1. Discrepancy between anatomical sex and gender is known as? 2. Which of the following are risk factors for neuroleptic malignant syndrome? Select all
... [Show More] that apply 3. Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of the fol- lowing effects? 4. Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which of the following receptors? 5. The diagnosis used to describe a syndrome charac- terized by specific s/s resulting from recent ingestion or exposure to a substance is known as which of the folllowing? 6. Abnormal involuntary movements in a rhythmic pat- tern affecting the face, mouth, tongue jaw is known as which of the following? B) Gender Discor- dance Rapid dose es- calation; parental route of adminis- tration; higher po- tency typical an- tipsychotics B) Increases EPS Incorrect: reduces negative s/s, caus- es prolactinemia, reduces positive symptoms D) NMDA type re- ceptors Incorrect: GABA, serotonin, dopamine "receptors" C) Substance use disorder Incorrect: sub- stance intox, sub- stance withdrawal, all of the above C) Tardive dyski- nesia Incorrect: akathisia, dystonia, EPS 7. A deeply held belief despite evidence to the contrary, Delusional disor- lasting at least 1 month, without prominent hallucina- tions, with functional impairment that relates to the delusional system disorder called? 8. Which of the following is true about preoccupation with castration? 9. Which of the following is a system that provides a uniform language for describing medical and surgi- der A) This can be serious and life threatening if cas- tration is carried out without med- ical supervision Incorrect: consis- tent with transves- tiatic disorder, oth- er specified para- phillic disorder, or sexual ma- chochism disorder CPT cal procedures and diagnostics services rendered by Incorrect: HIPPA, clinicians? 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? 11. A condition which results from absence of second female sex chromosome (XO) and is associated with web neck, dwarfism, cubitus valgus and infertility is known as which of the following? DSM5-, DRG A) This is like- ly a harmless re- sponse to the Chlorpromazine "Thorazine" B) Turners Syn- drome Turners syn- drome: 12. Which of the following would be characterized as a negative s/s of schizophrenia? 13. Which of the following are keys to distinguishing OCD from psychosis? 14. A federal program administered nationally and locally which covers enrolled individuals 65+ who pays pre- miums and disabled individuals 15. Having an adequate legal description of nurse prac- titioner (NP) scope of practice according to state law is important for which of the following reasons? tx involves hor- mone therapy; fer- tility treatments for women when they decide to have a baby B & C only B) impaired social and occupational functioning C) isolation and impaired self-care Patients with OCD can almost always acknowledge the unreasonable na- ture of their symp- toms Both A& B (Medicare and Medicaid) All of the above (to avoid any charges of practic- ing medicine with- out a license, to place accountabil- ity for both bene- fits and harm to patients squarely on the NP, to get reimbursed for physician services 16. Which of the following is the most widely consumed psychoactive substance? when provided by a NP B) Caffeine Incorrect: alcohol, heroin, cannabis 17. Which of the following is used to tx TD? None of the above (cogentin, artane, catapress) 18. The APRN consensus model did which of the follow- ing? 19. Which of the following behaviors are associated with an alcohol blood level of 0.05%? 20. According to HIPPA, which of the following must the NP share their NPI with? Check all the above 21. A patient presents with delusions, disorganized thoughts, and speech with poor self care all of which B & C B) adult and gerontology were merged and iden- tified as PCP or acute care C) psychiatric mental health foci were stipulated as across the lifes- pan B) Thought judge- ment and re- straints are im- paired A) Health Plans B) Other providers C) Any entity that may need it for a billing purpose Schizophrenia has persisted for the past 7 months. The APRN knowns this presentation means what diagnosis? 22. Major neurotransmitters possibly involved in devel- oping substance abuse and substance dependence are which of the following? 23. The dopamine hypothesis of schizophrenia, which of the following? 24. A patient reports a panic attack several years ago in an elevator and since then has avoided elevators. The pt meets the criteria for: 25. A patient with a substance use disorder who does not meet clinical criteria for hospitalization but lacks sufficient social and vocational skills and lack sub- stance-free social supports is to 26. Obscene phone calling to an unsuspecting partner for sexual arousal is known as? 27. The main psychological difference between fear and anxiety is best described by which of these state- ments? A) Dopamine Incorrect: GABA, serotonin, A& B only A) Schizophrenia results from too much dopaminer- gic activity incorrect: results from a deprivation of dopamine B) Specific phobia D) All of the above (Residential tx, partial hospitaliza- tion, outpt tx) C) Telephone Scatologia (not telephillia, partialism, normal adolescent prank) B) Anxiety is insid- ious, fear is sud- den 28. 