NRNP 6665 Week 11 LATEST Final Exam With rationale (100% Correct Spring QTR)
Question 1
The Confusion Assessment Methods Instrument (CAMI)
... [Show More] is a standardized assessment tool for which of the following disorders?
A . Dementia
B . Delirium
C . Pick's disease
D . A and C
The answer is B-Delirium
Question 2
Which of the following is a common sensory deficit of conversion disorder? Check all that apply.
A . Blindness
B . Tunnel vision
C . Blindness
D . Deafness
The answer is A-Blindness and D-Deafness
Question 3 Delirium is an example of which type of clinical problem in psychosomatic medicine?
A . Psychiatric symptoms secondary to a medical condition
B . Psychiatric symptoms as a reaction to a medical condition of treatment
C . Psychiatric complications of medical conditions and treatment
D . Medical complications of psychiatric conditions or treatment
The answer is A- Psychiatric symptoms secondary to a medical condition
Question 4
All the following medications are used in the treatment of Parkinson's disease dementia/psychosis EXCEPT for
A . Nuplazid
B . Rivastigmine
C . Pimavanserin
D . Memantine
The answer is D-Memantine
Question 5
Indicators of imitative dissociative identity disorder include which of the following symptoms?
A . Symptom exaggeration
B . Confusion and shame related to symptoms
C . Use of symptoms to excuse antisocial behaviors
D . A and C only
The answer is B- confusion and shame related to symptoms
Question 6
Which of the following can lower a person's resistance to control impulses?
A . Fatigue
B . Incessant stimulation
C . Psychic trauma
D . All of the above
The answer is D-All of the above
Question 7
Schizophrenia in a patient with end-stage renal disease is an example of which type of clinical problem in psychosomatic medicine?
A . Co-occurring medical and psychiatric conditions
B . Psychiatric symptoms secondary to a medical condition
C . Psychiatric symptoms as a reaction to a medical condition
D . Psychiatric complications of medical conditions and treatments
the answer is A-Co-occurring medical and psychiatric conditions
Question 8
An acute onset, short-term confusion, with changes in cognition and level of awareness due to a physiological cause is known as which of the following?
A . Delirium
B . Dementia
C . Psychosis
D . Traumatic brain injury
The answer is A -Delirium
Question 9
A patient expresses feelings of unreality or of being detached from their environment, describing the perception of the outside world as unreal, dreamlike, and visually distorted. The ARNP recognizes this as which of the following?
A . Derealization
B . Depersonalization
C . Generalized amnesia
D . Dissociative identity disorder
The answer is A-derealization
Question 10
A patient presents with persistent feelings of detachment from one's self, like watching one's self in a movie. The ARNP recognizes this as which of the following?
A . Derealization
B . Depersonalization
C . Generalized amnesia
D Dissociative identity disorder
The answer is B-Depersonalization
Question 11
Which of the following is recommended in the treatment of pyromania?
A . Psychoanalysis
B . Cognitive therapy
C . Supervision of patient to prevent a repeated episode of fire setting
D . All the above
The answer is B- Cognitive therapy
Question 12
Which of the following biological factors have been associated with kleptomania? Check all that apply.
A . Brain diseases
B . Cortical atrophy
C . Mental retardation
D . Enlarged lateral ventricles
The answers are:A-brain diseases,B-Cortical atrophy,and D-enlarged lateral ventricles
Question 13
A neurodevelopmental disorder characterized by impairment confined to a specific area of academic achievement (i.e., reading, writing, arithmetic, spelling) without deficits in intellectual and adaptive behaviors is
A . Intellectual disability
B . Communication disorder
C . Specific learning disorder
D . Autism spectrum disorder
The answer is A-Intellectual disability
Step-by-step explanation
Question 14 Which of the following approaches/treatments are recommended in working with patients with a conversion disorder?
A . After a very thorough evaluation to r/o any medical cause, tell the patient that the symptoms are imaginary.
B . Recommend psychotherapy to focus on issues of stress and coping.
