NRNP 6675 Final Exam (2 Versions, 200 Q&A) | 100% Verified | Walden University | Latest Update

NRNP 6675 Final Exam (2 Versions, 200 Q & A, Latest-2023/2024) / NRNP 6675N Final Exam / NRNP6675 Final Exam / NRNP-6675N Final Exam: Walden University | 100% Verified Q & A| 1. Concerns when treating geriatric patients with psychotherapeutic drugs include all of the following EXCEPT: □ A. Elderly persons may be more susceptible to adverse effects of psychotherapeutic drugs. □ B. Elderly persons may metabolize psychotherapeutic drugs more slowly. C. Elderly persons may metabolize psychotherapeutic drugs more rapidly. □ D. Elderly persons may excrete psychotherapeutic drugs more slowly. Question 2 The treatment of others equitably and distribution of benefits/burdens fairly is known aswhich of the following? A. Fidelity □ B. Justice C. Beneficence D. Nonmaleficence Question 3 Persons who subordinate their own needs to those of others, get other to assume responsibility for major areas of the 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 of thefollowing personality disorders? A. Avoidant personality disorder B. Passive personality disorder □ C. Dependent personality disorder D. Antisocial personality disorderQuestion 4 According to Sullivan, which of the following are consistent with a mentor/mentee relationship? A. Mentors are assigned B. Mentor relationships are shorter term □ C. Goals for the mentoring relationship are setmutually. D. A and B only Question 5 A form of child abuse in which a parent or caretaker repeatedly fabricates or actually inflicts injury or illness in a child for whom medical intervention is then sought, often in an emergencysetting, is known as which of the following? A. Korsakoff's syndrome B. Snyder's syndrome C. Munchausen syndrome □ D. Munchausen syndrome by proxy Question 6 The need for nurse practitioners to practice to the full extent of their education and trainingis necessary for which of the following reasons? Select all that apply. A. The growth in number and proportion of older Americans □ B. The projected primary care physician shortage by 2025 □ C. Increased number of individuals who have access to healthcare □ D. The economic push for cost-effective healthcare Question 7 The ARNP assessing lifestyle as a social determinant of health would ask about which ofthe following? □ A. Diet B. EducationC. Health literacy D. Inherited diseases Question 8 In educating the patient beginning to take Lithium, the ARNP explains which of the following related to diet and fluid intake? A. Caffeine and alcohol act as hydration agents and can raise your lithium concentrations. B. Drink at least a gallon or more of water per day and limit your salt intake. C. If you go on a diet, your doctor may need to increase frequency of blood tests. □ D. All of the above Question 9 The goal of psychotropic treatment is to eliminate all manifestations of a disorder to belowthe syndromal threshold, which is defined as which of the following? A. Response □ B. Remission C. Resistance D. Sensitization Question 10 The NP can impact health policy and healthcare by doing which of the following? A. Become an active member of local, state, and/or national NP organizations. B. Become familiar with the resources available on NP organization websites. C. Volunteer to serve on legislative committees within professional NP organizations. □ D. All the above Question 11 A term used to describe individuals and families who are found to live in overcrowdedhomes, relocate frequently, and struggle to pay rent and monthly expenses is which of the following? A. Homelessness B. Housing instability C. Transiency □ D. A and BQuestion 12 Which of the following is consistent with current literature regarding the epidemiology of dependent personality disorder? A. Dependent personality is more common in men than in women. B. Dependent personality disorder is more common in young children than in older ones. □ C. Persons with chronic physical illness in childhood may be most susceptible to this disorder. D. B and C only Question 13 Patients who injure themselves by self-mutilation (i.e., cutting their skin) but who usually do not wish to die are said to have which of the following? A. Suicide intent B. Suicidal ideations □ C. Parasuicidal behavior D. Aborted suicide attempt Question 14 The NP preceptor should have which of the following? A. Knowledge of the NP role B. The ability to be a role model for the preceptee C. Solid clinical skill set in the specialty for which the NP student is being precepted □ D. All the above Question 15 The treatment of choice for patients with histrionic personality disorder include which of the following? A. Psychoanalytic oriented individual psychotherapy B. Psychoanalytic oriented group psychotherapy C. Exposure therapy □ D. A or B Question 16 The antipsychotics which are most likely to cause neuroleptic-induced parkinsonism are which have which of the following effects?A. High potency drugs with low levels of anticholinergic activity. B. Low potency drugs with low levels of anticholinergic activity. □ C. High potency drugs with high levels of anticholinergic activity. D. Low potency drugs with high levels of anticholinergic activity. Question 17 Treatment aimed at reducing intimate partner violence and domestic violence includeswhich of the following? A. Enhancing self-efficacy of the victim. B. Reducing recidivism of the abuser. C. Hormonal therapy for the perpetrator of abuse □ D. A and B only Question 18 A patient presents with a formal, tense manner. He reluctantly reports a longstanding (since early adulthood) pervasive suspiciousness of others, preoccupied with trustworthiness of friends,unjustified concerns about others deceiving him, angry about perceived insults and slights, reluctant to confide in the ARNP. The ARNP suspects the patient likely has which of the following personality disorders? A. Schizoid personality disorder □ B. Paranoid personality disorder C. Borderline personality disorder D. Antisocial personality disorder Question 19 Which of the following is consistent with current perspectives on nurse practitioner competencies? □ A . The National Organization of Nurse Practitioner Faculties has developed a list of core competencies that all students should have upon graduation from a master's program.B . Nursing specialty organizations DO NOT publish competencies for NPs who provide care in specialty areas. C. Employers DO NOT establish their own set of competencies.D . There are national standards for judging/evaluating nurse practitioner competencies. Question 20 Which of the following core competencies are quality competencies? A. Uses best available evidence to continually improve quality of practice. B. Integrates ethical policies in decision making. C. Evaluates the relationships among access cost quality safety and their influence on health care. □ D. A and CQuestion 21 Which of the following are criteria for a particular suicide to be considered inevitable? A. Strong genetic history of suicide in one or more family members. B. A strong genetic loading of mental illness in the family. C. The patient must have received the highest standard of treatment and that treatment failed. □ D. All of the above. Question 22 The misuse of the charge's funds for personal