{"id":120985,"date":"2023-10-03T21:09:48","date_gmt":"2023-10-03T21:09:48","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=120985"},"modified":"2023-10-03T21:09:50","modified_gmt":"2023-10-03T21:09:50","slug":"nrnp-6675-week-6-midterm-exam-nrnp-6675-week-11-final-exam-questions-and-answers-2022-2023-verified-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/10\/03\/nrnp-6675-week-6-midterm-exam-nrnp-6675-week-11-final-exam-questions-and-answers-2022-2023-verified-answers\/","title":{"rendered":"NRNP 6675 Week 6 Midterm Exam &amp; NRNP 6675 Week 11 Final Exam Questions and Answers (2022\/2023) (Verified Answers)"},"content":{"rendered":"\n<p>NRNP 6675 Week 6 Midterm Exam 2022<br>(100% Correct Answers)<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply<br>Age<br>Rapid dose escalation<br>Parental route of administration<br>Higher potency typical antipsychotics<\/li>\n\n\n\n<li>Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the<br>following effects?<br>Reduces negative symptoms<br>Increases extra pyramidal symptoms (EPS)<br>Causes prolactinemia<br>Reduces positive symptoms<\/li>\n\n\n\n<li>Phencyclidine (PCP) and Ketamine exert their unique behavioral effects by blocking which of the<br>following receptors?<br>GABA type receptors<br>Serotonin receptors<br>Dopamine receptors<br>NMDA type receptors<\/li>\n\n\n\n<li>The diagnosis used to describe a syndrome characterized by specific signs and symptoms<br>resulting from recent ingestion or exposure to a substance is known as which of the following?<br>Substance intoxication<br>Substance withdrawal<br>Substance use disorder<br>Any of the above<\/li>\n\n\n\n<li>Abnormal involuntary movements in a rhythmic pattern affecting face, mouth, tongue, jaw is<br>known as which of the following?<br>Akathisia<br>Dystonia<br>Tardive dyskinesia<br>Extrapyramidal side effects<\/li>\n\n\n\n<li>A deeply held belief despite evidence to the contrary, lasting at least one month, without<br>prominent hallucinations, with functional impairment that relates to the delusional syste\u2026..<br>Schizophrenia<br>Delusional disorder<br>Brief psychotic disorder<br>Schizophreniform disorder<br>7.Which of the following is true about preoccupation with castration?<br>This can be serious and life-threatening if castration is carried out without medical supervision.<br>This is consistent with Transvestic Disorder<\/li>\n<\/ol>\n\n\n\n<p>This is consistent with other specified paraphilic disorder<br>This is consistent with sexual masochism disorder<br>8.Which of the following is a system that provides a uniform language for describing medical and<br>surgical procedures and diagnostic services rendered by clinicians?<br>HIPPA<br>DSM-5<br>CPT<br>DRG<br>9.A patient on Chlorpromazine states that his orgasm is dry and afterward he will commonly have milky<br>urine. The ARNP realizes which of the following?<br>This is likely a harmless response to the Chlorpromazine<br>This is abnormal and needs to be evaluated by a specialist<br>It is critical to stop the Chlorpromazine immediately<br>This has nothing to do with the Chlorpromazine the patient be referred to his PCP for follow-up<br>10.A condition which results from absence of second female sex Chromosome (XO) and is associated<br>with web neck, dwarfism, cubitus valgus, and infertility is known as which of the following?<br>Hermaphroditism<br>Turner&#8217;s syndrome<br>Adrenogenital syndrome<br>Androgen insensitivity syndrome<\/p>\n\n\n\n<p>NRNP 6675 Week 11 Final Exam 2022<br>(100% Correct Answers)<br>!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!<br>!!!!!!!!!!!!!!!!!!!!!!!!!<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Concerns when treating geriatric patients with psychotherapeutic<br>drugs include all of the following<br>EXCEPT:<br>\u2714A. Elderly persons may be more susceptible to adverse effects of<br>psychotherapeutic drugs.<br>\u2714B. Elderly persons may metabolize psychotherapeutic drugs more slowly.<br>C. Elderly persons may metabolize psychotherapeutic drugs more rapidly.<br>\u2714D. Elderly persons may excrete psychotherapeutic drugs more<br>slowly. Question 2<br>The treatment of others equitably and distribution of benefits\/burdens fairly is<br>known as which of the<br>following?<br>A. Fidelity<br>\u2714B. Justice<br>C. Beneficence<br>D. Nonmaleficen<br>ce<br>Question 3<br>Persons who subordinate their own needs to those of others, get other<br>to assume responsibility for major<br>areas of the lives, lack self-confidence, and may experience intense discomfort<br>when alone for more than<br>a brief period of time are demonstrating characteristics consistent with which<br>of the following personality<br>disorders?<br>A. Avoidant personality disorder<\/li>\n<\/ol>\n\n\n\n<p>B. Passive personality disorder<br>\u2714C. Dependent<br>personality disorder<br>D. Antisocial personality disorder<\/p>\n\n\n\n<p>Question 4<br>According to Sullivan, which of the following are consistent with a mentor\/mentee<br>relationship?