v v


0.05%?: B) Thought judgement and restraints are impaired
v v v v v v v




3v/v39

, 20. According to HIPPA, which of the following must the NP share their NPIwi v v v v v v v v v v v v v


th? Check all the above: A) Health Plans
v v v v v v v


B) Other providers v


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


21. A patient presents with delusions, disorganized thoughts, and speech withp
v v v v v v v v v v


oor self care all of which has persisted for the past 7 months. The APRN known
v v v v v v v v v v v v v v v


s this presentation means what diagnosis?: Schizophrenia
v v v v v v


22. Major neurotransmitters possibly involved in developing substance abusea
v v v v v v v v


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




Incorrect: GABA, serotonin, A& B only v v v v v


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


Schizophrenia results from too much dopaminergic activity v v v v v v




incorrect: results from a deprivation of dopamine v v v v v v


24. A patient reports a panic attack several years ago in an elevator and sinceth
v v v v v v v v v v v v v v


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


25. A patient with a substance use disorder who does not meet clinical criteriafo
v v v v v v v v v v v v v


r hospitalization but lacks sufficient social and vocational skills and lack subst
v v v v v v v v v v v


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




(Residential tx, partial hospitalization, outpt tx) v v v v v


26. Obscene phone calling to an unsuspecting partner for sexual arousal isk v v v v v v v v v v v


nown as?: C) Telephone Scatologia v v v v




(not telephillia, partialism, normal adolescent prank)
v v v v v


27. The main psychological difference between fear and anxiety is best de-
v v v v v v v v v v


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


28. A diffuse, unpleasant, vague sense of apprehension often accompanied bya
v v v v v v v v v v


utonomic symptoms varies upon persons is commonly known as which of thev v v v v v v v v v v v


following?: C) Normal anxiety v v v




(incorrect- fear, stress, pathological anxiety v v v v


29. If a pregnancy begins while the woman is taking high doses of methadonean
v v v v v v v v v v v v v


d withdrawal is desired during which trimester is the least hazardous?: D)With
v v v v v v v v v v v v


drawal from methadone should never be done while the woman is pregnant
v v v v v v v v v v v


30. Neurochemical or neurophysiological changes in the body that results fr v v v v v v v v v


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


ing?: C) Neuroadaption
v v v




4v/v39

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