Nurse Practitioner Competencies, Personality Disorders, and Medical Conditions, Exams of Nursing

Download Nurse Practitioner Competencies, Personality Disorders, and Medical Conditions and more Exams Nursing in PDF only on Docsity! NRNP 6675 Week 11 Final Exam 2024 (100% Correct Answers) Want to earn $1.236 extra per year? NRNP 6675 Week 11 Final Exam 2024 (100% Correct Answers) 1. Concerns when treating geriatric patients with psychotherapeutic drugs include all of the following EXCEPT: ✔ A. Elderly persons may be more susceptible to adverse effects of psychotherapeutic drugs. ✔ B. Elderly persons may metabolize psychotherapeutic drugs more slowly. C. Elderly persons may metabolize psychotherapeutic drugs more rapidly. ✔ D. Elderly persons may excrete psychotherapeutic drugs more slowly. Question 2 The treatment of others equitably and distribution of benefits/burdens fairly is known as which of the following? A. Fidelity ✔ B. Justice C. Beneficence D. Non- malefice n ce Question 3 Persons who subordinate their own needs to those of others, get other to assume responsibility for major areas of the lives, lack self-confidence, and may experience intense discomfort when alone for more than a brief period of time are demonstrating characteristics consistent with which of the following personality disorders? A. Avoidant personality disorder B. Passive personality disorder ✔ C. Dependent personality disorder D. Antisocial personality disorder Want to earn $1.236 extra per year? ✔ D. A and B Want to earn $1.236 extra per year? Question 12 Which of the following is consistent with current literature regarding the epidemiology of dependent personality disorder? A. Dependent personality is more common in men than in women. B. Dependent personality disorder is more common in young children than in older ones. ✔ C. Persons with chronic physical illness in childhood may be most susceptible to this disorder. D. B and C only Question 13 Patients who injure themselves by self-mutilation (i.e., cutting their skin) but who usually do not wish to die are said to have which of the following? A. Suicide intent B. Suicidal ideations ✔ C. Parasuicidal behavior D. Aborted suicide attempt Question 14 The NP preceptor should have which of the following? A. Knowledge of the NP role B. The ability to be a role model for the preceptee C. Solid clinical skill set in the specialty for which the NP student is being precepted ✔ D. All the above Question 15 The treatment of choice for patients with histrionic personality disorder include which of the following? A. Psychoanalytic oriented individual psychotherapy B. Psychoanalytic oriented group psychotherapy C. Exposure therapy ✔ D. A or B Question 16 The antipsychotics which are most likely to cause neuroleptic- induced parkinsonism are which have which of the following effects? Want to earn $1.236 extra per year? A. High potency drugs with low levels of anticholinergic activity. B. Low potency drugs with low levels of anticholinergic activity. ✔ C. High potency drugs with high anticholinergic activity. D. Low potency drugs with high levels of anticholinergic activity. Question 17 Treatment aimed at reducing intimate partner violence and domestic violence includes which of the following? A. Enhancing self-efficacy of the victim. B. Reducing recidivism of the abuser. C. Hormonal therapy for the perpetrator of abuse ✔ D. A and B only Question 18 A patient presents with a formal, tense manner. He reluctantly reports a longstanding (since early adulthood) pervasive suspiciousness of others, preoccupied 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 the patient likely has which of the following personality disorders? A. Schizoid personality disorder ✔ B. Paranoid personality disorder C. Borderline personality disorder D. Antisocial personality disorder Question 19 Which of the following is consistent with current perspectives on nurse practitioner competencies? ✔ A . The National Organization of Nurse Practitioner Faculties has developed a list of core competencies that all students should have upon graduation from a master's program. B . Nursing specialty organizations DO NOT publish competencies for NPs who provide care in specialty areas. C Want to earn $1.236 extra per year? D. Is it safe for the patient to be in the emergency room? Question 29 Which stage of the cycle of domestic violence is characterized by the abuser subconsciously implementing defense mechanisms and cognitive distortions to alleviate the ego dystonic implication of the abuse? A. Sweetheart phase B. Honeymoon phase C. Tension building phase ✔ D. Defensive phase Question 30 An ARNP takes a position in which the ARNP is guaranteed a set salary but can make additional salary if he or