NRNP 6675 MIDTERM EXAM
QUESTIONS AND CORRECT
ANSWERS|AGRADE
/.Discrepancy between anatomical sex and gender is known as?
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?
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?
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?
Substance use disorder
/.Abnormal involuntary movements in a rhythmic pattern affecting the face,
mouth, tongue jaw is known as which of the following?
Tardive dyskinesia
,/.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?
Delusional disorder
Which of the following is true about preoccupation with castration?
This can be serious and life threatening if castration is carried out without medical
supervision
/.Which of the following is a system that provides a uniform language for
describing medical and surgical procedures and diagnostics services rendered
by clinicians?
CPT
/.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?
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?
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?
B) impaired social and occupational functioning
C) isolation and impaired self-care
/.Which of the following are keys to distinguishing OCD from psychosis?
,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
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?
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?
Caffeine
Incorrect: alcohol, heroin, cannabis
/.Which of the following is used to tx TD?
(cogentin, artane, catapress
/.The APRN consensus model did which of the following?
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%?
Thought judgement and restraints are impaired
/.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?
Dopamine
Incorrect: GABA, serotonin, A& B only
/.The dopamine hypothesis of schizophrenia, which of the following?
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:
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
(Residential tx, partial hospitalization, outpt tx)
/.Obscene phone calling to an unsuspecting partner for sexual arousal is known
as?
Telephone Scatologia
(not telephillia, partialism, normal adolescent prank)
/.The main psychological difference between fear and anxiety is best described
by which of these statements?
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?
Normal anxiety
(incorrect- fear, stress, pathological anxiety
QUESTIONS AND CORRECT
ANSWERS|AGRADE
/.Discrepancy between anatomical sex and gender is known as?
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?
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?
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?
Substance use disorder
/.Abnormal involuntary movements in a rhythmic pattern affecting the face,
mouth, tongue jaw is known as which of the following?
Tardive dyskinesia
,/.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?
Delusional disorder
Which of the following is true about preoccupation with castration?
This can be serious and life threatening if castration is carried out without medical
supervision
/.Which of the following is a system that provides a uniform language for
describing medical and surgical procedures and diagnostics services rendered
by clinicians?
CPT
/.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?
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?
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?
B) impaired social and occupational functioning
C) isolation and impaired self-care
/.Which of the following are keys to distinguishing OCD from psychosis?
,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
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?
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?
Caffeine
Incorrect: alcohol, heroin, cannabis
/.Which of the following is used to tx TD?
(cogentin, artane, catapress
/.The APRN consensus model did which of the following?
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%?
Thought judgement and restraints are impaired
/.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?
Dopamine
Incorrect: GABA, serotonin, A& B only
/.The dopamine hypothesis of schizophrenia, which of the following?
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:
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
(Residential tx, partial hospitalization, outpt tx)
/.Obscene phone calling to an unsuspecting partner for sexual arousal is known
as?
Telephone Scatologia
(not telephillia, partialism, normal adolescent prank)
/.The main psychological difference between fear and anxiety is best described
by which of these statements?
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?
Normal anxiety
(incorrect- fear, stress, pathological anxiety
