NRNP 6675 Final Exam
Which of the following are risk factors for neuroleptic malignant syndrome? Select all
that apply - ANSWER Rapid dose escalation; parental route of administration;
higher potency typical antipsychotics
Discrepancy between anatomical sex and gender is known as? - ANSWER B)
Gender Discordance
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing
which of the following effects? - ANSWER B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking
which of the following receptors? - ANSWER D) NMDA type receptors
Incorrect: GABA, serotonin, dopamine "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
folllowing? - ANSWER C) Substance use disorder
Incorrect: substance intox, substance withdrawal, all of the above
Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth,
tongue jaw is known as which of the following? - ANSWER C) Tardive dyskinesia
Incorrect: akathisia, dystonia, 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? - ANSWER Delusional disorder
Which of the following is true about preoccupation with castration? - ANSWER A)
This can be serious and life threatening if castration is carried out without medical
supervision
Incorrect: consistent with transvestiatic disorder, other specified paraphillic disorder,
or sexual machochism disorder
Which of the following is a system that provides a uniform language for describing
medical and surgical procedures and diagnostics services rendered by clinicians? -
ANSWER CPT
,Incorrect: HIPPA, DSM5-, 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? -
ANSWER A) This is likely a harmless response to the Chlorpromazine
"Thorazine"
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 the following? - ANSWER B) Turners Syndrome
Turners syndrome:
tx involves hormone therapy; fertility treatments for women when they decide to have
a baby
Which of the following would be characterized as a negative s/s of schizophrenia? -
ANSWER B & C only
B) impaired social and occupational functioning
C) isolation and impaired self-care
Which of the following are keys to distinguishing OCD from psychosis? - ANSWER
Patients with OCD can almost always acknowledge the unreasonable nature of their
symptoms
A federal program administered nationally and locally which covers enrolled
individuals 65+ who pays premiums and disabled individuals - ANSWER Both A&
B (Medicare and Medicaid)
Having an adequate legal description of nurse practitioner (NP) scope of practice
according to state law is important for which of the following reasons? - ANSWER
All of the above (to avoid any charges of practicing medicine without a license, to
place accountability for both benefits and harm to patients squarely on the NP, to get
reimbursed for physician services when provided by a NP
Which of the following is the most widely consumed psychoactive substance? -
ANSWER B) Caffeine
Incorrect: alcohol, heroin, cannabis
Which of the following is used to tx TD? - ANSWER None of the above
(cogentin, artane, catapress)
The APRN consensus model did which of the following? - ANSWER B & C
B) adult and gerontology were merged and identified as PCP or acute care
C) psychiatric mental health foci were stipulated as across the lifespan
,Which of the following behaviors are associated with an alcohol blood level of
0.05%? - ANSWER B) Thought judgement and restraints are impaired
According to HIPPA, which of the following must the NP share their NPI with? Check
all the above - ANSWER A) Health Plans
B) Other providers
C) Any entity that may need it for a billing purpose
A patient presents with delusions, disorganized thoughts, and speech with poor self
care all of which has persisted for the past 7 months. The APRN knowns this
presentation means what diagnosis? - ANSWER Schizophrenia
Major neurotransmitters possibly involved in developing substance abuse and
substance dependence are which of the following? - ANSWER A) Dopamine
Incorrect: GABA, serotonin, A& B only
The dopamine hypothesis of schizophrenia, which of the following? - ANSWER A)
Schizophrenia results from too much dopaminergic activity
incorrect: results from a deprivation of dopamine
A patient reports a panic attack several years ago in an elevator and since then has
avoided elevators. The pt meets the criteria for: - ANSWER B) Specific phobia
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 to - ANSWER D) All of the above
(Residential tx, partial hospitalization, outpt tx)
Obscene phone calling to an unsuspecting partner for sexual arousal is known as? -
ANSWER C) Telephone Scatologia
(not telephillia, partialism, normal adolescent prank)