<br>A. Mentors are assigned<br>B. Mentor relationships are shorter term<br>\u2714C. Goals for the mentoring relationship are set<br>mutually.<br>D. A and B only<br>Question 5<br>A form of child abuse in which a parent or caretaker repeatedly fabricates or<br>actually inflicts injury or<br>illness in a child for whom medical intervention is then sought, often in an<br>emergency setting, is known as<br>which of the following?<br>A. Korsakoff&#8217;s syndrome<br>B. Snyder&#8217;s syndrome<br>C. Munchausen syndrome<br>\u2714D. Munchausen syndrome<br>by proxy<br>Question 6<br>The need for nurse practitioners to practice to the full extent of their education<br>and training is necessary<br>for which of the following reasons? Select all that apply.<br>A. The growth in number and proportion of older Americans<br>\u2714B. The projected primary care physician shortage by 2025<br>\u2714C. Increased number of individuals who have access<br>to healthcare<br>\u2714D. The economic push for cost-effective healthcare<br>Question 7<br>The ARNP assessing lifestyle as a social determinant of health would ask about<br>which of the following?<br>\u2714A. Diet<br>B. Education<\/p>\n\n\n\n<p>C. Health literacy<br>D. Inherite<br>d<br>diseases<br>Question 8<br>In educating the patient beginning to take Lithium, the ARNP explains which of<br>the following related to<br>diet and fluid intake?<br>A. Caffeine and alcohol act as hydration agents and can raise<br>your lithium concentrations.<br>B. Drink at least a gallon or more of water per day and limit your salt intake.<br>C. If you go on a diet, your doctor may need to increase frequency of blood tests.<br>\u2714D. All of the<br>above Question 9<br>The goal of psychotropic treatment is to eliminate all manifestations of a<br>disorder to below the syndromal<br>threshold, which is defined as which of the following?<br>A. Response<br>\u2714B. Remission<br>C. Resistance<br>D.<br>Sensitization<br>Question 10<br>The NP can impact health policy and healthcare by doing which of the following?<br>A. Become an active member of local, state, and\/or national NP organizations.<br>B. Become familiar with the resources available on NP organization websites.<br>C. Volunteer to serve on legislative committees within<br>professional NP organizations.<br>\u2714D. All the above<br>Question 11<br>A term used to describe individuals and families who are found to live in<br>overcrowded homes, relocate<br>frequently, and struggle to pay rent and monthly expenses is which of the<br>following?<br>A. Homelessness<br>B. Housin<br>g<br>instability<br>C. Transiency<br>\u2714D. A and B<\/p>\n\n\n\n<p>1 \/ 43<br>NRNP 6675 Midterm Exam 2023<br>1.Discrepancy between anatomical sex and gender is known as ANS B)<br>Gender Discordance<br>2.Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply: ANS Rapid dose escalation; parental<br>route of admin- istration; higher potency typical antipsychotics<br>3.Antipsychotic medication provides D2 blockage in the meso-coritcal<br>path- way causing which of the following effects ANS B) Increases EPS<br>Incorrect: reduces negative s\/s, causes prolactinemia, reduces positive<br>symptoms<br>4.Phencyclidine (PCP) and ketamine exert their unique behavioral effects<br>by blocking which of the following receptors ANS D) NMDA type<br>receptors<br>Incorrect: GABA, serotonin, dopamine &#8220;receptors&#8221;<\/p>\n\n\n\n<p>2 \/ 43<br>5.The diagnosis used to describe a syndrome characterized by specific<br>s\/s resulting from recent ingestion or exposure to a substance is known as<br>which of the folllowing ANS C) Substance use disorder<br>Incorrect: substance intox, substance withdrawal, all of the above<br>6.Abnormal involuntary movements in a rhythmic pattern affecting the<br>face, mouth, tongue jaw is known as which of the following ANS C) Tardive<br>dyskinesia<br>Incorrect: akathisia, dystonia, EPS<br>7.A deeply held belief despite evidence to the contrary, lasting at least 1<br>month, without prominent hallucinations, with functional impairment<br>that relates to the delusional system disorder called ANS Delusional<br>disorder<br>8.Which of the following is true about preoccupation with castration ANS<br>A) This can be serious and life threatening if castration is carried out<br>without medical supervision<br>Incorrect: consistent with transvestiatic disorder, other specified<br>paraphillic disor- der, or sexual machochism disorder<\/p>\n\n\n\n<p>3 \/ 43<br>9.Which of the following is a system that provides a uniform language<br>for describing medical and surgical procedures and diagnostics<br>services rendered by clinicians ANS CPT<br>Incorrect: HIPPA, DSM5-, DRG<\/p>\n\n\n\n<p>4 \/ 43<br>10.A patient on Chlorpromazine states his orgasm is dry and afterwards<br>he will commonly have milky urine. The APRN realizes this is which of<br>the