NRNP 6675 WALDEN
FINAL EXAM
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
❖ Guarantee passing score
❖ 100 Questions and Answers
❖ format set of multiple-choice
❖ Expert-Verified Explanation
❖ Verified with trusted textbooks
,1. Concerns when treating geriatric patients with psychotherapeutic drugs? (Select all true
statements)
A. Elderly people can be more susceptible to adverse effects of drugs
B. Elderly persons may metabolize drugs more slowly
C. Elderly persons may metabolize drugs more rapidly
D. Elderly people may excrete psychotherapeutic drugs more slowly
Correct Answers: A, B, and D
EXPERT-VERIFIED EXPLANATION:
Geriatric populations generally experience decreased hepatic metabolism and reduced renal
clearance. This can prolong drug half-lives and raise the likelihood of adverse effects and
toxicity. Hence, older adults are indeed more susceptible to side effects (option A), often
metabolize drugs more slowly (option B), and excrete them more slowly (option D). Option C
stating “Elderly persons may metabolize drugs more rapidly” is typically not accurate.
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========
2. Three major neurotransmitters associated with ANXIETY, based on animal studies and
responses to drug treatment include:
A. Dopamine, acetylcholine, and substance P
B. GABA, norepinephrine, and serotonin
C. Glycine, dopamine, and histamine
D. Endorphins, glutamate, and epinephrine
Answer: B) GABA, norepinephrine, and serotonin
EXPERT-VERIFIED EXPLANATION:
Research on anxiety consistently implicates three key neurotransmitters: 1) GABA (gamma-
aminobutyric acid), an inhibitory neurotransmitter that helps reduce neuronal excitability; 2)
norepinephrine, involved in the body’s stress or “fight-or-flight” response; and 3) serotonin,
,essential in modulating mood, anxiety, and sleep. Pharmacological treatments for many anxiety
disorders target these neurotransmitters to restore balance (e.g., benzodiazepines enhance
GABA’s effects; some antidepressants regulate serotonin/norepinephrine). Acetylcholine and
dopamine can play ancillary or indirect roles in anxiety states, but the primary trio that has been
most thoroughly studied and targeted by medications remains GABA, norepinephrine, and
serotonin.
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========
03. What neurotransmitter increases libido?
A. Acetylcholine
B. GABA
C. Serotonin
D. Dopamine
Answer: D) Dopamine
EXPERT-VERIFIED EXPLANATION:
Dopamine is a key neurotransmitter that mediates the brain’s reward and pleasure centers.
Increased dopaminergic activity has been closely linked to heightened motivation, reward-
seeking behavior, and, in various contexts, an increase in libido. Although many factors
contribute to libido (including hormone levels such as testosterone and estrogen), dopamine
commonly enhances sexual drive and arousal in both males and females. In contrast, elevated
serotonin activity can reduce libido, which explains why some SSRIs may dampen sexual
desire.
========================================================================
========
4. Concerns when treating geriatric patients with psychotherapeutic drugs include all of the
following EXCEPT:
A. Increased sensitivity to adverse effects
B. Lower renal excretion
C. Elderly persons may metabolize psychotherapeutic drugs more rapidly
,D. Comorbid health conditions affecting drug choice
Answer: C) Elderly persons may metabolize psychotherapeutic drugs more rapidly
EXPERT-VERIFIED EXPLANATION:
In older adults, metabolism (primarily hepatic) and excretion (primarily renal) of drugs generally
slows down, making them more vulnerable to side effects and toxicity. They may also have
multiple comorbidities, polypharmacy, and altered pharmacodynamics. The statement “Elderly
persons may metabolize psychotherapeutic drugs more rapidly” is incorrect for most geriatric
patients; the opposite (slower metabolism) is usually true. Therefore, option C is the EXCEPT
(incorrect) statement among the concerns listed.
========================================================================
========
5. Persons who subordinate their own needs to those of others, get others to assume
responsibility for major areas of their lives, lack self-confidence, and may experience intense
discomfort when alone for more than a brief period of time are demonstrating characteristics
consistent with which personality disorder (PD)?
A. Avoidant PD
B. Borderline PD
C. Dependent PD
D. Narcissistic PD
Answer: C) Dependent PD
EXPERT-VERIFIED EXPLANATION:
Dependent Personality Disorder is characterized by pervasive psychological dependence on
other people. Individuals with this disorder display submissiveness, a deep fear of separation or
being alone, difficulty making decisions independently, and often go to great lengths to seek
nurturance and support. They fear abandonment and have a marked inability to function without
oversight or help from others, aligning with the description provided.
========================================================================
========
,6. According to Harry Stack Sullivan, which of the following is consistent with a mentor/mentee
relationship?
A. Mentors are strictly assigned
B. Mentor relationships are always short-term
C. Goals for the mentoring relationship are set mutually
D. A and B only
Answer: C) Goals for the mentoring relationship are set mutually
EXPERT-VERIFIED EXPLANATION:
Sullivan’s interpersonal theory highlights growth through significant interpersonal relationships.
