2024 NRNP6665 Mental Health Midterm Exam With Answers (409 Solved Questions)

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NRNP 6665 Midterm Exam (Latest-2024)/ NRNP6665N Midterm Exam / NRNP6665 MidtermExam / NRNP-6665N Midterm Exam WaldenUniversity 100% Verified Q & A1.Discrepancy between anatomical sex and gender is known as?-- correctanswers --B) Gender Discordance2.Which of the following are risk factors for neuroleptic malignant syndrome?Select all that apply-- correct answers --Rapid dose escalation; parental route ofadministration; higher potency typical antipsychotics3.Antipsychotic medication provides D2 blockage in the meso-coritcal path-way causing which of the following effects?-- correct answers --B) Increases EPSIncorrect; reduces negative s/s, causes prolactinemia, reduces positive symptoms4.Phencyclidine (PCP) and ketamine exert their unique behavioral effects byblocking which of the following receptors?-- correct answers --D) NMDA typereceptorsIncorrect; GABA, serotonin, dopamine "receptors"5.The diagnosis used to describe a syndrome characterized by specific s/sresulting from recent ingestion or exposure to a substance is known as which ofthe folllowing?-- correct answers --C) Substance use disorderIncorrect; substance intox, substance withdrawal, all of the above6.Abnormal involuntary movements in a rhythmic pattern affecting the face,mouth, tongue jaw is known as which of the following?-- correct answers --C)Tardive dyskinesialOMoARcPSD|13778330

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Incorrect; akathisia, dystonia, EPS7.A deeply held belief despite evidence to the contrary, lasting at least 1month, without prominent hallucinations, with functional impairment that re-lates to the delusional system disorder called?-- correct answers --Delusionaldisorder8.Which of the following is true about preoccupation with castration?-- correctanswers --A) This can be serious and life threatening if castration is carried outwithout medical supervisionIncorrect; consistent with transvestiatic disorder, other specified paraphillicdisorder, or sexual machochism disorder9.Which of the following is a system that provides a uniform language for de-scribing medical and surgical procedures and diagnostics services rendered byclinicians?-- correct answers --CPTIncorrect; HIPPA, DSM5-, DRG10.A patient on Chlorpromazine states his orgasm is dry and afterwards he willcommonly have milky urine. The APRN realizes this is which of the following?--correct answers --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 isknown as which of the following?-- correct answers --B) Turners SyndromeTurners syndrometx involves hormone therapy; fertility treatments for women when they decide tohave a baby12.Which of the following would be characterized as a negative s/s of schiz-ophrenia?-- correct answers --B & C onlylOMoARcPSD|13778330

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B)impaired social and occupational functioningC)isolation and impaired self-care13.Which of the following are keys to distinguishing OCD from psychosis?--correct answers --- Patients with OCD can almost always acknowledge theunreasonable nature of their symptoms14.A federal program administered nationally and locally which covers en-rolled individuals 65+ who pays premiums and disabled individuals-- correctanswers --Both A& B (Medicare and Medicaid)15.Having an adequate legal description of nurse practitioner (NP) scope ofpractice according to state law is important for which of the following reasons?--correct answers --All of the above (to avoid any charges of practicing medicinewithout a license, to place accountability for both benefits and harm to patientssquarely on the NP, to get reimbursed for physician services when provided by aNP16.Which of the following is the most widely consumed psychoactive sub-stance?-- correct answers --B) CaffeineIncorrect; alcohol, heroin, cannabis17.Which of the following is used to tx TD?-- correct answers --None of theabove(cogentin, artane, catapress)18.The APRN consensus model did which of the following?-- correct answers --B& CB)adult and gerontology were merged and identified as PCP or acute careC)psychiatric mental health foci were stipulated as across the lifespanlOMoARcPSD|13778330

