6675 Midterm Exam Questions Walden university

6675 midterm Exam Questions Walden university

 

Question 1     1 pts

Neurochemical or neurophysiologic changes in the body that result from the repeated administration of a drug is known as which of the following?

Group of answer choices

 

Cross-tolerance

 

Neurotransformation

 

Neuroadaptation

 

Neurocognitive adjustment

 

Question 2               1 pts

Recurrent, persistent genital pain occurring before, during, or after intercourse is known as which of the following?

Group of answer choices

 

Vaginismus

 

Dyspareunia

 

Female orgasmic disorder

 

Female sexual interest/arousal disorder

 

Question 3              1 pts

Which of the following is true about preoccupation with castration?

Group of answer choices

 

This can be serious and life-threatening if castration is carried out without medical supervision.

 

This is consistent with Transvestic Disorder.

 

This is consistent with other specified paraphilic disorder.

 

This is consistent with sexual masochism disorder.

 

Question 4              1 pts

The three major neurotransmitters associated with anxiety, based on animal studies and response to drug treatment, include which of the following?

Group of answer choices

 

Glutamate, Norepinephrine, Serotonin

 

GABA, Norepinephrine, Serotonin

 

GABA, Dopamine, Glutamate

 

Dopamine, Norepinephrine, Serotonin

 

Question 51 pts

Which of the following symptoms would suggest an underlying medical issue in a patient experiencing panic-like symptoms?

Group of answer choices

 

Ataxia

 

Nausea

 

Sweating

 

Palpitations

 

Question 61 pts

Which of the following anticholinergic medications is used to treat extrapyramidal symptoms?

Group of answer choices

 

Diphenhydramine

 

Amantadine

 

Propranolol

 

Benztropine

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Question 71 pts

An acute neurological disorder characterized by ataxia, vestibular dysfunction, confusion, and a variety of ocular motility abnormalities is known as which of the following?

Group of answer choices

 

Korsakoff’s syndrome

 

Alcohol-induced dementia

 

Wernicke’s encephalopathy

 

Idiosyncratic Alcohol Intoxication

 

Question 81 pts

Activities, interests, use of symbols, styles, or other personal and social attributes that are recognized as masculine or feminine is known as which of the following?

Group of answer choices

 

Gender identity

 

Gender role behavior

 

Gender discordance

 

Internalizes sexual prejudice

 

Question 91 pts

Which of the following neurotransmitters exerts an inhibitory effect of sexual function?

Group of answer choices

 

Dopamine

 

Oxytocin

 

Serotonin

 

Glutamate

 

Question 101 pts

A diffuse, unpleasant, vague sense of apprehension, often accompanied by autonomic symptoms which varies among persons is commonly known as which of the following?

Group of answer choices

 

Fear

 

Stress

 

Normal anxiety

 

Pathological anxiety

 

Question 111 pts

A recurrent intrusive thought, feeling, idea, or sensation that causes severe distress to the individual is known as which of the following?

Group of answer choices

 

A compulsion

 

An obsession

 

A specific phobia

 

Normal

 

Question 121 pts

Symptoms of opioid intoxication include which of the following?

Group of answer choices

 

Altered mood

 

Psychomotor retardation

 

Impaired memory

 

All of the above

 

6675 Midterm Exam Questions Walden university Question 13    1 pts

As a Medicare Part B provider, you should do which of the following?

Group of answer choices

 

1. Obtain billing information at the time service is rendered.

 

1. Obtain payment at the time service is rendered.

 

1. Submit an explanation of benefits (EOB) form with all appropriate MSP information to the designated carrier.

 

1. A and C only

 

Question 141 pts

Which of the following is the most widely-consumed psychoactive substance?

Group of answer choices

 

Alcohol

 

Caffeine

 

Heroin

 

Cannabis

 

Question 151 pts

Nsytagmus, or marked slurring of speech and blackouts, are likely impairments at which of the following blood alcohol concentrations?

Group of answer choices

 

30 – 80 mg/dL

 

80 – 200 mg/dL

 

200 – 300 mg/dL

 

300 – 400 mg/dL

 

Question 161 pts

Recurrent preoccupation with sexual urges and fantasies involving the act of being humiliated, beaten, bound, or otherwise made to suffer is known as which of the following?