The main psychological difference between fear and anxiety is best described by
which of these statements? - ANSWER B) Anxiety is insidious, fear is sudden
A diffuse, unpleasant, vague sense of apprehension often accompanied by
autonomic symptoms varies upon persons is commonly known as which of the
following? - ANSWER C) Normal anxiety
(incorrect- fear, stress, 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? - ANSWER 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? - ANSWER
C) Neuroadaption
incorrect: cross-tolerance, neurotransformation, neurocognitive adjustment
The recurrent and intense sexual arousal from the physical and psychological
suffering of another person is known as which of the following? - ANSWER C)
Sexual sadism
Which of the following is not consistent with the onset of OCD? - ANSWER D) The
onset of OCD is typically preceded by OCD personality traits
True answers about OCD:
-more than 1/2 of pts with OCD have a sudden onset of symptoms
-the onset of symptoms for about 50-70% of patients occurs after a stressful event
-most patients keep their symptoms secret initially
The recurrent urge to expose one's genitals to a stranger is known ass which of the
following? - ANSWER C) Exhibitionism
Which of the following patients would be appropriate for hospitalization for substance
use disorder? Select all that apply - ANSWER D) A&B only
(Patients who have a substance overdose who cannot be safely tx in an outpt setting
& pts who are at risk for severe or medically complicated withdrawal symptoms
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? - ANSWER A) Full practice
Which of the following groups does medicare cover? Select all the above -
ANSWER A) Individuals 65+ years and older who have enrolled and pay premiums
B) Disabled individuals who quality for social security disability payments and
benefits
Which of the following neurotransmitters increases libidio? - ANSWER D)
Dopamine
Incorrect: GABA, serotonin, oxytocin
Which of the following factors are associated with poor prognosis for patients with
OCD? - ANSWER D) A & C
(Childhood onset & Co-existing major depressive disorder)
Which of the following is inconsistent with current knowledge about schizophrenia? -
ANSWER C) Dopamine level is a laboratory tests that assists in the diagnosis of
schizophrenia
Which of the following are risk factors for neuroleptic malignant syndrome? Select all
that apply - ANSWER Rapid dose escalation; parental route of administration;
higher potency typical antipsychotics
Discrepancy between anatomical sex and gender is known as? - ANSWER B)
Gender Discordance
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing
which of the following effects? - ANSWER B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking
which of the following receptors? - ANSWER D) NMDA type receptors
Incorrect: GABA, serotonin, dopamine "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
folllowing? - ANSWER C) Substance use disorder
Incorrect: substance intox, substance withdrawal, all of the above
Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth,
tongue jaw is known as which of the following? - ANSWER C) Tardive dyskinesia
Incorrect: akathisia, dystonia, 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? - ANSWER Delusional disorder
Which of the following is true about preoccupation with castration? - ANSWER A)
This can be serious and life threatening if castration is carried out without medical
supervision
Incorrect: consistent with transvestiatic disorder, other specified paraphillic disorder,
or sexual machochism disorder
Which of the following is a system that provides a uniform language for describing
medical and surgical procedures and diagnostics services rendered by clinicians? -
ANSWER CPT
,Incorrect: HIPPA, DSM5-, 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? -
ANSWER A) This is likely a harmless response to the Chlorpromazine
"Thorazine"
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 the following? - ANSWER B) Turners Syndrome
Turners syndrome:
tx involves hormone therapy; fertility treatments for women when they decide to have
a baby
Which of the following would be characterized as a negative s/s of schizophrenia? -
ANSWER B & C only
B) impaired social and occupational functioning
C) isolation and impaired self-care
Which of the following are keys to distinguishing OCD from psychosis? - ANSWER
Patients with OCD can almost always acknowledge the unreasonable nature of their
symptoms
A federal program administered nationally and locally which covers enrolled
individuals 65+ who pays premiums and disabled individuals - ANSWER Both A&