28. A diffuse, unpleasant, vague sense of apprehension often accompanied by autonomic symptoms varies upon persons is commonly known as which of the following? 29. If a pregnancy begins while the woman is taking high doses of methadone and withdrawal is desired during which trimester is the least hazardous? 30. Neurochemical or neurophysiological changes in the body that results from the repeated administration of a drug is known as which of the following? 31. The recurrent and intense sexual arousal from the physical and psychological suffering of another per- son is known as which of the following? 32. Which of the following is not consistent with the on- set of OCD? C) Normal anxiety (incorrect- fear, stress, pathologi- cal anxiety D) Withdrawal from methadone should never be done while the woman is preg- nant C) Neuroadaption incorrect: cross-tolerance, neurotransforma- tion, neurocognitive adjustment C) Sexual sadism D) The onset of OCD is typically preceded by OCD personality traits True answers about OCD: -more than 1/2 of pts with OCD have a sudden onset of symptoms -the onset of symptoms for about 50-70% of 33. The recurrent urge to expose one's genitals to a stranger is known ass which of the following? 34. Which of the following patients would be appropriate for hospitalization for substance use disorder? Se- lect all that apply 35. The nursing practice model recommendation for NPs by the NAtional Academy of Medicine and the Nation- al Council of State Boards of Nursing is which of the following? 36. Which of the following groups does medicare cover? Select all the above patients occurs af- ter a stressful event -most patients keep their symp- toms secret initial- ly C) Exhibitionism D) A&B only (Patients who have a sub- stance overdose who cannot be safely tx in an out- pt setting & pts who are at risk for severe or med- ically complicated withdrawal symp- toms A) Full practice A) Individuals 65+ years and older who have enrolled and pay premi- ums B) Disabled indi- viduals who quali- ty for social secu- rity disability pay- 37. Which of the following neurotransmitters increases libidio? 38. Which of the following factors are associated with poor prognosis for patients with OCD? 39. Which of the following is inconsistent with current knowledge about schizophrenia? 40. A chronic disorder characterized by repetitive hair pulling leading to variable hair loss that may be..to others known as? 41. Which of the following are risk factors for neuroleptic malignant syndrome? 42. A method of therapy used to tx individuals with sub- stance use based on the fundamental principle of a psychology that reinforced behaviors are likely to be..is known as the following? ments and bene- fits D) Dopamine Incorrect: GABA, serotonin, oxy- tocin D) A & C (Childhood onset & Co-existing ma- jor depressive dis- order) C) Dopamine lev- el is a laboratory tests that assists in the diagnosis of schizophrenia C) Trichotillomania B) Rapid dose es- calation C) Parental route of admin D) High poten- cy typical antipsy- chotics B) Contingency Management 43. 43. The conditions in which people are born, grow, work, Social determi- live and age are known as? nants of health 44. All of the following is consistent with the ANCCs rules A) You are re- regarding recertification EXCEPT: 45. Risks factors for school violence include which of the following? Select all that apply 46. Persons who subordinate their own needs to those of others, get others to assume responsibility for major areas in the lives, lack of self-confidence, and may experience intense discomfort when alone for more than a brief period of time are demonstrating char- acteristics with which of the following personality disorders? quired to have a maximum of 25 credit hours dur- ing each certifica- tion period Correct: B) you can start the recert process 1 year before your expiration date, but no later than 3 months before C) You must have 1000 clinical prac- tice hours in a clin- ical speciality with- in the preceding 5 years D) you must have at least 25 contact hours in pharma- cotherapy A) Bullying B) Being bullied C) Isolation C) Dependent per- sonality disorder Incorrect: avoid PD, passive PD, antisocial PD 47. Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the following lithi- um levels? 48. A form of child abuse in which a patient or character repeatedly fabricates or actually inflicts injury or ill- ness in a child for whom medical intervention is then sought in an ER is known as which of the following? 