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19.Which of the following behaviors are associated with an alcohol blood levelof 0.05%?-- correct answers --B) Thought judgement and restraints are impaired20.According to HIPPA, which of the following must the NP share their NPIwith? Check all the above-- correct answers --A) Health PlansB)Other providersC)Any entity that may need it for a billing purpose21.A patient presents with delusions, disorganized thoughts, and speech withpoor self care all of which has persisted for the past 7 months. The APRN knownsthis presentation means what diagnosis?-- correct answers --Schizophrenia22.Major neurotransmitters possibly involved in developing substance abuseand substance dependence are which of the following?-- correct answers --A)DopamineIncorrect; GABA, serotonin, A& B only23.The dopamine hypothesis of schizophrenia, which of the following?-- correctanswers --A)Schizophrenia results from too much dopaminergic activityIncorrect; results from a deprivation of dopamine24.A patient reports a panic attack several years ago in an elevator and sincethen has avoided elevators. The pt meets the criteria for-- correct answers --B)Specific phobia25.A patient with a substance use disorder who does not meet clinical criteriafor hospitalization but lacks sufficient social and vocational skills and lacksubstance-free social supports is to-- correct answers --D) All of the above(Residential tx, partial hospitalization, outpt tx)lOMoARcPSD|13778330

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26.Obscene phone calling to an unsuspecting partner for sexual arousal isknown as?-- correct answers --C) Telephone Scatologia(not telephillia, partialism, normal adolescent prank)27.The main psychological difference between fear and anxiety is best de-scribed by which of these statements?-- correct answers --B) Anxiety is insidious,fear is sudden28.A diffuse, unpleasant, vague sense of apprehension often accompanied byautonomic symptoms varies upon persons is commonly known as which of thefollowing?-- correct answers --C) Normal anxiety(incorrect- fear, stress, pathological anxiety29.If a pregnancy begins while the woman is taking high doses of methadoneand withdrawal is desired during which trimester is the least hazardous?-- correctanswers --D) Withdrawal from methadone should never be done while the womanis pregnant30.Neurochemical or neurophysiological changes in the body that results fromthe repeated administration of a drug is known as which of the follow- ing?--correct answers --C) NeuroadaptionIncorrect; cross-tolerance, neurotransformation, neurocognitive adjustment31.The recurrent and intense sexual arousal from the physical and psycho-logical suffering of another person is known as which of the following?-- correctanswers --C) Sexual sadism32.Which of the following is not consistent with the onset of OCD?-- correctanswers --D) The onset of OCD is typically preceded by OCD personality traitsTrue answers about OCD-more than 1/2 of pts with OCD have a sudden onset of symptomslOMoARcPSD|13778330

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-the onset of symptoms for about 50-70% of patients occurs after a stressful event-most patients keep their symptoms secret initially33.The recurrent urge to expose one's genitals to a stranger is known ass whichof the following?-- correct answers --C) Exhibitionism34.Which of the following patients would be appropriate for hospitalization forsubstance use disorder? Select all that apply-- correct answers --D) A&B only(Patients who have a substance overdose who cannot be safely tx in an outptsetting & pts who are at risk for severe or medically complicated withdrawalsymptoms35.The nursing practice model recommendation for NPs by the NAtionalAcademy of Medicine and the National Council of State Boards of Nursing is whichof the following?-- correct answers --A) Full practice36.Which of the following groups does medicare cover? Select all the above--- correct answers --A) Individuals 65+ years and older who have enrolled and paypremiumsB)Disabled individuals who quality for social security disability payments andbenefits37.Which of the following neurotransmitters increases libidio?-- correctanswers --D) DopamineIncorrect; GABA, serotonin, oxytocin38.Which of the following factors are associated with poor prognosis forpatients with OCD?-- correct answers --D) A & C(Childhood onset & Co-existing major depressive disorder)lOMoARcPSD|13778330

