NRNP 6675 MIDTERM EXAM QS AND ANS (LATEST ):
MOST COMPREHENSIVE TO PASS THE EXAM, 100% VERIFIED
According to HIPPA, which of the following must the NP share their NPI with? Check all the
above
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?
Schizophrenia
Major neurotransmitters possibly involved in developing substance abuse and substance
dependence are which of the following?
A) Dopamine
Incorrect: GABA, serotonin, A& B only
The dopamine hypothesis of schizophrenia, which of the following?
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:
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
D) All of the above
(Residential tx, partial hospitalization, outpt tx)
Obscene phone calling to an unsuspecting partner for sexual arousal is known as?
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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?
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?
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?
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?
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?
C) Sexual sadism
Which of the following is not consistent with the onset of OCD?
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?
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C) Exhibitionism
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
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 quality for social security disability payments and benefits
Which of the following neurotransmitters increases libidio?
D) Dopamine
Incorrect: GABA, serotonin, oxytocin
Which of the following factors are associated with poor prognosis for patients with OCD?
D) A & C
(Childhood onset & Co-existing major depressive disorder)
Which of the following is inconsistent with current knowledge about schizophrenia?
C) Dopamine level is a laboratory tests that assists in the diagnosis of schizophrenia
A chronic disorder characterized by repetitive hair pulling leading to variable hair loss that may
be..to others known as?
C) Trichotillomania
Which of the following are risk factors for neuroleptic malignant syndrome?
B) Rapid dose escalation
C) Parental route of admin
D) High potency typical antipsychotics
A method of therapy used to tx individuals with substance use based on the fundamental
principle of a psychology that reinforced behaviors are likely to be..is known as the following?
B) Contingency Management
The conditions in which people are born, grow, work, live and age are known as?
Social determinants of health
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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
Correct:
B) you can start the recert process 1 year before your expiration date, but no later than 3
months before
C) You must have 1000 clinical practice hours in a clinical speciality 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
Discrepancy between anatomical sex and gender is known as?
B) Gender Discordance
Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply
Rapid dose escalation; parental route of administration; higher potency typical antipsychotics
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of
the following effects?
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?
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?
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