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

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    NRNP 6665 Midterm Exam (Latest-2024)/ NRNP 6665N Midterm Exam / NRNP6665 Midterm Exam / NRNP-6665N Midterm Exam Walden University 100% Verified Q & A 1. Discrepancy between anatomical sex and gender is known as? -- correct answers -- B) Gender Discordance 2. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply -- correct answers -- Rapid dose escalation; parental route of administration; higher potency typical antipsychotics 3. Antipsychotic medication provides D2 blockage in the meso-coritcal path- way causing which of the following effects? -- correct answers -- B) Increases EPS Incorrect; 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? -- correct answers -- D) NMDA type receptors Incorrect; 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? -- correct answers -- C) Substance use disorder Incorrect; 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? -- correct answers -- C) Tardive dyskinesia lOMoARcPSD|13778330

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    Incorrect; 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 re- lates to the delusional system disorder called? -- correct answers -- Delusional disorder 8. Which of the following is true about preoccupation with castration? -- correct answers -- A) This can be serious and life threatening if castration is carried out without medical supervision Incorrect; 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 de- scribing medical and surgical procedures and diagnostics services rendered by clinicians? -- correct answers -- CPT Incorrect; 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? -- 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 is known as which of the following? -- correct answers -- B) Turners Syndrome Turners syndrome 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 schiz- ophrenia? -- correct answers -- B & C only lOMoARcPSD|13778330

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    B) impaired social and occupational functioning C) isolation and impaired self-care 13. Which of the following are keys to distinguishing OCD from psychosis? -- correct answers -- - Patients with OCD can almost always acknowledge the unreasonable nature of their symptoms 14. A federal program administered nationally and locally which covers en- rolled individuals 65+ who pays premiums and disabled individuals -- correct answers -- 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 reasons? -- correct answers -- 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 sub- stance? -- correct answers -- B) Caffeine Incorrect; alcohol, heroin, cannabis 17. Which of the following is used to tx TD? -- correct answers -- None of the above (cogentin, artane, catapress) 18. The APRN consensus model did which of the following? -- correct answers -- 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 lOMoARcPSD|13778330

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    19. Which of the following behaviors are associated with an alcohol blood level of 0.05%? -- correct answers -- 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 -- correct answers -- 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? -- correct answers -- Schizophrenia 22. Major neurotransmitters possibly involved in developing substance abuse and substance dependence are which of the following? -- correct answers -- A) Dopamine Incorrect; GABA, serotonin, A& B only 23. The dopamine hypothesis of schizophrenia, which of the following? -- correct answers -- A) Schizophrenia results from too much dopaminergic activity Incorrect; results from a deprivation of dopamine 24. A patient reports a panic attack several years ago in an elevator and since then has avoided elevators. The pt meets the criteria for -- correct answers -- B) Specific phobia 25. 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 -- 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 is known 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 sudden 28. A diffuse, unpleasant, vague sense of apprehension often accompanied by autonomic symptoms varies upon persons is commonly known as which of the following? -- correct answers -- C) Normal anxiety (incorrect- fear, stress, pathological anxiety 29. If a pregnancy begins while the woman is taking high doses of methadone and withdrawal is desired during which trimester is the least hazardous? -- correct answers -- D) Withdrawal from methadone should never be done while the woman is pregnant 30. Neurochemical or neurophysiological changes in the body that results from the repeated administration of a drug is known as which of the follow- ing? -- correct answers -- C) Neuroadaption Incorrect; cross-tolerance, neurotransformation, neurocognitive adjustment 31. The recurrent and intense sexual arousal from the physical and psycho- logical suffering of another person is known as which of the following? -- correct answers -- C) Sexual sadism 32. Which of the following is not consistent with the onset of OCD? -- correct answers -- D) The onset of OCD is typically preceded by OCD personality traits True answers about OCD -more than 1/2 of pts with OCD have a sudden onset of symptoms lOMoARcPSD|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 initially 33. The recurrent urge to expose one's genitals to a stranger is known ass which of the following? -- correct answers -- C) Exhibitionism 34. Which of the following patients would be appropriate for hospitalization for substance 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 outpt setting & pts who are at risk for severe or medically complicated withdrawal symptoms 35. 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? -- correct answers -- A) Full practice 36. Which of the following groups does medicare cover? Select all the above- -- correct answers -- A) Individuals 65+ years and older who have enrolled and pay premiums B) Disabled individuals who quality for social security disability payments and benefits 37. Which of the following neurotransmitters increases libidio? -- correct answers -- D) Dopamine Incorrect; GABA, serotonin, oxytocin 38. Which of the following factors are associated with poor prognosis for patients 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 assists in the diagnosis of schizophrenia 40. A chronic disorder characterized by repetitive hair pulling leading to vari- able hair loss that may be..to others known as? -- correct answers -- C) Trichotillomania 41. Which of the following are risk factors for neuroleptic malignant syn- drome? -- correct answers -- B) Rapid dose escalation C) Parental route of admin D) High potency typical antipsychotics 42. A method of therapy used to tx individuals with substance use based on the fundamental principle of a psychology that reinforced behaviors are likely to be..is known as the following? -- correct answers -- B) Contingency Management 43. The conditions in which people are born, grow, work, live and age are known as? -- correct answers -- Social determinants of health 44. 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 25 credit hours during each certification period Correct B) you can start the recert process 1 year before your expiration date, but no later than 3 months before C) You must have 1000 clinical practice hours in a clinical speciality within the preceding 5 years D) you must have at least 25 contact hours in pharmacotherapy lOMoARcPSD|13778330