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39.Which of the following is inconsistent with current knowledge about schiz-ophrenia?-- correct answers --C) Dopamine level is a laboratory tests that assistsin the diagnosis of schizophrenia40.A chronic disorder characterized by repetitive hair pulling leading to vari-able hair loss that may be..to others known as?-- correct answers --C)Trichotillomania41.Which of the following are risk factors for neuroleptic malignant syn-drome?-- correct answers --B) Rapid dose escalationC)Parental route of adminD)High potency typical antipsychotics42.A method of therapy used to tx individuals with substance use based on thefundamental principle of a psychology that reinforced behaviors are likely to be..isknown as the following?-- correct answers --B) Contingency Management43.The conditions in which people are born, grow, work, live and age areknown as?-- correct answers --Social determinants of health44.All of the following is consistent with the ANCCs rules regarding recertifi-cation EXCEPT-- correct answers --A) You are required to have a maximum of 25credit hours during each certification periodCorrectB)you can start the recert process 1 year before your expiration date, but nolater than 3 months beforeC)You must have 1000 clinical practice hours in a clinical speciality within thepreceding 5 yearsD)you must have at least 25 contact hours in pharmacotherapylOMoARcPSD|13778330

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45.Risks factors for school violence include which of the following? Select allthat apply-- correct answers --A) BullyingB)Being bulliedC)Isolation46.Persons who subordinate their own needs to those of others, get others toassume responsibility for major areas in the lives, lack of self-confidence, and mayexperience intense discomfort when alone for more than a brief period of time aredemonstrating characteristics with which of the following personality disorders?--correct answers --C) Dependent personality disorderIncorrect; avoid PD, passive PD, antisocial PD47.Generalized convulsions, oliguria, and renal failure are symptoms seen withwhich of the following lithium levels?-- correct answers --D) >25 mEq/L(TOXICITY)48.A form of child abuse in which a patient or character repeatedly fabricatesor actually inflicts injury or illness in a child for whom medical intervention isthen sought in an ER is known as which of the following?-- correct answers --D)Munchausen Syndrome by Proxy49.Self-care strategies for the ARNP in preparing for the certification examinclude all of the following EXCEPT?-- correct answers --D) plan to study for shortperiods over a longer period of time50.A patient presents with a formal, tense manner. He reluctantly reports alongstanding (since early adulthood) pervasive suspiciousness of others, pre-occupied with..trustworthiness of friends, unjustified concerns about othersdeceiving him, angry about perceived insults and slights, reluctant to confide in theARNP. The ARNP suspects that the pt likely has which of the following PDs?--correct answers --B) Paranoid PDlOMoARcPSD|13778330

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Incorrect; schizoid PD, BDP, Antisocial PD51.A pt will a hx of alcohol use presents to the ED with oculomotor distur-bances, cerebellar ataxia, and confusion. Symptoms are consistent with which ofthe following psychiatric emergencies?-- correct answers --C) WernickesEncephalopathyIncorrect; akathisia, korsakoff's syndromes, idiosyncratic alcohol intoxication52.Cluster A personality disorders are more common in biological families ofpts with which of the following disorders?-- correct answers --D) SchizophreniaIncorrect; depression, OCD, alcohol use disorder53.NP core competencies for INDEPENDENT practice includes all of thefollowing EXCEPT-- correct answers --B) Demonstrates the highest level ofaccountability for profes- sional practice54.NP competencies for independent practice-- correct answers --A) Maintain acollaboration agreement with physicianC)Practices independently managing previously diagnosed and under-diagnosed ptsD)Practices patient centered care recognizing culture diversity and the pt orde- signee as a full practice in decision making55.Cluster A personality traits consists of which of the following?-- correctanswers --A) Schizo- typal, schizoid, and paranoid subtypes56.The misuse of the charge's funds for personal gain is known as which of thefollowing?-- correct answers --C) Financial abuse /exploitation57.the ARNP recognizes which of the following as long term effects of sextrafficking on victims?-- correct answers --D) All of the aboveA)Severe depressionlOMoARcPSD|13778330