49. Self-care strategies for the ARNP in preparing for the certification exam include all of the following EX- CEPT? 50. A patient presents with a formal, tense manner. He reluctantly reports a longstanding (since early adult- hood) pervasive suspiciousness of others, preoccu- pied with..trustworthiness of friends, unjustified con- cerns about others deceiving him, angry about per- ceived insults and slights, reluctant to confide in the ARNP. The ARNP suspects that the pt likely has which of the following PDs? 51. A pt will a hx of alcohol use presents to the ED with oculomotor disturbances, cerebellar ataxia, and confusion. Symptoms are consistent with which of the following psychiatric emergencies? 52. Cluster A personality disorders are more common in biological families of pts with which of the following disorders? D) >25 mEq/L (TOXICITY) D) Munchausen Syndrome by Proxy D) plan to study for short periods over a longer period of time B) Paranoid PD Incorrect: schizoid PD, BDP, Antiso- cial PD C) Wernickes En- cephalopathy Incorrect: akathisia, korsakoff's syndromes, idiosyncratic alcohol intoxication D) Schizophrenia Incorrect: depres- sion, OCD, alcohol use disorder 53. NP core competencies for INDEPENDENT practice includes all of the following EXCEPT: B) Demonstrates the highest level of accountability for professional prac- tice 54. NP competencies for independent practice: A) Maintain a col- laboration agree- ment with physi- cian C) Practices inde- pendently manag- ing previously di- agnosed and un- der-diagnosed pts D) Practices pa- tient centered care recognizing cul- ture diversity and the pt or designee as a full practice in decision making 55. Cluster A personality traits consists of which of the following? 56. The misuse of the charge's funds for personal gain is known as which of the following? 57. the ARNP recognizes which of the following as long term effects of sex trafficking on victims? A) Schizotyp- al, schizoid, and paranoid subtypes C) Financial abuse /exploita- tion D) All of the above A) Severe depres- sion B) Spiritual ques- tions C) Trauma bond- ing 58. In about half of the cases in which suicides occur while pts are on a psychiatric unit, a lawsuit results; which of the following is NOT consistent with what courts..related to impatient psychiatric unit suicide events? 59. Cultural Dimensions Therapy is a framework for cross-cultural communication that describes the ef- fects of a society's culture on the values of its mem- bers..by which of the following therorists? 60. The tx of choice for pts with paranoid PD includes which of the following? 61. The differences in quality of healthcare actions across individuals or groups regard to access, tx options and p..following? 62. The incidence of suicide is highest for which of the following populations? 63. The pt on lithium with a hx of alcohol use disorder presents with dry mouth, ataxia, dizziness, abdominal pain, and slurred speech. The ARNP should do which of the following? 64. The ARNP takes a position in which a specific amount is paid according to a set job description. The ARNP should do which of the following? B) Courts pro- vide ZERO suicide rates in inpt set- ting A) Hofstede D) B&C B) Behavioral Therapy and C) Psychotherapy B) Health dispari- ties D) Older African American men C) The ARNP rec- ognizes the symp- toms of moder- ate lithium toxicity, discontinues the lithium immediate- ly, orders lithium level, serum elec- trolytes and renal function tests C) The ARNP rec- ognizes these are symptoms of mild to moderate lithi- um toxicity, dis- 65. The 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? 66. A PD characterized by emotional constriction, order- liness, perseverance, stubbornness, indecisiveness, a inflexibility as which of the following? 67. Which of the following is consistent with what is known about the epidemiology of anxiety? 68. Which of the following is consistent with NP practice parameters when prescribing buprenorphine? 69. Which of the following are consistent with current data related to the prevalence of drinking alcohol? continues the lithi- um immediately, orders a lithium level, serum elec- trolytes and renal function tests D) Hourly rate Obsessive com- pulsive PD B) Women have a higher lifetime prevalence of anx- iety than men D) the NP is re- quire to complete specific training to prescribe and dis- pense buprenor- phine B) Men and women with high- er education and income are more likely to drink alco- hol 70. A pt with hx of hypoglycemia reports feelings of fear, A_) GAD attrib- worry and restlessness that has persisted over the past 6 months. The pt states these feelings are worse when glucose is low. the ARNP suspects the pt has which of the following dx? utable to another medical condition 71. Which of the following is not consistent with benzo withdrawal? 