NRNP 6675 Midterm Exam 2023

NRNP 6675 Midterm Exam 2023 1. Discrepancy between anatomical sex and gender is known as?: B) Gender Discordance 2. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply: 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?: 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?: 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?: 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?: C) Tardive dyskinesia 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?: Delusional disorder 8. Which of the following is true about preoccupation with castration?: 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?: 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?: 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?: 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?: B & C only B) impaired social and occupational functioning C) isolation and impaired self-care 13. Which of the following are keys to distinguishing OCD from psychosis?: - 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: 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?: 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?: B) Caffeine Incorrect: alcohol, heroin, cannabis 17. Which of the following is used to tx TD?: None of the above (cogentin, artane, catapress)