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B)Spiritual questionsC)Trauma bonding58.In about half of the cases in which suicides occur while pts are on apsychiatric unit, a lawsuit results; which of the following is NOT consistent withwhat courts..related to impatient psychiatric unit suicide events?-- correct answers--B) Courts provide ZERO suicide rates in inpt setting59.Cultural Dimensions Therapy is a framework for cross-cultural communi-cation that describes the effects of a society's culture on the values of itsmembers..by which of the following therorists?-- correct answers --A) Hofstede60.The tx of choice for pts with paranoid PD includes which of the following?--- correct answers --D) B&CB)Behavioral Therapy andC)Psychotherapy61.The differences in quality of healthcare actions across individuals or groupsregard to access, tx options and p..following?-- correct answers --B) Healthdisparities62.The incidence of suicide is highest for which of the following populations?--- correct answers --D) Older African American men63.The pt on lithium with a hx of alcohol use disorder presents with dry mouth,ataxia, dizziness, abdominal pain, and slurred speech. The ARNP should do whichof the following?-- correct answers --C) The ARNP recognizes the symptoms ofmoderate lithium toxicity, discontinues the lithium immediately, orders lithiumlevel, serum electrolytes and renal function tests64.The ARNP takes a position in which a specific amount is paid according to aset job description. The ARNP should do which of the following?-- correct answers -lOMoARcPSD|13778330

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-C) The ARNP recognizes these are symptoms of mild to moderate lithium toxicity,discontinues the lithium immediately, orders a lithium level, serum electrolytesand renal function tests65.The ARNP takes a position in which a specific amount is paid according to aset job description. This type of pay structure is known as?-- correct answers --D)Hourly rate66.A PD characterized by emotional constriction, orderliness, perseverance,stubbornness, indecisiveness, a inflexibility as which of the following?-- correctanswers --Ob- sessive compulsive PD67.Which of the following is consistent with what is known about the epidemi-ology of anxiety?-- correct answers --B) Women have a higher lifetime prevalenceof anxiety than men68.Which of the following is consistent with NP practice parameters whenprescribing buprenorphine?-- correct answers --D) the NP is require to completespecific training to prescribe and dispense buprenorphine69.Which of the following are consistent with current data related to theprevalence of drinking alcohol?-- correct answers --B) Men and women with highereducation and income are more likely to drink alcohol70.A pt with hx of hypoglycemia reports feelings of fear, worry and restless-ness that has persisted over the past 6 months. The pt states these feelings areworse when glucose is low. the ARNP suspects the pt has which of the followingdx?-- correct answers --A_) GAD attributable to another medical condition71.Which of the following is not consistent with benzo withdrawal?-- correctanswers --B) The best way to proceed with benzo withdrawal is to stop itimmediately and tx withdrawal s/s72.Which of the following is true about the legal practice of the PMHNP?--correct answers --D) A&B onlylOMoARcPSD|13778330

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A)all have some degrees of prescriptive privileges in all states and the districtof columbiaB)all are considered primary providers in all states and the district of columbia73.Flashbacks in which the individual may act and feel as if the trauma werereoccurring represent which of the following clinical features of PTSD?-- correctanswers --A) Intrusion SymptomB) Symptom of Avoidance74.In which ways are NPs and PAs different?-- correct answers --D) A&BA)NPs differ from PAs in legal definition, scope of practice, licensure, andindepen- dence of practiceB)NPs practice under their own license and independent of the physician, PAsalways work under the supervision of a physician75.Which of the following initials would a PMHNP use to designate appropri-ate credentials?-- correct answers --PMHNP-BC76.Variations from norms in gender roles such as toy preferences, rough andtumble play, aggression, or playmate gender is known as which of the following?--correct answers --B) Gender role behavior77.3 major neurotransmitters associated with anxiety, based on animal stud-ies and response to drug tx include?-- correct answers --B) GABA, norepinephrineand serotonin78.Which of the following is consistent with the epidemiology of schizophre-nia in the US?-- correct answers --D) Onset of schizophrenia before the age of 25 isextremely rare79.Clinical findings that may indicate abuse include which of the following?Select all that apply-- correct answers --B) Explanation by the pt which isinconsistent with the type of injurylOMoARcPSD|13778330