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    45. Risks factors for school violence include which of the following? Select all that apply -- correct answers -- A) Bullying B) Being bullied C) Isolation 46. Persons who subordinate their own needs to those of others, get others to assume responsibility for major areas in the 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? -- correct answers -- C) Dependent personality disorder Incorrect; avoid PD, passive PD, antisocial PD 47. Generalized convulsions, oliguria, and renal failure are symptoms seen with which 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 fabricates or actually inflicts injury or illness in a child for whom medical intervention is then sought in an ER is known as which of the following? -- correct answers -- D) Munchausen Syndrome by Proxy 49. Self-care strategies for the ARNP in preparing for the certification exam include all of the following EXCEPT? -- correct answers -- D) plan to study for short periods over a longer period of time 50. A patient presents with a formal, tense manner. He reluctantly reports a longstanding (since early adulthood) pervasive suspiciousness of others, pre- occupied with..trustworthiness of friends, unjustified concerns about others deceiving him, angry about perceived insults and slights, reluctant to confide in the ARNP. The ARNP suspects that the pt likely has which of the following PDs? -- correct answers -- B) Paranoid PD lOMoARcPSD|13778330

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    Incorrect; schizoid PD, BDP, Antisocial PD 51. 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 of the following psychiatric emergencies? -- correct answers -- C) Wernickes Encephalopathy Incorrect; akathisia, korsakoff's syndromes, idiosyncratic alcohol intoxication 52. Cluster A personality disorders are more common in biological families of pts with which of the following disorders? -- correct answers -- D) Schizophrenia Incorrect; depression, OCD, alcohol use disorder 53. NP core competencies for INDEPENDENT practice includes all of the following EXCEPT -- correct answers -- B) Demonstrates the highest level of accountability for profes- sional practice 54. NP competencies for independent practice -- correct answers -- A) Maintain a collaboration agreement with physician C) Practices independently managing previously diagnosed and under- diagnosed pts D) Practices patient centered care recognizing culture diversity and the pt or de- signee as a full practice in decision making 55. Cluster A personality traits consists of which of the following? -- correct answers -- A) Schizo- typal, schizoid, and paranoid subtypes 56. The misuse of the charge's funds for personal gain is known as which of the following? -- correct answers -- C) Financial abuse /exploitation 57. the ARNP recognizes which of the following as long term effects of sex trafficking on victims? -- correct answers -- D) All of the above A) Severe depression lOMoARcPSD|13778330

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    B) Spiritual questions C) Trauma bonding 58. In about half of the cases in which suicides occur while pts are on a psychiatric unit, a lawsuit results; which of the following is NOT consistent with what courts..related to impatient psychiatric unit suicide events? -- correct answers -- B) Courts provide ZERO suicide rates in inpt setting 59. Cultural Dimensions Therapy is a framework for cross-cultural communi- cation that describes the effects of a society's culture on the values of its members..by which of the following therorists? -- correct answers -- A) Hofstede 60. The tx of choice for pts with paranoid PD includes which of the following?- -- correct answers -- D) B&C B) Behavioral Therapy and C) Psychotherapy 61. The differences in quality of healthcare actions across individuals or groups regard to access, tx options and p..following? -- correct answers -- B) Health disparities 62. The incidence of suicide is highest for which of the following populations?- -- correct answers -- D) Older African American men 63. 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 which of the following? -- correct answers -- C) The ARNP recognizes the symptoms of moderate lithium toxicity, discontinues the lithium immediately, orders lithium level, serum electrolytes and renal function tests 64. The ARNP takes a position in which a specific amount is paid according to a set 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 electrolytes and renal function tests 65. The ARNP takes a position in which a specific amount is paid according to a set job description. This type of pay structure is known as? -- correct answers -- D) Hourly rate 66. A PD characterized by emotional constriction, orderliness, perseverance, stubbornness, indecisiveness, a inflexibility as which of the following? -- correct answers -- Ob- sessive compulsive PD 67. Which of the following is consistent with what is known about the epidemi- ology of anxiety? -- correct answers -- B) Women have a higher lifetime prevalence of anxiety than men 68. Which of the following is consistent with NP practice parameters when prescribing buprenorphine? -- correct answers -- D) the NP is require to complete specific training to prescribe and dispense buprenorphine 69. Which of the following are consistent with current data related to the prevalence of drinking alcohol? -- correct answers -- B) Men and women with higher education and income are more likely to drink alcohol 70. 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 are worse when glucose is low. the ARNP suspects the pt has which of the following dx? -- correct answers -- A_) GAD attributable to another medical condition 71. Which of the following is not consistent with benzo withdrawal? -- correct answers -- B) The best way to proceed with benzo withdrawal is to stop it immediately and tx withdrawal s/s 72. Which of the following is true about the legal practice of the PMHNP? -- correct answers -- D) A&B only lOMoARcPSD|13778330

