📚 NRNP 6665 Midterm Exam
Walden University · PMHNP · 456 Q&A Study Cards
🔍 Search questions or answers...
Q1
Discrepancy between anatomical sex and gender is known as?
✅ B) Gender Discordance
Q2
Which of the following are risk factors for neuroleptic malignant syndrome? (Select all that apply)
✅ Rapid dose escalation; parenteral route of administration; higher potency typical antipsychotics
Q3
Antipsychotic medication provides D2 blockage in the mesocortical pathway causing which of the following effects?
✅ B) Increases EPS
❌ Incorrect distractors: reduces negative s/s, causes prolactinemia, reduces positive symptoms
Q4
Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which of the following receptors?
✅ D) NMDA type receptors
❌ Incorrect distractors: GABA, serotonin, dopamine receptors
Q5
The diagnosis used to describe a syndrome characterized by specific s/s resulting from recent ingestion or exposure to a
substance is known as?
✅ C) Substance Intoxication
❌ Not: substance use disorder, substance withdrawal
Q6
Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth, tongue, and jaw is known as?
, ✅ C) Tardive Dyskinesia
❌ Not: akathisia, dystonia, EPS
Q7
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 is called?
✅ Delusional Disorder
Q8
Which of the following is true about preoccupation with castration?
✅ A) This can be serious and life threatening if castration is carried out without medical supervision
Q9
Which of the following provides a uniform language for describing medical and surgical procedures and diagnostic services
rendered by clinicians?
✅ CPT (Current Procedural Terminology)
❌ Not: HIPAA, DSM-5, DRG
Q10
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?
✅ A) This is likely a harmless response to Chlorpromazine (Thorazine)
Q11
A condition which results from absence of second female sex chromosome (XO) and is associated with web neck, dwarfism,
cubitus valgus and infertility is known as?
✅ B) Turner's Syndrome
📝 Tx: hormone therapy; fertility treatments when desired
Q12
Which of the following would be characterized as a negative symptom of schizophrenia?
✅ B & C: Impaired social and occupational functioning; Isolation and impaired self-care
Q13
,Which of the following are keys to distinguishing OCD from psychosis?
✅ Patients with OCD can almost always acknowledge the unreasonable nature of their symptoms
Q14
A federal program administered nationally and locally which covers enrolled individuals 65+ who pays premiums and
disabled individuals?
✅ Both A & B — Medicare and Medicaid
Q15
Having an adequate legal description of NP scope of practice according to state law is important for which reasons?
✅ All of the above — avoid practicing medicine without a license, place accountability on the NP, get reimbursed for
services
Q16
Which of the following is the most widely consumed psychoactive substance?
✅ B) Caffeine
❌ Not: alcohol, heroin, cannabis
Q17
Which of the following is used to treat TD?
✅ None of the above (cogentin, artane, catapres are NOT used for TD)
Q18
The APRN consensus model did which of the following?
✅ B & C — Adult and gerontology were merged (PCP or acute care); Psychiatric mental health foci were stipulated as
across the lifespan
Q19
Which of the following behaviors are associated with an alcohol blood level of 0.05%?
✅ B) Thought, judgment and restraints are impaired
Q20
According to HIPAA, which of the following must the NP share their NPI with?
, ✅ A) Health Plans B) Other providers C) Any entity that may need it for billing purposes
Q21
A patient presents with delusions, disorganized thoughts and speech, and poor self-care persisting for 7 months. What is the
diagnosis?
✅ Schizophrenia
Q22
Major neurotransmitters possibly involved in developing substance abuse and dependence are?
✅ A) Dopamine
❌ Not: GABA, serotonin, A&B only
Q23
The dopamine hypothesis of schizophrenia states which of the following?
✅ A) Schizophrenia results from too much dopaminergic activity
❌ Not: deprivation of dopamine
Q24
A patient had a panic attack in an elevator years ago and since then has avoided elevators. The patient meets criteria for?
✅ B) Specific Phobia
Q25
A patient with substance use disorder who doesn't meet criteria for hospitalization but lacks social/vocational skills and
substance-free supports should go to?
✅ D) All of the above — Residential tx, partial hospitalization, outpatient tx
Q26
Obscene phone calling to an unsuspecting partner for sexual arousal is known as?
✅ C) Telephone Scatologia
Q27
The main psychological difference between fear and anxiety is?
