6675 Week 11 Final Real Exam 455 Questions with
Correct Verified Answers Already Graded A+
(Walden University)
1. Which of the following are risk factors for neuroleptic malignant syndrome?
Select all that apply--- correct answer --- Rapid dose escalation; parental route of
administration; higher potency typical antipsychotics
2. Discrepancy between anatomical sex and gender is known as?--- correct
answer --- B) Gender Discordance
3. Antipsychotic medication provides D2 blockage in the meso-coritcal path-
way causing which of the following effects?--- correct answer --- B) Increases EPS
Incorrect--- correct answer --- reduces negative s/s, causes prolactinemia, reduces
positive symptoms
4. Phencyclidine (PCP) and ketamine exert their unique behavioral effects by
blocking which of the following receptors?--- correct answer --- D) NMDA type
receptors
Incorrect--- correct answer --- 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 which of
the folllowing?--- correct answer --- C) Substance use disorder
Incorrect--- correct answer --- 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?--- correct answer --- C)
Tardive dyskinesia
Incorrect--- correct answer --- 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?--- correct answer --- Delusional
disorder
8. Which of the following is true about preoccupation with castration?---
correct answer --- A) This can be serious and life threatening if castration is carried
out without medical supervision
Incorrect--- correct answer --- consistent with transvestiatic disorder, other
specified 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 rendered by
clinicians?--- correct answer --- CPT
Incorrect--- correct answer --- 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 the following?---
correct answer --- 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?--- correct answer --- B) Turners Syndrome
Turners syndrome--- correct answer ---
tx involves hormone therapy; fertility treatments for women when they decide to
have a baby
,12. Which of the following would be characterized as a negative s/s of schiz-
ophrenia?--- correct answer --- 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?---
correct answer --- - Patients with OCD can almost always acknowledge the
unreasonable nature of their symptoms
14. A federal program administered nationally and locally which covers en-
rolled individuals 65+ who pays premiums and disabled individuals--- correct
answer --- 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?---
correct 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
16. Which of the following is the most widely consumed psychoactive sub-
stance?--- correct answer --- B) Caffeine
Incorrect--- correct answer --- alcohol, heroin, cannabis
17. Which of the following is used to tx TD?--- correct answer --- None of the
above
(cogentin, artane, catapress)
18. The APRN consensus model did which of the following?--- correct 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
, 19. Which of the following behaviors are associated with an alcohol blood level
of 0.05%?--- correct answer --- B) Thought judgement and restraints are impaired
20. According to HIPPA, which of the following must the NP share their NPI
with? Check all the above--- correct answer --- A) Health Plans
B) Other providers
C) Any entity that may need it for a billing purpose
21. 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?--- correct answer --- Schizophrenia
22. Major neurotransmitters possibly involved in developing substance abuse
and substance dependence are which of the following?--- correct answer --- A)
Dopamine
Incorrect--- correct answer --- GABA, serotonin, A& B only
23. The dopamine hypothesis of schizophrenia, which of the following?--- correct
answer --- A)
Schizophrenia results from too much dopaminergic activity
incorrect--- correct answer --- results from a deprivation of dopamine
24. A patient reports a panic attack several years ago in an elevator and since
then has avoided elevators. The pt meets the criteria for--- correct answer ------
correct answer --- B) Specific phobia
25. 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--- correct answer --- D) All of the above
(Residential tx, partial hospitalization, outpt tx)
26. Obscene phone calling to an unsuspecting partner for sexual arousal is
known as?--- correct answer --- C) Telephone Scatologia