NRNP 6675 Final Exam
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Which of the following are risk factors for Rapid dose escalation; parental route of
neuroleptic malignant syndrome? Select administration; higher potency typical an-
all that apply tipsychotics
Discrepancy between anatomical sex
B) Gender Discordance
and gender is known as?
B) Increases EPS
Antipsychotic medication provides D2
blockage in the meso-coritcal pathway Incorrect: reduces negative s/s, caus-
causing which of the following effects? es prolactinemia, reduces positive symp-
toms
D) NMDA type receptors
Phencyclidine (PCP) and ketamine exert
their unique behavioral effects by block-
Incorrect: GABA, serotonin, dopamine
ing which of the following receptors?
"receptors"
The diagnosis used to describe a syn-
C) Substance use disorder
drome characterized by specific s/s re-
sulting from recent ingestion or exposure
Incorrect: substance intox, substance
to a substance is known as which of the
withdrawal, all of the above
folllowing?
Abnormal involuntary movements in a
C) Tardive dyskinesia
rhythmic pattern affecting the face,
mouth, tongue jaw is known as which of
Incorrect: akathisia, dystonia, EPS
the following?
A deeply held belief despite evidence to
the contrary, lasting at least 1 month,
without prominent hallucinations, with Delusional disorder
functional impairment that relates to the
delusional system disorder called?
A) This can be serious and life threat-
ening if castration is carried out without
medical supervision
Which of the following is true about pre-
occupation with castration?
Incorrect: consistent with transvestiatic
disorder, other specified paraphillic dis-
order, or sexual machochism disorder
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Which of the following is a system that
provides a uniform language for describ- CPT
ing medical and surgical procedures and
diagnostics services rendered by clini- Incorrect: HIPPA, DSM5-, DRG
cians?
A patient on Chlorpromazine states his A) This is likely a harmless response to
orgasm is dry and afterwards he will the Chlorpromazine
commonly have milky urine. The APRN
realizes this is which of the following? "Thorazine"
B) Turners Syndrome
A condition which results from ab-
sence of second female sex chromo- Turners syndrome:
some (XO) and is associated with web
neck, dwarfism, cubitus valgus and infer- tx involves hormone therapy; fertility
tility is known as which of the following? treatments for women when they decide
to have a baby
B & C only
Which of the following would be charac-
terized as a negative s/s of schizophre- B) impaired social and occupational
nia? functioning
C) isolation and impaired self-care
Patients with OCD can almost always
Which of the following are keys to distin-
acknowledge the unreasonable nature of
guishing OCD from psychosis?
their symptoms
A federal program administered nation-
ally and locally which covers enrolled in-
Both A& B (Medicare and Medicaid)
dividuals 65+ who pays premiums and
disabled individuals
All of the above (to avoid any charges
Having an adequate legal description of of practicing medicine without a license,
nurse practitioner (NP) scope of practice to place accountability for both benefits
according to state law is important for and harm to patients squarely on the NP,
which of the following reasons? to get reimbursed for physician services
when provided by a NP
Which of the following is the most widely
consumed psychoactive substance?
, NRNP 6675 Final Exam
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B) Caffeine
Incorrect: alcohol, heroin, cannabis
None of the above
Which of the following is used to tx TD?
(cogentin, artane, catapress)
B&C
The APRN consensus model did which B) adult and gerontology were merged
of the following? and identified as PCP or acute care
C) psychiatric mental health foci were
stipulated as across the lifespan
Which of the following behaviors are as-
B) Thought judgement and restraints are
sociated with an alcohol blood level of
impaired
0.05%?
A) Health Plans
According to HIPPA, which of the follow-
B) Other providers
ing must the NP share their NPI with?
C) Any entity that may need it for a billing
Check all the above
purpose
A patient presents with delusions, disor-
ganized thoughts, and speech with poor
self care all of which has persisted for the Schizophrenia
past 7 months. The APRN knowns this
presentation means what diagnosis?
Major neurotransmitters possibly in-
A) Dopamine
volved in developing substance abuse
and substance dependence are which of
Incorrect: GABA, serotonin, A& B only
the following?
A) Schizophrenia results from too much
dopaminergic activity
The dopamine hypothesis of schizophre-
nia, which of the following?
incorrect: results from a deprivation of
dopamine
A patient reports a panic attack several
B) Specific phobia
years ago in an elevator and since then
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has avoided elevators. The pt meets the
criteria for:
A patient with a substance use disor-
D) All of the above
der who does not meet clinical criteria
for hospitalization but lacks sufficient so-
(Residential tx, partial hospitalization,
cial and vocational skills and lack sub-
outpt tx)
stance-free social supports is to
C) Telephone Scatologia
Obscene phone calling to an unsuspect-
ing partner for sexual arousal is known
(not telephillia, partialism, normal ado-
as?
lescent prank)
The main psychological difference be-
tween fear and anxiety is best described B) Anxiety is insidious, fear is sudden
by which of these statements?
A diffuse, unpleasant, vague sense of
C) Normal anxiety
apprehension often accompanied by au-
tonomic symptoms varies upon persons
(incorrect- fear, stress, pathological anx-
is commonly known as which of the fol-
iety
lowing?
If a pregnancy begins while the woman
D) Withdrawal from methadone should
is taking high doses of methadone
never be done while the woman is preg-
and withdrawal is desired during which
nant
trimester is the least hazardous?
Neurochemical or neurophysiological C) Neuroadaption
changes in the body that results from
the repeated administration of a drug is incorrect: cross-tolerance, neurotrans-
known as which of the following? formation, neurocognitive adjustment
The recurrent and intense sexual arousal
from the physical and psychological suf-
C) Sexual sadism
fering of another person is known as
which of the following?
D) The onset of OCD is typically preced-
ed by OCD personality traits
True answers about OCD:
-more than 1/2 of pts with OCD have a