C . Recommend psychoanalysis to explore intrapsychic conflicts.
D . B and C only
The answer is B -Recommend psychotherapy to focus on issues of stress and coping
Question 15
Experiences of depersonalization and derealization are common in which of the following patients?
A . Patients with seizures
B . Patients with migraines
C . Patients who use marijuana
D . All of the above
The answer is C- Patients who use marijuana
Question 16
Under hypnosis or during psychotherapy, a patient may recover a memory of a painful experience that is etiologically significant. This is known as which of the following?
A . False memory syndrome
B . Recalled memory syndrome
C . Dissociative trance disorder
D . Recovered identity disorder
The answer is C- Dissociative trance disorder
Question 17
Which of the following is recommended as a first line therapy for a patient with dementia and behavioral disturbance?
A Valproic acid (Depakote)
B . Risperdal
C . Haloperidol
D . None of the above
The answer is D-none of the above
Question 18 According to the DSM-5, delirium is specified as acute or persistent. Which of the following time frames is consistent with acute delirium specification?
A . A few hours or days
B . Three weeks or less
C . One month or less
D . Less than 3 months
The answer is A- A few hours or days
Question 19 Which of the following is true about impulses? Check all that apply.
A . Impulses are acted upon with the expectation of receiving pleasure
B . Impulses are usually ego-dystonic.
C . Impulsive behaviors are characterized by their repetitive nature.
D . The repeated acting out of impulses leads to psychological impairment.
The answers are B-,. Impulses are usually ego-dystonic, C- Impulsive behaviors are characterized by their repetitive nature ,and D-. The repeated acting out of impulses leads to psychological impairment
Question 20
MRI findings in patients with intermittent explosive disorder may reveal changes to which area of the brain that is associated with loss of impulse control?
A . Cerebellum
B . Prefrontal cortex
C Temporal lobe
D . Parietal lobe
The answer is B-Prefrontal cortex
Question 21
Patients with kleptomania have a high lifetime comorbidity of which of the following disorders?
A . Mood disorders
B . Schizophrenia
C . Dissociative disorders
D . All of the above
The answer is A-Mood disorders
Question 22
The epidemiology related to kleptomania includes which of the following?
A . Kleptomania is more prevalent in males than females.
B . Kleptomania is estimated to be about 10 percent in the general population.
C . Kleptomania is reported to occur in fewer than 5 percent of identified shoplifters.
D . All of the above
The answer is A- Kleptomania is more prevalent in males than females
Question 23
An increase in depersonalization is seen with the depletion of which of the following?
A . GABA
B . Serotonin
C . L-tryptophan
D . Norepinephrine
The answer is B- Serotonin
Question 24
Depression secondary to interferon treatments represents which of the following clinical problems in psychosomatic medicine?
A . Psychiatric complications of medical conditions and treatments.
B . Psychiatric symptoms secondary to a medical condition.
C . Psychological factors precipitating medical symptoms.
D . Psychiatric symptoms as a reaction to medical conditions or treatments.
The answer is D- Psychiatric symptoms as a reaction to medical condition or treatments
Question 25
The ARNP is meeting with a person who reports a fascination with fire, along with recurrent deliberate and purposeful setting of fires. The ARNP realizes that these behaviors are consistent with which of the following disorders?
A . Pyromania
B . Obsessive-compulsive disorder
C . Intermittent explosive disorder
D . Pyrophobia
The answer is B- Obsessive-compulsive disorder
Question 26
Which of the following is not consistent with what is known about depersonalization and derealization? A . They are the third most commonly reported psychiatric symptom.
B . Derealization is two to four times more often in men than in women.
C . One survey found a one-year prevalence of 19 percent in the general population.
D . Transient experiences of depersonalization and derealization are extremely common in normal and clinical populations.
The answer is A- They are the third most commonly reported psychiatric symptom
Question 27
Which of the following are included in the clinical features of anxiety illness disorder? Check all that apply.
A . Persons maintain they have a particular disease or as time progresses their belief may transfer to another disease.
