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NRNP 6675 Final Exam 2024/2025 – Questions With Complete Solutions (Walden University)
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NRNP 6675 Final Exam 2024/2025 – Questions With Complete Solutions (Walden University)
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NRNP 6675 Final Exam 2024/2025 – Questions WithComplete Solutions (Walden University)
Which of the following are risk factors for neuroleptic malignant syndrome?
Select all that apply Right Ans - Rapid dose escalation; parental route of
administration; higher potency typical antipsychotics
Discrepancy between anatomical sex and gender is known as? Right Ans -
B) Gender Discordance
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway
causing which of the following effects? Right Ans - 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? Right Ans - 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? Right Ans - 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? Right Ans - 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 relates to
the delusional system disorder called? Right Ans - Delusional disorder
,Which of the following is true about preoccupation with castration? Right
Ans - 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
describing medical and surgical procedures and diagnostics services rendered
by clinicians? Right Ans - CPT
Incorrect: HIPPA, DSM5-, DRG
A patient on Chlorpromazine states his orgasm is dry and afterwards he will
commonly have milky urine. The APRN realizes this is which of the following?
Right Ans - A) This is likely a harmless response to the Chlorpromazine
"Thorazine"
A condition which results from absence of second female sex chromosome
(XO) and is associated with web neck, dwarfism, cubitus valgus and infertility
is known as which of the following? Right Ans - 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
schizophrenia? Right Ans - B & C only
B) impaired social and occupational functioning
C) isolation and impaired self-care
Which of the following are keys to distinguishing OCD from psychosis?
Right Ans - Patients with OCD can almost always acknowledge the
unreasonable nature of their symptoms
,A federal program administered nationally and locally which covers enrolled
individuals 65+ who pays premiums and disabled individuals Right Ans -
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? Right Ans - 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 substance?
Right Ans - B) Caffeine
Incorrect: alcohol, heroin, cannabis
Which of the following is used to tx TD? Right Ans - None of the above
(cogentin, artane, catapress)
The APRN consensus model did which of the following? Right Ans - B & C
B) adult and gerontology were merged and identified as PCP or acute care
C) 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%? Right Ans - 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 Right Ans - A) Health Plans
B) Other providers
C) 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? Right Ans -
Schizophrenia
, Major neurotransmitters possibly involved in developing substance abuse and
substance dependence are which of the following? Right Ans - A)
Dopamine
Incorrect: GABA, serotonin, A& B only
The dopamine hypothesis of schizophrenia, which of the following? Right
Ans - 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: Right Ans - 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 Right Ans - D) All of the above
(Residential tx, partial hospitalization, outpt tx)
Obscene phone calling to an unsuspecting partner for sexual arousal is known
as? Right Ans - C) Telephone Scatologia
(not telephillia, partialism, normal adolescent prank)
The main psychological difference between fear and anxiety is best described
by which of these statements? Right Ans - 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? Right Ans - 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? Right
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