following ANS A) This is likely a harmless response to the<br>Chlorpromazine<br>&#8220;Thorazine&#8221;<br>11.A condition which results from absence of second female sex<br>chromo- some (XO) and is associated with web neck, dwarfism, cubitus<br>valgus and infertility is known as which of the following ANS B) Turners<br>Syndrome<br>Turners syndrome:<br>tx involves hormone therapy; fertility treatments for women when<br>they decide to have a baby<br>12.Which of the following would be characterized as a negative s\/s of<br>schiz- ophrenia ANS B &amp; C only<br>B) impaired social and occupational functioning<br>C) isolation and impaired self-care<br>13.Which of the following are keys to distinguishing OCD from<\/p>\n\n\n\n<p>1 \/ 15<br>NRNP 6675 FINAL EXAM LAST EXAM 2023<br>1.The 1\/2 life of lithium is about ANS 24 hours<br>2.Fluoxetine is the SSRI with the WD risk ANS lowest due to long<br>half life<br>3.What antipsychotics are good for pts who miss doses of their meds ANS<br>An- tipsychotics with long half-lives:<br>1.Cariprazine(Vrylar): (2-4 days-active metabolites up to 3 weeks)<br>2.Abilify (3 days)<br>3.Brexipiprazole (4 days)<br>4.Pimozide (4-5 days)<br>5.Pimavanserin (2 days, active metabolites 8 days)<br>4.Disulfiram&#8217;s alcohol interactions persist for up to how long after the<br>med- ication is stopped ANS LONG Half life&#8211;2-3 days<br>persist up to 2 weeks following stopping<\/p>\n\n\n\n<p>2 \/ 15<br>5.What is the only TCA with a long half life ANS Protriptyline (Vivactil)<br>6.Most psychotropics have a medium range 1\/2 life of approx ANS 24<br>hours<br>7.what does &#8220;steady state&#8221; mean in relation to 1\/2 life ANS steady state<br>means that you are eliminating the drug at the same overall rate that<br>you are ingesting it<br>8.Lithium reaches its &#8216;steady state&#8217; when ANS 5 half lives<br>example:<br>Day 1: Start pt on Lithium 600 mg daily<br>Day 2: (24 hours later) the amount left in his body is 300 mg (day 2<br>min) because 24 hours has passed&#8211;one 1\/2 life&#8211;therefore the pt has<br>excreted 1\/2 of the initial amount.<br>THEN the pt takes his 2nd dose of 600 mg on DAY 2-resulting in a<br>max dose of 900 (300 mg left in body + 600 mg of 2nd dose).<br>DAY 3: starts off with 450 mg (1\/2 of the 900 mg in pt&#8217;s system) and<br>after taking the day 3 600 mg dose, the pt now has a total of 1050<br>mg.<br>9.Due to the steady state of Lithium, when do we draw a blood level ANS 5<br>half lives<\/p>\n\n\n\n<p>3 \/ 15<br>if you check any earlier, the trough level will underestimate the actual<br>level the pt is on after achieving steady state<br>10.Fluoxetine has a half life of about ANS 2 weeks<br>1\/2 life take 2.5 months to achieve steady state<\/p>\n\n\n\n<p>4 \/ 15<br>11.Most psychotropic medications operate in this fashion ANS &#8220;when you<br>double the dose, the serum dose doubles.&#8221;<br>*minus three SRIs and three anticonvulsants (Fluoxetine,<br>fluvoxamine, paxil, gabapentin, valproate and carbamazepine)<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"12\">\n<li>induces it&#8217;s own metabolism, hastening excretion and<br>short- ening it&#8217;s half life: ANS A. Carbamazepine (Tegretol)<br>*this effect begins to &#8220;rev up&#8221; after 2-4 weeks&#8211;which is why a<br>carbamazepine level is so important on obtaining 1-2 months after<br>starting Tegretol.<br>13.Carbamazepine (Tegretol) level should be checked how soon after<br>start- ing to take this med ANS 1-2 months due to Tegretol inducing it&#8217;s<br>own metabolism, hastening excretion and shortening it&#8217;s half life.<\/li>\n\n\n\n<li>has trouble getting a &#8220;serum&#8221; level because it binds to<br>proteins that render it therapeutically inactive ANS A. Valproate Acid<br>(Depakote)<br>-this is particularly true at the lower levels (eg. &lt;50 mcg\/mL), so you<br>can expect dose changes to make a more dramatic difference when<br>the pt&#8217;s depakote level is in the higher range<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>NRNP 6675 Week 6 Midterm Exam 2022(100% Correct Answers) This is consistent with other specified paraphilic disorderThis is consistent with sexual masochism disorder8.Which of the following is a system that provides a uniform language for describing medical andsurgical procedures and diagnostic services rendered by clinicians?HIPPADSM-5CPTDRG9.A patient on Chlorpromazine states that his orgasm is dry and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-120985","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/120985","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=120985"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/120985\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=120985"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=120985"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=120985"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}