✅ B) Anxiety is insidious; fear is sudden
Walden University · PMHNP · 456 Q&A Study Cards
🔍 Search questions or answers...
Q1
Discrepancy between anatomical sex and gender is known as?
✅ B) Gender Discordance
Q2
Which of the following are risk factors for neuroleptic malignant syndrome? (Select all that apply)
✅ Rapid dose escalation; parenteral route of administration; higher potency typical antipsychotics
Q3
Antipsychotic medication provides D2 blockage in the mesocortical pathway causing which of the following effects?
✅ B) Increases EPS
❌ Incorrect distractors: reduces negative s/s, causes prolactinemia, reduces positive symptoms
Q4
Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which of the following receptors?
✅ D) NMDA type receptors
❌ Incorrect distractors: GABA, serotonin, dopamine receptors
Q5
The diagnosis used to describe a syndrome characterized by specific s/s resulting from recent ingestion or exposure to a
substance is known as?
✅ C) Substance Intoxication
❌ Not: substance use disorder, substance withdrawal
Q6
Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth, tongue, and jaw is known as?
, ✅ C) Tardive Dyskinesia
❌ Not: akathisia, dystonia, EPS
Q7
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 is called?
✅ Delusional Disorder
Q8
Which of the following is true about preoccupation with castration?
✅ A) This can be serious and life threatening if castration is carried out without medical supervision
Q9
Which of the following provides a uniform language for describing medical and surgical procedures and diagnostic services
rendered by clinicians?
✅ CPT (Current Procedural Terminology)
❌ Not: HIPAA, DSM-5, DRG
Q10
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?
✅ A) This is likely a harmless response to Chlorpromazine (Thorazine)
Q11
A condition which results from absence of second female sex chromosome (XO) and is associated with web neck, dwarfism,
cubitus valgus and infertility is known as?
✅ B) Turner's Syndrome
📝 Tx: hormone therapy; fertility treatments when desired
Q12
Which of the following would be characterized as a negative symptom of schizophrenia?
✅ B & C: Impaired social and occupational functioning; Isolation and impaired self-care
Q13
,Which of the following are keys to distinguishing OCD from psychosis?
✅ Patients with OCD can almost always acknowledge the unreasonable nature of their symptoms
Q14
A federal program administered nationally and locally which covers enrolled individuals 65+ who pays premiums and
disabled individuals?
✅ Both A & B — Medicare and Medicaid
Q15
Having an adequate legal description of NP scope of practice according to state law is important for which reasons?
✅ All of the above — avoid practicing medicine without a license, place accountability on the NP, get reimbursed for
services
Q16
Which of the following is the most widely consumed psychoactive substance?
✅ B) Caffeine
❌ Not: alcohol, heroin, cannabis
Q17
Which of the following is used to treat TD?
✅ None of the above (cogentin, artane, catapres are NOT used for TD)
Q18
The APRN consensus model did which of the following?
✅ B & C — Adult and gerontology were merged (PCP or acute care); Psychiatric mental health foci were stipulated as
across the lifespan
Q19
Which of the following behaviors are associated with an alcohol blood level of 0.05%?
✅ B) Thought, judgment and restraints are impaired
Q20
According to HIPAA, which of the following must the NP share their NPI with?
, ✅ A) Health Plans B) Other providers C) Any entity that may need it for billing purposes
Q21
A patient presents with delusions, disorganized thoughts and speech, and poor self-care persisting for 7 months. What is the
diagnosis?
✅ Schizophrenia
Q22
Major neurotransmitters possibly involved in developing substance abuse and dependence are?
✅ A) Dopamine
❌ Not: GABA, serotonin, A&B only
Q23
The dopamine hypothesis of schizophrenia states which of the following?
✅ A) Schizophrenia results from too much dopaminergic activity
❌ Not: deprivation of dopamine
Q24
A patient had a panic attack in an elevator years ago and since then has avoided elevators. The patient meets criteria for?
✅ B) Specific Phobia
Q25
A patient with substance use disorder who doesn't meet criteria for hospitalization but lacks social/vocational skills and
substance-free supports should go to?
✅ D) All of the above — Residential tx, partial hospitalization, outpatient tx
Q26
Obscene phone calling to an unsuspecting partner for sexual arousal is known as?
✅ C) Telephone Scatologia
Q27
The main psychological difference between fear and anxiety is?
✅ B) Anxiety is insidious; fear is sudden