gain is known as which of the following? A. Neglect B. Physical abuse □ C. Financial abuse/exploitation D. Emotional/psychological abuse Question 23 Which of the following professionals would be able to precept a nurse practitioner student? A. An advanced registered nurse practitioner B. A physician C. A unlicensed social worker □ D. A and BQuestion 24According to Freud, passive and dependent personality traits are associated with whichstage of development? □ A. Oral stage B. Anal stage C. Phallic stage D. Latency stage Question 25 Self-injurious behavior with a nonfatal outcome, accompanied by explicit or implicit evidence that the person intended to die, is most specifically known as which of the following? A. Suicide □ B. Suicide intent C. Suicide attempt D. Aborted suicide attempt Question 26 The incidence of suicide is highest for which of the following populations? A. Older Latino men B. Older Caucasian men C. Older Caucasian women □ D. Older African Americanmen Question 27 "Assumes complex and advanced leadership roles to initiate and guide change" is a NPcore competency for which NP competency area? A. Policy competencies B. Quality competencies □ C. Leadership competencies D. Practice inquiry competencies Question 28 At a minimum, a psychiatric evaluation in an emergency should include which of the following? Select all that apply. □ A. Is the patient psychotic? □ B. Is the patient suicidal or homicidal? □ C. Is the problem organic, functional, or a combination?D. Is it safe for the patient to be in the emergency room? Question 29 Which stage of the cycle of domestic violence is characterized by the abusersubconsciously implementing defense mechanisms and cognitive distortions to alleviate the ego dystonic implication of the abuse? A. Sweetheart phase B. Honeymoon phase C. Tension building phase □ D. Defensive phase Question 30 An ARNP takes a position in which the ARNP is guaranteed a set salary but can make additional salary if he or she generates practice income over some set amount. This is known as what type of pay structure? A. Fee for service B. Average percentage of net receipts □ C. Base salary plus percentage D. Hourly rate with bonus Question 31 A patient with history of schizophrenia, currently prescribed Haldol, presents to the emergency department with hyperthermia, muscle rigidity, autonomic instability, and elevated phosphokinase. The ARNP recognizes these symptoms are consistent with which of the following psychiatricemergencies? A. Nutmeg intoxication B. Bromide intoxication □ C. Extrapyramidal symptoms D. Neuroleptic malignant syndrome Question 32 Patients with extreme sensitivity to rejection who are socially withdrawn because they consider themselves socially inept, although are not asocial, and show a great desire forcompanionship are demonstrating symptoms most consistent with which of the following personality disorders? A. Narcissistic personality disorder □ B. Avoidant personality disorder C. Borderline personality disorder D. Schizoid personality disorder Question 33 Non-pharmacological treatment for abuse includes all of the following EXCEPT: A. Cognitive behavioral therapy B. Build a community of support C. Assist patient to devise safe escape plan □ D. Involve the abuser in the treatmentplanning Question 34 Obsessive-compulsive, dependent, and avoidant personality traits are associated withwhich of the following personality clusters A. Cluster A B. Cluster B □ C. Cluster C D. Cluster D Question 35 Which of the following is the therapeutic blood level range for lithium?A. 0.2-1.0 mEq/L B. 0.3-0.8 mEq/L □ C. 0.3-1.2 mEq/L D. 0.5-1.5 mEq/L Question 36 The obligation to not inflict harm or balancing unavoidable harm with benefits of good achieved is known as which of the following? A. Fidelity B. Beneficence □ C. Non-maleficence D. Respect for autonomy Question 37Which of the following is not consistent with guidelines for a mentor?A . Reassure the mentee that the mentor is available at any time of need.B . Review basic concepts to ensure the mentee has the fundamentals prior to starting the mentoring process. C . Be prepared to fill the meeting time with specific issues and objectives. □ D . Be specific and kind when giving constructive feedback that may not be what the mentee might want to hear. Question 38 An ARNP takes a position in which a specific amount is paid according to a set job description. This type of pay structure is known as which of the following? A. Straight salary B. Average percentage of net receipts C. Base salary plus percentage □ D. Hourly rate Question 39 Acknowledging a person's right to make choices, to hold views, and to take actions basedon personal value is known as which of the following? A. Justice B. Fidelity C. Beneficence □ D. Respect for autonomy Question 40 Narcissistic, borderline, antisocial, and histrionic subtypes are associated with which of the following Personality disorders? A. Cluster A □ B. Cluster B C. Cluster C D. Cluster DQuestion 41 Using the LIAASE: A General Cultural Competence Tool, the ARNP would do which of the following? A. Agree to disagree on differences in values. B. Solicit other options or points of view. C. Acknowledge and validate powerful emotions when expressed. □ D. All of the above. Question 42 Being knowledgeable about one's own thoughts, feelings, and sensations as well as the ability to reflect on how these can affect one's interactions with others is known as which of the following? □ A. Cultural Awareness B. Cultural Competence C. Cultural Humility D. Cultural Sensitivity Question 43 The ARNP recognizes which of the following as long-term effects of sex trafficking on victims? A. Severe depression B. Spiritual questions C. Trauma bonding □ D. All of the above Question 44 Which of the following is used for treating alcohol-dependent individuals seeking to continueto remain alcohol free after they have stopped drinking? A. Tacrine B. Amantadine C. Galantamine □ D. Acamprosate Question 45All of the following are risk factors for sexual assault EXCEPT □ A. Religion B. Serious mental illness C. Substance use disorder D. Family history of sexual abuse Question 46 A personality disorder characterized by emotional constriction, orderliness, perseverance, stubbornness, indecisiveness, and a pervasive pattern of perfectionism and inflexibility is known as whichof the following? A. Depressive personality disorder B. Borderline personality disorder C. Dependent personality disorder □ D. Obsessive-compulsive personality disorder Question 47 A patient with a history of alcohol use presents to the emergency department withoculomotor disturbances, cerebellar ataxia, and confusion. The ARNP recognizes these symptoms as consistent with which of the following psychiatric emergencies? A. Akathisia B. Korsakoff's syndrome C. Wernicke's encephalopathy □ D. Idiosyncratic alcohol intoxication Question 48 A patient on lithium with a history of alcohol use disorder presents with dry mouth, ataxia, dizziness, abdominal pain, and slurred speech. The ARNP should do which of the following?A . The ARNP recognizes this is likely a relapse on alcohol so sends the patient home to sleepit off. □ B . The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, decreasesthelithium by half, and encourages the patient to drink