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C)Psychological distress such as depression, anxiety, SI, and/or sleep disorderD)Explanation by the parent that is inconsistent with the type of injury80.According to the APA, which of the following is consistent with the EBP fortelepsych?-- correct answers --B) In populations with severe anxiety, telepsychiatry is preferred81.Which of the following is consistent with literature regarding the termpsychosexual?-- correct answers --D) None of the above-psychosexual is used to describe personality development and functioning-psychosexual is synonymous with libidio in the Freudian sense-Psychosexual basically refers only to sexual feelings and behavior82.Bleuler identified 4 fundamental s//s of schizophrenia, known as the 4 A's,which include which symptoms?-- correct answers --A) Associations, Affect,Autism, Ambivalence83.The fear/anxiety regarding places from which escape may be difficult isknown as which of the following-- correct answers --C) Agoraphobia84.All of the following are one of the 5 major categories of third-party payersEXCEPT-- correct answers --D) only A & BA)Medicare/medicaidB)Managed care organization (MCOs)85.Which of the following are risk factors for sexual assault EXCEPT-- correctanswers --A) ReligionIncorrect; serious mental illness, substance use disorder, family hx of sexual abuse86.Which of the following is consistent with what is known about PP depres-sion?-- correct answers --D) All of the abovelOMoARcPSD|13778330

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(feelings of guilt/ and inadequacy are often present and excessive; thoughts ofharming the baby are often present; typical onset is within 3-06 months ofdelivery)87.Affirmatively acting to benefit another or others, going beyond what isrequired by law is known as which of the following?>-- correct answers --C)Beneficence88.Which of the following is used for treating alcohol dependence individualsseeking to continue to remain alcohol free after they have stopped drinking?--- correct answers --D) Acamprosate89.The NP can impact health policy and healthcare by doing which of thefollowing?-- correct answers --D) All of the above-becomes an active member of local, state, and/or national NP-becomes familiar with the resources available on NP organization websites-Volunteer to serve on legislature committees within professional NP organizations90.The tx of others equitably and distribution of benefits/burdens fairly isknown as?-- correct answers --B) Justice91.Which of the following is INCONSISTENT with current literature aboutvictims of sexual abuse?-- correct answers --C) The pre-existing relationship and\familiarity with the abuser may impeded the victim's ability to make rationaldecisions92.Which of the following would constitute negligence? Select all that apply--- correct answers --A) Failure to give necessary careB)Failure to refer when necessaryC)Failure to follow up with a patientlOMoARcPSD|13778330

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D)Failure to disclose necessary info to a patient93.Which of the following developed a biblically-based cultural competencemodel for healthcare professionals?-- correct answers --B) Camipinha-Cacote`94.the ARNP recognizes which of the following as long term effects of sextrafficking on victims?-- correct answers --D) All of the above-severe depression-spiritual questions-trauma bonding95.A patient appears odd, with a pervasive hx of magical thinking, ideas ofreference, illusions or derealization. This is consistent with which of the folllowingPDs?-- correct answers --C) Schizotypal PD96.Which of the following are criteria for a particular suicide to be consideredinevitable?-- correct answers --D) All of the above-strong genetic hx of suicide in one or more family members-a strong genetic loading of mental illness in the family-the pt may have received the highest standard of tx and that txd failed97.A pt with a hx of alcohol use disorder presents to the ED with oculomotordisturbances, cerebellar ataxia, and confusion. The ARNP recognizes thesesymptoms as consistent with which of the following psych emergencies?-- correctanswers --C) Wernicke's encephalopathy98.The emotional burnout and lack of empathy towards clients that healthcareproviders experience after treating victims is known as the following?-- correctanswers --B) Primary traumatization99.The ACE study found that which of the following relationships between childtraumatic events and high-risk behaviors exhibited by adults?-- correct answers --lOMoARcPSD|13778330

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