NRNP 6675 Midterm Exam (Latest-2022/2023, 100 Q & A) / NRNP 6675N Midterm Exam / NRNP6675, Exams of Community Health

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NRNP 6675N Midterm Exam / NRNP6675 Midterm Exam /

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Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply A. Age B. Rapid Dose Escalation C. Parental Route of Administration D. Higher Potency Typical Antipsychotics A. Age B. Rapid Dose Escalation C. Parental Route of Administration D. Higher Potency Typical Antipsychotics Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of the following effects? A. reduces negative symptoms B. Increases EPS C. causes prolactinemia D. reduces positive symptoms A. reduces negative symptoms B. Increases EPS C. causes prolactinemia D. reduces positive symptoms Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which of the following receptors? A. GABA B. serotonin C. dopamine receptors D. NMDA type receptors A. GABA

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B. serotonin C. dopamine receptors D. NMDA type 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 following? A. substance intoxication B. substance withdrawal C. substance use disorder D. all of the above A. substance intoxication (Sadock p. 269) B. substance withdrawal C. Substance Use disorder D. all of the above Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth, tongue, and jaw is known as which of the following? A. akathisia B. dystonia C. tardive dyskinesia D. EPS A. akathisia B. dystonia C. tardive dyskinesia D. EPS 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?

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C. DSM- 5

D. DRG

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? A. this is likely a harmless response to the Chlorpromazine B. this is abnormal and needs to be evaluated by a specialist C. it is critical to stop the Chlorpromazine immediately D. this has nothing to do with the Chlorpromazine. Refer patient to PCP for follow-up A. this is likely a harmless response to the Chlorpromazine B. this is abnormal and needs to be evaluated by a specialist C. it is critical to stop the Chlorpromazine immediately D. this has nothing to do with the Chlorpromazine. Refer patient to PCP for follow-up A condition that results from the absence of a second female sex chromosome (XO) and is associated with web neck, dwarfism, cubitus valgus, and infertility is known as what? A. Hermaphroditism B. Turner's Syndrome C. Andrenogenital Syndrome D. Androgen Insensitivity Syndrome A. Hermaphroditism B. Turner's Syndrome C. Andrenogenital Syndrome D. Androgen Insensitivity Syndrome Which of the following would be characterized as a negative symptom of schizophrenia? A. Hallucinations B. impaired social and occupational functioning

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C. isolation and impaired self-care D. B & C only A. Hallucinations B. impaired social and occupational functioning C. isolation and impaired self-care D. B & C only Which of the following are keys to distinguishing OCD from psychosis? A. patients with OCD can almost always acknowledge the unreasonable nature of their symptoms B. patient with OCD are better able to control their compulsions C. patient with psychosis will have more obsessive thoughts D. patients with OCD have less bizarre obsessions A. patients with OCD can almost always acknowledge the unreasonable nature of their symptoms B. patient with OCD are better able to control their compulsions C. patient with psychosis will have more obsessive thoughts D. patients with OCD have less bizarre obsessions A federal program administered nationally and locally that covers enrolled individuals 65 who pay premiums and disabled individuals... A. Medicare B. Medicaid C. both A & B D. none of the above A. Medicare B. Medicaid C. both A & B

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B. Artane C. Catapress D. None of the above The APRN consensus model did which of the following? A. Merged adult, gerontology and pediatric foci so that all NPs could truly work across the lifespan B. Adult and gerontology were merged and identified as primary care or acute care C. Psychiatric mental health foci were stipulated as across the lifespan D. both B& C A. Merged adult, gerontology and pediatric foci so that all NPs could truly work across the lifespan B. Adult and gerontology were merged and identified as primary care or acute care C. Psychiatric mental health foci were stipulated as across the lifespan D. both B& C Which of the following behaviors are associated with an alcohol blood level of 0.05%? A. voluntary motor actions usually become perceptibly clumsy B. thought, judgement, and restraint are impaired C. confusion and stupor D. none of the above A. voluntary motor actions usually become perceptibly clumsy B. thought, judgement, and restraint are impaired C. confusion and stupor D. none of the above According to HIPPA, which of the following must the NP share their NPI with? Check all the above A. health plans

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B. other providers C. any entity that may need it for a billing purpose D. A & C only A. health plans B. other providers C. any entity that may need it for a billing purpose D. A & C only A patient presents with delusions, disorganized thoughts, and speech with poor self care all of which have persisted for the past 7 months. The APRN knows this presentation fits what diagnosis? A. schizophrenia B. schizophreniform disorder C. brief psychotic disorder D. delusional disorder A. schizophrenia B. schizophreniform disorder C. brief psychotic disorder D. delusional disorder Major neurotransmitters possibly involved in developing substance abuse and substance dependence are which of the following? A. dopamine B. GABA C. serotonin D. A&B only A. dopamine B. GABA C. serotonin

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A. residential treatment B. partial hospitalization C. outpatient treatment D. all of the above Obscene phone calling to an unsuspecting partner for sexual arousal is known as? A. telephilia b. partialism c. telephone scatologia d. normal adolescent prank A. telephilia b. partialism c. telephone scatologia d. normal adolescent prank The main psychological difference between fear and anxiety is best described by which of the following? A. fear is insidious; anxiety is sudden B. anxiety is insidious; fear is sudden C. there is no difference between fear and anxiety D. bother anxiety and fear are alerting signals A. fear is insidious; anxiety is sudden B. anxiety is insidious; fear is sudden C. there is no difference between fear and anxiety D. bother anxiety and fear are alerting signals A diffuse, unpleasant, vague sense of apprehension often accompanied by autonomic symptoms varies upon persons is commonly known as which of the following?