In a genuine mentor-mentee relationship, both parties collaborate to set goals that guide the
mentee’s development. Goals cultivated through shared dialogue support a more meaningful,
personalized experience. Mentors are often chosen (not simply “assigned”), and such
relationships can be longer or shorter term, depending on context—not necessarily always
short-term.
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========
8. The need for Nurse Practitioners to practice to the full extent of their education and training is
necessary. Select the best Answer:
A. True, because it optimizes patient care
B. False, because NPs should always work under maximum restriction
C. True, but only if practicing in a hospital
D. All of the above
Answer: D) All of the above (if the original prompt indicates “Select all of the above”)
EXPERT-VERIFIED EXPLANATION:
Professional nursing organizations, including the Institute of Medicine (IOM) and the National
Academy of Medicine, have recognized that Nurse Practitioners should be authorized to
practice to the full extent of their training. This includes prescriptive capabilities, independent
assessment, diagnosis, and management of patients within their scope of practice. Doing so
enhances access to care, improves patient outcomes, and uses healthcare resources more
, effectively. The question’s wording suggests that all statements or the overarching conclusion
supports that NPs practicing at their full scope is beneficial and necessary.
========================================================================
========
9. The ARNP assessing lifestyle as a social determinant of health would ask about which of the
following?
A. Diet
B. High-tech device usage
C. Favorite television shows
D. Hobbies unrelated to health
Answer: A) Diet
EXPERT-VERIFIED EXPLANATION:
Lifestyle questions often pertain to diet, exercise, alcohol or substance use, and smoking
patterns since these directly impact health outcomes. Diet is one of the most critical lifestyle
factors. Although technology habits or hobbies can be relevant in extended assessments, they
are not the classic primary focus when addressing “lifestyle” as a core social determinant of
health. Diet remains a cornerstone inquiry, greatly influencing obesity, chronic diseases, and
overall well-being.
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========
10. What are “social determinants of health” (SDH) and lifestyle choices?
A. Factors exclusively determined by genetic inheritance
B. The conditions in which people are born, grow, work, live, and age, plus forces shaping daily
life
C. Irrelevant influences that rarely affect health outcomes
D. Only aspects related to one’s personal preference for exercise
Answer: B) The conditions in which people are born, grow, work, live, and age, and the wider
forces shaping daily life
FINAL EXAM
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
❖ Guarantee passing score
❖ 100 Questions and Answers
❖ format set of multiple-choice
❖ Expert-Verified Explanation
❖ Verified with trusted textbooks
,1. Concerns when treating geriatric patients with psychotherapeutic drugs? (Select all true
statements)
A. Elderly people can be more susceptible to adverse effects of drugs
B. Elderly persons may metabolize drugs more slowly
C. Elderly persons may metabolize drugs more rapidly
D. Elderly people may excrete psychotherapeutic drugs more slowly
Correct Answers: A, B, and D
EXPERT-VERIFIED EXPLANATION:
Geriatric populations generally experience decreased hepatic metabolism and reduced renal
clearance. This can prolong drug half-lives and raise the likelihood of adverse effects and
toxicity. Hence, older adults are indeed more susceptible to side effects (option A), often
metabolize drugs more slowly (option B), and excrete them more slowly (option D). Option C
stating “Elderly persons may metabolize drugs more rapidly” is typically not accurate.
========================================================================
========
2. Three major neurotransmitters associated with ANXIETY, based on animal studies and
responses to drug treatment include:
A. Dopamine, acetylcholine, and substance P
B. GABA, norepinephrine, and serotonin
C. Glycine, dopamine, and histamine
D. Endorphins, glutamate, and epinephrine
Answer: B) GABA, norepinephrine, and serotonin
EXPERT-VERIFIED EXPLANATION:
Research on anxiety consistently implicates three key neurotransmitters: 1) GABA (gamma-
aminobutyric acid), an inhibitory neurotransmitter that helps reduce neuronal excitability; 2)
norepinephrine, involved in the body’s stress or “fight-or-flight” response; and 3) serotonin,
,essential in modulating mood, anxiety, and sleep. Pharmacological treatments for many anxiety
disorders target these neurotransmitters to restore balance (e.g., benzodiazepines enhance
GABA’s effects; some antidepressants regulate serotonin/norepinephrine). Acetylcholine and
dopamine can play ancillary or indirect roles in anxiety states, but the primary trio that has been
most thoroughly studied and targeted by medications remains GABA, norepinephrine, and
serotonin.
========================================================================
========
03. What neurotransmitter increases libido?
A. Acetylcholine
B. GABA
C. Serotonin
D. Dopamine
Answer: D) Dopamine
EXPERT-VERIFIED EXPLANATION:
Dopamine is a key neurotransmitter that mediates the brain’s reward and pleasure centers.