72. Which of the following is true about the legal practice of the PMHNP? 73. Flashbacks in which the individual may act and feel as if the trauma were reoccurring represent which of the following clinical features of PTSD? B) The best way to proceed with ben- zo withdrawal is to stop it immediately and tx withdrawal s/s D) A&B only A) all have some degrees of pre- scriptive privileges in all states and the district of co- lumbia B) all are con- sidered primary providers in all states and the dis- trict of columbia A) Intrusion Symp- tom B) Symptom of Avoidance 74. In which ways are NPs and PAs different? D) A&B A) NPs differ from PAs in legal definition, scope of practice, licen- sure, and inde- pendence of prac- tice B) NPs practice under their own license and in- dependent of the 75. Which of the following initials would a PMHNP use to designate appropriate credentials? 76. Variations from norms in gender roles such as toy preferences, rough and tumble play, aggression, or playmate gender is known as which of the following? 77. 3 major neurotransmitters associated with anxiety, based on animal studies and response to drug tx include? 78. Which of the following is consistent with the epidemi- ology of schizophrenia in the US? 79. Clinical findings that may indicate abuse include which of the following? Select all that apply 80. According to the APA, which of the following is con- sistent with the EBP for telepsych? physician, PAs al- ways work under the supervision of a physician PMHNP-BC B) Gender role be- havior B) GABA, nor- epinephrine and serotonin D) Onset of schiz- ophrenia before the age of 25 is ex- tremely rare B) Explanation by the pt which is in- consistent with the type of injury C) Psychological distress such as depression, anx- iety, SI, and/or sleep disorder D) Explanation by the parent that is inconsistent with the type of injury B) In populations with severe anxi- ety, tele psychiatry is preferred 81. Which of the following is consistent with literature regarding the term psychosexual? 82. Bleuler identified 4 fundamental s//s of schizophre- nia, known as the 4 A's, which include which symp- toms? 83. The fear/anxiety regarding places from which escape may be difficult is known as which of the following: 84. All of the following are one of the 5 major categories of third-party payers EXCEPT: 85. Which of the following are risk factors for sexual assault EXCEPT: D) None of the above -psychosexual is used to describe personality devel- opment and func- tioning -psychosexual is synonymous with libidio in the Freudian sense -Psychosexual ba- sically refers only to sexual feelings and behavior A) Associations, Affect, Autism, Ambivalence C) Agoraphobia D) only A & B A) Medicare/med- icaid B) Managed care organization (MCOs) A) Religion Incorrect: seri- ous mental ill- ness, substance use disorder, fam- ily hx of sexual abuse 86. Which of the following is consistent with what is known about PP depression? 87. Affirmatively acting to benefit another or others, go- ing beyond what is required by law is known as which of the following?> 88. Which of the following is used for treating alcohol de- pendence individuals seeking to continue to remain alcohol free after they have stopped drinking? 89. The NP can impact health policy and healthcare by doing which of the following? D) All of the above (feelings of guilt/ and inadequacy are often pre- sent and exces- sive; thoughts of harming the baby are often pre- sent; typical on- set is within 3-06 months of deliv- ery) C) Beneficence D) Acamprosate D) All of the above -becomes an ac- tive member of lo- cal, state, and/or national NP -becomes familiar with the resources available on NP organization web- sites -Volunteer to serve on legis- lature committees within professional NP organizations 90. The tx of others equitably and distribution of bene- fits/burdens fairly is known as? 91. Which of the following is INCONSISTENT with current literature about victims of sexual abuse? 92. Which of the following would constitute negligence? Select all that apply 93. Which of the following developed a biblically-based cultural competence model for healthcare profes- sionals? 94. the ARNP recognizes which of the following as long term effects of sex trafficking on victims? 95. A patient appears odd, with a pervasive hx of magical thinking, ideas of reference, illusions or derealization. This is consistent with which of the folllowing PDs? 96. Which of the following are criteria for a particular suicide to be considered inevitable? B) Justice C) The pre-ex- isting relationship and\ familiarity with the abuser may impeded the victim's ability to make rational de- cisions A) Failure to give necessary care B) Failure to refer when necessary C) Failure to follow up with a patient D) Failure to dis- close necessary info to a patient B) Camipinha-Ca- cote` D) All of the above -severe depres- sion -spiritual ques- tions -trauma bonding C) Schizotypal PD D) All of the above -strong genetic hx 97. A pt with a hx of alcohol use disorder presents to the ED with oculomotor disturbances, cerebellar ataxia, and confusion. The ARNP recognizes these symp- toms as consistent with which of the following psych emergencies? 