more fluids.C . The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, discontinuesthe lithium immediately, orders lithium level, serum electrolytes, and renal function tests.D . The ARNP recognizes these are symptoms of moderate to severe lithium toxicity, discontinues the lithium and tells the patient hemodialysis will most probably be needed. Question 49 "Walking on eggshells" and appeasement and avoidance behaviors by the victim is characteristic of which phase of the cycle of domestic violence? A. Honeymoon phase B. Abusive incident phase C. Tension-building phase □ D. Refractory phase Question 50 Which of the following is inconsistent with current literature about victims of sexual abuse? □ A All victims of sexual abuse are aware that they are in an abusive relationship. B . Victims of sexual abuse may willingly participate in sexual acts with an idolized authority figure. C . The pre-existing relationship and familiarity with the abuser may impede the victim's abilityto make rational decisions.D . The victim may make excuses for the abuser's behavior. Question 51 Self-care strategies for the ARNP in preparing for the certification exam include all of the followingEXCEPT: A. Study in a distraction free environment. B. Six to eight hours of sleep is recommended. C. Drink lot of caffeine and eat high-concentrated sugars. □ D. Plan to study for short periods of time over a longer timeperiod. Question 52 Which stage of the cycle of domestic violence is characterized by overt aggressive behavior towards the victim? A. Tension building phase □ B. Abusive incident C. Honeymoon phase D. Planning phase Question 53 A term that defines a person who has distress with clinical symptomatology because their gender identity is not consistent with gender assigned at birth is which of the following? A. Cisgender B. Gender fluid C. Pangender □ D. Gender dysphoria Question 54 A patient with an inability to conform to the social norms that ordinarily govern manyaspects of a person's behavior is consistent with which of the following personality disorders? A. Avoidant personality disorder □ B. Antisocial personality disorder C. Borderline personality disorder D. Narcissistic personality disorder Question 55 The treatment of choice for patients with paranoid personality disorder includes which of thefollowing? A. Group therapy B. Behavioraltherapy C. Psychotherapy □ D. B and C Question 56 In about half of the cases in which suicides occur while patients are on a psychiatric unit, a lawsuit results. Which of the following is not consistent with what courts expect related to inpatient psychiatric unit suicide events? A. Courts expect suicides to occur in inpatient settings. □ B. Courts require zero suicide rates in inpatient setting. C. Periodic patient evaluation for suicide risk D. Evidence of formulation of a treatment plan with a high level of security Question 57 Type of employment in which either party may terminate for any reason at any time isknown as which of the following? A. Locum tenens □ B. At will employment C. Employment by contract D. Profit sharing employment Question 58 Which of the following medical conditions can present with prominent mental statuschanges that mimic common psychiatric illnesses? Select all that apply. □ A. Diabetes Mellitus □ B. Thyroid disease C. AIDS □ D. Head trauma Question 59 According to the AANP Process of Care Standards, performing or ordering preventative anddiagnostic procedures based on the patient's age and history is part of which of the following components?□ A. Assessment of health status B. Development of a treatment plan C. Implementation of the treatment plan D. Care priorities Question 60 A patient on Lithium and Quetiapine presents to the emergency room with anorexia, persistent nausea and vomiting, blurred vision, choreoathetoid movements, muscle fasciculations, and hyperactive deep tendon reflexes. The ARNP should do all of the following EXCEPT: □ A. Discontinue the Lithium. B. Obtain vital signs, and obtain a neurological evaluation with complete formal mental examination. C. Obtain lithium level, serum electrolytes, renal function tests and ECG. D. Give activated charcoal to remove unabsorbed Lithium. Question 61 A patient currently on risperidone presents to the emergency department with increased agitation, restlessness, muscle discomfort, and dysphoria. The APRN recognizes these symptoms of akathisia and recommends which of the following? Select all that may apply. A. Reduce antipsychotic dosage B. Benztropine IM C. Benadryl po or IM □ D. B and C only Question 62 In order to qualify for ANCC board certification testing you must have a minimum of how many supervised clinical hours in the respective specialty for which you are seeking certification? A. 300 supervised clinical hours □ B. 500 supervised clinicalhoursC. 600 supervised clinical hours D. 800 supervised clinical hours Question 63 In the judicial system one organization may publish one standard of care and an expert my testify to an alternate version of the standard of care. In this scenario who is the final arbiter of the standard of care? □ A. The organization where the practitioner worked at thetime B. The judicial system C. The expert testifying D. The professional organization for the practitioner Question 64 Low health literacy has been linked with which of the following? A. Poor health outcomes B. lower rates of hospitalization C. Less frequent use of preventive services □ D. All of the above Question 65 A patient appears odd, with a pervasive history of magical thinking, ideas of reference, illusions and derealization. This is consistent with which of the following personality disorders? A. Schizoid personality disorder B. Paranoid personality disorder □ C. Schizotypal personality disorder D. Avoidant personality disorder Question 66 Which of the following medications is associated with Ebstein's anomaly when given during pregnancy? A. Haldol □ B. Lithium C. Valproic acidD. Chlorpromazine Question 67 Which of the following symptoms of borderline personality disorder assist in differentiating borderline personality disorder from schizophrenia? A. Chronic feelings of emptiness B. Prolonged psychotic episodes C. Demand extraordinary relationships □ D. A and C only Question 68 A patient presents and is unapproachable, with poor eye contact, reporting a lifelong patternof isolation, uncomfortable with human interaction, and constricted affect. This presentation is consistent with which of the following personality disorders? □ A. Schizoid personality disorder B. Borderline personality disorder C. Avoidant personality disorder D. Schizotypal personality disorder Question 69 Nurse practitioner preceptors should have at least how much experience as a nurse practitioner in the relevant specialty prior to precepting? A. A minimum of 6 months of experience as a licensed NP in the specialty B. A minimum of 9 months of experience as a licensed NP in the specialty C. A minimum of 1 year of experience as a licensed NP in the specialty □ D. A minimum of 2 years of experience as a licensed NP in the specialtyQuestion 70 The ARNP is working with a patient who has a heightened sense of self-importance and grandiose feelings of uniqueness. The patient also lacks empathy for others, although is very