Increased dopaminergic activity has been closely linked to heightened motivation, reward-
seeking behavior, and, in various contexts, an increase in libido. Although many factors
contribute to libido (including hormone levels such as testosterone and estrogen), dopamine
commonly enhances sexual drive and arousal in both males and females. In contrast, elevated
serotonin activity can reduce libido, which explains why some SSRIs may dampen sexual
desire.
========================================================================
========
4. Concerns when treating geriatric patients with psychotherapeutic drugs include all of the
following EXCEPT:
A. Increased sensitivity to adverse effects
B. Lower renal excretion
C. Elderly persons may metabolize psychotherapeutic drugs more rapidly
,D. Comorbid health conditions affecting drug choice
Answer: C) Elderly persons may metabolize psychotherapeutic drugs more rapidly
EXPERT-VERIFIED EXPLANATION:
In older adults, metabolism (primarily hepatic) and excretion (primarily renal) of drugs generally
slows down, making them more vulnerable to side effects and toxicity. They may also have
multiple comorbidities, polypharmacy, and altered pharmacodynamics. The statement “Elderly
persons may metabolize psychotherapeutic drugs more rapidly” is incorrect for most geriatric
patients; the opposite (slower metabolism) is usually true. Therefore, option C is the EXCEPT
(incorrect) statement among the concerns listed.
========================================================================
========
5. Persons who subordinate their own needs to those of others, get others to assume
responsibility for major areas of their lives, lack self-confidence, and may experience intense
discomfort when alone for more than a brief period of time are demonstrating characteristics
consistent with which personality disorder (PD)?
A. Avoidant PD
B. Borderline PD
C. Dependent PD
D. Narcissistic PD
Answer: C) Dependent PD
EXPERT-VERIFIED EXPLANATION:
Dependent Personality Disorder is characterized by pervasive psychological dependence on
other people. Individuals with this disorder display submissiveness, a deep fear of separation or
being alone, difficulty making decisions independently, and often go to great lengths to seek
nurturance and support. They fear abandonment and have a marked inability to function without
oversight or help from others, aligning with the description provided.
========================================================================
========
,6. According to Harry Stack Sullivan, which of the following is consistent with a mentor/mentee
relationship?
A. Mentors are strictly assigned
B. Mentor relationships are always short-term
C. Goals for the mentoring relationship are set mutually
D. A and B only
Answer: C) Goals for the mentoring relationship are set mutually
EXPERT-VERIFIED EXPLANATION:
Sullivan’s interpersonal theory highlights growth through significant interpersonal relationships.
In a genuine mentor-mentee relationship, both parties collaborate to set goals that guide the
mentee’s development. Goals cultivated through shared dialogue support a more meaningful,
personalized experience. Mentors are often chosen (not simply “assigned”), and such
relationships can be longer or shorter term, depending on context—not necessarily always
short-term.
========================================================================
========
8. The need for Nurse Practitioners to practice to the full extent of their education and training is
necessary. Select the best Answer:
A. True, because it optimizes patient care
B. False, because NPs should always work under maximum restriction
C. True, but only if practicing in a hospital
D. All of the above
Answer: D) All of the above (if the original prompt indicates “Select all of the above”)
EXPERT-VERIFIED EXPLANATION:
Professional nursing organizations, including the Institute of Medicine (IOM) and the National
Academy of Medicine, have recognized that Nurse Practitioners should be authorized to
practice to the full extent of their training. This includes prescriptive capabilities, independent
assessment, diagnosis, and management of patients within their scope of practice. Doing so
enhances access to care, improves patient outcomes, and uses healthcare resources more
, effectively. The question’s wording suggests that all statements or the overarching conclusion
supports that NPs practicing at their full scope is beneficial and necessary.
========================================================================
========
9. The ARNP assessing lifestyle as a social determinant of health would ask about which of the
following?
A. Diet
B. High-tech device usage
C. Favorite television shows
D. Hobbies unrelated to health
Answer: A) Diet
EXPERT-VERIFIED EXPLANATION:
Lifestyle questions often pertain to diet, exercise, alcohol or substance use, and smoking
patterns since these directly impact health outcomes. Diet is one of the most critical lifestyle
factors. Although technology habits or hobbies can be relevant in extended assessments, they
are not the classic primary focus when addressing “lifestyle” as a core social determinant of
health. Diet remains a cornerstone inquiry, greatly influencing obesity, chronic diseases, and
overall well-being.
========================================================================
========
10. What are “social determinants of health” (SDH) and lifestyle choices?
A. Factors exclusively determined by genetic inheritance
B. The conditions in which people are born, grow, work, live, and age, plus forces shaping daily
life
C. Irrelevant influences that rarely affect health outcomes
D. Only aspects related to one’s personal preference for exercise
Answer: B) The conditions in which people are born, grow, work, live, and age, and the wider
forces shaping daily life