she generates practice income over some set amount. This is known as what type of pay structure? A. Fee for service B. Average percentage of net receipts ✔ C. Base salary plus percentage D. Hourly rate with bonus Question 31 A patient with history of schizophrenia, currently prescribed Haldol, presents to the emergency department with hyperthermia, muscle rigidity, autonomic instability, and elevated phosphokinase. The ARNP recognizes these symptoms are consistent with which of the following psychiatric emergencies? A. Nutmeg intoxication B. Bromide intoxication ✔ C. Extrapyramidal symptoms D. Neuroleptic malignant syndrome Question 32 Patients with extreme sensitivity to rejection who are socially withdrawn because they consider themselves socially inept, although are not asocial, and show a great desire for Want to earn $1.236 extra per year? companionship are demonstrating symptoms most consistent with which of the following personality disorders? A. Narcissistic personality disorder ✔ B. Avoidant personality disorder C. Borderline personality disorder D. Schizoid personality disorder Question 33 Non-pharmacological treatment for abuse includes all of the following EXCEPT: A. Cognitive behavioral therapy B. Build a community of support C. Assist patient to devise safe escape plan ✔ D. Involve the abuser in the treatment planning Question 34 Obsessive-compulsive, dependent, and avoidant personality traits are associated with which of the following personality clusters A. Cluster A B. Cluster B ✔ C. Cluster C D. Cluster D Question 35 Which of the following is the therapeutic blood level range for lithium? A. 0.2-1.0 mEq/L B. 0.3-0.8 mEq/L ✔ C. 0.3-1.2 mEq/L D. 0.5-1.5 mEq/L Question 36 The obligation to not inflict harm or balancing unavoidable harm with benefits of good achieved is known as which of the following? A. Fidelity B. Beneficence ✔ C. Non-maleficence D. Respect for autonomy Want to earn $1.236 extra per year? Question 37 Want to earn $1.236 extra per year? All of the following are risk factors for sexual assault EXCEPT ✔ A. Religion B. Serious mental illness C. Substance use disorder D. Family history of sexual abuse Question 46 A personality disorder characterized by emotional constriction, orderliness, perseverance, stubbornness, indecisiveness, and a pervasive pattern of perfectionism and inflexibility is known as which of the following? A. Depressive personality disorder B. Borderline personality disorder C. Dependent personality disorder ✔ D. Obsessive-compulsive personality disorder Question 47 A patient with a history of alcohol use presents to the emergency department with oculomotor disturbances, cerebellar ataxia, and confusion. The ARNP recognizes these symptoms as consistent with which of the following psychiatric emergencies? A. Akathisia B. Korsakoff's syndrome C. Wernicke's encephalopathy ✔ D. Idiosyncratic alcohol intoxication Question 48 A patient on lithium with a history of alcohol use disorder presents with dry mouth, ataxia, dizziness, abdominal pain, and slurred speech. The ARNP should do which of the following? A . The ARNP recognizes this is likely a relapse on alcohol so sends the patient home to sleep it off. ✔ B . The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, decreases the Want to earn $1.236 extra per year? lithium by half, and encourages the patient to drink more fluids. C . The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, discontinues the lithium immediately, orders lithium level, serum electrolytes, and renal function tests. D . The ARNP recognizes these are symptoms of moderate to severe lithium toxicity, discontinues the lithium and tells the patient hemodialysis will most probably be needed. Question 49 "Walking on eggshells" and appeasement and avoidance behaviors by the victim is characteristic of which phase of the cycle of domestic violence? A. Honeymoon phase B. Abusive incident phase C. Tension- building phase ✔ D. Refractory phase Question 50 Which of the following is inconsistent with current literature about victims of sexual abuse? ✔ A All victims of sexual abuse are aware that they are in an abusive relationship. B . Victims of sexual abuse may willingly participate in sexual acts with an idolized authority figure. C . The pre-existing relationship and familiarity with the abuser may impede the victim's ability to make rational decisions. D . The victim may make excuses for the abuser's behavior. Question 51 Self-care strategies for the ARNP in preparing for the certification exam include all of the following Want to earn $1.236 extra per year? EXCEPT: A. Study in a distraction free environment. B. Six to eight hours of sleep is recommended. C. Drink lot of caffeine and eat high-concentrated sugars. ✔ D. Plan to study for short periods of time over a longer time period. Question 52 Which stage of the cycle of domestic violence is characterized by overt aggressive behavior towards the victim? A. Tension building phase ✔ B. Abusive incident C. Honeymoon phase D. Planning phase Question 53 A term that defines a person who has distress with clinical symptomatology because their gender identity is not consistent with gender assigned at birth is which of the following? A. Cisgender B. Gender fluid C. Pangender ✔ D. Gender dysphoria Question 54 A patient with an inability to conform to the social norms that ordinarily govern many aspects of a person's behavior is consistent with which of the following personality disorders? A. Avoidant personality disorder ✔ B. Antisocial personality disorder C. Borderline personality disorder D. Narcissistic personality disorder Question 55 The treatment of choice for patients with paranoid personality disorder includes which of the following? A. Group therapy B. Behavioral Want to earn $1.236 extra per year? C. 600 supervised clinical hours D. 800 supervised clinical hours Question 63 In the judicial system one organization may publish one standard of care and an expert my testify to an alternate version of the standard of care. In this scenario who is the final arbiter of the standard of care? ✔ A. The organization where the practitioner worked at the time B. The judicial system C. The expert testifying D. The professional organization for the practitioner Question 64 Low health literacy has been linked with which of the following? A. Poor health outcomes B. lower rates of hospitalization C. Less frequent use of preventive services ✔ D. All of the above Question 65 A patient appears odd, with a pervasive history of magical thinking, ideas of reference, illusions and derealization. This is consistent with which of the following personality disorders? A. Schizoid personality disorder B. Paranoid personality disorder ✔ C. Schizotypal personality disorder D. Avoidant personality disorder Question 66 Which of the following medications is associated with Ebstein's anomaly when given during pregnancy? A. Haldol ✔ B. Lithium C. Valproic acid Want to earn $1.236 extra per year? D. Chlorpromazi n e Question 67 Which of the following symptoms of borderline personality disorder assist in differentiating borderline personality disorder from schizophrenia? A. Chronic feelings of emptiness B. Prolonged psychotic episodes C. Demand extraordina ry relationship s ✔ D. A and C only Question 68 A patient presents and is unapproachable, with poor eye contact, reporting a lifelong pattern of isolation, uncomfortable with human interaction, and constricted affect. This presentation is consistent with which of the following personality disorders? ✔ A. Schizoid personality disorder B. Borderline personality disorder C. Avoidant personality disorder D. Schizotypal personality disorder Question 69 Nurse practitioner preceptors should have at least how much experience as a nurse practitioner in the relevant specialty prior to precepting? A. A minimum of 6 months of experience as a licensed NP in the specialty B. A minimum of 9 months of experience as a licensed NP in the specialty C. A minimum of 1 year of experience as a licensed NP in the specialty ✔ D. A minimum of 2 years of experience as a licensed NP in the specialty Question 70 The ARNP is working with a patient who has a heightened sense of self- importance and grandiose feelings of uniqueness. The patient also lacks empathy for others, although is very sensitive Want to earn $1.236 extra per year? to minor criticism. The ARNP recognizes these symptoms as consistent with which of the following personality disorders? A. Schizotypal personality disorder B. Borderline personality disorder ✔ C. Narcissistic personality disorder D. Histrionic personality disorder Question 71 The emotional burnout and lack of empathy towards clients that healthcare providers experience after treating victims of trauma is known as which of the following? ✔ A. Compassion fatigue B. Primary traumatiz ati on C. Transference D. Countertransfere nce Question 72 The ARNP recognizes which of the following as short-term effects of sex trafficking on victims? A. Depersonalization B. Post-traumatic stress disorder C. Higher risk behaviors (i.e., drug and alcohol abuse) ✔ D. A and C only Question 73 According to Freud, stubborn, parsimonious, and highly conscientious traits are associated with which stage of development? A. Oral stage B. Anal stage ✔ C. Phallic stage D. Latency stage Want to earn $1.236 extra per year? D . If the guideline is inappropriate for a particular patient, document why an alternative Question 82 Which of the following is not