sensitiveto minor criticism. The ARNP recognizes these symptoms as consistent with which of the following personality disorders? A. Schizotypal personality disorder B. Borderline personality disorder □ C. Narcissistic personality disorder D. Histrionic personality disorder Question 71 The emotional burnout and lack of empathy towards clients that healthcare providers experience after treating victims of trauma is known as which of the following? □ A. Compassion fatigue B. Primary traumatization C. Transference D. Countertransference Question 72 The ARNP recognizes which of the following as short-term effects of sex trafficking on victims? A. Depersonalization B. Post-traumatic stress disorder C. Higher risk behaviors (i.e., drug and alcohol abuse) □ D. A and C only Question 73 According to Freud, stubborn, parsimonious, and highly conscientious traits are associated with which stage of development? A. Oral stage B. Anal stage □ C. Phallic stage D. Latency stageQuestion 74 Risk factors for school violence include which of the following? Select all that apply. □ A. Bullying □ B. Being bullied □ C. Isolation D. Involvement in school organizations Question 75 As a PMHNP, one of the most common areas you will counsel your patients about is the importance of sleep hygiene. Which of the following is NOT consistent with common recommendations for good sleep hygiene? A. Avoid alcohol and caffeine. □ B. Set a cool room temperature. C. Set TV to turn off within 1 hour of falling asleep. D. Go to bed at the same time each night. Question 76 Affirmatively acting to benefit another or others, going beyond what is required by law is known as which of the following? A. Fidelity B. Justice □ C. Beneficence D. Nonmaleficence Question 77 The term "suicide survivor" refers to which of the following? A. Those who have lost a loved one to suicide. B. Someone who has attempted suicide but failed. □ C. Only those who have had a serious suicide attempt with a near deathexperience. D. This is an ambiguous term that should not be used. Question 78 Curriculum content that supports the NP scientific foundation competency area includeswhich of the following? Select all that apply. □ A. Comparison of patient data sets with evidence-based standards to improve care B. Science from other disciplines relevant to health care □ C. High reliability organization principles. D. Compliance issues related to patient privacy with use of technology. Question 79 In Canterbury v. Spence the U.S. Court of Appeals for the District of Columbia Circuit listed physician responsibilities for disclosure. Which of the following is not listed as a responsibility? A. Adopt a standard of full disclosure with patients. B. Alert the patient to symptoms of bodily abnormality. C. Inform the patient when the ailment does not respond to the physician's ministrations. □ D. Inform the patient about precautionary therapy that he or she should seek in the future. Question 80 Which of the following is the treatment of choice for patients with depressive personality? A. Exposure therapy B. Light-exposure therapy □ C. Insight oriented psychotherapy D. Transmagnetic Stimulation (TMS) Question 81 Which of the following should be avoided when working with practice guidelines? □ A Write guidelines with minute details that everyone will follow it in the exact same way. B . Base guidelines on evidence from widely used resources and reference those resources in the guidelines. C . Adopt an already published set of guidelines.D . If the guideline is inappropriate for a particular patient, document why an alternativeQuestion 82 Which of the following is not consistent with what is known about postpartum psychosis? A . Symptoms of postpartum psychosis can often begin within days of the delivery.B . The average time of onset of symptoms of postpartum psychosis is within 2 to 3 weeks of delivery. C Florid psychotic symptoms are usually preceded by prodromal signs such as insomnia,restlessness, agitation, and mild cognitive deficits. . □ D This disorder primarily effects first time mothers and there is very little risk of postpartum psychosis in subsequent pregnancies. Question 83 Which of the following is consistent with recommendations regarding assessing for suicidal ideations? □ A The clinician should always ask about suicidal ideations as part of every mental status examination. B . Assessing for suicidal ideations is only required if patient is depressed.C . Asking a psychotic patient if they are having suicidal ideations is not advised as this could introduce the idea to the patient. D . If a patient who has been threatening suicide becomes quiet and less agitated, it is safe to assume the suicidal ideations have subsided. Question 84 A claim of malpractice requires that a patient/plaintiff prove which of the following? Select all that apply.A . The existence of a client-professional relationship - duty to care. □ B Behavior below the appropriate standard of care for professionals dealing in like circumstances. □ C . A causal link between the practitioner's failure to conform to treatment standardsand harm to the patient. □ D . Actual injury to the patient.Question 85 The Adverse Childhood Experience Study (Felitti et al., 1998) found which of the followingrelationships between child traumatic events and high-risk behaviors exhibited by adults? □ A The study revealed a causal relationship between child traumatic events and highrisk adult behaviors. B . The study revealed a causal relationship between child traumatic events and highrisk adult behaviors. C . The study revealed no relationship between child traumatic events and high-riskadult behaviors. D . The study revealed an indirect relationship between child traumatic events and high-risk adult behaviors. Question 86 A method of therapy used to treat individuals with substance abuse based on the fundamental principle of a psychology that reinforced behaviors are likely to be repeated is known as which of the following? A. Exposure therapyB. Contingency management C. Motivational interviewing □ D. Cognitive behavioraltherapy Question 87 Cluster A personality traits consist of which of the following? □ A. Schizotypal, schizoid, and paranoid subtypes B. Narcissistic, borderline, antisocial, and histrionic subtypes C. Obsessive-compulsive, dependent, and avoidant subtypes D. Depressive, anxious, hypomanic subtypes Question 88 Sexual assault is most often which of the following? A. A stranger B. An acquaintance □ C. A familymember D. A professional Question 89 Which of the following is consistent with what is known about terrorist-bomber suicides? A. The goal is death or escape. B. The motivation is vengeance and mass murder. C. Psychological/psychiatric disorder is present in most cases. □ D. A and B only Question 90 Which of the following is not consistent with recommendations for psychiatric history taking and the mental status evaluation of older adults?A . When a patient is cognitively impaired, an independent history should be obtained from a family member or caretaker.B . The patient should still be seen alone even in cases of clear evidence of impairmentto preserve the privacy of the doctor/patient relationship. □ C If the patient is cognitively impaired, the patient should never be seen alone. D . Even in patients