Nrnp 6675 week 11 final exam 100 correct answers
NRNP6675 Week 11 Final Exam 2022
Nrnp 6675 week 11 final exam 100 correct answers
(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. Insight oriented psychotherapy
D. Transmagnetic Stimulation
(TMS)
Question 81
Which of the following should be avoided when working with practice guidelines?
A
Write guidelines with minute details that everyone will follow it in the exact same way.
B
.
Base guidelines on evidence from widely used resources and reference those resources in
the guidelines.
C
.
Adopt an already published set of guidelines.
D
.
If the guideline is inappropriate for a particular patient, document why an alternative
Question 82
Which of the following is not consistent with what is known about postpartum psychosis?
A
.
Symptoms of postpartum psychosis can often begin within days of the delivery.
B
.
The average time of onset of symptoms of postpartum psychosis is within 2 to 3 weeks of
delivery.
C Florid psychotic symptoms are usually preceded by prodromal signs such as insomnia,
restlessness, agitation, and mild cognitive deficits.
.
D
This disorder primarily effects first time mothers and there is very little risk of postpartum
psychosis in subsequent pregnancies.
Question 83
Which of the following is consistent with recommendations regarding assessing for suicidal ideations?
A
The clinician should always ask about suicidal ideations as part of every mental status
examination.
B
.
Assessing for suicidal ideations is only required if patient is depressed.
C
.
Asking a psychotic patient if they are having suicidal ideations is not advised as this could
introduce the idea to the patient.
D
.
If a patient who has been threatening suicide becomes quiet and less agitated, it is safe to
assume the suicidal ideations have subsided.
Question 84
A claim of malpractice requires that a patient/plaintiff prove which of the following? Select all
that apply.
A
.
The existence of a client-professional relationship - duty to care.
B
Behavior below the appropriate standard of care for professionals dealing in like
circumstances.
C
.
A causal link between the practitioner's failure to conform to treatment standards
and harm to the patient.
D
.
Actual injury to the patient.
Question 85
The Adverse Childhood Experience Study (Felitti et al., 1998) found which of the following
relationships between child traumatic events and high-risk behaviors exhibited by adults?
A
The study revealed a causal relationship between child traumatic events and high-
risk adult behaviors.
B
.
The study revealed a causal relationship between child traumatic events and high-
risk adult behaviors.
C
.
The study revealed no relationship between child traumatic events and high-risk
adult behaviors.
D
.
The study revealed an indirect relationship between child traumatic events and
high-risk adult behaviors.
Question 86
A method of therapy used to treat individuals with substance abuse based on the fundamental
principle of a psychology that reinforced behaviors are likely to be repeated is known as which
of the following?
A. Exposure therapy
B. Contingency management
C. Motivational interviewing
D. Cognitive behavioral
therapy
Question 87
Cluster A personality traits consist of which of the following?
A. Schizotypal, schizoid, and paranoid subtypes
B. Narcissistic, borderline, antisocial, and histrionic
subtypes
C. Obsessive-compulsive, dependent, and avoidant
subtypes
D. Depressive, anxious, hypomanic subtypes
Question 88
Sexual assault is most often which of the following?
A. A stranger
B. An
acquaintance
C. A family
member
D. A professional
Question 89
Which of the following is consistent with what is known about terrorist-bomber suicides?
A. The goal is death or escape.
B. The motivation is vengeance and mass murder.
C. Psychological/psychiatric disorder is present in most
cases.
D. A and B only
Question 90
Which of the following is not consistent with recommendations for psychiatric history taking and
the mental status evaluation of older adults?
A
.
When a patient is cognitively impaired, an independent history should be obtained
from a family member or caretaker.
B
.
The patient should still be seen alone even in cases of clear evidence of impairment
to preserve the privacy of the doctor/patient relationship.
C
If the patient is cognitively impaired, the patient should never be seen alone.
D
.
Even in patients with cognitive impairment, it is important to elicit any suicidal
thoughts or paranoid ideations privately.
Question 91
The ARNP working as an at will employee realizes which of the following?
Unless the ARNP has a contract for a specified term of employment, the employee
A
. has no legal right to a job.
B
.
Employment will not be covered by equal opportunity or disability laws.
C
.
He or she must negotiate terms of employment on a piecemeal basis.
D
.
A and C only
Question 92
The United States Supreme Court upheld the psychotherapist-patient privilege in which of the
following cases?
A. Jaffee v. Redmon
B. Tarasoff I
C. Tarasoff II
D. O'Conner v.
Donaldson
Question 93
Loyalty, fairness, truthfulness, advocacy, and dedication in professional relationships is known
as which of the following?
A. Justice
B. Fidelity
C. Non-maleficence
D. Respect for
autonomy
Question 94
Which of the following is consistent with what is known about personality disorders?
A
.
Typical onset in early childhood
B
.
Is stable over time
C
.
Involves impairment in at least one of four areas of cognition, affectivity,
interpersonal function or impulse control
D
.
B and C only
Question 95
A clause in an employment contract that specifies that an employer and employee may end the
working agreement without cause within a specified number of days is known as which of the
following?
A. A restrictive covenant
B. An employment
clause
C. A termination clause
D. A and C
Question 96
A late-appearing adverse effect of neuroleptic drugs is known as which of the following?
A. Akathisia
B. Parkinsonism
C. Neuroleptic malignant syndrome
D. Neuroleptic-induced tardive
dyskinesia
Question 97
The failure of a professional to exercise that degree of skill and learning commonly applied by
the average prudent, reputable member of the profession is known as which of the following?
1. Negligence
B. Malpractice
C. Causation of
injury
D. Duty liability
Question 98
A somatopsychic illness triggered by changing levels of sex steroids that accompany an
ovulatory menstrual cycle about one week before the onset of menses characterized by
irritability, emotional lability, HA, anxiety, and depression is known as which of the following?
A. Premenstrual syndrome
B. Premenstrual depression
C. Premenstrual dysphoric disorder
D. Premenstrual psychosomatic
disorder
Question 99
Persons who exhibit impulsive traits also show high levels of which of the following hormones?
Select all that apply.
A. Testosteron
e
B. 17-estradiol
C. Estrone
D. A and C only
Question 100
Features that point to a medical cause of mental disorder include which of the following? Select
all that apply.
A. Acute onset (within hours or minutes with prevailing
symptoms)
B. Nonauditory disturbances of perception
C. Current medical illness or injury
D. Constructional
