NRNP 6675 MIDTERM EXAM NRNP6675 PSYCHIATRIC MENTAL HEALTH NURSE PRACTICTIONER CARE ACROSS THE LIFESPAN ii MIDTERM EXAM 2024 GRADED A+ LATEST GUIDE.
1. Discrepancy between anatomical sex and gender is known as?: B) GenderDiscordance 2. Which of the following are risk factorsfor neuroleptic malignantsyndrome?Select all that apply: Rapid dose escalation;parental route of administration;higherpotency typical antipsychotics 3. Antipsychotic medication provides D2 blockage in the meso-coritcal path-way causing which of the following effects?: B) Increases EPS Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms 4. Phencyclidine (PCP) and ketamine exert their unique behavioral effects byblocking which of the following receptors?: D) NMDA type receptors Incorrect: GABA, serotonin, dopamine "receptors" 5. The diagnosis used to describe a syndrome characterized by specific s/s resulting from recent ingestion or exposure to a substance is known as whichof the folllowing?: C) Substance use disorder Incorrect:substance intox, substance withdrawal, all of the above 6. Abnormal involuntary movements in a rhythmic pattern affecting the face,mouth, tongue jaw is known as which of the following?: C) Tardive dyskinesia Incorrect: akathisia, dystonia, EPS 7. A deeply held belief despite evidence to the contrary, lasting at least 1 month, without prominent hallucinations, with functional impairment that re-lates to the delusional system disorder called?: Delusional disorder 8. Which of the following is true about preoccupation with castration?: A) This can be serious and life threatening if castration is carried out without medicalsupervision Incorrect: consistent with transvestiatic disorder, otherspecified paraphillic disorder,or sexual machochism disorder 9. Which of the following is a system that provides a uniform language for de-scribing medical and surgical procedures and diagnostics services renderedby clinicians?: CPT 3 / 39 Incorrect: HIPPA, DSM5-, DRG 10. A patient on Chlorpromazine states his orgasm is dry and afterwards he will commonly have milky urine.The APRN realizes this is which of thefollowing?: A) This is likely a harmless response to the Chlorpromazine "Thorazine" 11. A condition which results from absence of second female sex chromo- some (XO) and is associated with web neck, dwarfism, cubitus valgus and infertility is known as which of the following?: B) Turners Syndrome Turnerssyndrome: tx involves hormone therapy;fertility treatmentsfor women when they decide to havea baby 12. Which of the following would be characterized as a negative s/s of schiz-ophrenia?: B & C only B) impaired social and occupational functioning C) isolation and impaired self-care 13. Which of the following are keys to distinguishing OCD from psychosis?: - Patients with OCD can almost always acknowledge the unreasonable nature of theirsymptoms 14. A federal program administered nationally and locally which covers en- rolled individuals 65+ who pays premiums and disabled individuals: Both A&B (Medicare and Medicaid) 15. Having an adequate legal description of nurse practitioner (NP) scope of practice according to state law is important for which of the following reasons?: All of the above (to avoid any charges of practicing medicine without alicense, to place accountability for both benefits and harm to patients squarely onthe NP, to get reimbursed for physician services when provided by a NP 16. Which of the following is the most widely consumed psychoactive sub-stance?: B) Caffeine Incorrect: alcohol, heroin, cannabis 17. Which of the following is used to txTD?: None of the above
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