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2023 NRNP6675 Mental Health Midterm Exam Week 6 With Answers (114 Solved Questions)

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    NRNP 6675 - 15 WEEK 6 MIDTERM EXAM 2023 QUESTIONS AND ANSWERS (VERIFIED ANSWERS) 1. Antipsychotic medications can cause metabolic symptoms. Which of the following is not consistent with metabolic syndrome Obesity Dyslipidemia C. Hypotension Impaired glucose tolerance 66. Activities, interests, use of symbols, styles or other personal and social attributes that are recognized as masculine or feminine is known as which of the following • Gender Identity • Abnormal involuntary movements in a rhythmic pattern affecting face, mouth, tongue, jaw is known as which of the following? • Akathisia • Dystonia • Tardive dyskinesia • Extrapyramidal side effect A condition which result from absence of second female sex chromosome (xo) and is associated with web neck, dwarfism, cubitus valgus and infertility in known as which of the following • Turner’s syndrome

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    • 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 realize this presentation is consistent with which of the following diagnoses? Schizophrenia Schizophreniform disorder Brief psychotic disorder Delusional disorder • A period of at least 6 months of recurrent and intense sexual arousal from cross dressing that causes clinically significant distress or impairment is consistent with which of the following? Gender dysphoria Turners syndrome Transvestic disorder Klinefelters syndrome • Which of the following id consistent with current epidemiology literature about gender obsessive compulsive disorder • Adult men are more likely to have ocd than adult women • Adult women are more likely to have ocd than adult men

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    • Adolescents’ girls are more likely to have ocd than adolescent boys • Adult men and adult women are equally likely to have ocd • Which of the following is not a common physical effect of cannabis? • Mild tachycardia • Mild bradycardia • Orthostatic hypotension • Dilation of the conjunctival blood vessel • Which of the following initials would a psychiatric mental health nurse practitioner use to designate appropriate credentials? • Anp - c • Cpnp • Cpnp • Pmhnp - bc • Nystagmus or marked slurring of speech and blackouts are more likely impairment as which of the blood alcohol concentrations? 30 - 80mg/dl 80 - 200 200 - 300 300 - 400 • Which of the following neurotransmitters is released with orgasm and is believed to reinforce pleasurable activities?

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    • Gaba Serotonin • Oxytocin • Dopamine • A disorder characterized by acquiring and not discarding things that deemed to be of little or no valuable resulting in excessive clutter of • Specific phobia • Trichotillomania • Hoarding disorder • Obsessive compulsive disorder • Which of the following is true about use of CPT codes? CPT codes are optional but often used to assist providers in billing Cpt codes are required by HIPPA to be used to record care by all health care professionals in the United States Cpt codes are an international classification of disorders Cpt codes are not required by non - government insurance companies • Billing responsibilities related to Medicare providers include which of the following • Collecting patient employment and insurance information • Identifying payers other than medicare • Determining if medicare is a primary or secondary provider • All of the above

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    According to HIPPA which of the following must the NP share their NPI number with that apply Health Plan • Other providers • Any entity that may need it for billing purpose • D. A and C only • Fantasies and sexual urges to dress in opposite gender clothing as means of arousal and as an adjunct to masturbation or coitus is known as which of the following? • Fetishism • Voyeurism • Transvestism • Scatologia As a Medicare part B provider, you should do which of the following? Which of the following would be characterized as a negetaive symptoms of schizophrenia • Impaired social and occupational • Isolation and impaired self care • B and C • According to the American psychiatric association which of the following is consistent with the evidence base practice for telepsychiatry? There are few studies exploring the evidence for telepsychiatry

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    In population With severe anxiety, telepsychiatry is preferred The effectiveness is comparable to in person care in terms of therapeutic engagement, quality of care, validity/reliability of assessment The evidence base for children and adolescent is very weak Non - bizarre delusions present for a least 1 month without other symptoms of schizophrenia or mood disorder warrants a diagnosis of which of the following B. Delusional disorder • Antipsychotic medications provide D2 blockade in nigrostriatal, which causes which of the following? • Prolactinoma • Galactorrhea • Gynecomastia • Extrapyramidal symptoms 48. Antipsychotic medications provide D2 blackade in the mesolimbic system which result in which of the following C. Increase extrapyramidal symptoms

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    Adeeply held belief despite evidence to the contrary, lasting a least one month, without prominent hallucinations with functional impairment that relates to the delusional system is consistent with which of the following diagnosis? • Delusional disorder Neurochemical or neurophysiologic changes in the body that result from the repeated administration of a drug is known as which of the following • Neurocognitive adjustment • The experience of anxiety had which of the following components? • Increased self awareness and afear • Awareness of physiological sensations and shame • Awareness of being nervous of frightened and shame • E. Awareness of physiological sensations and awareness of being nervous or frightened 28. Which of the following behaviors are associated with an alcohol blood level od 0.05 percent? B. Thought, Judgment, and restraint are impaired • A nursing practice model recommended for NPs by the national academy of medicine and the national council of state boards of nursing is which of the following? • Full practice • Reduced practice • Restricted practice • Artitrary practice

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    • Which of the following anticholinergic medications is used to treat extrapyramidal symptoms? • Diphenhydramine • Amantadine • Propranolol • Benztropine • A patient who presents absent movement with difficulty starting activities, flat affect, and avolition would be assess as having which of the following? • Dystonia • Akathisia • Akinesia • D. Psudo - parkinsons • Which of the following are risk factor for neuroleptic malignant syndrome? Select all the apply • Rapid dose escalation • Parental route of administration c. Higher potency typical antipsychotics • Use of any drug, usually by self - administration in a manner that deviates from approved social or medical pattern is known as which of the following? A. Abuse

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    Dependence Addiction Intoxication • Which of the following neurological symptoms are consistent with inhalant use? Sensory illusions, distortions of body size Fearfulness, auditory and visual hallucinations Irritability, emotional lability, euphoria D. Slurred speech, decreased rate speech, ataxia • The ability of one drug to be substituted for another each usually producing the same physiological and psychological effect is known as which of the following? • Tolerance • Co - dependence • Cross - tolerance • Neuroadaptation • Which of the following is a system that provides a uniform language for describing medical and surgical procedures and diagnostic services rendered clinicians • Hippa Dsm - 5 • Cpt Drg Phencyclidine(PCP) and ketamine exert their unique behaviors effects by blocking which of the following receptors

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    • NMDA type receptors • Variations from norms in gender role behavior such as toy preferences, rough and tumble play, aggression or playmate gender is known as which of the following? • Gender discordance • Gender role behavior • Gender identity variance D. Childhood gender nonconformity • Which of the following groups does Medicare cover? Select all that apply. • Individual 65 years and older who have enrolled and pay premiums • Disabled individuals who qualify for social security disability payments and benefits • Adults who are disabled for one year or less and who qualify on the basis of poverty Mothers and children who qualify on the bias of poverty • Which of the following is not true about reimbursement from third party payers? • Each of third party payer has its own reimbursement policies and fee schedules Each type of third party payer operates under a separate body of law • Not very third party payer will pay every np for very service D. All third - party payers must reimburse nps in the same manner that they reimburse physicians • The fear or anxiety regarding places from which escape might be difficult ids known as which of the following? • Depression • Panic disorder

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