NRNP6675 Week 11 Final Exam Latest 2022 (100% Correct)

NRNP 6675 Week 11 Final Exam 2022

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 thefollowing?

A. Fidelity

B. Justice

C. Beneficence

D. Non- maleficence

Question 3Persons who subordinate their own needs to those of others, get other to assume responsibility for majorareas of the lives, lack self-confidence, and may experience intense discomfort when alone for more thana brief period of time are demonstrating characteristics consistent with which of the following personalitydisorders?

A.            Avoidant personality disorder

B.            Passive personality disorder

C. Dependent personality disorder

D. Antisocial personality disorder

 Question 4According to Sullivan, which of the following are consistent with a mentor/mentee relationship?

A.            Mentors are assigned

B.            Mentor relationships are shorter term

C. Goals for the mentoring relationship are set mutually.

D. A and B only

Question 5A form of child abuse in which a parent or caretaker repeatedly fabricates or actually inflicts injury orillness in a child for whom medical intervention is then sought, often in an emergency setting, is known aswhich of the following?

A.            Korsakoff’s syndrome

B.            Snyder’s syndrome

C.            Munchausen syndrome

D. Munchausen syndrome by proxy

Question 6The need for nurse practitioners to practice to the full extent of their education and training is necessaryfor which of the following reasons? Select all that apply.

A.            The growth in number and proportion of older Americans

B. The projected primary care physician shortage by 2025

C. Increased number of individuals who have access to healthcare

D. The economic push for cost-effective healthcare

Question 7The ARNP assessing lifestyle as a social determinant of health would ask about which of the following?

A. Diet

B.            Education

 C.           Health literacy

D.            Inherited diseases

Question 8In educating the patient beginning to take Lithium, the ARNP explains which of the following related to

diet and fluid intake?

A.            Caffeine and alcohol act as hydration agents and can raise your lithium concentrations.

B.            Drink at least a gallon or more of water per day and limit your salt intake.

C.            If you go on a diet, your doctor may need to increase frequency of blood tests.

D. All of the above

Question 9The goal of psychotropic treatment is to eliminate all manifestations of a disorder to below the syndromal

threshold, which is defined as which of the following?

A. Response

B. Remission

C. Resistance

D. Sensitization

Question 10The NP can impact health policy and healthcare by doing which of the following?

A.            Become an active member of local, state, and/or national NP organizations.

B.            Become familiar with the resources available on NP organization websites.

C.            Volunteer to serve on legislative committees within professional NP organizations.

D. All the above

Question 11A term used to describe individuals and families who are found to live in overcrowded homes, relocate

frequently, and struggle to pay rent and monthly expenses is which of the following?

A.            Homelessness

B.            Housing instability

C.            Transiency

D. A and B

 Question 12Which 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 13Patients 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 14The 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 16The antipsychotics which are most likely to cause neuroleptic-induced parkinsonism are which have

which of the following effects?

 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 levels of anticholinergic activity.

D. Low potency drugs with high levels of anticholinergic activity.

Question 17Treatment 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?

AThe 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.Employers DO NOT establish their own set of competencies.

DThere are national standards for judging/evaluating nurse practitioner competencies. Question 20

Which of the following core competencies are quality competencies?

A.            Uses best available evidence to continually improve quality of practice.

B.            Integrates ethical policies in decision making.

C.            Evaluates the relationships among access cost quality safety and their influence on healthcare.

D. A and C

Question 21Which of the following are criteria for a particular suicide to be considered inevitable?

A.            Strong genetic history of suicide in one or more family members.

B.            A strong genetic loading of mental illness in the family.

C.            The patient must have received the highest standard of treatment and that treatment failed.

D. All of the above.

Question 22The misuse of the charge’s funds for personal gain is known as which of the following?

A.            Neglect

B.            Physical abuse

C. Financial abuse/exploitation

D. Emotional/psychological abuse

Question 23Which of the following professionals would be able to precept a nurse practitioner student?

A.            An advanced registered nurse practitioner

B.            A physician

C.            A unlicensed social worker

D. A and B

Question 24According to Freud, passive and dependent personality traits are associated with which stage of

development?

A. Oral stage

B.            Anal stage

C.            Phallic stage

D.            Latency stage

Question 25Self-injurious behavior with a nonfatal outcome, accompanied by explicit or implicit evidence that the

person intended to die, is most specifically known as which of the following?

A. Suicide

B. Suicide intent

C. Suicide attempt

D. Aborted suicide attempt

Question 26The incidence of suicide is highest for which of the following populations?

A.            Older Latino men

B.            Older Caucasian men

C.            Older Caucasian women

D. Older African American men

Question 27″Assumes complex and advanced leadership roles to initiate and guide change” is a NP core competency

for which NP competency area?

A.            Policy competencies

B.            Quality competencies

C. Leadership competencies

D. Practice inquiry competencies

Question 28At a minimum, a psychiatric evaluation in an emergency should include which of the following? Select all

that apply.

A. Is the patient psychotic?

B. Is the patient suicidal or homicidal?

C. Is the problem organic, functional, or a combination?

 D. Is it safe for the patient to be in the emergency room?

Question 29Which 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 30An 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 31A 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 32Patients 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 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 34Obsessive-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 35Which 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 36The 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

Question 37Which of the following is not consistent with guidelines for a mentor?

A.Reassure the mentee that the mentor is available at any time of need.

B.Review basic concepts to ensure the mentee has the fundamentals prior to starting the mentoring process.

CBe prepared to fill the meeting time with specific issues and objectives.