with cognitive impairment, it is important to elicit any suicidal thoughts or paranoid ideations privately. Question 91 The ARNP working as an at will employee realizes which of the following? Unless the ARNP has a contract for a specified term of employment, the employeeA . has no legal right to a job.B . Employment will not be covered by equal opportunity or disability laws.C . He or she must negotiate terms of employment on a piecemeal basis. □ D . A and C only Question 92 The United States Supreme Court upheld the psychotherapist-patient privilege in which ofthe following cases? □ A. Jaffee v. Redmon B. Tarasoff I C. Tarasoff II D. O'Conner v. Donaldson Question 93 Loyalty, fairness, truthfulness, advocacy, and dedication in professional relationships is known as which of the following? A. Justice□ B. Fidelity C. Non-maleficence D. Respect for autonomy Question 94 Which of the following is consistent with what is known about personality disorders?A . Typical onset in early childhoodB . Is stable over time □ C . Involves impairment in at least one of four areas of cognition, affectivity, interpersonal function or impulse control D . B and C only Question 95 A clause in an employment contract that specifies that an employer and employee may endthe working agreement without cause within a specified number of days is known as which ofthe following? A. A restrictive covenant □ B. An employment clause C. A termination clause D. A and C Question 96 A late-appearing adverse effect of neuroleptic drugs is known as which of the following? A. Akathisia B. Parkinsonism □ C. Neuroleptic malignant syndrome D. Neuroleptic-induced tardive dyskinesiaQuestion 97 The failure of a professional to exercise that degree of skill and learning commonly appliedby the average prudent, reputable member of the profession is known as which of thefollowing? 1. Negligence □ B. Malpractice C. Causation ofinjury D. Duty liability Question 98 A somatopsychic illness triggered by changing levels of sex steroids that accompany an ovulatory menstrual cycle about one week before the onset of menses characterized by irritability, emotional lability, HA, anxiety, and depression is known as which of the following? A. Premenstrual syndrome B. Premenstrual depression C. Premenstrual dysphoric disorder □ D. Premenstrual psychosomaticdisorder Question 99 Persons who exhibit impulsive traits also show high levels of which of the following hormones? Select all that apply. A. Testosterone B. 17-estradiol C. Estrone □ D. A and C only Question 100 Features that point to a medical cause of mental disorder include which of the following? Select all that apply. □ A. Acute onset (within hours or minutes with prevailing symptoms) □ B. Nonauditory disturbances of perception □ C. Current medical illness or injury D. ConstructionalNRNP 6675 MIDTERM EXAM (YEAR 2022 – 100/100 POINTS) LATEST UPDATE 1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that applyAge Rapid dose escalation Parental route of administration Higher potency typical antipsychotics2. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of thefollowing effects? Reduces negative symptoms Increases extra pyramidal symptoms (EPS)Causes prolactinemia Reduces positive symptoms 3. Phencyclidine (PCP) and Ketamine exert their unique behavioral effects by blocking which of thefollowing receptors? GABA type receptors Serotonin receptorsDopamine receptors NMDA type receptors 4. The diagnosis used to describe a syndrome characterized by specific signs and symptoms resultingfrom recent ingestion or exposure to a substance is known as which of the following? Substance intoxication Substance withdrawal Substance use disorderAny of the above 5. Abnormal involuntary movements in a rhythmic pattern affecting face, mouth, tongue, jaw is knownas which of the following? Akathisi a Dystoni a Tardive dyskinesiaExtrapyramidal side effects 6. A deeply held belief despite evidence to the contrary, lasting at least one month, without prominenthallucinations, with functional impairment that relates to the delusional syste..... Schizophrenia Delusional disorder Brief psychotic disorder Schizophreniform disorder7. Which of the following is true about preoccupation with castration? This can be serious and life-threatening if castration is carried out without medical supervision.This is consistent with Transvestic Disorder This is consistent with other specified paraphilic disorderThis is consistent with sexual masochism disorder 8. Which of the following is a system that provides a uniform language for describing medical andsurgical procedures and diagnostic services rendered by clinicians? HIPP A DSM- 5 CPT DR G 9. A patient on Chlorpromazine states that his orgasm is dry and afterward he will commonly have milkyurine. The ARNP realizes which of the following?This is likely a harmless response to the Chlorpromazine This is abnormal and needs to be evaluated by a specialistIt is critical to stop the Chlorpromazine immediately This has nothing to do with the Chlorpromazine the patient be referred to his PCP for follow-up 10. A condition which results from absence of second female sex Chromosome (XO) and is associatedwith web neck, dwarfism, cubitus valgus, and infertility is known as which of the following? HermaphroditismTurner's syndrome Adrenogenital syndrome Androgen insensitivity syndrome 11. Which of the following would be characterized as a negative symptom of schizophrenia?Hallucinations and delusions Impaired social and occupational functioningIsolation and impaired selfcare B and C only Which of the following are keys to distinguishing OCD from psychosis? Patients with OCD can almost always acknowledge the unreasonable nature of their symptoms Patients with OCD are better able to control their compulsions.Patients with psychosis will have more obsessive thoughts. Patients with OCD have less bizarre obsessions.13. Which of the following is a system that provides a uniform language for describing medical and surgical procedures and diagnostic services rendered by clinicians...HIPPA B. DSM-5 CPT DR G A federal program administered nationally and locally which covers enrolled individuals 65 years andolder who pay premiums and disabled individuals.... Medicar e Medicai d Both A and B None of the above Having an adequate legal description of nurse practitioner (NP) scope of practice according to state lawis important for which of the following reasons? To avoid any charges of practicing medicine without a license To place accountability for both benefits and harm to patients squarely onthe NPTo get reimbursement for physician services when provided by an NP All of the above Which of the following is the most widely consumed psychoactive substance?Alcohol Caffein e Heroin eCannabis Which of the following is used to treat Tardive Dyskinesia?Cogentin (benztropine) Artane (trihexyphenidyl) Catapress (Clonidine) None of the above The APRN consensus model did which of the following? Merged adult, gerontology and pediatric foci so that all NPs could truly work across the.... Adult and gerontology were merged and identified as primary care or acute carePsychiatric mental health foci were stipulated as across the lifespan B and C Which of the following behaviors are associated with an alcohol blood level of 