Nursing 691 Practice Questions Exam
With Complete Answers
A 35 year-old male patient schedules an appointment with you to discuss some
symptoms he is experiencing. He is muscular, well-built and has a passion for
body building. His symptoms include acne, gynecomastia, striae and some hair
thinning on his head. The PMHNP would expect what condition?
a. Normal age-related aging process
b. Anabolic-Androgenic Steroid Abuse
c. Inhalant-related disorder
d. Benzodiazepine discontinuation syndrome - ANSWER b. Anabolic-Androgenic
Steroid Abuse
"The most common acute adverse medical effects of AAS include acne (which
occasionally may be severe), gynecomastia (caused by aromatization of AAS to
estrogenic hormones), striae (caused by overly rapid muscle growth beneath
the skin), and acceleration of male pattern baldness".
Which of the following risk factors should alert the PMHNP to an elevated risk for
suicide?
a. Previous suicide attempts
b. Family history of suicide
c. Recent divorce
d. Loss of job - ANSWER a. Previous suicide attempts
Previous suicide attempts, particularly in the case of violent or more lethal
methods, are the most powerful single predictor of future attempts and fatal
suicide both in patients with major depressive disorders or with other
psychiatric diagnoses".
The PMHNP is seeing a patient for medication follow-up for anxiety and
depression. She is prescribed Sertraline 100mg and has called the office to
come in for an earlier appointment due to the following symptoms she is
experiencing: increased sweating, increased anxiety and restlessness,
overactive reflexes, and a low grade fever. The PMHNP should suspect:
a. Tardive dyskinesia
b. Neuroleptic malignant syndrome
c. Serotonin Syndrome
,d. Akathisia - ANSWER c. Serotonin Syndrome
p-1148. "Serotonin syndrome is a disorder caused by excessive serotonergic
input in the CNS, probably within the hypothalamus. It is characterized by
restlessness, myoclonus hyperreflexia, diaphoresis, shivering, tremor,
autonomic changes, including fever, and mental status changes, such as
confusion".
Which of the following is not a misconception of Anabolic-androgen steroid
(AAS) abuse:
A. Girls and women often use AAS
B. Only athletes use AAS
C. Use of AAS usually starts during adolescence
D. AAS use has become more common in the last 2-3 decades - ANSWER D. AAS
use has become more common in the last 2-3 decades
p- 1390 "AAS abuse is a recent phenomenon, having become common in the
general population only within the last two or three decades".
Which stage in the treatment of personality disorders is considered "meta
cognitive" and is involved in self-awareness of thoughts, feelings and
relationships. It occurs during the third stage of treatment.
A. Integrated intelligence
B. Crisis management and stabilization
C. Awakening of a positive perspective and personal values in life
D. Other-centered awareness - ANSWER D. Other-centered awareness
p- 2170 "The third stage of meta cognitive (other-centered) awareness involves
increases in self-awareness and capacity for contemplation that elevate a
person's usual thoughts, feelings, and relationships in a wide range of
conditions".
Which of the following is the most widely used mood altering drug worldwide?
A. Cannabis
B. Opioids
C. Caffeine
D. Methamphetamine - ANSWER C. Caffeine
Caffeine is the most widely used drug worldwide. It is estimated that over 85% of
the population in the United States consumes caffeine-containing foods and
drinks. Caffeine can be found in more than 60 different plant species (Juliano &
Griffiths, 2017).
Mr. Smith, a 37 yo male, presents to the office with his wife. He reports that his
wife "forced him to make an appointment" and that there is no reason for the
, appointment. The patient's spouse reports that their marriage is suffering
because of Mr. Smith's mood. She reports that he always at work. Mr. Smith
interrupted and stated, "Yeah! If I'm not there, the whole company would go
under. It's like you don't realize how important I am at work and how hard I
work." Mrs. Smith reports that he is very irritable at home and they argue daily.
Again, Mr. Smith interrupted and said, "well I wouldn't be so grumpy all the time
if she would show some appreciation towards me." Mr. Smith's behaviors are
most consistent with which of the following personality disorders:
A. Borderline personality disorder
B. Narcissistic personality disorder
C. Antisocial personality disorder
D. Paranoid personality disorder - ANSWER B. Narcissistic personality disorder
Individuals with narcissistic personality disorder often display grandiose beliefs
about themselves and require admiration from others. These individuals often
lack empathy toward others (Cloninger & Svrakic, 2017).
What is the prevalence of metabolic syndrome in individuals with schizophrenia?
A. 15-20%
B. 20-25%
C. 30-40%
D. 10-20% - ANSWER C. 30-40%
The general population has a prevalence of 23% for metabolic syndrome, and
those with schizophrenia have a 30 to 40% prevalence. Antipsychotic
medications are associated with an increased risk of developing metabolic
syndrome due to associated weight gain (Newcomer et al., 2017).
Which of the following are considered positive symptoms associated with
Schizophrenia?
a. Hallucinations, delusions, bizarre behavior
b. Hallucinations, delusions, flat affect
c. Bizarre behavior, Apathy, flat affect
d. Flat affect, poverty of speech, apathy - ANSWER a. Hallucinations, delusions,
bizarre behavior
The psychotic (positive) symptoms of schizophrenia define schizophrenia for the
general public and for many clinicians. They are the obvious and dramatic
symptoms of the illness, and for most people, they are what is fascinating and
frightening about schizophrenia. Negative symptoms "represent a loss or
diminution of normal functions" and stand in contrast to positive symptoms
where there are perceptions and cognitions and behaviors added to normal
mental functions.
