NRNP 6675 PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER CARE ACROSS THE LIFESPAN II 2024.

NRNP 6675 PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER
CARE ACROSS THE LIFESPAN II 2024.
NRNP 6675 Week 6 Midterm Exam

• Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply

 Age
 Rapid dose escalation
 Parental route of administration
 Higher potency typical antipsychotics



• Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which
ofthe following effects?

 Reduces negative symptoms
 Increases extra pyramidal symptoms (EPS)
 Causes prolactinemia
 Reduces positive symptoms



• Phencyclidine (PCP) and Ketamine exert their unique behavioral effects by blocking which of
thefollowing receptors?

 GABA type receptors
 Serotonin receptors
 Dopamine receptors
 NMDA type receptors



• The diagnosis used to describe a syndrome characterized by specific signs and symptoms
resulting from recent ingestion or exposure to a substance is known as which of the
following?

 Substance intoxication
 Substance withdrawal
 Substance use disorder
 Any of the above

,• Abnormal involuntary movements in a rhythmic pattern affecting face, mouth, tongue,
jaw isknown as which of the following?


 Akathisia
 Dystonia
 Tardive dyskinesia
 Extrapyramidal side effects



• A deeply held belief despite evidence to the contrary, lasting at least one month, without
prominent hallucinations, with functional impairment that relates to the delusional
syste.....

 Schizophrenia
 Delusional disorder
 Brief psychotic disorder
 Schizophreniform disorder



• Which of the following is true about preoccupation with castration?

 This can be serious and life-threatening if castration is carried out without
medicalsupervision.
 This is consistent with Transvestic Disorder
 This is consistent with other specified paraphilic disorder
 This is consistent with sexual masochism disorder



• Which of the following is a system that provides a uniform language for describing medical
andsurgical procedures and diagnostic services rendered by clinicians?

 HIPPA
 DSM-5
 CPT
 DRG



• A patient on Chlorpromazine states that his orgasm is dry and afterward he will commonly
havemilky urine. The ARNP realizes which of the following?

 This is likely a harmless response to the Chlorpromazine

,  This is abnormal and needs to be evaluated by a specialist
 It is critical to stop the Chlorpromazine immediately
 This has nothing to do with the Chlorpromazine the patient be referred to his PCP
forfollow-up



• A condition which results from absence of second female sex Chromosome (XO) and is
associated with web neck, dwarfism, cubitus valgus, and infertility is known as which of
thefollowing?

 Hermaphroditism
 Turner's syndrome
 Adrenogenital syndrome
 Androgen insensitivity syndrome



• Which of the following would be characterized as a negative symptom of schizophrenia?

• Hallucinations and delusions
• Impaired social and occupational functioning
• Isolation and impaired self-care
• B and C only



• Which of the following are keys to distinguishing OCD from psychosis?

 Patients with OCD can almost always acknowledge the unreasonable nature of
(theirsymptoms)
 Patients with OCD are better able to control their compulsions.
 Patients with psychosis will have more obsessive thoughts.
 Patients with OCD have less bizarre obsessions.




• A federal program administered nationally and locally which covers enrolled individuals
65years and older who pay premiums and disabled individuals....

• Medicare
• Medicaid
• Both A and B
• None of the above