B . Lab results, lack of progression of the disease, and appropriate reassurances from the provider are helpful treatments for the person with the disease.
C . Preoccupation with illness may or may not interfere with their interaction with family, friends, and co-workers.
D . They are often addicted to internet search about their feared illness, inferring the worst from the information.
The answers are:A- Persons maintain they have a particular disease or as time progresses their belief may transfer to another disease and D- They are often addicted to internet search about their feared illness, inferring the worst from the information
Question 28
The ARNP in working with a parent of a 6-month-old would offer which of the following in anticipatory guidance?
A . Give baby much attention.
B . Attune to baby's needs for hunger, fatigue, diaper change.
C . Provide supervised time for crawling, sitting, and rolling.
D . All the above
The answer is C- Provide supervised time for crawling, sitting, and rolling
Question 29
The symptom of giving approximate answers is known as which of the following?
A . Alogia
B . Paralogia
C . Analogia
D . Symlogia
The answer is A-Alogia
Question 30
Identifying developmental milestones is an important skill set for ARNPs for which of the following reasons?
A . Often developmental milestones go unrecognized until a child is much older.
B . Knowing when a significant variation in development has occurred improves diagnostic accuracy.
C The sooner a significant developmental impairment is identified and addressed, the . better the long-term outcomes could be for patients.
D . All of the above
The answer is C- The sooner a significant developmental impairment is identified and addressed, the . better the long-term outcomes could be for patients
Question 31
Which of the following can cause delirium? Check all that apply.
A . Polypharmacy
B . Sleep deprivation
C . Admission/transfer/discharge from a healthcare facility
D . None of the above
The answers are A- Polypharmacy, and C- Admission/transfer/discharge from a healthcare facility
Question 32
A patient who has been raped, presents with the inability to recall important personal information and any information about the rape, does recall events prior and since. There does not appear to be any physiological reason for this. This presentation is consistent with which of the following diagnoses?
A . Dissociative amnesia
B . Dissociative amnesia with dissociative fugue
C . Localized dissociative amnesia
D . Generalized dissociative amnesia
The answer is C-Localized dissociative amnesia
Question 33 A term use to describe a neurodevelopmental disorder characterized by impairments in reciprocal social communication and a tendency to engage in repetitive stereotyped patterns of behaviors, interests and activities is
A . Intellectual disability
B . Specific learning disorder
C . Autism spectrum disorder (ASD)
D . Attention deficit/hyperactivity disorder (ADHD)
The answer is C- Autism spectrum disorder (ASD)
Question 34
Acute withdrawal from alcohol represents which type of clinical problem in psychosomatic medicine?
A . Medical complications of psychiatric conditions or treatments
B . Psychiatric complications of medical conditions and treatments
C . Psychiatric symptoms as a reaction to medical treatments.
D . Co-occurring medical and psychiatric conditions.
The answer is B- Psychiatric complications of medical conditions and treatments
Question 35
A dissociative disorder described as an identity disturbance due to prolonged and intense coercive persuasion is known as which of the following?
A . Brainwashing
B . Ganser syndrome
C . Imitative dissociative identity disorder
D . Factitious dissociative identity disorder
The answer is A-Brainwashing
question 36
Discrete episodes of losing control of aggressive impulses grossly out of proportion to any stressors, which can result in serious assault tor destruction of property are symptoms consistent with which of the following disorders?
A . Conduct disorder
B . Antisocial personality disorder
C . Borderline personality disorder
D . Intermittent explosive disorder
The answer is D- Intermittent explosive disorder
Question 37
Epidemiology data suggests which of the following with respect to illness anxiety disorder?
A . Illness anxiety disorder is more common in men than in women.
B . Illness anxiety disorder is seen more frequently in persons with higher education.
C . Surveys indicate that up to 15 percent of the general population worry about becoming sick and incapacitated as a result.
D . Illness anxiety disorder is more common among caucasians than among other races.