Group of answer choices

 

Frotteurism

 

Sexual Sadism

 

Sexual Masochism*

 

Other Specified Paraphilic Disorder

 

Question 171 pts

Which of the following is inconsistent with current knowledge about schizophrenia?

Group of answer choices

 

Schizophrenia is one of the most common of the serious mental disorders.

 

A diagnosis of schizophrenia is based entirely on the psychiatric history and mental status examination.

 

Dopamine level is a laboratory test that assists in the diagnosis of schizophrenia.

 

Schizophrenia likely comprises a group of disorders with heterogeneous etiologies and variable presentations.

 

Question 181 pts

A continuous or intermittent craving for the substance to avoid a dysphoric state is known as which of the following concepts related to substance use and addictive disorders?

Group of answer choices

 

Addiction

 

Physical dependence

 

Behavioral dependence

 

Psychological dependence

 

Question 191 pts

The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was developed for which of the following purposes?

Group of answer choices

 

1. To facilitate a seamless transition into immediate use by clinicians and insurers to maintain continuity of care

 

1. To facilitate more precisely identifying and diagnosing mental disorders

 

1. To eliminate need for ICD-9 codes

 

1. A and B

 

Question 201 pts

A patient states that he continues to be late for work because he finds himself making multiple trips into the house to check that the stove is off prior to leaving, due to concerns about the stove being completely off. The ARNP recognizes this as which of the four major symptom patterns of OCD?

Group of answer choices

 

Contamination

 

Pathological doubt

 

Intrusive thoughts

 

Symmetry

 

6675 Midterm Exam Questions Walden university  Question 21 1 pts

Which of the following statements is NOT consistent with literature related to the prevalence of drinking alcohol with respect to ethnicity?

Group of answer choices

 

Irish populations have higher rates of severe alcohol problems and higher rates of abstentions.

 

Among religious denominations, Jewish populations have the highest proportion of people who consume alcohol but lower rates of alcohol dependence.

 

More than 60 percent of men and women in Native American and Inuit populations have been alcohol dependent at some time.

 

Caucasians have the lowest rate of alcohol use.

 

Question 221 pts

Excess of which of the following neurotransmitters is associated with both positive and negative symptoms in schizophrenia?

Group of answer choices

 

Dopamine

 

Serotonin

 

Norepinephrine

 

GABA

 

Question 231 pts

Telepsychiatrists adjust clinical care in which of the following ways to make it as personal as in- person care?

Group of answer choices

 

Use fewer physical gestures as patients are not able to clearly appreciate them anyway.

 

Check in with the patient to see how the patient is experiencing telepsychiatry.

 

Insist every other appointment is an in-person appointment.

 

Send things to the patient such as a box of tissues to facilitate the patient feeling cared for.

 

Question 241 pts

Antipsychotic medications can cause metabolic symptom. Which of the following is not consistent with metabolic syndrome?

Group of answer choices

 

Obesity

 

Dyslipidemia

 

Hypotension

 

Impaired glucose tolerance

 

Question 251 pts

Which of the following is true about the legal practice of the psychiatric-mental health nurse practitioner?

Group of answer choices

 

1. All have some degree of prescriptive privileges in all states and the District of Columbia.

 

1. All are considered primary providers in all states and the District of Columbia.

 

1. All have the ability to manage patients medically within their scope of practice without a collaborative practice agreement.

 

1. A and B only

 

Which of the following factors are associated with poor prognosis for patients with OCD?

6675 Midterm Exam Questions Walden university Group of answer choices

 

1. Childhood onset

 

1. The presence of a precipitating event

 

1. Co-existing major depressive disorder

 

1. A and C

 

Question 271 pts

A patient with a history of Alcohol Use Disorder presents with confusion, clouding of consciousness, myoclonus, oppositional hypertonia, fatigue, apathy irritability, anorexia, and insomnia. Symptoms do not improve with thiamine treatment. This presentation is consistent with which of the following?

