NRNP 6675 MIDTERM EXAM WITH ANSWERS 2025
45. Risks factors for school violence include which of the following? Select
all that apply: 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: 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, pre-
occupied 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: schizoid PD, BDP, Antisocial PD
51. A pt will a hx of alcohol use presents to the ED with oculomotor distur-
bances, cerebellar ataxia, and confusion. Symptoms are consistent with which
of the following psychiatric emergencies- Answer C) Wernickes
Encephalopathy
Incorrect: 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: depression, OCD, alcohol use disorder
53. NP core competencies for INDEPENDENT practice includes all of the
following EXCEPT:: B) Demonstrates the highest level of accountability for
profes- sional practice
54. NP competencies for independent practice:: 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 de- signee 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
following?-
: 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
populations?-
: 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
epidemi- ology 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. 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
72. 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
45. Risks factors for school violence include which of the following? Select
all that apply: 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: 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, pre-
occupied 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: schizoid PD, BDP, Antisocial PD
51. A pt will a hx of alcohol use presents to the ED with oculomotor distur-
bances, cerebellar ataxia, and confusion. Symptoms are consistent with which
of the following psychiatric emergencies- Answer C) Wernickes
Encephalopathy
Incorrect: 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: depression, OCD, alcohol use disorder
53. NP core competencies for INDEPENDENT practice includes all of the
following EXCEPT:: B) Demonstrates the highest level of accountability for
profes- sional practice
54. NP competencies for independent practice:: 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 de- signee 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
following?-
: 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
populations?-
: 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
epidemi- ology 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. 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
72. 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