0.05percent?Voluntary motor actions usually become perceptibly clumsy Thought judgment, and restraint are impairedConfusion, stupor None of the aboveAccording to HIPPA, which of the following must the NP share their NPI with? Check all that apply. Health plans Other providers Any entity that may need it for billing purposeA and C only A patient presents with delusions, disorganized thoughts, and speech with poor self care all of whichhave persisted for the past 7 months. The APRN this presentation is. .............................................................................................................. with which of the following diagnosis? Schizophrenia Schizophreniform disorderBrief psychotic disorder Delusional disorder Major neurotransmitters possibly involved in developing substance abuse and substance dependence..... which of the following?Dopamin eGABA Serotonin A and B only The Dopamine hypothesis of schizophrenia which of the following? Schizophrenia results from too much dopaminergic activitySchizophrenia results from a deprivation of dopamine.Schizophrenia is not related to dopamine activity None of the above A patient reports a panic attack several years ago in an elevator and since then has avoided usingelevators. This patient meets criteria for which of the following? Social phobia Specific phobia General anxiety disorder unspecifiedObsessivecompulsive disorder A patient with a substance abuse disorder who does not meet the clinical criteria for hospitalization butwho lacks sufficient social and vocational skills and lack substance-free social supports is ap Residential treatment Partial hospitalizations Outpatient treatment All of the aboveObscene phone calling to an unsuspecting partner for sexual arousal is known as which of the following?Telephilia Partialism Telephone scatologia Normal adolescent prankThe main psychological difference between fear and anxiety is best described by which of the followingstatements? Fear is insidious; anxiety is sudden Anxiety is insidious; fear is sudden. There is no difference between fear and anxiety.Both anxiety and fear are alerting signals A diffuse, unpleasant, vague sense of apprehension often accompanied by autonomic symptoms whichvaries among persons is commonly known as which of the following? Fear Stres s Normal anxiety Pathological anxietyIf a pregnancy begins while the woman is taking high doses of methadone and withdrawal is desired,during which trimester is this least hazardous? First trimester Second trimesterThird trimester Withdrawal from methadone should never be done while the woman is pregnantNeurochemical or neurophysiologic changes in the body that result from the repeated administration ofa drug is known as which of the following? Cross-tolerance Neurotransformatio n Neuroadaptation Neurocognitive adjustment The recurrent and intense sexual arousal from the physical and psychological suffering of another personis known as which of the following? Frotteuris m Voyeuris m Sexual sadism Sexual masochismWhich of the following is not consistent with the onset of OCD? More than half of patients with OCD have a sudden onset of symptoms The onset of symptoms for about 50-70 percent of patients occurs after a stressful event.Most patients keep their symptoms secret initially. The onset of OCD is typically preceded by OCD personality traits. The recurrent urge to expose one's genitals to a stranger is known as which of the following?FetishismVoyeurism Exhibitionism Paraphilic disorder Which of the following patients would be appropriate for hospitalization for substance use disorder?Select all that apply. Patients who have a substance overdose who cannot be safely treated in an outpatient settingPatients who are at risk for severe or medically complicated withdrawal syndromes Patients who have a history of not benefiting from treatment in a less intensive setting A and B only The nursing practice model recommended for NPs by the National Academy of Medicine and theNational Council of State Boards of Nursing is which of the following? Full practice Reduced practice Restricted practiceArbitrary practice Which of the following groups does Medicare cover? Select all that apply. Individuals 65 years and older who have enrolled and pay premiums Disabled individuals who qualify for Social Security Disability payments and benefits Adults who are disabled for one year or less and who qualify on the basis of poverty Mothers and children who qualify on the basis of poverty.Which of the following neurotransmitters increases libido?GABA Serotoni n Oxytoci n Dopamine Which of the following factors are associated with poor prognosis for patients with OCD?Childhood onset The presence of a precipitating eventCo-existing major depressive disorder A and C Which of the following is inconsistent with current knowledge about schizophrenia? Schizophrenia is one of the most common of the serious mental disorders. A diagnosis of schizophrenia is based entirely on the psychiatric history and mental status examination.Dopamine level is a laboratory test that assists in the diagnosis of schizophrenia. Schizophrenia likely comprises a group pf disorders with heterogeneous etiologies and variable presentations. A Chronic disorder characterized by repetitive hair pulling leading to variable hair loss that may be ..........................................................................................................................................to others is known as which of the following?Obsessive-Compulsive DisorderImpulse Control Disorder ..... Trichotillomania ..... Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply.Age Rapid dose escalation Parental route of administration Higher potency typical antipsychotics Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of thefollowing effects? Reduces negative symptoms Increases extrapyramidal symptoms (EPS)Causes prolactinemia Reduces positive symptoms Phencyclidine (PCP) and Ketamine exert their unique behavioral effects by blocking which of thefollowing receptors?GABA type receptors Serotonin receptors Dopamine receptors NMDA type receptorsThe diagnosis used to describe a syndrome characterized by specific signs and symptoms resulting fromrecent ingestion or exposure to a substance is known as which of the following? Substance intoxication Substance withdrawal Substance use disorderAny of the above A deeply held belief despite evidence to the contrary, lasting at least one month, without prominenthallucinations with functional impairment that relates to the delusional system... Schizophrenia Delusional disorder Brief psychotic disorder Schizophreniform disorder A method of therapy used to treat individuals with substance abuse based on the fundamental principleof a psychology that reinforced behaviors are likely to be...is known aswhich of the following? Exposure therapy Contingency management Motivational interviewing Cognitive behavioral therapy The conditions in which people are born, grow, work, live, and age are known as which of the following?Health literacyHealth disparities Health vulnerabilities Social determinants of health All the following is consistent with ANCC rules regarding recertification EXCEPT: You are required to have a maximum of 25 credit hours during each certification period You can start the recertification process 1 year before your expiration date, but no later than 3 monthsbefore. You must have 1000 clinical practice hours in the clinical specialty within the preceding 5 years.You must have at least 25 contact hours in pharmacotherapy. Risk factors for school violence include which of the following? Select all that apply. Bullying Being bullied Isolation...... Involvement in school organizations. Persons who subordinate their own needs to those of others, get other to assumeresponsibility for major areas of the lives, lack of self-confidence, and may experience intense discomfort when alone for more than a brief period of time are demonstrating characteristics consistent with which of the followingpersonality disorders? Avoidant personality disorderPassive personality disorder Dependent personality disorderAntisocial personality disorder Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the followinglithium levels? 