Psychiatric Disorders and Substance Abuse Exam Questions and Answers, Exams of Nursing

Download Psychiatric Disorders and Substance Abuse Exam Questions and Answers and more Exams Nursing in PDF only on Docsity! NRNP 6675 Week 6 Midterm Exam Actual Exam Questions and Answers | Latest Version | Professor Verified | Graded A+ 1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that applyAge Rapid dose escalation Parental route of administration Higher potency typical antipsychotics 2. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of thefollowing effects? Reduces negative symptoms Increases extra pyramidal symptoms (EPS)Causes prolactinemia Reduces positive symptoms 3. Phencyclidine (PCP) and Ketamine exert their unique behavioral effects by blocking which of thefollowing receptors? GABA type receptors Serotonin receptors Dopamine receptors NMDA type receptors 4. The diagnosis used to describe a syndrome characterized by specific signs and symptoms resultingfrom recent ingestion or exposure to a substance is known as which of the following? Substance intoxication Substance withdrawal Substance use disorderAny of the above 5. Abnormal involuntary movements in a rhythmic pattern affecting face, mouth, tongue, jaw is knownas which of the following? Akathisi a Turner's syndrome Adrenogenital syndrome Androgen insensitivity syndrome 11. Which of the following would be characterized as a negative symptom of schizophrenia?Hallucinations and delusions Impaired social and occupational functioningIsolation and impaired self- care B and C only Which of the following are keys to distinguishing OCD from psychosis? Patients with OCD can almost always acknowledge the unreasonable nature of their symptoms Patients with OCD are better able to control their compulsions.Patients with psychosis will have more obsessive thoughts. Patients with OCD have less bizarre obsessions. 13. Which of the following is a system that provides a uniform language for describing medical and surgical procedures and diagnostic services rendered by clinicians... HIPPA B. DSM-5 CPT DR G A federal program administered nationally and locally which covers enrolled individuals 65 years andolder who pay premiums and disabled individuals.... Medicar e Medicai d Both A and B None of the above Having an adequate legal description of nurse practitioner (NP) scope of practice according to state lawis important for which of the following reasons? To avoid any charges of practicing medicine without a license To place accountability for both benefits and harm to patients squarely on the NPTo get reimbursement for physician services when provided by an NP All of the above Which of the following is the most widely consumed psychoactive substance?Alcohol Caffein e Heroin e According to HIPPA, which of the following must the NP share their NPI with? Check all that apply. Health plans Other providers Any entity that may need it for billing purposeA and C only A patient presents with delusions, disorganized thoughts, and speech with poor self care all of whichhave persisted for the past 7 months. The APRN this presentation is. . ......................................................................................................... with which of the following diagnosis? Schizophrenia Schizophreniform disorderBrief psychotic disorder Delusional disorder Major neurotransmitters possibly involved in developing substance abuse and substance dependence..... which of the following? Dopamin eGABA Serotonin A and B only The Dopamine hypothesis of schizophrenia which of the following? Schizophrenia results from too much dopaminergic activity Schizophrenia results from a deprivation of dopamine.Schizophrenia is not related to dopamine activity None of the above A patient reports a panic attack several years ago in an elevator and since then has avoided usingelevators. This patient meets criteria for which of the following? Social phobia Specific phobia General anxiety disorder unspecifiedObsessive- compulsive disorder A patient with a substance abuse disorder who does not meet the clinical criteria for hospitalization butwho lacks sufficient social and vocational skills and lack substance-free social supports is ap Residential treatment Partial hospitalizations Outpatient treatment All of the above If a pregnancy begins while the woman is taking high doses of methadone and withdrawal is desired,during which trimester is this least hazardous? First trimester Second trimesterThird trimester Withdrawal from methadone should never be done while the woman is pregnant Neurochemical or neurophysiologic changes in the body that result from the repeated administration ofa drug is known as which of the following? Cross-tolerance Neurotransformatio n Neuroadaptation Neurocognitive adjustment The recurrent and intense sexual arousal from the physical and psychological suffering of another personis known as which of the following? Frotteuris m Voyeuris m Sexual sadism Sexual masochism Which of the following is not consistent with the onset of OCD? More than half of patients with OCD have a sudden onset of symptoms The onset of symptoms for about 50-70 percent of patients occurs after a stressful event.Most patients keep their symptoms secret initially. The onset of OCD is typically preceded by