NRNP 6675 Midterm Exam
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1. Which of the following are risk factors for neuroleptic A. Age
malignant syndrome? Select all that apply B. Rapid Dose Escalation
C. Parental Route of Ad-
A. Age ministration
B. Rapid Dose Escalation D. Higher Potency Typical
C. Parental Route of Administration Antipsychotics
D. Higher Potency Typical Antipsychotics
2. Antipsychotic medication provides D2 blockage in the A. reduces negative symp-
meso-coritcal pathway causing which of the following toms
effects? B. Increases EPS
C. causes prolactinemia
A. reduces negative symptoms D. reduces positive symp-
B. Increases EPS toms
C. causes prolactinemia
D. reduces positive symptoms
3. Phencyclidine (PCP) and ketamine exert their unique A. GABA
behavioral effects by blocking which of the following B. serotonin
receptors? C. dopamine receptors
D. NMDA type receptors
A. GABA
B. serotonin
C. dopamine receptors
D. NMDA type receptors
4. The diagnosis used to describe a syndrome charac- A. substance intoxication
terized by specific s/s resulting from recent ingestion (Sadock p. 269)
or exposure to a substance is known as which of the B. substance withdrawal
following? C. Substance Use disor-
der
A. substance intoxication D. all of the above
B. substance withdrawal
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C. substance use disorder
D. all of the above
5. Abnormal involuntary movements in a rhythmic pat- A. akathisia
tern affecting the face, mouth, tongue, and jaw is B. dystonia
known as which of the following? C. tardive dyskinesia
D. EPS
A. akathisia
B. dystonia
C. tardive dyskinesia
D. EPS
6. A deeply held belief despite evidence to the contrary, A. schizophrenia
lasting at least 1 month, without prominent hallucina- B. delusional disorder
tions, with functional impairment that relates to the C. brief psychotic disor-
delusional system disorder called? der
D. schizophreniform dis-
A. schizophrenia order
B. delusional disorder
C. brief psychotic disorder
D. schizophreniform disorder
7. Which of the following is true about preoccupation A. this can be serious and
with castration? life-threatening if castra-
tion is carried out without
A. this can be serious and life-threatening if castration medical supervision
is carried out without medical supervision B. consistent with trans-
B. consistent with transvestic disorder vestic disorder
C. other specified paraphilic disorder C. other specified para-
D. sexual masochism disorder philic disorder
D. sexual masochism dis-
order
, NRNP 6675 Midterm Exam
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8. Which of the following is a system that provides a A. HIPPA
uniform language for describing medical and surgical B. CPT
procedures and diagnostics services rendered by clin- C. DSM-5
icians? D. DRG
A. HIPPA
B. CPT
C. DSM-5
D. DRG
9. A patient on Chlorpromazine states his orgasm is dry A. this is likely a harmless
and afterwards he will commonly have milky urine. response to the Chlorpro-
The APRN realizes this is which of the following? mazine
B. this is abnormal and
A. this is likely a harmless response to the Chlorpro- needs to be evaluated by
mazine a specialist
B. this is abnormal and needs to be evaluated by a C. it is critical to stop the
specialist Chlorpromazine immedi-
C. it is critical to stop the Chlorpromazine immediate- ately
ly D. this has nothing to do
D. this has nothing to do with the Chlorpromazine. with the Chlorpromazine.
Refer patient to PCP for follow-up Refer patient to PCP for
follow-up
10. A condition that results from the absence of a second A. Hermaphroditism
female sex chromosome (XO) and is associated with B. Turner's Syndrome
web neck, dwarfism, cubitus valgus, and infertility is C. Andrenogenital Syn-
known as what? drome
D. Androgen Insensitivity
A. Hermaphroditism Syndrome
B. Turner's Syndrome
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C. Andrenogenital Syndrome
D. Androgen Insensitivity Syndrome
11. Which of the following would be characterized as a A. Hallucinations
negative symptom of schizophrenia? B. impaired social and oc-
cupational functioning
A. Hallucinations C. isolation and impaired
B. impaired social and occupational functioning self-care
C. isolation and impaired self-care D. B & C only
D. B & C only
12. Which of the following are keys to distinguishing OCD A. patients with OCD can
from psychosis? almost always acknowl-
edge the unreasonable
A. patients with OCD can almost always acknowledge nature of their symptoms
the unreasonable nature of their symptoms B. patient with OCD are
B. patient with OCD are better able to control their better able to control their
compulsions compulsions
C. patient with psychosis will have more obsessive C. patient with psychosis
thoughts will have more obsessive
D. patients with OCD have less bizarre obsessions thoughts
D. patients with OCD have
less bizarre obsessions
13. A federal program administered nationally and locally A. Medicare
that covers enrolled individuals 65 who pay premiums B. Medicaid
and disabled individuals... C. both A & B
D. none of the above
A. Medicare
B. Medicaid
C. both A & B
D. none of the above
