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,1.Discrepancy between anatomical sex and gender is known as? Answer: B) Gender
Discordance
2.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
3.Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing
which of the following effects? Answer: B) Increases EPS
Incorrect 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? Answer: D) NMDA type receptors
Incorrect 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?
Answer: C) Substance use disorder
Incorrect 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? Answer: C) Tardive dyskinesia
Incorrect 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 relates to the delusional
system disorder called? Answer: Delusional disorder
8.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 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 describing
medical and surgical procedures and diagnostics services rendered by clinicians?
Answer: CPT
Incorrect 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?-
Answer: A) This is likely a harmless response to the Chlorpromazine
"Thorazine"
11. 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 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 schizophrenia?
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? Answer: Pa-
tients with OCD can almost always acknowledge the unreasonable nature of their
symptoms
14. 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)
15. Having an adequate legal description of nurse practitioner (NP) scope of practice
according to state law is important for which of the following rea-
, sons? 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 substance?
Answer: B) Caffeine
Incorrect Answer: alcohol, heroin, cannabis
17. Which of the following is used to tx TD? Answer: None of the above
(cogentin, artane, catapress)
18. 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
19. Which of the following behaviors are associated with an alcohol blood level of
0.05%? 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 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? Answer: Schizophrenia
22. Major neurotransmitters possibly involved in developing substance abuse and
substance dependence are which of the following? Answer: A) Dopamine
Incorrect Answer: GABA, serotonin, A& B only
23. The dopamine hypothesis of schizophrenia, which of the following? Answer: A)
Schizophrenia results from too much dopaminergic activity
incorrect Answer: results from a deprivation of dopamine