OCD personality traits. The recurrent urge to expose one's genitals to a stranger is known as which of the following?Fetishism Which of the following neurotransmitters increases libido?GABA Serotoni n Oxytoci n Dopamine Which of the following factors are associated with poor prognosis for patients with OCD?Childhood onset The presence of a precipitating eventCo-existing major depressive disorder A and C Which of the following is inconsistent with current knowledge about schizophrenia? Schizophrenia is one of the most common of the serious mental disorders. A diagnosis of schizophrenia is based entirely on the psychiatric history and mental status examination. Dopamine level is a laboratory test that assists in the diagnosis of schizophrenia. Schizophrenia likely comprises a group pf disorders with heterogeneous etiologies and variable presentations. A Chronic disorder characterized by repetitive hair pulling leading to variable hair loss that may be ...................................................................................................................................... to others is known as which of the following? Obsessive-Compulsive DisorderImpulse Control Disorder . ... Trichotillomania ..... Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply.Age Rapid dose escalation Parental route of administration Higher potency typical antipsychotics Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of thefollowing effects? Reduces negative symptoms Increases extrapyramidal symptoms (EPS)Causes prolactinemia Reduces positive symptoms Phencyclidine (PCP) and Ketamine exert their unique behavioral effects by blocking which of thefollowing receptors? which of the following? Exposure therapy Contingency management Motivational interviewing Cognitive behavioral therapy The conditions in which people are born, grow, work, live, and age are known as which of the following?Health literacy Health disparities Health vulnerabilities Social determinants of health All the following is consistent with ANCC rules regarding recertification EXCEPT: You are required to have a maximum of 25 credit hours during each certification period You can start the recertification process 1 year before your expiration date, but no later than 3 monthsbefore. You must have 1000 clinical practice hours in the clinical specialty within the preceding 5 years.You must have at least 25 contact hours in pharmacotherapy. Risk factors for school violence include which of the following? Select all that apply. Bullying Being bullied Isolation...... Involvement in school organizations. Persons who subordinate their own needs to those of others, get other to assume responsibility for major areas of the lives, lack of 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 followingpersonality disorders? Avoidant personality disorderPassive personality disorder Dependent personality disorder 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, unjustifiedconcerns about others deceiving him, angry about perceived insults and slights, reluctant to confide in the ARNP. The ARNP suspects that the patient likely has which of the following personality disorders? Schizoid personality disorder Paranoid personality disorder Borderline personality disorder Antisocial personality disorder Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the followinglithium levels? 0.8-1.5 mEq/L 1.5-2.0 mEq/L 2.0-2.5 mEq/L > 2.5 mEq/L A patient with a history of alcohol use presents to the emergency department with oculomotor disturbances, cerebellar ataxia, and confusion Symptoms as consistent with which of the following psychiatric emergencies? Akathisia Korsakoff's syndrome Wernicke's encephalopathy Idiosyncratic alcohol intoxication Cluster A personality disorders are more common in biological families of patients with which of thefollowing disorders? Depression Obsessive-compulsive disorderAlcohol use disorders Schizophrenia NP core competencies for INDEPENDENT practice include all of the following EXCEPT:Maintains a collaboration agreement with physician Demonstrates the highest level of accountability for professional practice... Practices independently managing previously diagnosed and undiagnosed patient Practices patient-centered care recognizing culture diversity and the patient or designee as a full partnerin decision making Cluster A personality traits consist of which of the following? Schizotypal, schizoid, and paranoid subtypes Narcissistic, borderline, antisocial, and histrionic subtypes Obsessive-compulsive, dependent, and avoidant subtypes Depressive, anxious, hypomanic Schizotypal, schizoid, and paranoid subtypes Narcissistic, borderline, antisocial, and histrionic subtypes Obsessive-compulsive, dependent, and avoidant subtypes Depressive, anxious, hypomanic subtypes Cultural Dimensions Therapy is a framework for cross-cultural communication that describes the effectsof a society's culture on the values of its members. by which of the following theorists? Hofsted e Leininge rPurcell Campinha-Bacote The treatment of choice for patients with paranoid personality disorder includes which of the following?Group therapy Behavioral therapy Psychotherapy B and C The differences in the quality of healthcare across individuals or groups in regard to access, treatmentoptions, and