QUESTIONS. 1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply 2. Age 3. Rapid dose escalation 4. Parental route of administration 5. Higher potency typical antipsychotics 1. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects? 2. Reduces negative symptoms 3. Increases extra pyramidal symptoms (EPS) 4. Causes prolactinemia 5. Reduces positive symptoms 1. Phencyclidine (PCP) and Ketamine exert their unique behavioral effects by blocking which of the following receptors? 2. GABA type receptors 3. Serotonin receptors 4. Dopamine receptors 5. NMDA type receptors 1. The diagnosis used to describe a syndrome characterized by specific signs and symptoms resulting from recent ingestion or exposure to a substance is known as which of the following? 2. Substance intoxication 3. Substance withdrawal 4. Substance use disorder 5. Any of the above 1. Abnormal involuntary movements in a rhythmic pattern affecting face, mouth, tongue, jaw is known as which of the following? 2. Akathisia 3. Dystonia 4. Tardive dyskinesia 5. Extrapyramidal side effects 1. A deeply held belief despite evidence to the contrary, lasting at least one month, without prominent hallucinations, with functional impairment that relates to the delusional syste..... 2. Schizophrenia 3. Delusional disorder 4. Brief psychotic disorder 5. Schizophreniform disorder 1. Which of the following is true about preoccupation with castration? 2. This can be serious and life-threatening if castration is carried out without medical supervision. 3. This is consistent with Transvestic Disorder 4. This is consistent with other specified paraphilic disorder 5. This is consistent with sexual masochism disorder 1. Which of the following is a system that provides a uniform language for describing medical and surgical procedures and diagnostic services rendered by clinicians? 2. HIPPA 3. DSM-5 4. CPT 5. DRG 1. A patient on Chlorpromazine states that his orgasm is dry and afterward he will commonly have milky urine. The ARNP realizes which of the following? 2. This is likely a harmless response to the Chlorpromazine 3. This is abnormal and needs to be evaluated by a specialist 4. It is critical to stop the Chlorpromazine immediately 5. This has nothing to do with the Chlorpromazine the patient be referred to his PCP for follow-up 1. 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? 2. Hermaphroditism 3. Turner's syndrome 4. Adrenogenital syndrome 5. Androgen insensitivity syndrome 1. Which of the following would be characterized as a negative symptom of schizophrenia? 2. Hallucinations and delusions 3. Impaired social and occupational functioning 4. Isolation and impaired self-care 5. B and C only 1. Which of the following are keys to distinguishing OCD from psychosis? 2. Patients with OCD can almost always acknowledge the unreasonable nature of their symptoms 1. Patients with OCD are better able to control their compulsions. 2. Patients with psychosis will have more obsessive thoughts. 3. Patients with OCD have less bizarre obsessions. 13. Which of the following is a system that provides a uniform language for describing medical and surgical procedures and diagnostic services rendered by clinicians... 1. HIPPA 2. B. DSM-5 3. CPT 4. DRG 1. A federal program administered nationally and locally which covers enrolled individuals 65 years and older who pay premiums and disabled individuals.... 2. Medicare 3. Medicaid 4. Both A and B 5. None of the above 1. Having an adequate legal description of nurse practitioner (NP) scope of practice according to state law is important for which of the following reasons? 2. To avoid any charges of practicing medicine without a license 3. To place accountability for both benefits and harm to patients squarely on the NP 

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