0.8-1.5 mEq/L 1.5-2.0 mEq/L 2.0-2.5 mEq/L >2.5 mEq/L .....form of child abuse in which a patient or character repeatedly fabricates or actually inflicts injury or illness in a child for whom medical intervention is then sought in an emergency setting is known as whichof the following? Korsakoff's syndrome Snyder's syndrome Munchausen syndrome Munchausen syndrome by proxy Self-care strategies for the ARNP in preparing for the certification exam include all of thefollowingEXCEPT? Study in a distraction free environment Six to eight hours of sleep is recommended Drink lot of caffeine and eat high concentrated sugars Plan to study for short periods of time over a longer time period.A patient presents with a formal, tense manner. He reluctantly reports a longstanding (since early adulthood) pervasive suspiciousness of others, preoccupied with...trustworthiness of friends, unjustifiedconcerns about others deceiving him, angry about perceived insults and slights, reluctant to confide in the ARNP. The ARNP suspects that the patient likely has which of the following personality disorders? Schizoid personality disorder Paranoid personality disorder Borderline personality disorder Antisocial personality disorder Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the followinglithium levels? 0.8-1.5 mEq/L 1.5-2.0 mEq/L 2.0-2.5 mEq/L > 2.5 mEq/L A patient with a history of alcohol use presents to the emergency department with oculomotor disturbances, cerebellar ataxia, and confusion Symptoms as consistentwith which of the following psychiatric emergencies? Akathisia Korsakoff's syndrome Wernicke's encephalopathy Idiosyncratic alcohol intoxicationCluster A personality disorders are more common in biological families of patients with which of thefollowing disorders? Depression Obsessive-compulsive disorderAlcohol use disorders Schizophrenia NP core competencies for INDEPENDENT practice include all of the following EXCEPT:Maintains a collaboration agreement with physician Demonstrates the highest level of accountability for professional practice... Practices independently managing previously diagnosed and undiagnosed patient Practices patient-centered care recognizing culture diversity and the patient or designee as a full partnerin decision making Cluster A personality traits consist of which of the following? Schizotypal, schizoid, and paranoid subtypes Narcissistic, borderline, antisocial, and histrionic subtypes Obsessive-compulsive, dependent, and avoidant subtypes Depressive, anxious, hypomanicsubtypes The misuse of the charge's funds for personal gain is known as which of the following?Neglect Physical abuse Financial abuse/exploitationEmotional/psychological abuse The ARNP recognizes which of the following as long term effects of sex trafficking on victims?Severe depression Spiritual questions Trauma bonding All of the above In about half of the cases in which suicides occur while parents are on a psychiatric unit, a lawsuit results. Which of the following is not consistent with what courts. related to impatient psychiatric unit suicide events? Courts expect suicides to occur in inpatient settings Courts require zero suicide rates in inpatient settingPeriodic patient evaluation for suicide risk Evidence of formulation of a treatment plan with a high level of security Cluster A personality traits consist of which of the following?Schizotypal, schizoid, and paranoid subtypes Narcissistic, borderline, antisocial, and histrionic subtypes Obsessive-compulsive, dependent, and avoidant subtypes Depressive, anxious, hypomanic subtypesCultural Dimensions Therapy is a framework for cross-cultural communication that describes the effectsof a society's culture on the values of its members. by which of the following theorists? Hofsted e Leininge rPurcell Campinha-Bacote The treatment of choice for patients with paranoid personality disorder includes which of the following?Group therapy Behavioral therapy Psychotherapy B and C The differences in the quality of healthcare across individuals or groups in regard to access, treatmentoptions, and p following? Racism Health disparities Vulnerable populations Social determinants of healthThe incidence of suicide is highest for which of the following populations?Older Latino men Older Caucasian men Older Caucasian women Older African American menA patient on lithium with a history of alcohol use disorder presents with dry mouth, ataxia, dizziness,abdominal pain, and slurred speech. The ARNP should do which of the following? The ARNP recognizes this is likely a relapse on alcohol so sends the patient home to sleep it off. The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, decreases the lithium byhalf, and encourage the patient to drink more fluids The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, discontinues the lithiumimmediately, orders lithium level, serum electrolytes, and renal function tests The ARNP recognizes these are symptoms of moderate to severe lithium toxicity, discontinues thelithium and tells the patient hemodialysis will most probably be needed. An ARNP takes a position in which a specific amount is paid according to a set job description. This typeof pay structure is known as which of the following? Straight salary Average percentage of net receiptsBase salary plus percentage Hourly rate A personality disorder characterized by emotional constriction, orderliness, perseverance, stubbornness,indecisiveness, a inflexibility as which of the following?Depressive personality disorder Borderline personality disorder Dependent personality disorder Obsessive-compulsive personality disorderWhich of the following is consistent with what is known about the epidemiology of anxiety?Men have a higher lifetime prevalence of anxiety than women. Women have a higher lifetime prevalence of anxiety than menMen and women have equal lifetime prevalence. The lifetime prevalence of anxiety is not gender specific Which of the following is consistent with NP practice parameters when prescribing buprenorphine? NPs with full practice authority can prescribe and administer buprenorphine under their state NP license. As a qualified practitioner the NP simply needs to notify SAMHSA prior to prescribing or administeringbuprenorphine The NP can provide buprenorphine to 300 patients per month The NP is required to complete specific