Group of answer choices

 

Wernicke-Korsakoff syndrome

 

Idiosyncratic alcohol intoxication

 

Alcoholic pellagra encephalopathy

 

Alcohol-induced Persisting Dementia

 

Question 281 pts

Usually characterized by a man’s rubbing his penis against the buttocks or other body parts of a fully clothed woman to achieve orgasm is known as which of the following?

Group of answer choices

 

Voyeurism

 

Fetishism

 

Frotteurism

 

Partialism

 

Question 291 pts

Individuals with posttraumatic stress disorder show symptoms in which of the following domains?

Group of answer choices

 

Intrusion symptoms

 

Symptoms of avoidance

 

Increased autonomic arousal

 

All of the above

 

Question 301 pts

Flashbacks in which the individual may act and feel as if the trauma were reoccurring represent which of the following clinical features of PTSD?

Group of answer choices

 

Intrusion symptom

 

Symptom of avoidance

 

Symptom of increased autonomic arousal

 

Derealization

 

Question 311 pts

A disorder characterized by an emotional response to a stressful event within three months of the stressor is known as which of the following?

Group of answer choices

 

Insomnia

 

Conduct Disorder

 

Adjustment Disorder

 

Generalized Anxiety Disorder

 

Question 321 pts

Which of the following is a guideline for prescribing legally?

Group of answer choices

 

Prescribe the right medicine at the right times for the right indication for the right patient.

 

If there is a practice protocol or guideline in the facility, follow it.

 

If there is no facility-wide protocol for prescribing, the standard of care for prescribing may be assumed to be the Physician’s Desk Reference or Epocrates.

 

All the above

 

Question 331 pts

Antipsychotic medications provide D2 blockade in the mesolimbic system which results in which of the following?

Group of answer choices

 

Decrease positive symptoms

 

Reduce positive symptoms

 

Increase extrapyramidal symptoms (EPS)

 

Decrease extrapyramidal symptoms (EPS)

 

Question 341 pts

According to the AANP State Practice Environment, the following statement is consistent with which level of practice?

 

“State practice and licensure laws restrict the ability of NPs to engage in at least one element of NP practice. State law requires career-long supervision, delegation or team management by another health provider in order for the NP to provide patient care.”

 

Group of answer choices

 

Full practice

 

Reduced practice

 

Restricted practice

 

None of the above

 

Question 351 pts

The nursing practice model recommended for NPs by the National Academy of Medicine and the National Council of State Boards of Nursing is which of the following?

Group of answer choices

 

Full practice

 

Reduced practice

 

Restricted practice

 

Arbitrary practice

 

Question 361 pts

Obscene phone calling to an unsuspecting partner for sexual arousal is known as which of the following?

6675 Midterm Exam Questions Walden university Group of answer choices

 

Telephilia

 

Partialism

 

Telephone scatologia

 

Normal adolescent prank

 

Question 371 pts

Testosterone increases libido in which of the following?

Group of answer choices

 

Testosterone increases libido in men.

 

Testosterone increases libido in women

 

Testosterone increases libido in men and women.

 

Testosterone effects male characteristics but is not instrumental in libido.

 

Question 381 pts

Which of the following patients would be appropriate for hospitalization for substance use disorder? Select all that apply.

Group of answer choices

 

1. Patients who have a substance overdose who cannot be safely treated in an outpatient setting

 

1. Patients who are at risk for severe or medically complicated withdrawal syndromes

 

1. Patients who have a history of not benefiting from treatment in a less intensive setting

 

1. A and B only

 

Question 391 pts

A patient reports having a panic attack several years ago in an elevator and since then has avoided using elevators. This patient meets criteria for which of the following?

Group of answer choices

 

Social phobia

 

Specific phobia

 

General anxiety disorder unspecified

 

Obsessive-compulsive disorder

 

Question 401 pts

A condition which results from absence of second female sex chromosome (XO) and is associated with web neck, dwarfism, cubitus valgus, and infertility in known as which of the following?

Group of answer choices

 

Hermaphroditism

 

Turner’s syndrome

 

Adrenogenital syndrome

 

Androgen insensitivity syndrome

 

Question 411 pts

Which of the following genotypes is consistent with being identified as genetically male?

