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NRNP 6645 Psychotherapy Midterm Exam – Walden University 2025/2026 | Complete Exam with Verified Questions & 100% Correct VERIFIED Answers!!

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NRNP 6645 Psychotherapy Midterm Exam – Walden University 2025/2026 | Complete Exam with Verified Questions & 100% Correct VERIFIED Answers!!

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1|Page


NRNP 6645 Psychotherapy Midterm Exam – Walden
University 2025/2026 | Complete Exam with Verified
Questions & 100% Correct VERIFIED Answers!!


Discrepancy between anatomical sex and gender is
known as? - Answer-B) Gender Discordance


Which of the following are risk factors for neuroleptic
malignant syndrome? Select all that apply - Answer-Rapid
dose escalation; parental route of administration; higher
potency typical antipsychotics


Antipsychotic medication provides D2 blockage in the
meso-coritcal pathway causing which of the following
effects? - Answer-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? - Answer-D) NMDA type receptors

,2|Page


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? -
Answer-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? - Answer-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? - Answer-Delusional disorder


Which of the following is true about preoccupation with
castration? - Answer-A) This can be serious and life

,3|Page


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? - Answer-
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? - Answer-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,

, 4|Page


dwarfism, cubitus valgus and infertility is known as which
of the following? - Answer-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? - Answer-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? - Answer-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

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