Study online at https://quizlet.com/_fen0w0
1. Which of the following are risk factors for neuroleptic A. Age
malignant syndrome? Select all that apply B. Rapid Dose Escalation
C. Parental Route of Ad-
A. Age ministration
B. Rapid Dose Escalation D. Higher Potency Typical
C. Parental Route of Administration Antipsychotics
D. Higher Potency Typical Antipsychotics
2. Antipsychotic medication provides D2 blockage in the A. reduces negative symp-
meso-coritcal pathway causing which of the following toms
effects? B. Increases EPS
C. causes prolactinemia
A. reduces negative symptoms D. reduces positive symp-
B. Increases EPS toms
C. causes prolactinemia
D. reduces positive symptoms
3. Phencyclidine (PCP) and ketamine exert their unique A. GABA
behavioral effects by blocking which of the following B. serotonin
receptors? C. dopamine receptors
D. NMDA type receptors
A. GABA
B. serotonin
C. dopamine receptors
D. NMDA type receptors
4. The diagnosis used to describe a syndrome charac- A. substance intoxication
terized by specific s/s resulting from recent ingestion (Sadock p. 269)
or exposure to a substance is known as which of the B. substance withdrawal
following? C. Substance Use disor-
der
A. substance intoxication D. all of the above
B. substance withdrawal
, NRNP 6675 Midterm Exam
Study online at https://quizlet.com/_fen0w0
C. substance use disorder
D. all of the above
5. Abnormal involuntary movements in a rhythmic pat- A. akathisia
tern affecting the face, mouth, tongue, and jaw is B. dystonia
known as which of the following? C. tardive dyskinesia
D. EPS
A. akathisia
B. dystonia
C. tardive dyskinesia
D. EPS
6. A deeply held belief despite evidence to the contrary, A. schizophrenia
lasting at least 1 month, without prominent hallucina- B. delusional disorder
tions, with functional impairment that relates to the C. brief psychotic disor-
delusional system disorder called? der
D. schizophreniform dis-
A. schizophrenia order
B. delusional disorder
C. brief psychotic disorder
D. schizophreniform disorder
7. Which of the following is true about preoccupation A. this can be serious and
with castration? life-threatening if castra-
tion is carried out without
A. this can be serious and life-threatening if castration medical supervision
is carried out without medical supervision B. consistent with trans-
B. consistent with transvestic disorder vestic disorder
C. other specified paraphilic disorder C. other specified para-
D. sexual masochism disorder philic disorder
D. sexual masochism dis-
order
, NRNP 6675 Midterm Exam
Study online at https://quizlet.com/_fen0w0
8. Which of the following is a system that provides a A. HIPPA
uniform language for describing medical and surgical B. CPT
procedures and diagnostics services rendered by clin- C. DSM-5
icians? D. DRG
A. HIPPA
B. CPT
C. DSM-5
D. DRG
9. A patient on Chlorpromazine states his orgasm is dry A. this is likely a harmless
and afterwards he will commonly have milky urine. response to the Chlorpro-
The APRN realizes this is which of the following? mazine
B. this is abnormal and
A. this is likely a harmless response to the Chlorpro- needs to be evaluated by
mazine a specialist
B. this is abnormal and needs to be evaluated by a C. it is critical to stop the
specialist Chlorpromazine immedi-
C. it is critical to stop the Chlorpromazine immediate- ately
ly D. this has nothing to do
D. this has nothing to do with the Chlorpromazine. with the Chlorpromazine.
Refer patient to PCP for follow-up Refer patient to PCP for
follow-up
10. A condition that results from the absence of a second A. Hermaphroditism
female sex chromosome (XO) and is associated with B. Turner's Syndrome
web neck, dwarfism, cubitus valgus, and infertility is C. Andrenogenital Syn-
known as what? drome
D. Androgen Insensitivity
A. Hermaphroditism Syndrome
B. Turner's Syndrome
, NRNP 6675 Midterm Exam
Study online at https://quizlet.com/_fen0w0
C. Andrenogenital Syndrome
D. Androgen Insensitivity Syndrome
11. Which of the following would be characterized as a A. Hallucinations
negative symptom of schizophrenia? B. impaired social and oc-
cupational functioning
A. Hallucinations C. isolation and impaired
B. impaired social and occupational functioning self-care
C. isolation and impaired self-care D. B & C only
D. B & C only
12. Which of the following are keys to distinguishing OCD A. patients with OCD can
from psychosis? almost always acknowl-
edge the unreasonable
A. patients with OCD can almost always acknowledge nature of their symptoms
the unreasonable nature of their symptoms B. patient with OCD are
B. patient with OCD are better able to control their better able to control their
compulsions compulsions
C. patient with psychosis will have more obsessive C. patient with psychosis
thoughts will have more obsessive
D. patients with OCD have less bizarre obsessions thoughts
D. patients with OCD have
less bizarre obsessions
13. A federal program administered nationally and locally A. Medicare
that covers enrolled individuals 65 who pay premiums B. Medicaid
and disabled individuals... C. both A & B
D. none of the above
A. Medicare
B. Medicaid
C. both A & B
D. none of the above