consistent with what is known about postpartum psychosis? A . Symptoms of postpartum psychosis can often begin within days of the delivery. B . The average time of onset of symptoms of postpartum psychosis is within 2 to 3 weeks of delivery. C Florid psychotic symptoms are usually preceded by prodromal signs such as insomnia, restlessness, agitation, and mild cognitive deficits. . ✔ D This disorder primarily effects first time mothers and there is very little risk of postpartum psychosis in subsequent pregnancies. Question 83 Which of the following is consistent with recommendations regarding assessing for suicidal ideations? ✔ A The clinician should always ask about suicidal ideations as part of every mental status examination. B . Assessing for suicidal ideations is only required if patient is depressed. C . Asking a psychotic patient if they are having suicidal ideations is not advised as this could introduce the idea to the patient. D . If a patient who has been threatening suicide becomes quiet and less agitated, it is safe to assume the suicidal ideations have subsided. Question 84 A claim of malpractice requires that a patient/plaintiff prove which of the following? Select all that apply. Want to earn $1.236 extra per year? A . The existence of a client-professional relationship - duty to care. ✔ B Behavior below the appropriate standard of care for professionals dealing in like circumstances. ✔ C . A causal link between the practitioner's failure to conform to treatment standards and harm to the patient. ✔ D . Actual injury to the patient. Question 85 The Adverse Childhood Experience Study (Felitti et al., 1998) found which of the following relationships between child traumatic events and high-risk behaviors exhibited by adults? ✔ A The study revealed a causal relationship between child traumatic events and high- risk adult behaviors. B . The study revealed a causal relationship between child traumatic events and high- risk adult behaviors. C . The study revealed no relationship between child traumatic events and high-risk adult behaviors. D . The study revealed an indirect relationship between child traumatic events and high-risk adult behaviors. Question 86 A method of therapy used to treat individuals with substance abuse based on the fundamental principle of a psychology that reinforced behaviors are likely to be repeated is known as which of the following? A. Exposure therapy Want to earn $1.236 extra per year? B. Contingency management C. Motivational interviewing ✔ D. Cognitive behavioral therapy Question 87 Cluster A personality traits consist of which of the following? ✔ A. Schizotypal, schizoid, and paranoid subtypes B. Narcissistic, borderline, antisocial, and histrionic subtypes C. Obsessive-compulsive, dependent, and avoidant subtypes D. Depressive, anxious, hypomanic subtypes Question 88 Sexual assault is most often which of the following? A. A stranger B. An acquaint an ce ✔ C. A family member D. A professional Question 89 Which of the following is consistent with what is known about terrorist-bomber suicides? A. The goal is death or escape. B. The motivation is vengeance and mass murder. C. Psychological/psychiatric disorder is present in most cases. ✔ D. A and B only Question 90 Which of the following is not consistent with recommendations for psychiatric history taking and the mental status evaluation of older adults? A . When a patient is cognitively impaired, an independent history should be obtained from a family member or caretaker. Want to earn $1.236 extra per year? Question 97 The failure of a professional to exercise that degree of skill and learning commonly applied by the average prudent, reputable member of the profession is known as which of the following? 1. Negligence ✔ B. Malpractice C. Causation of injury D. Duty liability Question 98 A somatopsychic illness triggered by changing levels of sex steroids that accompany an ovulatory menstrual cycle about one week before the onset of menses characterized by irritability, emotional lability, HA, anxiety, and depression is known as which of the following? A. Premenstrual syndrome B. Premenstrual depression C. Premenstrual dysphoric disorder ✔ D. Premenstrual psychosomatic disorder Question 99 Persons who exhibit impulsive traits also show high levels of which of the following hormones? Select all that apply. A. Testoste ro n e B. 17-estradiol C. Estrone ✔ D. A and C only Question 100 Features that point to a medical cause of mental disorder include which of the following? Select all that apply. ✔ A. Acute onset (within hours or minutes with prevailing symptoms) Want to earn $1.236 extra per year? ✔ B. Nonauditory disturbances of perception ✔ C. Current medical illness or injury D. Constructional