98. The emotional burnout and lack of empathy towards clients that healthcare providers experience after treating victims is known as the following? 99. The ACE study found that which of the following relationships between child traumatic events and high-risk behaviors exhibited by adults? 100. Walking on eggshells and appeasement/avoidance behaviors by the victim is characteristic of which phase of the cycle of DV? of suicide in one or more family mem- bers -a strong genetic loading of mental illness in the family -the pt may have received the high- est standard of tx and that txd failed C) Wernicke's en- cephalopathy B) Primary traumatization D) The study re- vealed an indirect relationship be- tween child trau- matic events and high risk adult be- haviors A) Honeymoon phase 101. What are the different phases of DV? 1. Tension building phase 2. Incident 3. Reconciliation 4. Calm 102. B) Memantine The only appproved therapy in the US for moderate to severe Alzheimers Disease is which of the following? 103. Memantine is? A) Namenda, cognition enhanc- ing medication for alzheimers/de- mentia 104. A term that defines a person who has distress with clinical symptomology because their gender identity is not consistent with gender assigned at birth is which of the following? 105. Narcissistic, borderline, antisocial, and histrionic subtypes are associated with which cluster of PDs? D) Gender Dys- phoria B) Cluster B 106. Odd, eccentric cluster of PDs? Cluster A a. Paranoid PD b. Schizoid PD C. Schizotypal PD 107. Characterized by appearing dramatic, emotional, or erratic PD? 108. inner emptiness, unstable relationships and emotion- al dysregulation? Cluster B a., antisocial b. borderline c. histrionic d. narcissistic BPD 109. Attention seeking and excessive emotionability? Histrionic 110. Social irresponsibility, diregard for others, deceitful- ness, and manipulation of others for personal gain Antisocial 111. Narcissistic PD Self-grandiosity, need for admiration and lack of em- pathy 112. Eccentric ideas and behaviors PD? Schizotypal PD 113. Disinterest in others PD? Schizoid 114. Mistrust and suspicion PD? Paranoid PD 115. Characterized by appearing anxious or fearful. it in- cludes which PDs? Cluster C a. avoidant PD b. dependent PD c. obsessive com- pulsive PD 116. Perfectionism, rigidity and obstinacy traits PD? OCD PD 117. Avoidance of interpersonal contact due not rejection sensitivity PD? `Avoidant 118. Submissiveness and a need to be taken care of PD? Dependent PD 119. Which of the following is NOT consistent with recom- mendations for psychiatric hx taking and the MSE of older adults? 120. Low health literacy has been linked with which of the following? B) Pt should be seen alone even in cases of clear ev- idence of impair- ment to persevere the privacy of a doctor/pt relation- ship D_ All of the above -poor health out- comes -lower rates of hospitalization -less frequent use 121. A claim of malpractice requires that a patient/plaintiff prove which of the following? Select all that apply 122. According to USDHHS and the Federal Bureau of Pri- mary Health Care, which of the following individuals would be considered homeless? 123. A particular form of psychotherapy used for pts with BPD, especially those with parasuicidal behaviors, such as frequent cutting is known as which of the following? of preventative services A) The existence of a client-pro- fessional relation- ship--duty ti care C) a causal link b/t the provider's fail- ure to confirm to tx standards and harm to the pt D) Actual injury to the pt D) All of the above -an individual whose primary residence during the night is a supervised public or private facility that provides tem- porary living ac- commodations -an individual who is a resident in transitional hous- ing -a person who is living w /a friend` A) DBT incorrect: mental- ization based tx; transference fo- cused psychother- 124. 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 consis- tent with common recommendations for good sleep hygiene? 