NRNP6675 Week 11 Final Exam 2022

NRNP 6675 Week 11 Final Exam 2022

 

(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-

maleficence

 

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

 

 

Question 4

 

According 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 5

 

A form of child abuse in which a parent or caretaker repeatedly fabricates or actually inflicts injury or

illness in a child for whom medical intervention is then sought, often in an emergency setting, is known as

which of the following?

 

A. Korsakoff’s syndrome

B. Snyder’s syndrome

C. Munchausen syndrome

D. Munchausen syndrome by

proxy

 

Question 6

 

The need for nurse practitioners to practice to the full extent of their education and training is necessary

for 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 7

 

The 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 8

 

In 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 9

 

The 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 10

 

The 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 11

 

A 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 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?

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 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

.

Employers DO NOT establish their own set of competencies.

D

.

There 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 health

care.

D. A and C

 

Question 21

 

Which 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 22

 

The 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 23

 

Which 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 24

 

According 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 25

 

Self-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 26

 

The 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 28

 

At 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 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 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

 

Question 37

 

Which 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.

C

.

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

D

.

Be specific and kind when giving constructive feedback that may not be what the mentee

might want to hear.

 

Question 38

 

An 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 39

 

Acknowledging 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 40

 

Narcissistic, 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 42

 

Being 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 43

 

The 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 44

 

Which 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 45

 

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

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

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

therapy

C. Psychotherapy

D. B and C

 

 

Question 56

 

In about half of the cases in which suicides occur while patients are on a psychiatric unit, a lawsuit

results. Which of the following is not consistent with what courts expect related to inpatient psychiatric

unit 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 57

Type of employment in which either party may terminate for any reason at any time is known as which of

the following?

 

A. Locum tenens

B. At will employment

C. Employment by contract

D. Profit sharing

employment

 

Question 58

 

Which 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 59

 

According 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 60

 

A patient on Lithium and Quetiapine presents to the emergency room with anorexia, persistent nausea

and vomiting, blurred vision, choreoathetoid movements, muscle fasciculations, and hyperactive deep

tendon 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 61

 

A patient currently on risperidone presents to the emergency department with increased agitation,

restlessness, muscle discomfort, and dysphoria. The APRN recognizes these symptoms of akathisia and

recommends 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 62

 

In order to qualify for ANCC board certification testing you must have a minimum of how many supervised

clinical 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 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

D. Chlorpromazin

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 extraordinary

relationships

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 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

traumatization

C. Transference

D. Countertransference

 

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

 

Question 74

 

Risk factors for school violence include which of the following? Select all that apply.

A. Bullying

B. Being bullied

C. Isolation

D. Involvement in school

organizations

 

Question 75

 

As a PMHNP, one of the most common areas you will counsel your patients about is the importance of

sleep hygiene. Which of the following is NOT consistent with common recommendations for good sleep

hygiene?

 

A. Avoid alcohol and caffeine.

B. Set a cool room temperature.

C. Set TV to turn off within 1 hour of falling

asleep.

D. Go to bed at the same time each night.

 

 

Question 76

 

Affirmatively acting to benefit another or others, going beyond what is required by law is known as which

of the following?

 

A. Fidelity

B. Justice

C. Beneficence

D. Non-

maleficence

 

Question 77

 

The term “suicide survivor” refers to which of the following?

A. Those who have lost a loved one to suicide.

B. Someone who has attempted suicide but failed.

C. Only those who have had a serious suicide attempt with a near death

experience.

D. This is an ambiguous term that should not be used.

 

Question 78

 

Curriculum content that supports the NP scientific foundation competency area includes which of the

following? Select all that apply.

 

A. Comparison of patient data sets with evidence-based standards to improve

care

B. Science from other disciplines relevant to health care

C. High reliability organization principles.

D. Compliance issues related to patient privacy with use of technology.

 

 

Question 79

 

In Canterbury v. Spence the U.S. Court of Appeals for the District of Columbia Circuit listed physician

responsibilities for disclosure. Which of the following is not listed as a responsibility?

 

A. Adopt a standard of full disclosure with patients.

B. Alert the patient to symptoms of bodily abnormality.

C. Inform the patient when the ailment does not respond to the physician’s

ministrations.

D. Inform the patient about precautionary therapy that he or she should seek in the

future.

 

Question 80

 

Which of the following is the treatment of choice for patients with depressive personality?

A. Exposure therapy

B. Light-exposure therapy

C.

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