B (Medicare and Medicaid)
Having an adequate legal description of nurse practitioner (NP) scope of practice
according to state law is important for which of the following reasons? - ANSWER
All of the above (to avoid any charges of practicing medicine without a license, to
place accountability for both benefits and harm to patients squarely on the NP, to get
reimbursed for physician services when provided by a NP
Which of the following is the most widely consumed psychoactive substance? -
ANSWER B) Caffeine
Incorrect: alcohol, heroin, cannabis
Which of the following is used to tx TD? - ANSWER None of the above
(cogentin, artane, catapress)
The APRN consensus model did which of the following? - ANSWER B & C
B) adult and gerontology were merged and identified as PCP or acute care
C) psychiatric mental health foci were stipulated as across the lifespan
,Which of the following behaviors are associated with an alcohol blood level of
0.05%? - ANSWER B) Thought judgement and restraints are impaired
According to HIPPA, which of the following must the NP share their NPI with? Check
all the above - ANSWER A) Health Plans
B) Other providers
C) Any entity that may need it for a billing purpose
A patient presents with delusions, disorganized thoughts, and speech with poor self
care all of which has persisted for the past 7 months. The APRN knowns this
presentation means what diagnosis? - ANSWER Schizophrenia
Major neurotransmitters possibly involved in developing substance abuse and
substance dependence are which of the following? - ANSWER A) Dopamine
Incorrect: GABA, serotonin, A& B only
The dopamine hypothesis of schizophrenia, which of the following? - ANSWER A)
Schizophrenia results from too much dopaminergic activity
incorrect: results from a deprivation of dopamine
A patient reports a panic attack several years ago in an elevator and since then has
avoided elevators. The pt meets the criteria for: - ANSWER B) Specific phobia
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 to - ANSWER D) All of the above
(Residential tx, partial hospitalization, outpt tx)
Obscene phone calling to an unsuspecting partner for sexual arousal is known as? -
ANSWER C) Telephone Scatologia
(not telephillia, partialism, normal adolescent prank)
The main psychological difference between fear and anxiety is best described by
which of these statements? - ANSWER B) Anxiety is insidious, fear is sudden
A diffuse, unpleasant, vague sense of apprehension often accompanied by
autonomic symptoms varies upon persons is commonly known as which of the
following? - ANSWER C) Normal anxiety
(incorrect- fear, stress, 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? - ANSWER 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? - ANSWER
C) Neuroadaption
incorrect: cross-tolerance, neurotransformation, neurocognitive adjustment
The recurrent and intense sexual arousal from the physical and psychological
suffering of another person is known as which of the following? - ANSWER C)
Sexual sadism
Which of the following is not consistent with the onset of OCD? - ANSWER D) The
onset of OCD is typically preceded by OCD personality traits
True answers about OCD:
-more than 1/2 of pts with OCD have a sudden onset of symptoms
-the onset of symptoms for about 50-70% of patients occurs after a stressful event
-most patients keep their symptoms secret initially
The recurrent urge to expose one's genitals to a stranger is known ass which of the
following? - ANSWER C) Exhibitionism
Which of the following patients would be appropriate for hospitalization for substance
use disorder? Select all that apply - ANSWER D) A&B only
(Patients who have a substance overdose who cannot be safely tx in an outpt setting
& pts who are at risk for severe or medically complicated withdrawal symptoms
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? - ANSWER A) Full practice
Which of the following groups does medicare cover? Select all the above -
ANSWER A) Individuals 65+ years and older who have enrolled and pay premiums
B) Disabled individuals who quality for social security disability payments and
benefits
Which of the following neurotransmitters increases libidio? - ANSWER D)
Dopamine
Incorrect: GABA, serotonin, oxytocin
Which of the following factors are associated with poor prognosis for patients with
OCD? - ANSWER D) A & C
(Childhood onset & Co-existing major depressive disorder)
Which of the following is inconsistent with current knowledge about schizophrenia? -
ANSWER C) Dopamine level is a laboratory tests that assists in the diagnosis of
schizophrenia
