. 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 drug... s. 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 1 points 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 1 points 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 .........................................................................Continued [Show More]
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