Group of answer choices

 

XX

 

XY

 

XA

 

XM

 

Question 421 pts

Which of the following are keys to distinguishing OCD from psychosis?

Group of answer choices

 

Patients with OCD can almost always acknowledge the unreasonable nature of their symptoms.

 

Patients with OCD are better able to control their compulsions.

 

Patients with psychosis will have more obsessive thoughts.

 

Patients with OCD have less bizarre obsessions.

 

Question 431 pts

Which of the following are consistent with current data related to the prevalence of drinking alcohol?

Group of answer choices

 

Men and women with higher education and income are less likely to drink alcohol.

 

Men and women with higher education and income are more likely to drink alcohol.

 

Men and women with lower education and higher income are more likely to drink alcohol.

 

Education and income are not a factor in prevalence of drinking alcohol.

 

Question 441 pts

An adaptive response to threat that prepares the organism for flight or fight is known as which of the following?

Group of answer choices

 

Anxiety

 

Specific phobia

 

Generalized anxiety disorder

 

None of the above

 

Question 451 pts

Billing responsibilities related to Medicare providers include which of the following?

Group of answer choices

 

Collecting patient employment and insurance information

 

Identifying payers other than Medicare

 

Determining if Medicare is a primary or secondary provider

 

All of the above

 

Question 461 pts

Antipsychotic medications provide D2 blockade in the nigrostriatal, which causes which of the following?

Group of answer choices

 

Prolactinemia

 

Galactorrhea

 

Gynecomastia

 

Extrapryramidal symptoms (EPS)

 

Question 471 pts

A chronic disorder characterized by repetitive hair pulling, leading to variable hair loss that may be visible to others is known as which of the following?

Group of answer choices

 

Obsessive-Compulsive Disorder

 

Impulse Control Disorder

 

Trichotillomania

 

Factitious Dermatitis

 

Question 481 pts

Methadone withdrawal usually begins how soon after the last dose?

Group of answer choices

 

6–8 hours after the last dose

 

8–12 hours after the last dose

 

24 hours after the last dose

 

1–3 days after the last dose

 

Question 491 pts

If a pregnancy begins while the woman is taking high doses of methadone and withdrawal is desired, during which trimester is this least hazardous?

Group of answer choices

 

First trimester

 

Second trimester

 

Third trimester

 

Withdrawal from methadone should never be done while the woman is pregnant.

 

Question 501 pts

Which of the following neurological symptoms are consistent with inhalant use?

Group of answer choices

 

Sensory illusions, distortions of body size

 

Fearfulness, auditory and visual hallucinations

 

Irritability, emotional lability, euphoria

 

Slurred speech, decreased rate of speech, ataxia

 

Question 511 pts

The recurrent urge to expose one’s genitals to a stranger is known as which of the following?

Group of answer choices

 

Fetishism

 

Voyeurism

 

Exhibitionism

 

Paraphilic disorder

Question 521 pts

Which of the following is consistent with literature regarding the term psychosexual?

Group of answer choices

 

Psychosexual is used to describe personality development and functioning.

 

Psychosexual is synonymous with libido in the Freudian sense.

 

Psychosexual basically refers only to sexual feelings and behavior.

 

None of the above

 

Question 531 pts

A patient who presents absent movement, with difficulty starting activities, flat affect, and avolition would be assessed as having which of the following?

Group of answer choices

 

Dystonia

 

Akathisia

 

Akinesia

 

Pseudo-Parkinson’s

 

Question 541 pts

Which of the following physiological symptoms are consistent with hallucinogen use? Select all that apply.

Group of answer choices

 

Sweating

 

Palpitations

 

Pupillary dilation

 

None of the above

 

Question 551 pts

The ability of one drug to be substituted for another, each usually producing the same physiological and psychological effect is known as which of the following?

Group of answer choices

 

Tolerance

 

Codependence

 

Cross-tolerance

 

Neuroadaptation

 

Question 561 pts

When one’s sexual focus is on objects that are intimately associated with the human body or on non-genital body parts it is known as which of the following?