125. The need for NPs to practice to the full extent of their education and training is necessary for which of the following reasons? Select all of the above 126. according to Freud, stubborn, parsimonious and highly conscientious traits are associated with? 127. Freud's Psychosexual Theory and 5 Stages of Human Development? apy and exposure therapy` B) Set a cool room temp True sleep hy- giene tips: -avoid alcohol and caffeine -set TV to turn off within 1 hr of falling asleep -go to bed at the same time each night A) The growth in number and pro- portion of older Americans B) The projected PCP shortages by 2025 C) increased num- ber of individuals who have access to healthcare B) Anal stage 1. Oral stage 2. Anal stage 3. Phallic stage 4. Latent stage 5. genital stage 128. The mouth, sucking, swallowin ect Stage 1- oral stage 129. EGO develops in which phase? ORAL phase 1 130. The penis or vagina-sexual intercourse? Stage 5 genital 131. `The anus- withholding or expelling feces 2. Anal stage 132. Little to no sexual motivation present? Stage 4. Latent phase 133. The penis or clitoris- masturbation Stage 3 Phallic 134. the SUPEREGO develops at what phase? Stage 3 Phallic 135. Features that point to a medical cause of a mental disorder includes which of the following? 136. A patient currently on risperidone presents to the ED with increased agitation, restlessness, muscle dis- comfort and dysphoria. the ARNP recognizes these symptoms of akathisia and recommends which of the following? Select all that apply 137. Self-care strategies in preparation for the certificate exam includes all of the following EXCEPT: D) A& C A) Acute onset C) Visual halluci- nations B) Benztropine IM only incorrect: re- duce antipsychot- ic dosage, Be- nadryl PO or IM, B&C only C) Drink lots of caffeine and eat high concentrated sugars good self care strategies: -plan to study for short periods over a long time -study in a distrac- 138. Which of the following professionals would be able to precept a NP student? 139. the ARNP is txing a 27 year old female who bipolar disorder who is obese and has renal; dysfunction. Which of the following is true? 140. Pts with this PD are described as excitable, emotion- al and behave in a colorful, dramatic, extroverted, attention-seeking fashion, often with an inability to maintain deep long-lasting attachments 141. a PD characterized by emotional constriction, order- liness, perseverance, stubbornness, indecisiveness and a pattern of perfectionism and inflexibility is known as which of the following? 142. Which of the following core competencies are quality competencies? tion free environ- ment -6-8 hours of sleep is recommended D) A&B A) ARNP B) Physician C) An atypi- cal antipsychotic such as olanzap- ine or risperidone should be used B) Histrionic PD D) OCD PD D) A&C A) use best available evidence to continually im- prove quality of practice C) evaluates the relationship among access cost quality safety and their influence on health care 143. Non-pharmacologic tx for abuse includes all of the following EXCEPT: D) Involve the abuser in the tx planning Non-pharmacolog- ic tx options for abuse victims? -CBT -build a communi- ty of support -assist pt to devise a safe escape plan 144. a PD characterized by extraordinarily unstable affect, BPD mood, behavior, object relations and self-image is known as? 145. A particular form of psychotherapy based on Otto Kernbeg's object relations theory is known as which of the following?> 146. generalized convulsions, oliguria, and renal failure are symptoms seen with which of the following Lithi- um levels? 147. nausea, vomiting, anorexia, blurred vision, clonic limb movements, convulsions, oliguria and renal fail- ure C) Transfer- ence-focused psy- chotherapy C) > 2.5 mEq/L Moderate Lithium toxicity: 2.0-2.5 148. Lithium therapeutic window 0.6-1.2 mEq/L 149. first med approved for bipolar d/o lithium 150. Common side effects of Lithium, tremor, nausea., fatigue, increased thirst, slowed thinking 151. Important serious side effects of Lithium: hypothyroidism, weight gain, diabetes insipidus, and lithium toxicity 152. How do we decrease the risk of lithium toxicity? Blood level moni- toring therapeutic range: 0.6 - 1.2 153. Lithium levels are known to (increase/decrease) when used concurrently with diuretics, thiazides, ACE inhibitors and NSAIDs? 154. Lithium levels are known to (increase/decrease) when used with drugs including caffeine, acetazo- lamide and theophylline 155. concurrent use of lithium and antidepressants and/or antipsychotics can cause what? 156. The term "suicide survivor" refers to which of the following? 157. At a minimum, a psychiatric evaluation in an emer- gency should include which of the following? Select all the above 158. A pt presents with a formal, tense manner. He re- luctantly responds a longstanding (since early adult- hood) pervasive suspiciousness of others, preoccu- pied with trustworthiness of friends, unjustified con- cerns about others deceiving him, angry about per- ceived insults and slights, reluctant to confide in the Increase ACE inhibitors: lisinopril, catopril, enalapril Decrease Serotonin syn- drome & Neu- roleptic malignant syndrome A) those who have lost a loved one to suicide C) is the problem organic, functional or a combination? B) Paranoid PD ARNP. The ARNP suspects the pt likely has which of the following PDs? 159. The obligation to not inflict harm or balancing un- avoidable harm with benefits of good achieved is known as which of the following? 