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    A) all have some degrees of prescriptive privileges in all states and the district of columbia B) all are considered primary providers in all states and the district of columbia 73. Flashbacks in which the individual may act and feel as if the trauma were reoccurring represent which of the following clinical features of PTSD? -- correct answers -- A) Intrusion Symptom B) Symptom of Avoidance 74. In which ways are NPs and PAs different? -- correct answers -- D) A&B A) NPs differ from PAs in legal definition, scope of practice, licensure, and indepen- dence of practice B) NPs practice under their own license and independent of the physician, PAs always work under the supervision of a physician 75. Which of the following initials would a PMHNP use to designate appropri- ate credentials? -- correct answers -- PMHNP-BC 76. Variations from norms in gender roles such as toy preferences, rough and tumble play, aggression, or playmate gender is known as which of the following? -- correct answers -- B) Gender role behavior 77. 3 major neurotransmitters associated with anxiety, based on animal stud- ies and response to drug tx include? -- correct answers -- B) GABA, norepinephrine and serotonin 78. 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 is extremely rare 79. Clinical findings that may indicate abuse include which of the following? Select all that apply -- correct answers -- B) Explanation by the pt which is inconsistent with the type of injury lOMoARcPSD|13778330

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    C) Psychological distress such as depression, anxiety, SI, and/or sleep disorder D) Explanation by the parent that is inconsistent with the type of injury 80. According to the APA, which of the following is consistent with the EBP for telepsych? -- correct answers -- B) In populations with severe anxiety, tele psychiatry is preferred 81. Which of the following is consistent with literature regarding the term psychosexual? -- 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 behavior 82. Bleuler identified 4 fundamental s//s of schizophrenia, known as the 4 A's, which include which symptoms? -- correct answers -- A) Associations, Affect, Autism, Ambivalence 83. The fear/anxiety regarding places from which escape may be difficult is known as which of the following -- correct answers -- C) Agoraphobia 84. All of the following are one of the 5 major categories of third-party payers EXCEPT -- correct answers -- D) only A & B A) Medicare/medicaid B) Managed care organization (MCOs) 85. Which of the following are risk factors for sexual assault EXCEPT -- correct answers -- A) Religion Incorrect; serious mental illness, substance use disorder, family hx of sexual abuse 86. Which of the following is consistent with what is known about PP depres- sion? -- correct answers -- D) All of the above lOMoARcPSD|13778330

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    (feelings of guilt/ and inadequacy are often present and excessive; thoughts of harming the baby are often present; typical onset is within 3-06 months of delivery) 87. Affirmatively acting to benefit another or others, going beyond what is required by law is known as which of the following?> -- correct answers -- C) Beneficence 88. Which of the following is used for treating alcohol dependence individuals seeking to continue to remain alcohol free after they have stopped drinking?- -- correct answers -- D) Acamprosate 89. The NP can impact health policy and healthcare by doing which of the following? -- 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 organizations 90. The tx of others equitably and distribution of benefits/burdens fairly is known as? -- correct answers -- B) Justice 91. Which of the following is INCONSISTENT with current literature about victims of sexual abuse? -- correct answers -- C) The pre-existing relationship and\ familiarity with the abuser may impeded the victim's ability to make rational decisions 92. Which of the following would constitute negligence? Select all that apply- -- correct answers -- A) Failure to give necessary care B) Failure to refer when necessary C) Failure to follow up with a patient lOMoARcPSD|13778330

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    D) Failure to disclose necessary info to a patient 93. Which of the following developed a biblically-based cultural competence model for healthcare professionals? -- correct answers -- B) Camipinha-Cacote` 94. the ARNP recognizes which of the following as long term effects of sex trafficking on victims? -- correct answers -- D) All of the above -severe depression -spiritual questions -trauma bonding 95. A patient appears odd, with a pervasive hx of magical thinking, ideas of reference, illusions or derealization. This is consistent with which of the folllowing PDs? -- correct answers -- C) Schizotypal PD 96. Which of the following are criteria for a particular suicide to be considered inevitable? -- 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 failed 97. A pt with a hx of alcohol use disorder presents to the ED with oculomotor disturbances, cerebellar ataxia, and confusion. The ARNP recognizes these symptoms as consistent with which of the following psych emergencies? -- correct answers -- C) Wernicke's encephalopathy 98. The emotional burnout and lack of empathy towards clients that healthcare providers experience after treating victims is known as the following? -- correct answers -- B) Primary traumatization 99. The ACE study found that which of the following relationships between child traumatic events and high-risk behaviors exhibited by adults? -- correct answers -- lOMoARcPSD|13778330

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