The answer is C- Surveys indicate that up to 15 percent of the general population worry about becoming sick and incapacitated as a result,
Question 38
Which of the following treatments is NOT recommended in treating Dissociative Identity Disorder?
A . Cognitive Therapy
B . Hypnosis
C . Antidepressants
D . Group Psychotherapy
The answer is D- Group Psychotherapy
Question 39
A person reveals to the ARNP that they steal to get the things they want and cannot afford. The person says they just can't help themselves, because they have kleptomania. The ARNP realizes the following:
A . This presentation is consistent with kleptomania.
B . This presentation is not consistent with kleptomania because a person with kleptomania does not realize they have kleptomania.
C . The person likely does not have kleptomania because a person with kleptomania is more concerned with the act of stealing rather than the obtaining the object which has been stolen.
D . The presentation is consistent with kleptomania because the person is stealing things they need.
The answer is A- This presentation is consistent with kleptomania
Question 40
A subcortical dementia with parenchymal abnormalities which can be visualized on MRI is known as which of the following?
A . HIV dementia
B Kluver-Bucy syndrome .
C . Alzheimer's type dementia
D . Creutzfeldt-Jakob disease
The answer is C-Alzheimer's type dementia.
Question 41 Predisposing factors for delirium include which of the following? Check all that apply.
A . Dementia
B . History of falls
C . Age 65 and older
D . Sensory impairment
The answers are:A-Dementia,C-Age 65 and older,D-sensory impairment.
Step-by-step explanation
Question 42
Which of the following diagnostic instruments for Autism Spectrum Disorder is recommended for universal clinical practice?
A . Autism Diagnostic Interview -Revised (ADI - R)
B . Diagnostic Interview for Social and Communication Disorder (DISCO)
C . Development, Dimensional and Diagnostic Interview
D . None of the above
The answer is A- Autism Diagnostic Interview -Revised (ADI - R)
Question 43
A capacity evaluation prior to an organ transplantation is an example of which of the following clinical problems in psychosomatic medicine?
A . Psychiatric symptoms secondary to a medical condition
B . Medical complications of psychiatric treatments
C . Psychological factors precipitating medical conditions
D Psychiatric/psychosocial assessment.
The answer is D- Psychiatric/psychosocial assessment.
Question 44
A temporary marked alteration in the state of consciousness or by the customary sense of personal identity without the replacement by an alternate sense of identity is known as which of the following?
A . Ganser Syndrome
B . Dissociative Trance Disorder
C . Dissociative Identity Disorder
D . Factitious Dissociative Identity Disorder
The answer is B-Dissociative Trance Disorder
Question 45
Which of the following is consistent with current literature about the relationship between obstetrical complications and Autism Spectrum Disorders (ASD)?
A . Research is unclear whether obstetric complications are a true risk factor for ASD.
B . Research proves there is a negative correlation between obstetrical complications and ASD.
C . Research proves there is a positive correlation between obstetrical complications and ASD.
D . Research strongly supports a positive relationship between obstetric complications and ASD.
The answer is C- Research proves there is a positive correlation between obstetrical complications and ASD
Question 46
A major neurocognitive disorder with severe impairment in memory, judgment, orientation, and cognition is known as which of the following?
A . Delirium
B . Dementia
C . Psychosis
D . Amnesia
The answer is C-Psychosis
Question 47
Difficulty with immediate memory is attributed to impairment in which of the following regions of the brain? Select all that apply.
A . Broca
B . Wernicke
C . Occipital
D . Temporal
The correct answer is D-Temporal lobe.
Question 48
Which of the following would not be included in the treatment plan for a patient with illness anxiety disorder?
A . Behavioral therapy
B . Group psychotherapy
C . Insight oriented psychotherapy
D . Exploratory invasive procedures to obtain diagnosis
The answer is C- Insight oriented psychotherapy
Question 49
Which of the following would demonstrate the normal achievement of gross motor developmental milestone for a 6-month-old?
A . Pulls to stand
B . Transfers items hand to hand
C . Briefly sits alone: pivots in prone
D . Feeds self crackers; stares at new faces.
