NRNP 6675/ NRNP6675 Midterm Exam Quiz Bank (2024/ 2025) | Complete Guide| Questions and Verified Answers

NRNP 6675 Midterm Exam 2024 NRNP 6675/ NRNP6675 Midterm Exam Quiz Bank (2024/ 2025) | Complete Guide| Questions and Verified Answers Questions and Verified Answers 1. Which of the following is not consistent with benzo withdrawal? - Answer: B) The best way to proceed with benzo withdrawal is to stop it immediately and tx withdrawal s/s 2. Which of the following is true about the legal practice of the PMHNP? - Answer: D) A&B only A) all have some degrees of prescriptive privileges in all states and the district of columbia B) all are considered primary providers in all states and the district of columbia 3. Flashbacks in which the individual may act and feel as if the trauma were reoccurring represent which of the following clinical features of PTSD? - Answer: A) Intrusion Symptom B) Symptom of Avoidance 4. In which ways are NPs and PAs different? - Answer: D) A&B A) NPs differ from PAs in legal definition, scope of practice, licensure, and inde- pendence of practice B) NPs practice under their own license and independent of the physician, PAs always work under the supervision of a physician 5. Which of the following initials would a PMHNP use to designate appro- priate credentials? - Answer: PMHNP-BC 6. Variations from norms in gender roles such as toy preferences, rough and tumble play, aggression, or playmate gender is known as which of the following? - Answer: B) Gender role behavior 7. 3 major neurotransmitters associated with anxiety, based on animal stud- ies and response to drug tx include? - Answer: B) GABA, norepinephrine and serotonin 8. Which of the following is consistent with the epidemiology of schizophre- nia in the US? - Answer: D) Onset of schizophrenia before the age of 25 is extremely rare 9. Clinical findings that may indicate abuse include which of the following? Select all that apply - Answer: B) Explanation by the pt which is inconsistent with the type of injury C) Psychological distress such as depression, anxiety, SI, and/or sleep disorder D) Explanation by the parent that is inconsistent with the type of injury 10. According to the APA, which of the following is consistent with the EBP for telepsych? - Answer: B) In populations with severe anxiety, tele psychiatry is preferred 11. Which of the following is consistent with literature regarding the term psychosexual? - Answer: D) None of the above -psychosexual is used to describe personality development and functioning -psychosexual is synonymous with libidio in the Freudian sense -Psychosexual basically refers only to sexual feelings and behavior 12. Bleuler identified 4 fundamental s//s of schizophrenia, known as the 4 A's, which include which symptoms? - Answer: A) Associations, Affect, Autism, Ambivalence 13. The fear/anxiety regarding places from which escape may be difficult is known as which of the following - Answer: C) Agoraphobia 14. All of the following are one of the 5 major categories of third-party payers EXCEPT - Answer: D) only A & B A) Medicare/medicaid B) Managed care organization (MCOs) 15. Which of the following are risk factors for sexual assault EXCEPT - Answer: A) Religion Incorrect - Answer: serious mental illness, substance use disorder, family hx of sexual abuse 16. Which of the following is consistent with what is known about PP depres- sion? - Answer: D) All of the above (feelings of guilt/ and inadequacy are often present and excessive; thoughts of harming the baby are often present; typical onset is within 3-06 months of delivery) 17. Affirmatively acting to benefit another or others, going beyond what is required by law is known as which of the following?> - Answer: C) Beneficence 18. Which of the following is used for treating alcohol dependence individ- uals seeking to continue to remain alcohol free after they have stopped drinking? - Answer: D) Acamprosate 19. The NP can impact health policy and healthcare by doing which of the following? - Answer: D) All of the above -becomes an active member of local, state, and/or national NP -becomes familiar with the resources available on NP organization websites -Volunteer to serve on legislature committees within professional NP organizations 20. The tx of others equitably and distribution of benefits/burdens fairly is known as? - Answer: B) Justice 21. Which of the following is INCONSISTENT with current literature about victims of sexual abuse? - Answer: C) The pre-existing relationship and familiarity with the abuser may impeded the victim's ability to make rational decisions 22. Which of the following would constitute negligence? Select all that apply- - Answer: A) Failure to give necessary care B) Failure to refer when necessary C) Failure to follow up with a patient D) Failure to disclose necessary info to a patient 23. Which of the following developed a biblically-based cultural competence model for healthcare professionals? - Answer: B) Camipinha-Cacote` 24. the ARNP recognizes which of the following as long term effects of sex trafficking on victims? - Answer: D) All of the above -severe depression -spiritual questions -trauma bonding 25. A patient appears odd, with a pervasive