160. `In about 1/2 the cases in which suicides occur while pts are in a psychiatric unit, a lawsuit occurs. Which of the following is NOT consistent with what court expects related to inpt psych unit suicide events? 161. Using the LIAASE: A general cultural competency tool, the ARNP would do which of the following? 162. Which of the following is NOT consistent with what is known about PP psychosis? 163. Concerns when treating geriatric patients with psy- chotherapeutic drugs includes all of the following EXCEPT: 164. A clause in an employment contract that specifies that an employer and employee may end the working B) Beneficence D) Evidence of for- mulation of a tx plan with a high level of security D) all of the above -agree to disagree on differences in values -solicit other op- tions or points of view -acknowledge and validate powerful emotions when expressed A) symptoms of PP psychosis can often begin within days of delivery B) Elderly per- sons may be more susceptible to adverse effects of psychothera- peutic drugs C) Termination clause agreement without cause within a specific number of days is known as which? 165. Standards of care are now being set, modified, monitored and publicized by certain self-appointed consumer-oriented agencies as well as government agencies, including which of the following? 166. The differences in the quality of healthcare across individuals and groups in regards to access of care, treatment options, and preventative services is known as? 167. Which of the following medical conditions can pre- sent with prominent mental status changes that mim- ic common psychiatric illnesses. Select all that apply 168. Risks factors for school violence include which of the following? Select all the above 169. Being knowledgeable about one's own thoughts, feel- ings and sensations as well as the ability to reflect on how these can affect one's interactions with others is known as? 170. A pt 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 PDs? D) All of the above -Medicare -the Joint Com- mission -The agency for healthcare re- search and quality B)Health dispari- ties incorrect: racism, vulnerable popula- tions, SDOH B) Thyroid dis- eases C) Head trauma Incorrect: DM, AIDS A) bullying B) being bullied C) Isolation A) Cultural aware- ness D) Narcissistic PD 171. Which of the following meds are associated with neural tube defects when given during pregnancy? 172. curriculum content supports the NP scientific com- petency area includes which of the following? Select all that apply 173. Self-injurious behaviors with a nonfatal outcome, ac- companied by explicit or implicit evidence that the person intended to die, is most specifically known as what? 174. The ARNP is working with a pt who has heightened sense of self-importance and grandiose feelings of uniqueness. The pt also lacks empathy for others, although is very sensitive to minor criticisms. The ARNP recognizes these s/s as consistent with which of the following PD? 175. The degree to which individuals have the cognitive and social capacity to access, process, and utilize ba- sic health info and services to maintain good health, make appropriate health decisions and meet their goals is known as? 176. Risk factors for physical abuse includes all of the following EXCEPT: C. Valproic acid A) Comparison of pt data sets with evidenced based standards to im- prove care B) Science from other disciplines relevant to heath care C) Suicide attempt C) Narcissistic PD A) Health Literacy A) Literacy Risk factors for physical abuse?: -pregnancy, seri- ous mental illness, hx of victimization during the devel- opmental years 177. According to Freud, passive and dependent person- ality traits are associated with which stage of devel- opment? B) Anal stage 178. Sexual assault is most often which of the following? C) family member incorrect: stranger, acquaintance, professional 179. Which of the following is the tx of choice for pt's with depressive personality? 180. Which of the following medications is associated with Ebstein's anomaly when gievn during pregnancy? 181. In Canterbury v Spence in the US 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) Exposure ther- apy incorrect: light ex- posure therapy, in- sight oriented psy- chotherapy, trans- magnetic stimula- tion (TMS) B) Lithium *Actually a very small risk to preg- nancy-- should be used more D) inform the pt about precaution- ary therapy that he or she should seek in the future 182. Ethnocentrism results in which of the following? C) Provides care- givers with the ability to better care for pt's of var- ious culture 183. Which of the following demographic characteristics is consistent with high suicide risk? 184. An ARNP takes a position in which the ARNP is guar- anteed 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? 