training to prescribe and dispense buprenorphine Which of the following are consistent with current data related to the prevalence of drinking alcohol?Men and women with higher education and income are less likely to drink alcohol. Men and women with higher education and income are more likely to drink alcohol Men and women with lower education and higher income are more likely to drink alcohol.Education and income are not a factor in prevalence of drinking alcohol.A patient with history of hypoglycemia reports feelings of fear, worry, and restlessness that has persistedover the past 6 months. The patient states these feelings are worse when glucose is low. The ARNP suspects the patient has which of the following diagnoses? Generalized anxiety disorder attributable to another medical conditionPanic attacks attributable to another medical conditionHypoglycemia with anxiety None of the above Which of the following is not consistent with benzodiazepine withdrawal? Benzodiazepine withdrawal can continue to develop for several weeks The best way to proceed with benzodiazepine withdrawal is to stop it immediately and treat withdrawalsymptoms It may be helpful to switch to a long-acting benzodiazepine for withdrawal If patient is on a therapeutic benzodiazepine dose, initiate 10-25 percent dose reduction and evaluateresponse. Which of the following is true about the legal practice of the psychiatric-mental health nursepractitioner? All have some degree of prescriptive privileges in all states and the District of Columbia.All are considered primary providers in all states and the District of Columbia. All have the ability to manage patients medically within their scope of practice without a collaborativepractice agreement. A and B onlyFlashbacks in which the individual may act and feel as if the trauma were reoccurring represent which ofthe following clinical features of PTSD? Intrusion symptom Symptom of avoidanceSymptom of increased autonomic arousalDerealization In which ways are nurse practitioners (NPs) and physician's assistants (Pas) different? NPs differ from PAs in legal definition, scope of practice, licensure, and independence of practice. NPs practice under their own license and independent of the physician, PAs always work under thesupervision of a physician. There is essentially no difference functionally between an NP and a PA. A and B Which of the following initials would a psychiatric-mental health nurse practitioner use to designateappropriate credentials? ANP-C CPNP CPNPAC PMHNP-BC Variations from norms in gender role behavior such as toy preferences, rough-andtumble play,aggression, or playmate gender is known as which of the following? Gender discordance Gender role behavior Gender identity variance Childhood gender non-conformityThe three major neurotransmitters associated with anxiety, based on animal studies and response todrug treatment include which of the following? Glutamate, Norepinephrine, Serotonin GABA, Norepinephrine, Serotonin GABA, Dopamine, Glutamate Dopamine, Norepinephrine, Serotonin Which of the following is consistent with the epidemiology of schizophrenia in the United States?The lifetime prevalence of schizophrenia is about 50 percent Schizophrenia is more prevalent in children than in adolescents.Peak age of onset in men is 10 to 25 years of age Onset of schizophrenia before the age of 25 is extremely rare. Clinical findings that may indicate abuse include which of the following? Select all that apply.Delay between onset of injury and seeking treatment Explanation by the patient which is inconsistent with the type of injury Psychological distress such as depression, anxiety, suicidal ideations and/or sleep disorderExplanation by the patient which is inconsistent with the type of injury According to the American Psychiatric Association (APA) which of the following is consistent with theevidence base practice for telepsychiatry? There are few studies exploring the evidence for telepsychiatry.In populations with severe anxiety, telepsychiatry is preferred. The effectiveness is comparable to in-person care in terms of therapeutic engagement, quality of care,validity and reliability of assessment, and clinical outcomes The evidence base for children and adolescents is very weak. Which of the following is consistent with literature regarding the term psychosexual?Psychosexual is used to describe personality development and functioning Psychosexual is synonymous with libido in the Freudian sense Psychosexual basically refers only to sexual feelings and behavior None of the above Bleuler identified four fundamental symptoms of schizophrenia known as the 4 As, which include whichof the following symptoms? Associations, affect, autism and ambivalenceAssociations, alogia, abstraction, anxiety. Affect, apraxia, anhedonia, audible thoughts. Autism, apperception, amotivation, automatism.The fear of or anxiety regarding places from which escape might be difficult is known as which of thefollowing? Depression Panic disorder Agoraphobia Generalized anxiety disorderAll of the following are one of the five major categories of third-party payers EXCEPT: Medicare/Medicaid Managed-care organizations (MCOs)Indemnity insurance companies Only A and B Discrepancy between anatomical sex and gender identity is known as which of the following?Gender role behavior Gender discordance Gender nonconformity Internalized sexual prejudice Which of the following is not a common physical effect of cannabis?Mild tachycardia Mild bradycardia Orthostatichypotension Dilation of the conjunctival blood vessels A conscious standardized recurrent behavior such as counting, checking, avoiding that interferes significantly with the person's normal routine and functioning is known as which of the following? A compulsionAn obsession Obsessive-Compulsive Disorder Obsessive-Compulsive Personality Disorder Most everyone has a firm conviction that they are male or female by which age range?0-1 years of age 2-3 years of age 4-5 years of age 6-7 years of age A patient who presents absent movement with difficulty starting activities flat affect, and avolition wouldbe assessed as having which of the following? Dystoni a Akathisi a Akinesi a Pseudo-Parkinson'sWhich of the following is consistent with current epidemiology literature about gender and Obsessive-Compulsive Disorder (OCD)? Adult men are more likely to have OCD than adult women.Adult women are more likely to have OCD than adult men Adolescent girls are more likely to have OCD than adolescent boys. Adult men and adult women are equally likely to have OCD.A type of schizophrenia in which the individual has a marked disturbance in motor function and mayinvolve stupor, negativism, rigidity, excitement or posturing or mutism is Residual Type Catatonic Type Disorganized Type Undifferentiated Type A patient who presents with the inability to remain still, with motor restlessness, would be assessed tohave which of the following? Dystonia Akathisi a Akinesi a Tardive dyskinesia A method of therapy used to treat individuals with substance abuse based on thefundamental principleof a psychology that reinforced behaviors are likely to be is known as which of the following? Exposure therapy Contingency management Motivational interviewing Cognitive behavioral therapy