NRNP 6675 Midterm Exam 455+ Questions with Verified Answers ||Complete A+ Guide walden university

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,1. Discrepancy between anatomical sex and gender is known as?ANS:B) Gender ji ji ji ji ji ji ji ji ji ji




Discordance
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2. Which of the following are risk factors for neuroleptic malignant syndrome?
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Selectallthatapply ANS:Rapiddoseescalation;parentalrouteofadministration;higher
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potency typical antipsychotics
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3. Antipsychotic medicationprovides D2 blockage inthe meso-coritcalpath- ji ji ji ji ji ji ji ji




way causing which of the following effects? ANS: B) Increases EPS
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Incorrect:reduces negative s/s, causes prolactinemia, reduces positive symptoms
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4. Phencyclidine (PCP)and ketamine exerttheir unique behavioral effects by ji ji ji ji ji ji ji ji ji




blocking which of the following receptors? ANS: D) NMDA type receptors
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Incorrect:GABA, serotonin, dopamine "receptors" ji ji ji ji




5. The diagnosis used to describe a syndrome characterized by specific s/s
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resultingfromrecentingestionorexposuretoasubstanceisknownaswhich of
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the folllowing? ANS: C) Substance use disorder
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Incorrect:substance intox, substance withdrawal, all of the above
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6. Abnormal involuntary movements ina rhythmic patternaffectingthe face, ji ji ji ji ji ji ji ji ji




mouth,tonguejawisknownas whichofthefollowing? ANS:C)Tardivedyskinesia
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Incorrect:akathisia, dystonia, EPS ji ji ji




7. A deeply held belief despite evidence to the contrary, lasting at least 1 month,
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without prominent hallucinations,with functional impairment that re- lates to the
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delusional system disorder called? ANS: Delusional disorder
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8. Which of the following is true about preoccupation with castration? ANS: A)
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This can be serious and life threatening if castration is carried out without medical
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supervision
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Incorrect:consistentwith transvestiaticdisorder,other specifiedparaphillicdisorder, or
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sexual machochism disorder
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,9. Which of the following is a system that provides a uniform language for de-
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scribing medical and surgical procedures and diagnostics services rendered by
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clinicians? ANS: CPT
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Incorrect:HIPPA,DSM5-,DRG
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10. A patient on Chlorpromazine states his orgasm is dry and afterwards he
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will commonly have milky urine.The APRN realizes this is which of the
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following? ANS: A) This is likely a harmless response to the Chlorpromazine
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, "Thorazine"

11. A condition which results from absence of second female sex chromo-
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some (XO) and is associated with web neck, dwarfism, cubitus valgus and
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infertility is known as which of the following? ANS: B)Turners Syndrome
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Turnerssyndrome: ji




txinvolveshormonetherapy;fertilitytreatmentsforwomenwhentheydecidetohave a baby
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12. Which of the following would be characterized as a negative s/s of schiz- ji ji ji ji ji ji ji ji ji ji ji ji




ophrenia? ANS: B & C only
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B) impaired social and occupational functioning ji ji ji ji




C) isolation and impaired self-care ji ji ji




13. Which of the following are keys to distinguishing OCD from psychosis? ANS:- ji ji ji ji ji ji ji ji ji ji ji ji




Patients with OCD can almost always acknowledge the unreasonable nature of their
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symptoms
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14. A federal program administered nationally and locally which covers en-
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rolled individuals 65+ who pays premiums and disabled individuals ANS:Both
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A& B (Medicare and Medicaid)
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15. Having an adequate legal description of nurse practitioner (NP) scope of ji ji ji ji ji ji ji ji ji j i




practice according to state law is important for which of the following reasons?
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ANS:Allofthe above(toavoid anychargesofpracticingmedicinewithouta license, to
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place accountability for both benefits and harm to patients squarely on the NP, to get
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reimbursed for physician services when provided by a NP
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16. Which of the following is the most widely consumed psychoactive sub- ji ji ji ji ji ji ji ji ji ji




stance? ANS: B) Caffeine
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Incorrect:alcohol, heroin, cannabis ji ji ji




17. Which of the following is used to txTD? ANS:None of the above ji ji ji ji ji ji ji ji ji ji ji ji ji




(cogentin, artane, catapress) ji ji




18. The APRN consensus model did which of the following? ANS:B & C
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