Group of answer choices

 

Fetishism

 

Voyeurism

 

Exhibitionism

 

Within the range of normal adult behavior

 

Question 571 pts

In the DSM-V the need for treatment is based on assessment of diagnosis and which of the following?

Group of answer choices

 

Severity of symptoms

 

Dangerous to self or others

 

Disability in social and self-care spheres

 

All of the above

 

Question 871 pts

Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects?

Group of answer choices

 

Reduces negative symptoms

 

Increases extrapyramidal symptoms (EPS)

 

Causes prolactinemia

 

Reduces positive symptoms

 

Question 891 pts

The inability to recall important personal information, usually of a traumatic or stressful nature that is too extensive to be explained by normal forgetfulness, direct physiological effects of a substance or other medical condition is the main feature of which of the following disorders?

Group of answer choices

 

Dissociative Amnesia

 

Derealization Disorder

 

Depersonalization Disorder

 

Posttraumatic Stress Disorder

 

Question 901 pts

Which of the following are used to treat symptoms of Neuroleptic Malignant Syndrome?

Group of answer choices

 

1. Dantrolene

 

1. Bromocriptine

 

1. Chlorpromazine

 

1. A and B only

 

 

Question 911 pts

Non-bizarre delusions present for a least 1 month without other symptoms of schizophrenia or mood disorder warrants a diagnosis of which of the following?

Group of answer choices

 

Schizoaffective disorder

 

Delusional disorder

 

Borderline personality disorder

 

Brief psychotic disorder

 

 

Question 921 pts

The Dopamine hypothesis of schizophrenia posits which of the following?

Group of answer choices

 

Schizophrenia results from too much dopaminergic activity.

 

Schizophrenia results from a deprivation of dopamine.

 

Schizophrenia is not related to dopamine activity.

 

None of the above

 

Question 931 pts

Use of any drug, usually by self-administration, in a manner that deviates from approved social or medical pattern is known as which of the following?

Group of answer choices

 

Abuse

 

Dependence

 

Addiction

 

Intoxication

 

Question 94      1 pts

A deeply held belief despite evidence to the contrary, lasting a least one month, without prominent hallucinations, with functional impairment that relates to the delusional system, is consistent with which of the following diagnoses?

Group of answer choices

 

Schizophrenia

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Delusional disorder

 

Brief psychotic disorder

 

Schizophreniform disorder.

 

Question 951 pts

Which of the following is true about the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)?

Group of answer choices

 

1. Combines the first three DSM-IV TR axes into one list that contains all mental disorders.

 

1. While it combines the first three DMS-IV TR axes, personality disorders and medical disorders are still recorded separately, using the multi-axial framework.

 

1. Psychosocial and environmental factors still need to be specified as part of the DSM-5 diagnosis.

 

1. A and C only

 

Question 961 pts

In which ways are nurse practitioners (NPs) and physician’s assistants (PAs) different?

Group of answer choices

 

1. NPs differ from PAs in legal definition, scope of practice, licensure, and independence of practice.

 

1. NPs practice under their own license and independent of the physician, PAs always work under the supervision of a physician.

 

1. There is essentially no difference functionally between an NP and a PA.

 

1. A and B

 

Question 97    1 pts

Major neurotransmitters possibly involved in developing substance abuse and substance dependence include which of the following?

Group of answer choices

 

1. Dopamine

 

1. GABA

 

1. Serotonin

 

1. A and B only

 

Question 98       1 pts

Which of the following is consistent with the epidemiology of schizophrenia in the United States?

Group of answer choices

 

The lifetime prevalence of schizophrenia is about 50 percent.

 

Schizophrenia is more prevalent in children than in adolescents.

 

Peak age of onset in men is 10 to 25 years of age.

 

Onset of schizophrenia before the age of 25 is extremely rare.

 

Question 99               1 pts

Which of the following symptoms represent peripheral manifestations of anxiety?

Group of answer choices

 

Hyperreflexia

 

Palpitations

 

Hyperhidrosis

 

All of the above

 

Question 100         1 pts

Which of the following is not a common physical effect of cannabis?

Group of answer choices

 

Mild tachycardia

 

Mild bradycardia

 

Orthostatic hypotension

 

Dilation of the conjunctival blood vessels