The answer is C- Briefly sits alone: pivots in prone
Question 50
A process by which repressed material is brought back to consciousness and the person relives the repressed material accompanied ty the appropriate affective response.
A .Abulia .
B . Abreaction
C . Adynamia
D . Alexithymia
The answer is B-Abreaction.
Question 51
The term psychosomatic literally refers to which of the following?
A . Imaginary illness
B . Psychiatric illness
C . How the mind effects the body
D . How the body effects the mind
The answer is A-Imaginary illness.
Question 52
Which of the following is consistent with normal range gross motor developmental milestones for a 4 year old?
A . Walks down stairs, jumps backwards
B . Balances on one foot for 4 seconds, can broad jump 1 foot
C . Writes part of name; copies a square.
D . Eats independently, unbuttons items
The answer is B- Balances on one foot for 4 seconds, can broad jump 1 foot
Question 53
Which of the following speech and language skills are consistent with normal developmental milestones of a 3-year-old?
A . Uses three-word sentences; names body parts.
B . Uses two-word sentences; understands me and you
C . Follows three-step request; tells stories
D . Responds to "why?"; likes rhyming words
The answer is C- Follows three-step request; tells stories
Question 54
Which the following medications is used to treat irritability in autism?
A . fluoxetine
B . aripiprazole
C . alprazolam
D . guanfacine
The answer is B-aripiprazole
Question 55
A congenital neurodevelopmental disorder primarily occurring in females, characterized by specific deficits following a period of normal function growth and development is
A . PANDAS
B . Rett syndrome
C . Reye's syndrome
D . Kluver-Bucy syndrome
The answer is B-Rett syndrome
Question 56
Which of the following are included in the five different milestone skill areas that should be evaluated? A . Social/emotional skills
B . Gross/fine motor skills
C . Speech and language skills
D . All the above
The answer is D-All the above
Question 57
Recognizable skills or abilities that have an expected range and order of appearance such as a child taking his first step around the time of his first birthday is known as which of the following?
A . Life skills
B . Motor development
C . Developmental history
D . Developmental milestones
The answer is B-Motor development
Question 58
A condition characterized by the person giving approximate answers, with clouding of consciousness, frequently accompanied by hallucinations or other dissociative, somatoform or conversion symptoms is
A . Ganser Syndrome
B . Schizophrenia
C . Dissociative trance disorder
D . Dissociative identity disorder
The answer is A- Ganser Syndrome
Question 59
Somatoform disorders represent which type of clinical problem in psychosomatic Medicine?
A . Co-occurring medical and psychiatric conditions.
B . Psychiatric complications of medical conditions and treatments.
C . Psychiatric symptoms secondary to a medical condition.
D . Psychological factors precipitating medical symptoms.
The answer is D- Psychological factors precipitating medical symptoms.
Question 60
Which is NOT consistent with what is known about Ganser syndrome?
A . Three of Ganser's first four cases were convicts.
B . Cases have been reported in a variety of cultures.
C . Women outnumber men by approximately 2 to 1.
D . It is considered by some to be an indicator of potential malingering.
The answer is B-. Cases have been reported in a variety of cultures
Question 61
The second-most common type of dementia caused by cardiovascular and cerebrovascular disease with progressive cognitive decline in stepwise fashion is known as which of the following?
A . Pick's disease
B . HIV dementia
C . Vascular dementia
D . Lewy-body dementia
The answer is C-Vascular dementia.
Question 62 Deficits in attention and the ability to complete multi-step commands are associated with impairment in which of the following regions of the brain?
A . Frontal
B . Prefrontal
C . Cingulate gyrus
D . All the above
The answer is B-Prefrontal cortical area.
Question: The Confusion Assessment Methods Instrument (CAMI) is a … assessment tool for which of the following disorders?
Question: Which of the following is a common sensory deficit of conversion disorder? Check all that apply.
Question: Delirium is an example of which type of clinical problem in psychosomatic medicine?
Question: All the following medications are … in the [Show Less]