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NRNP 6675 MIDTERM EXAM QUESTION BANK
ALL WITH 400 QUESTIONS AND CORRECT
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Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which of the following receptors? A. GABA B. serotonin C. dopamine receptors D. NMDA type receptors A. GABA B. serotonin C. dopamine receptors D. NMDA type receptors The diagnosis used to describe a syndrome characterized by specific s/s resulting from recent ingestion or exposure to a substance is known as which of the following? A. substance intoxication B. substance withdrawal C. substance use disorder D. all of the above A. substance intoxication (Sadock p. 269)
B. substance withdrawal C. Substance Use disorder D. all of the above Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth, tongue, and jaw is known as which of the following? A. akathisia B. dystonia C. tardive dyskinesia D. EPS A. akathisia B. dystonia C. tardive dyskinesia D. EPS 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 disorder called? A. schizophrenia B. delusional disorder C. brief psychotic disorder D. schizophreniform disorder A. schizophrenia B. delusional disorder
D. DRG
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 the Chlorpromazine B. this is abnormal and needs to be evaluated by a specialist C. it is critical to stop the Chlorpromazine immediately D. this has nothing to do with the Chlorpromazine. Refer patient to PCP for follow-up A. this is likely a harmless response to the Chlorpromazine B. this is abnormal and needs to be evaluated by a specialist C. it is critical to stop the Chlorpromazine immediately D. this has nothing to do with the Chlorpromazine. Refer patient to PCP for follow-up Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply A. Age B. Rapid Dose Escalation C. Parental Route of Administration D. Higher Potency Typical Antipsychotics A. Age B. Rapid Dose Escalation C. Parental Route of Administration D. Higher Potency Typical Antipsychotics
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of the following effects? A. reduces negative symptoms B. Increases EPS C. causes prolactinemia D. reduces positive symptoms A. reduces negative symptoms B. Increases EPS C. causes prolactinemia D. reduces positive symptoms A condition that results from the absence of a second female sex chromosome (XO) and is associated with web neck, dwarfism, cubitus valgus, and infertility is known as what? A. Hermaphroditism B. Turner's Syndrome C. Andrenogenital Syndrome D. Androgen Insensitivity Syndrome A. Hermaphroditism B. Turner's Syndrome C. Andrenogenital Syndrome D. Androgen Insensitivity Syndrome Which of the following would be characterized as a negative symptom of schizophrenia?
B. Medicaid C. both A & B D. none of the above A. Medicare B. Medicaid C. both A & B D. none of the above Having an adequate legal description of the nurse practitioner's (NP) scope of practice according to state law is important for which of the following reasons? A. to avoid any charges of practicing medicine without a license B. to place accountability for both benefits and harm to patients squarely on the NP C. to get reimbursed for physician services when provided by an NP D. all of the above A. to avoid any charges of practicing medicine without a license B. to place accountability for both benefits and harm to patients squarely on the NP C. to get reimbursed for physician services when provided by an NP D. all of the above Which of the following is the most widely consumed psychoactive substance? A. alcohol B. caffeine c. heroin d. cannabis
A. alcohol B. caffeine c. heroin d. cannabis Which of the following is used to treat Tardive Dyskinesia? A. Cogentin B. Artane C. Catapress D. None of the above A. Cogentin B. Artane C. Catapress D. None of the above The APRN consensus model did which of the following? A. Merged adult, gerontology and pediatric foci so that all NPs could truly work across the lifespan B. Adult and gerontology were merged and identified as primary care or acute care C. Psychiatric mental health foci were stipulated as across the lifespan D. both B& C A. Merged adult, gerontology and pediatric foci so that all NPs could truly work across the lifespan
D. A & C only A patient presents with delusions, disorganized thoughts, and speech with poor self care all of which have persisted for the past 7 months. The APRN knows this presentation fits what diagnosis? A. schizophrenia B. schizophreniform disorder C. brief psychotic disorder D. delusional disorder A. schizophrenia B. schizophreniform disorder C. brief psychotic disorder D. delusional disorder Major neurotransmitters possibly involved in developing substance abuse and substance dependence are which of the following? A. dopamine B. GABA C. serotonin D. A&B only A. dopamine B. GABA C. serotonin D. A&B only
The dopamine hypothesis of schizophrenia states what? A. schizophrenia results from too much dopaminergic activity B. schizophrenia results from a deprivation of dopamine C. schizophrenia is not related to dopamine activity D. none of the above A. schizophrenia results from too much dopaminergic activity B. schizophrenia results from a deprivation of dopamine C. schizophrenia is not related to dopamine activity D. none of the above A patient reports a panic attack several years ago in an elevator and since then has avoided elevators. The patient meets the criteria for which of the following: A. social phobia B. specific phobia C. generalized anxiety disorder unspecified D. obsessive-compulsive disorder A. social phobia B. specific phobia C. generalized anxiety disorder unspecified D. obsessive-compulsive disorder Treatment options for a patient with a substance use disorder who does not meet clinical criteria for hospitalization but lacks sufficient social and vocational skills and lack substance- free social supports is/are