185. Which of the following is NOT consistent with guide- lines as a mentor? 186. Which stage of the cycle of DV is characterized by overt aggressive D) Over 45 years of age C) Base salary plus percentage D) Be specific and kind when giving constructive feed- back that ay not be what the mentee might want to hear 187. Cluster A PD includes which 3 disorders? Schizotypal, schizoid, paranoid subtypes 188. Cultural dimensions therapy: Hofstede describes the ef- fects of a society's culture on the val- ues of its mem- bers 189. Tx of choice with a pt with paranoid PD? B&C -behavioral thera- py -psychotherapy 190. Which of the following is NOT a common physical effect of cannabis? B) Mild bradycar- dia 191. s/.s of cannabis physical effects? Mild tachycardia, orthostatic hy- potension, dilation of the conjunctival blood vessels 192. A conscious standard recurrent behavior such as counting, checking, avoiding that interferes with the person's normal routine and functioning is known as? 193. Most everyone has a firm conviction that they are male or female by which age range? 194. A pt who presents absent movements with difficulty starting activities, flat affect and avolition would be assessed as having? 195. What of the following is consistent with current epi- demiology literature about gender and OCD? 196. A type of schizophrenia in which the individual has a marked disturbance of motor function and may in- volve stupor, negativism, rigidity, excitement or pos- turing or mutism is? A_ Compulsion B) 2-3 years of age D)_ Pse- duo-parkinsonism D) Adult men and women are equal- ly likely to have OCD B) Catatonic 197. A pt who presents with the inability to remain still with B) Akathisia motor restlessness, would be assessed to have? 198. method of therapy used to tx individuals with sub- stance use disorders? B) Contingency Management 199. Ethnocentrism results in which of the following? C) provides care givers the ability to care for pts of var- ious cultures 200. D) Over age 45 Which of following demographic characteristics is consistent with high suicide risk? 201. In educating the pt beginning to take Lithium, the ARNP explains which of the following is related to diet and fluid intake? 202. Three major neurotransmitters associated with ANX- IETY, based on animal studies and response to drug tx include? D) All of the above -caffeine and al- cohol act as hy- dration agents and can raise your lithi- um concentrations -drink @ least 1 gal of water or more each day & limit your salt in- take -if you go on A diet, your doctor may need to in- crease the fre- quency of blood tests B) GABA, nor- epinephrine and serotonin 203. What neurotransmitter increases libidio? D) Dopamine 204. Concerns when treating geriatric pts with psy- chotherapeutic drugs includes all of the following EXCEPT? 205. Concerns when treating geriatric pts with psy- chotherapeutic drugs? C) Elderly per- sons may metab- olize psychothera- peutic drugs more rapidly A) Elderly peo- ple can be more susceptible to ad- verse effects of drugs B) Elderly per- 206. Persons who subordinate their own needs to those of others, get other to assume responsibility for ma- jor areas of their lives, lack self-confidence and may experience intense discomfort when alone for more than a brief period of time are demonstrating charac- teristics consistent with what PD? 207. According to Sullivan, which of the following are con- sistent with a mentor/mentee relationship? 208. The need for NPs to practice to their full extent of their education and training is necessary: select all of the above sons may metab- olize drugs more slowly D) Elderly peo- ple may ex- crete psychother- apeutic drugs more slowly. C) Dependent PD C) Goals for the mentoring re- lationship are set mutually incorrect: men- tors are assigned; mentor relation- ships are shorter term; A&B only ALl of the above 209. The ARNP assessing lifestyle as a social determinant A) Diet of health would ask about which of the following? 210. What are social determinants of health and lifestyle choices? The social deter- minants of health (SDH) are the non-medical fac- tors that influ- ence health out- 211. In educating the pt about Lithium, the NP explains which of the following is related to diet and fluid intake? 212. The goal of psychotropic tx is to eliminate all manifes- tations of a disorder to below the syndromal thresh- old, which is defined as which of the following? 213. The NP can impact health policy and healthcare by doing which of the following? 214. A term used to describe individuals and families who are found to live in overcrowded homes, relocate fre- quently and struggle to pay rent and monthly expens- es is which of the following? [Show Less]