hx of magical thinking, ideas of reference, illusions or derealization. This is consistent with which of the folllowing PDs? - Answer: C) Schizotypal PD 26. Which of the following are criteria for a particular suicide to be consid- ered inevitable? - Answer: D) All of the above -strong genetic hx of suicide in one or more family members -a strong genetic loading of mental illness in the family -the pt may have received the highest standard of tx and that txd failed 27. A pt with a hx of alcohol use disorder presents to the ED with oculomotor disturbances, cerebellar ataxia, and confusion. The ARNP recognizes these symptoms as consistent with which of the following psych emergencies? - Answer: C) Wernicke's encephalopathy 28. The emotional burnout and lack of empathy towards clients that health- care providers experience after treating victims is known as the following?- - Answer: B) Primary traumatization 99. The ACE study found that which of the following relationships between child traumatic events and high-risk behaviors exhibited by adults? - Answer: D) The study revealed an indirect relationship between child traumatic events and high risk adult behaviors 30. Walking on eggshells and appeasement/avoidance behaviors by the victim is characteristic of which phase of the cycle of DV? - Answer: A) Honeymoon phase 31. The recurrent and intense sexual arousal from the physical and psycho- logical suffering of another person is known as which of the following? - Answer: C) Sexual sadism 32. Which of the following is not consistent with the onset of OCD? - Answer: D) The onset of OCD is typically preceded by OCD personality traits True answers about OCD - Answer: -more than 1/2 of pts with OCD have a sudden onset of symptoms -the onset of symptoms for about 50-70% of patients occurs after a stressful event -most patients keep their symptoms secret initially 33. The recurrent urge to expose one's genitals to a stranger is known ass which of the following? - Answer: C) Exhibitionism 34. Which of the following patients would be appropriate for hospitalization for substance use disorder? Select all that apply - Answer: D) A&B only (Patients who have a substance overdose who cannot be safely tx in an outpt setting & pts who are at risk for severe or medically complicated withdrawal symptoms 35. The nursing practice model recommendation for NPs by the NAtional Academy of Medicine and the National Council of State Boards of Nursing is which of the following? - Answer: A) Full practice 36. Which of the following groups does medicare cover? Select all the above- - Answer: A) Individuals 65+ years and older who have enrolled and pay premiums B) Disabled individuals who quality for social security disability payments and benefits 37. Which of the following neurotransmitters increases libidio? - Answer: D) Dopamine Incorrect - Answer: GABA, serotonin, oxytocin 38. Which of the following factors are associated with poor prognosis for patients with OCD? - Answer: D) A & C (Childhood onset & Co-existing major depressive disorder) 39. Which of the following is inconsistent with current knowledge about schizophrenia? - Answer: C) Dopamine level is a laboratory tests that assists in the diag- nosis of schizophrenia 40. A chronic disorder characterized by repetitive hair pulling leading to variable hair loss that may be..to others known as? - Answer: C) Trichotillomania 41. Which of the following are risk factors for neuroleptic malignant syn- drome? - Answer: B) Rapid dose escalation C) Parental route of admin D) High potency typical antipsychotics 42. A method of therapy used to tx individuals with substance use based on the fundamental principle of a psychology that reinforced behaviors are likely to be..is known as the following? - Answer: B) Contingency Management 43. The conditions in which people are born, grow, work, live and age are known as? - Answer: Social determinants of health 44. All of the following is consistent with the ANCCs rules regarding recer- tification EXCEPT - Answer: A) You are required to have a maximum of 25 credit hours during each certification period Correct - Answer: B) you can start the recert process 1 year before your expiration date, but no later than 3 months before C) You must have 1000 clinical practice hours in a clinical speciality within the preceding 5 years D)you must have at least 25 contact hours in pharmacotherapy 45. Risks factors for school violence include which of the following? Select all that apply - Answer: A) Bullying B) Being bullied C) Isolation 46. Persons who subordinate their own needs to those of others, get others to assume responsibility for major areas in the lives, lack of self-confidence, and may experience intense discomfort when alone for more than a brief period of time are demonstrating characteristics with which of the following personality disorders? - Answer: C) Dependent personality disorder Incorrect - Answer: avoid PD, passive PD, antisocial PD 47. Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the following lithium levels? - Answer: D) >25 mEq/L (TOXICITY) 48. A 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 ER is known as which of the following? - Answer: D) Munchausen Syndrome by Proxy 49. Self-care strategies for the ARNP in preparing for the certification exam include all of the following EXCEPT? - Answer: D) plan to study for short periods over a longer period of time 50. 