C. there is no difference between fear and anxiety D. bother anxiety and fear are alerting signals A. fear is insidious; anxiety is sudden B. anxiety is insidious; fear is sudden C. there is no difference between fear and anxiety D. bother anxiety and fear are alerting signals A diffuse, unpleasant, vague sense of apprehension often accompanied by autonomic symptoms varies upon persons is commonly known as which of the following? A. fear B. stress C. normal anxiety D. pathological anxiety A. fear B. stress C. normal anxiety D. pathological anxiety If a pregnancy begins while the woman is taking high doses of methadone and withdrawal is desired, during which trimester is the least hazardous? A. first trimester B. second trimester C. third trimester D. withdrawal from methadone should never be done while the woman is pregnant
A. first trimester B. second trimester C. third trimester D. withdrawal from methadone should never be done while the woman is pregnant Neurochemical or neurophysiological changes in the body that results from the repeated administration of a drug is known as which of the following? A. cross-tolerance B. neurotransformation C. neuroadapation D. neurocognitive adjustment A. cross-tolerance B. neurotransformation C. neuroadapation D. neurocognitive adjustment The recurrent and intense sexual arousal from the physical and psychological suffering of another person is known as which of the following? A. frotteurism B. voyeurism C. sexual sadism D. sexual masochism A. frotteurism
D. paraphilic disorder Which of the following patients would be appropriate for hospitalization for substance use disorder? Select all that apply A. patients who have a substance overdose who cannot be safely treated in outpatient setting B. patients who are at risk for severe of medically complicated withdrawal symptoms C. patients who have a history of not benefiting from treatment in less intensive settings D. A&B only A. patients who have a substance overdose who cannot be safely treated in outpatient setting B. patients who are at risk for severe of medically complicated withdrawal symptoms C. patients who have a history of not benefiting from treatment in less intensive settings D. A&B only 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? A. Full Practice B. Reduced Practice C. Restricted Practice D. Arbitrary Practice A. Full Practice B. Reduced Practice C. Restricted Practice D. Arbitrary Practice
Which of the following groups does Medicare cover? Select all the above A. Individuals 65 years and older who have enrolled and pay premiums B. disabled individuals who qualify for social security disability payments and benefits C. adults who are disabled for one year or less and who qualify on the basis of poverty D. mothers and children who qualify on the basis of poverty A. Individuals 65 years and older who have enrolled and pay premiums B. disabled individuals who qualify for social security disability payments and benefits C. adults who are disabled for one year or less and who qualify on the basis of poverty D. mothers and children who qualify on the basis of poverty Which of the following neurotransmitters increases libidio? A. GABA B. serotonin C. oxytocin D. dopamine A. GABA B. serotonin C. oxytocin D. dopamine Which of the following factors are associated with poor prognosis for patients with OCD? A. Childhood Onset B. the presence of a precipitating event
A method of therapy used to treat individuals with substance abuse based on motivational incentives to recognize and reinforce positive behavior change is known as which of the following? A. exposure therapy B. contingency management C. motivational interviewing D. cognitive behavioral therapy A. exposure therapy B. contingency management C. motivational interviewing D. cognitive behavioral therapy All of the following is consistent with the ANCCs rules regarding recertification EXCEPT: A. you are required to have a maximum of 25 credit hours during each certification period B. you can start the recertification process 1 year before your expiration date, but no later than 3 months prior C. you must have 1000 clinical practice hours n a clinical specialty within the preceding 5 years D. you must have at least 25 contact hours in pharmacotherapy A. you are required to have a maximum of 25 credit hours during each certification period B. you can start the recertification process 1 year before your expiration date, but no later than 3 months prior C. you must have 1000 clinical practice hours n a clinical specialty within the preceding 5 years D. you must have at least 25 contact hours in pharmacotherapy
Risks factors for school violence include which of the following? Select all that apply A. Bullying B. Being bullied C. Isolation D. involvement in school organizations A. Bullying B. Being bullied C. Isolation D. involvement in school organizations Persons who subordinate their own needs to those of others, get others to assume responsibility for major areas in their 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? A. avoidant personality disorder B. passive personality disorder C. dependent personality disorder D. antisocial personality disorder A. avoidant personality disorder B. passive personality disorder C. dependent personality disorder D. antisocial personality disorder