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A. fear B. stress C. normal anxiety D. pathological anxiety A. fear B. stress C. normal anxiety D. 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? A. first trimester B. second trimester C. third trimester D. withdrawal from methadone should never be done while the woman is pregnant A. first trimester B. second trimester C. third trimester 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? A. cross-tolerance B. neurotransformation C. neuroadapation D. neurocognitive adjustment A. cross-tolerance B. neurotransformation C. neuroadapation

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A. fetishism B. voyeurism C. exhibitionism D. paraphilic disorder Which of the following patients would be appropriate for hospitalization for substance use disorder? Select all that apply A. patients who have a substance overdose who cannot be safely treated in outpatient setting B. patients who are at risk for severe of medically complicated withdrawal symptoms C. patients who have a history of not benefiting from treatment in less intensive settings D. A&B only A. patients who have a substance overdose who cannot be safely treated in outpatient setting B. patients who are at risk for severe of medically complicated withdrawal symptoms C. patients who have a history of not benefiting from treatment in less intensive settings D. A&B only 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 B. Reduced Practice C. Restricted Practice D. Arbitrary Practice A. Full Practice B. Reduced Practice C. Restricted Practice D. Arbitrary Practice

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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 qualify for social security disability payments and benefits C. adults who are disabled for one year or less and who qualify on the basis of poverty D. mothers and children who qualify on the basis of poverty A. Individuals 65 years and older who have enrolled and pay premiums B. disabled individuals who qualify for social security disability payments and benefits C. adults who are disabled for one year or less and who qualify on the basis of poverty D. mothers and children who qualify on the basis of poverty Which of the following neurotransmitters increases libidio? A. GABA B. serotonin C. oxytocin D. dopamine A. GABA B. serotonin C. oxytocin D. dopamine Which of the following factors are associated with poor prognosis for patients with OCD? A. Childhood Onset B. the presence of a precipitating event C. Co-existing major depressive disorder D. A & C A. Childhood Onset B. the presence of a precipitating event C. Co-existing major depressive disorder

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D. cognitive behavioral therapy 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 B. you can start the recertification process 1 year before your expiration date, but no later than 3 months prior C. you must have 1000 clinical practice hours n a clinical specialty within the preceding 5 years D. you must have at least 25 contact hours in pharmacotherapy A. you are required to have a maximum of 25 credit hours during each certification period B. you can start the recertification process 1 year before your expiration date, but no later than 3 months prior C. you must have 1000 clinical practice hours n a clinical specialty 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 D. involvement in school organizations A. Bullying B. Being bullied C. Isolation D. involvement in school organizations Persons who subordinate their own needs to those of others, get others to assume responsibility for major areas in their lives, lack of self-confidence, and may experience intense discomfort when alone for more than a brief period of time are demonstrating characteristics with which of the following personality disorders? A. avoidant personality disorder

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B. passive personality disorder C. dependent personality disorder D. antisocial personality disorder A. avoidant personality disorder B. passive personality disorder C. dependent personality disorder D. antisocial personality disorder Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the following lithium levels? A. 0.8-1.5 mEq/L B. 1.5-2.0 mEq/L C. 2.0-2.5 mEq/L D. >2.5 mEq/L A. 0.8-1.5 mEq/L B. 1.5-2.0 mEq/L C. 2. 0 - 2.5 mEq/L D. >2.5 mEq/L A form of child abuse in which a patient or character repeatedly fabricates or actually inflicts injury or illness in a child for whom medical intervention is then sought in an ER is known as what? A. Korsakoff's syndrome B. Snyder's syndrome C. Munchausen syndrome D. Munchausen syndrome by proxy A. Korsakoff's syndrome B. Snyder's syndrome C. Munchausen syndrome

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A. depression B. OCD C. alcohol use disorder D. schizophrenia A. depression B. OCD C. alcohol use disorder D. schizophrenia NP core competencies for INDEPENDENT practice includes all of the following EXCEPT: A) Maintain a collaboration agreement with physician B) Demonstrates the highest level of accountability for professional practice C) Practices independently managing previously diagnosed and under-diagnosed pts D) Practices patient-centered care recognizing culture diversity and the pt or designee as a full practice in decision making A) Maintain a collaboration agreement with physician B) Demonstrates the highest level of accountability for professional practice C) Practices independently managing previously diagnosed and under-diagnosed pts D) Practices patient-centered care recognizing culture diversity and the pt or designee as a full practice in decision making Which personality disorders belong to Cluster A? Schizotypal, schizoid, and paranoid subtypes the ARNP recognizes which of the following as long term effects of sex trafficking on victims? A. severe depression B. spiritual questions C. trauma bonding D. all of the above A. severe depression

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B. spiritual questions C. trauma bonding D. all of the above Cultural Dimensions Therapy is a framework for cross-cultural communication that describes the effects of a society's culture on the values of its members and how these values related to behaviors, using a structure derived from factor analysis. Cultural Dimensions Therapy was developed by which theorist? A. Hofstede B. Leininger C. Purcell D. Campinha-Bacote A. Hofstede B. Leininger C. Purcell D. Campinha-Bacote The treatment of choice for patients with paranoid PD includes which of the following? A.psychophramacology B. behavioral therapy C. psychotherapy D. B&C A.psychophramacology B. behavioral therapy C. psychotherapy D. B&C The differences in quality of healthcare actions across individuals or groups regard to access, affordability, quality, and care coverage are called what?