ANCC Domain 1 questions And Answers

What direct-acting dopamine receptor agonist is recommended to be used in the treatment of neuroleptic malignant syndrome (NMS) to help lower the dopamine receptor blockade? A. Dantrolene (Dantrium) B. Benztropine (Cogentin) C. Bromocriptine (Parlodel) D. Trihexyphenidyl (Artane) - Answer- C. Bromocriptine (Parlodel) A 74 y/o female present for an evaluation. The psychiatric nurse practitioner has the patient complete the mini mental status examination and clock drawing. The patient is unable to correctly draw the face of the clock. Which area of the brain is likely to have compromised functioning? A. Corpus callosum B. Wernicke's Area C. Left Hemisphere D. Right Hemisphere - Answer- D. Right Hemisphere Which of the following statements reflects current understanding of neurodevelopment and best explains risk-taking behaviors of adolescent males? A. Stimulant and substance use impairs judgment and cognitive appraisal B. Pruning of serotonin circuits in the adolescent brain is associated with increased impulsivity C. Maturation of the prefrontal cortex continues into mid-20s and early 30s D. Hormonal flooding, especially testosterone and oxytocin, increase dopamine levels in the brain - Answer- C. Maturation of the prefrontal cortex continues into mid-20s and early 30s What cytochrome (CYP) enzyme is implicated as a tobacco inducer when an individual is treated on clozapine? A. 2C19 B. 1A2 C. 2C9 D. 2D6 - Answer- B. 1A2 As a psychiatric mental health nurse practitioner, you are aware of antipsychotic medication side effects. Which of the following side effects of antipsychotic medications has an insidious, delayed-onset typically 1 to 2 years after initiation of the medication? A. Sedation B. Weight gain C. Tardive dyskinesia D. Dry mouth - Answer- C. Tardive dyskinesia Which mood stabilizer is most associated with a potentially life-threatening rash? A. Divalproex (depakote) B. Carbamazepine (tegretol) C. Lithium (eskalith) D. Lamotrigine (lamictal) - Answer- D. Lamotrigine (lamictal) The psychiatric-Mental Health Nurse Practitioner would expect to see which of the following during a physical exam for a patient with bulimia nervosa? A. Alopecia areata