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WALDEN UNIVERSITY NRNP 6675/ NRNP 6675N Final Exam (QUESTIONS AND VERIFIED ANSWERS) graded A+ with complete solutions 2024/2025
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WALDEN UNIVERSITY NRNP6675/ NRNP 6675N Final Exam
(QUESTIONS AND VERIFIED
ANSWERS) graded A+ with
complete solutions 2024/2025
Which of the following are risk factors for neurolep4c malignant syndrome?
Select all that apply
Rapid dose escala4on; parental route of administra4on; higher potency typical
an4psycho4cs
Discrepancy between anatomical sex and gender is known as?
B) Gender Discordance
An4psycho4c medica4on provides D2 blockage in the meso-coritcal pathway
causing which of the following effects?
B) Increases EPS
Incorrect: reduces nega4ve s/s, causes prolac4nemia, reduces posi4ve
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
resul4ng from recent inges4on 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 paVern affec4ng 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, las4ng at least 1 month,
without prominent hallucina4ons, with func4onal impairment that relates to
the delusional system disorder called?
Delusional disorder
Which of the following is true about preoccupa4on with castra4on?
A) This can be serious and life threatening if castra4on is carried out without
medical supervision
Incorrect: consistent with transves4a4c disorder, other specified paraphillic
disorder, or sexual machochism disorder
Which of the following is a system that provides a uniform language for
describing medical and surgical procedures and diagnos4cs services rendered
by clinicians?
CPT
Incorrect: HIPPA, DSM5-, DRG
A pa4ent on Chlorpromazine states his orgasm is dry and a[erwards 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
"Thorazine"
A condi4on which results from absence of second female sex chromosome (XO)
and is associated with web neck, dwarfism, cubitus valgus and infer4lity is
known as which of the following?
B) Turners Syndrome
Turners syndrome:
tx involves hormone therapy; fer4lity treatments for women when they decide
to have a baby
Which of the following would be characterized as a nega4ve s/s of
schizophrenia?
,B & C only
B) impaired social and occupa4onal func4oning
C) isola4on and impaired self-care
Which of the following are keys to dis4nguishing OCD from psychosis?
Pa4ents with OCD can almost always acknowledge the unreasonable nature of
their symptoms
A federal program administered na4onally and locally which covers enrolled
individuals 65+ who pays premiums and disabled individuals
Both A& B (Medicare and Medicaid)
Having an adequate legal descrip4on of nurse prac44oner (NP) scope of
prac4ce according to state law is important for which of the following reasons?
All of the above (to avoid any charges of prac4cing medicine without a license,
to place accountability for both benefits and harm to pa4ents squarely on the
NP, to get reimbursed for physician services when provided by a NP
Which of the following is the most widely consumed psychoac4ve substance?
B) Caffeine
Incorrect: alcohol, heroin, cannabis
Which of the following is used to tx TD?
None of the above
(cogen4n, artane, catapress)
The APRN consensus model did which of the following?
B&C
B) adult and gerontology were merged and iden4fied as PCP or acute care
C) psychiatric mental health foci were s4pulated 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
According to HIPPA, which of the following must the NP share their NPI with?
Check all the above
, A) Health Plans
B) Other providers
C) Any en4ty that may need it for a billing purpose
A pa4ent 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 presenta4on means what diagnosis?
Schizophrenia
Major neurotransmiVers possibly involved in developing substance abuse and
substance dependence are which of the following?
A) Dopamine
Incorrect: GABA, serotonin, A& B only
The dopamine hypothesis of schizophrenia, which of the following?
A) Schizophrenia results from too much dopaminergic ac4vity
incorrect: results from a depriva4on of dopamine
A pa4ent reports a panic aVack several years ago in an elevator and since then
has avoided elevators. The pt meets the criteria for:
B) Specific phobia
A pa4ent with a substance use disorder who does not meet clinical criteria for
hospitaliza4on but lacks sufficient social and voca4onal skills and lack
substance-free social supports is to
D) All of the above
(Residen4al tx, par4al hospitaliza4on, outpt tx)
Obscene phone calling to an unsuspec4ng partner for sexual arousal is known
as?
C) Telephone Scatologia
(not telephillia, par4alism, normal adolescent prank)
The main psychological difference between fear and anxiety is best described
by which of these statements?
B) Anxiety is insidious, fear is sudden
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