DBe specific and kind when giving constructive feedback that may not be what the mentee might want to hear.

Question 38An 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 which of the following?

A.            Straight salary

B.            Average percentage of net receipts

C.            Base salary plus percentage

D. Hourly rate

Question 39Acknowledging a person’s right to make choices, to hold views, and to take actions based on personal

value is known as which of the following?

A.            Justice

B.            Fidelity

C.            Beneficence

D. Respect for autonomy

Question 40Narcissistic, borderline, antisocial, and histrionic subtypes are associated with which of the following

Personality disorders?

A. Cluster A

B. Cluster B

C. Cluster C

D. Cluster D

 

 

Question 41

 

Using the LIAASE: A General Cultural Competence Tool, the ARNP would do which of the following?

A.            Agree to disagree on differences in values.

B.            Solicit other options or points of view.

C.            Acknowledge and validate powerful emotions when expressed.

D. All of the above.

Question 42Being knowledgeable about one’s own thoughts, feelings, and sensations as well as the ability to reflect

on how these can affect one’s interactions with others is known as which of the following?

A. Cultural Awareness

B.            Cultural Competence

C.            Cultural Humility

D.            Cultural Sensitivity

Question 43The ARNP recognizes which of the following as long-term effects of sex trafficking on victims?

A.            Severe depression

B.            Spiritual questions

C.            Trauma bonding

D. All of the above

Question 44Which of the following is used for treating alcohol-dependent individuals seeking to continue to remain

alcohol free after they have stopped drinking?

A.            Tacrine

B.            Amantadine

C.            Galantamine

D. Acamprosate

Question 45All 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 46A 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 47A 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 48A 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.

BThe ARNP recognizes these are symptoms of mild to moderate lithium toxicity, decreases the lithium by half, and encourages the patient to drink more fluids.

CThe ARNP recognizes these are symptoms of mild to moderate lithium toxicity, discontinues the

lithium immediately, orders lithium level, serum electrolytes, and renal function tests.

DThe ARNP recognizes these are symptoms of moderate to severe lithium toxicity, discontinuesthe 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 50Which of the following is inconsistent with current literature about victims of sexual abuse?

AAll 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.

CThe pre-existing relationship and familiarity with the abuser may impede the victim’s ability to

make rational decisions.

DThe 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

 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 52Which 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 53A term that defines a person who has distress with clinical symptomatology because their gender identityis not consistent with gender assigned at birth is which of the following?

A.            Cisgender

B.            Gender fluid

C.            Pangender

D. Gender dysphoria

Question 54A 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 55The treatment of choice for patients with paranoid personality disorder includes which of the following?

A.            Group therapy

B.            Behavioral therapy

C.            Psychotherapy

D. B and C

Question 56In about half of the cases in which suicides occur while patients are on a psychiatric unit, a lawsuitresults. Which of the following is not consistent with what courts expect related to inpatient psychiatricunit suicide events?

A. Courts expect suicides to occur in inpatient settings.

B. Courts require zero suicide rates in inpatient setting.

C. Periodic patient evaluation for suicide risk

D. Evidence of formulation of a treatment plan with a high level of security

Question 57Type of employment in which either party may terminate for any reason at any time is known as which ofthe following?

A. Locum tenens

B. At will employment

C. Employment by contract

D. Profit sharing employment

Question 58Which of the following medical conditions can present with prominent mental status changes that mimic

common psychiatric illnesses? Select all that apply.

A. Diabetes Mellitus

B. Thyroid disease

C. AIDS

D. Head trauma

Question 59According to the AANP Process of Care Standards, performing or ordering preventative and diagnostic

procedures based on the patient’s age and history is part of which of the following components?

 A. Assessment of health status

B.            Development of a treatment plan

C.            Implementation of the treatment plan

D.            Care priorities

Question 60A patient on Lithium and Quetiapine presents to the emergency room with anorexia, persistent nauseaand vomiting, blurred vision, choreoathetoid movements, muscle fasciculations, and hyperactive deeptendon reflexes. The ARNP should do all of the following EXCEPT:

A. Discontinue the Lithium.

B.            Obtain vital signs, and obtain a neurological evaluation with complete formal mental examination.

C.            Obtain lithium level, serum electrolytes, renal function tests and ECG.

D.            Give activated charcoal to remove unabsorbed Lithium.

Question 61A patient currently on risperidone presents to the emergency department with increased agitation,restlessness, muscle discomfort, and dysphoria. The APRN recognizes these symptoms of akathisia andrecommends which of the following? Select all that may apply.

A.            Reduce antipsychotic dosage

B.            Benztropine IM

C.            Benadryl po or IM

D. B and C only

Question 62In order to qualify for ANCC board certification testing you must have a minimum of how many supervisedclinical hours in the respective specialty for which you are seeking certification?

A. 300 supervised clinical hours

B. 500 supervised clinical hours

 C. 600 supervised clinical hours

D. 800 supervised clinical hours

Question 63In the judicial system one organization may publish one standard of care and an expert my testify to analternate 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 testifyingD. The professional organization for the practitioner

Question 64Low 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 65A patient appears odd, with a pervasive history of magical thinking, ideas of reference, illusions andderealization. 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 66Which of the following medications is associated with Ebstein’s anomaly when given during pregnancy?

A. Haldol

B. Lithium

C. Valproic acid

 D. Chlorpromazin e

Question 67Which 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 extraordinary relationships

D. A and C only

Question 68A 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 69Nurse 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.    &nb

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