p following? Racism Health disparities Vulnerable populations Social determinants of health The incidence of suicide is highest for which of the following populations?Older Latino men Older Caucasian men Older Caucasian women Older African American men Which of the following is consistent with what is known about the epidemiology of anxiety?Men have a higher lifetime prevalence of anxiety than women. Women have a higher lifetime prevalence of anxiety than menMen and women have equal lifetime prevalence. The lifetime prevalence of anxiety is not gender specific Which of the following is consistent with NP practice parameters when prescribing buprenorphine? NPs with full practice authority can prescribe and administer buprenorphine under their state NP license. As a qualified practitioner the NP simply needs to notify SAMHSA prior to prescribing or administeringbuprenorphine The NP can provide buprenorphine to 300 patients per month The NP is required to complete specific training to prescribe and dispense buprenorphine Which of the following are consistent with current data related to the prevalence of drinking alcohol?Men and women with higher education and income are less likely to drink alcohol. Men and women with higher education and income are more likely to drink alcohol Men and women with lower education and higher income are more likely to drink alcohol.Education and income are not a factor in prevalence of drinking alcohol. A patient with history of hypoglycemia reports feelings of fear, worry, and restlessness that has persistedover the past 6 months. The patient states these feelings are worse when glucose is low. The ARNP suspects the patient has which of the following diagnoses? Generalized anxiety disorder attributable to another medical condition Panic attacks attributable to another medical conditionHypoglycemia with anxiety None of the above Which of the following is not consistent with benzodiazepine withdrawal? Benzodiazepine withdrawal can continue to develop for several weeks The best way to proceed with benzodiazepine withdrawal is to stop it immediately and treat withdrawalsymptoms It may be helpful to switch to a long-acting benzodiazepine for withdrawal If patient is on a therapeutic benzodiazepine dose, initiate 10-25 percent dose reduction and evaluateresponse. Which of the following is true about the legal practice of the psychiatric-mental health nursepractitioner? All have some degree of prescriptive privileges in all states and the District of Columbia.All are considered primary providers in all states and the District of Columbia. All have the ability to manage patients medically within their scope of practice without a collaborativepractice agreement. A and B only tumble play,aggression, or playmate gender is known as which of the following? Gender discordance Gender role behavior Gender identity variance Childhood gender non-conformity The three major neurotransmitters associated with anxiety, based on animal studies and response todrug treatment include which of the following? Glutamate, Norepinephrine, Serotonin GABA, Norepinephrine, Serotonin GABA, Dopamine, Glutamate Dopamine, Norepinephrine, Serotonin Which of the following is consistent with the epidemiology of schizophrenia in the United States?The lifetime prevalence of schizophrenia is about 50 percent Schizophrenia is more prevalent in children than in adolescents.Peak age of onset in men is 10 to 25 years of age Onset of schizophrenia before the age of 25 is extremely rare. Clinical findings that may indicate abuse include which of the following? Select all that apply.Delay between onset of injury and seeking treatment Explanation by the patient which is inconsistent with the type of injury Psychological distress such as depression, anxiety, suicidal ideations and/or sleep disorder Explanation by the patient which is inconsistent with the type of injury According to the American Psychiatric Association (APA) which of the following is consistent with theevidence base practice for telepsychiatry? There are few studies exploring the evidence for telepsychiatry. All of the following are one of the five major categories of third-party payers EXCEPT: Medicare/Medicaid Managed-care organizations (MCOs)Indemnity insurance companies Only A and B Discrepancy between anatomical sex and gender identity is known as which of the following?Gender role behavior Gender discordance Gender nonconformity Internalized sexual prejudice Which of the following is not a common physical effect of cannabis?Mild tachycardia Mild bradycardia Orthostatic hypotension Dilation of the conjunctival blood vessels A conscious standardized recurrent behavior such as counting, checking, avoiding that interferes significantly with the person's normal routine and functioning is known as which of the following? A compulsion An obsession Obsessive-Compulsive Disorder Obsessive-Compulsive Personality Disorder Most everyone has a firm conviction that they are male or female by which age range?0-1 years of age 2-3 years of age 4-5 years of age 6-7 years of age A patient who presents absent movement with difficulty starting activities flat affect, and avolition wouldbe assessed as having which of the following? Dystoni a Akathisi a Akinesi a Pseudo-Parkinson's