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 that the pt likely has which of the following PDs? - Answer: B) Paranoid PD Incorrect - Answer: schizoid PD, BDP, Antisocial PD 51. A pt will a hx of alcohol use presents to the ED with oculomotor dis- turbances, cerebellar ataxia, and confusion. Symptoms are consistent with which of the following psychiatric emergencies? - Answer: C) Wernickes Encephalopa- thy Incorrect - Answer: akathisia, korsakoff's syndromes, idiosyncratic alcohol intoxication 52. Cluster A personality disorders are more common in biological families of pts with which of the following disorders? - Answer: D) Schizophrenia Incorrect - Answer: depression, OCD, alcohol use disorder 53. NP core competencies for INDEPENDENT practice includes all of the following EXCEPT - Answer: B) Demonstrates the highest level of accountability for pro- fessional practice 54. NP competencies for independent practice - Answer: A) Maintain a collaboration agreement with physician C) Practices independently managing previously diagnosed and under-diagnosed pts D) Practices patient centered care recognizing culture diversity and the pt or designee as a full practice in decision making 55. Cluster A personality traits consists of which of the following? - Answer: A) Schizo- typal, schizoid, and paranoid subtypes 56. The misuse of the charge's funds for personal gain is known as which of the following? - Answer: C) Financial abuse /exploitation 57. the ARNP recognizes which of the following as long term effects of sex trafficking on victims? - Answer: D) All of the above A) Severe depression B) Spiritual questions C) Trauma bonding 58. In about half of the cases in which suicides occur while pts 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? - Answer: B) Courts provide ZERO suicide rates in inpt setting 59. Cultural Dimensions Therapy is a framework for cross-cultural communi- cation that describes the effects of a society's culture on the values of its members..by which of the following therorists? - Answer: A) Hofstede 60. The tx of choice for pts with paranoid PD includes which of the follow- ing? - Answer: D) B&C B) Behavioral Therapy and C) Psychotherapy 61. The differences in quality of healthcare actions across individuals or groups regard to access, tx options and p..following? - Answer: B) Health disparities 62. The incidence of suicide is highest for which of the following popula- tions? - Answer: D) Older African American men 63. The pt on lithium with a hx of alcohol use disorder presents with dry mouth, ataxia, dizziness, abdominal pain, and slurred speech. The ARNP should do which of the following? - Answer: C) The ARNP recognizes the symptoms of moderate lithium toxicity, discontinues the lithium immediately, orders lithium level, serum electrolytes and renal function tests 64. The ARNP takes a position in which a specific amount is paid according to a set job description. The ARNP should do which of the following? - Answer: C) The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, discontinues the lithium immediately, orders a lithium level, serum electrolytes and renal function tests 65. The 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? - Answer: D) Hourly rate 66. A PD characterized by emotional constriction, orderliness, perseverance, stubbornness, indecisiveness, a inflexibility as which of the following? - Answer: Ob- sessive compulsive PD 67. Which of the following is consistent with what is known about the epi- demiology of anxiety? - Answer: B) Women have a higher lifetime prevalence of anxiety than men 68. Which of the following is consistent with NP practice parameters when prescribing buprenorphine? - Answer: D) the NP is require to complete specific training to prescribe and dispense buprenorphine 69. Which of the following are consistent with current data related to the prevalence of drinking alcohol? - Answer: B) Men and women with higher education and income are more likely to drink alcohol 70. A pt with hx of hypoglycemia reports feelings of fear, worry and restless- ness that has persisted over the past 6 months. The pt states these feelings are worse when glucose is low. the ARNP suspects the pt has which of the following dx? - Answer: A_) GAD attributable to another medical condition 71. Discrepancy between anatomical sex and gender is known as? - Answer: B) Gender Discordance 72. Which of the following are risk factors for neuroleptic malignant syn- drome? Select all that apply - Answer: Rapid dose scalation; parental route of admin- istration; higher potency typical antipsychotics 73. Antipsychotic medication provides D2 blockage in the meso-coritcal path- way causing which of the following effects? - Answer: B) Increases EPS Incorrect - Answer: reduces negative s/s, causes prolactinemia, reduces positive symptoms 74. Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which of the following receptors? - Answer: D) NMDA type receptors Incorrect - Answer: GABA, serotonin, dopamine