With Complete Answers
A 35 year-old male patient schedules an appointment with you to discuss some
symptoms he is experiencing. He is muscular, well-built and has a passion for
body building. His symptoms include acne, gynecomastia, striae and some hair
thinning on his head. The PMHNP would expect what condition?
a. Normal age-related aging process
b. Anabolic-Androgenic Steroid Abuse
c. Inhalant-related disorder
d. Benzodiazepine discontinuation syndrome - ANSWER b. Anabolic-Androgenic
Steroid Abuse
"The most common acute adverse medical effects of AAS include acne (which
occasionally may be severe), gynecomastia (caused by aromatization of AAS to
estrogenic hormones), striae (caused by overly rapid muscle growth beneath
the skin), and acceleration of male pattern baldness".
Which of the following risk factors should alert the PMHNP to an elevated risk for
suicide?
a. Previous suicide attempts
b. Family history of suicide
c. Recent divorce
d. Loss of job - ANSWER a. Previous suicide attempts
Previous suicide attempts, particularly in the case of violent or more lethal
methods, are the most powerful single predictor of future attempts and fatal
suicide both in patients with major depressive disorders or with other
psychiatric diagnoses".
The PMHNP is seeing a patient for medication follow-up for anxiety and
depression. She is prescribed Sertraline 100mg and has called the office to
come in for an earlier appointment due to the following symptoms she is
experiencing: increased sweating, increased anxiety and restlessness,
overactive reflexes, and a low grade fever. The PMHNP should suspect:
a. Tardive dyskinesia
b. Neuroleptic malignant syndrome
c. Serotonin Syndrome
,d. Akathisia - ANSWER c. Serotonin Syndrome
p-1148. "Serotonin syndrome is a disorder caused by excessive serotonergic
input in the CNS, probably within the hypothalamus. It is characterized by
restlessness, myoclonus hyperreflexia, diaphoresis, shivering, tremor,
autonomic changes, including fever, and mental status changes, such as
confusion".
Which of the following is not a misconception of Anabolic-androgen steroid
(AAS) abuse:
A. Girls and women often use AAS
B. Only athletes use AAS
C. Use of AAS usually starts during adolescence
D. AAS use has become more common in the last 2-3 decades - ANSWER D. AAS
use has become more common in the last 2-3 decades
p- 1390 "AAS abuse is a recent phenomenon, having become common in the
general population only within the last two or three decades".
Which stage in the treatment of personality disorders is considered "meta
cognitive" and is involved in self-awareness of thoughts, feelings and
relationships. It occurs during the third stage of treatment.
A. Integrated intelligence
B. Crisis management and stabilization
C. Awakening of a positive perspective and personal values in life
D. Other-centered awareness - ANSWER D. Other-centered awareness
p- 2170 "The third stage of meta cognitive (other-centered) awareness involves
increases in self-awareness and capacity for contemplation that elevate a
person's usual thoughts, feelings, and relationships in a wide range of
conditions".
Which of the following is the most widely used mood altering drug worldwide?
A. Cannabis
B. Opioids
C. Caffeine
D. Methamphetamine - ANSWER C. Caffeine
Caffeine is the most widely used drug worldwide. It is estimated that over 85% of
the population in the United States consumes caffeine-containing foods and
drinks. Caffeine can be found in more than 60 different plant species (Juliano &
Griffiths, 2017).
Mr. Smith, a 37 yo male, presents to the office with his wife. He reports that his
wife "forced him to make an appointment" and that there is no reason for the
, appointment. The patient's spouse reports that their marriage is suffering
because of Mr. Smith's mood. She reports that he always at work. Mr. Smith
interrupted and stated, "Yeah! If I'm not there, the whole company would go
under. It's like you don't realize how important I am at work and how hard I
work." Mrs. Smith reports that he is very irritable at home and they argue daily.
Again, Mr. Smith interrupted and said, "well I wouldn't be so grumpy all the time
if she would show some appreciation towards me." Mr. Smith's behaviors are
most consistent with which of the following personality disorders:
A. Borderline personality disorder
B. Narcissistic personality disorder
C. Antisocial personality disorder
D. Paranoid personality disorder - ANSWER B. Narcissistic personality disorder
Individuals with narcissistic personality disorder often display grandiose beliefs
about themselves and require admiration from others. These individuals often
lack empathy toward others (Cloninger & Svrakic, 2017).
What is the prevalence of metabolic syndrome in individuals with schizophrenia?
A. 15-20%
B. 20-25%
C. 30-40%
D. 10-20% - ANSWER C. 30-40%
The general population has a prevalence of 23% for metabolic syndrome, and
those with schizophrenia have a 30 to 40% prevalence. Antipsychotic
medications are associated with an increased risk of developing metabolic
syndrome due to associated weight gain (Newcomer et al., 2017).
Which of the following are considered positive symptoms associated with
Schizophrenia?
a. Hallucinations, delusions, bizarre behavior
b. Hallucinations, delusions, flat affect
c. Bizarre behavior, Apathy, flat affect
d. Flat affect, poverty of speech, apathy - ANSWER a. Hallucinations, delusions,
bizarre behavior
The psychotic (positive) symptoms of schizophrenia define schizophrenia for the
general public and for many clinicians. They are the obvious and dramatic
symptoms of the illness, and for most people, they are what is fascinating and
frightening about schizophrenia. Negative symptoms "represent a loss or
diminution of normal functions" and stand in contrast to positive symptoms
where there are perceptions and cognitions and behaviors added to normal
mental functions.
