NURS 6635 | Midterm 6635 PMHNP 2021 Complete Correct Solutions Study Guide, Score A+ | Walden University
Midterm 6635 PMHNP Walden University January
... [Show More] 2021
QUESTION 1
1. Select the neurotransmitter involved in obsessive-compulsive disorder (OCD) in
children and adolescents based on the common comorbidity of tic disorders.
A.
Norepinephr
ine
B.
GABA
C.
Dopamine
D.
Acetylcholin
e
1 points
QUESTION 2
1. Select the class of drugs most effective in treating pain disorder.
A.
Opioid analgesics
B.
TCA and SSRI
antidepressants
C.
Beta-adrenergic
blockers
D.
Mood stabilizers
1 points
QUESTION 3
1. Select the most commonly occurring eating disorder.
A.
Anorexia
nervosa
B.
Bulimia
nervosa
C.
Purging
D.
Binge
1 points
QUESTION 4
1. Select the disorder in which inflicting injury to self or others is common.
A.
PainMidterm 6635 PMHNP Walden University January 2021
B.
Conversion
C.
Somatic
symptom
D.
Factitious
1 points
QUESTION 5
1. Select two imaging methods used to study anxiety disorders.
A.
CT
B.
TM
S
C.
MRI
D.
EKG
1 points
QUESTION 6
1. Select the two factors that do not cause dissociative amnesia.
A.
Sexual
abuse
B.
Substance
abuse
C.
Surgical pain
D.
Partner
betrayal
1 points
QUESTION 7
1. Select the correct epidemiologic fact about major depression in children and
adolescents.
A.
There is a 20% incidence by age 18
B.
The incidence is equal in adolescent females and males
C.
There is a decreased incidence after 20
D.
The incidence is five- to ten-fold greater in children with a parent or sibling
with major depressionMidterm 6635 PMHNP Walden University January 2021
1 points
QUESTION 8
1. Select the brain region that is most implicated in the function of memory.
A.
Hippocampu
s
B.
Temporal
lobe
C.
Amygdala
D.
Corpus
callosum
1 points
QUESTION 9
1. Select the greatest impediment to treating anorexia nervosa patients.
A.
Drug adverse effects
B.
Variability of family
therapy
C.
Patient resistance
D.
Noncompliance with
therapy
1 points
QUESTION 10
1. Select the most common sleep disorder.
A.
Parasomni
a
B.
Hypersom
nia
C.
Insomnia
D.
Apnea
1 points
QUESTION 11
1. Select the percentage of untreated PTSD patients who recover after one year.
A.
10
%Midterm 6635 PMHNP Walden University January 2021
B.
20
%
C.
30
%
D.
50
%
1 points
QUESTION 12
1. Select the factor that is required to cause PTSD from a stressor.
A.
Intense horror
B.
Isolated experience
C.
Concurrent substance
abuse
D.
Survivor’s guilt
1 points
QUESTION 13
1. Select two causes of dissociative amnesia.
A.
Sexual
abuse
B.
Substance
abuse
C.
Surgical pain
D.
Partner
betrayal
1 points
QUESTION 14
1. Select the population in which rumination disorder occurs most frequently.
A.
Male infants aged 3 to 12
months
B.
Female infants 6 to 18
months
C.
Children aged 2 to 5 years
D.
Adolescents aged 13 to 15
yearsMidterm 6635 PMHNP Walden University January 2021
1 points
QUESTION 15
1. Select the symptom that is least associated with manic and hypomanic episodes.
A.
Suicidal
ideation
B.
Inflated selfesteem
C.
Distractibility
D.
Pressured
speech
1 points
QUESTION 16
1. Select the two comorbid disorders with which Pica occurs most commonly.
A.
Enuresis
B.
Encopresis
C.
Autism
D.
Intellectual
disability
1 points
QUESTION 17
1. Select the third most commonly reported psychiatric symptom.
A.
Depression
B.
Anxiety
C.
Psychosis
D.
Depersonaliza
tion
1 points
QUESTION 18
1. Select the characteristic in long sleepers (more than 9 hours) that is absent in short
sleepers (less than 6 hours).
A.
Mildly
depressedMidterm 6635 PMHNP Walden University January 2021
B.
Ambitious
C.
Socially
adept
D.
Efficient
1 points
QUESTION 19
1. Select the two most common peripheral symptoms of anxiety.
A.
Bradycar
dia
B.
Dizziness
C.
Constipati
on
D.
Tremors
1 points
QUESTION 20
1. Select the two methods to treat dissociative amnesia.
A.
Antipsychotic
drugs
B.
Cognitive
therapy
C.
Hypnosis
D.
Psychoanalysis
1 points
QUESTION 21
1. Select the theorist who is credited with establishing the area of psychosomatic
medicine.
A.
Freud
B.
Abraha
m
C.
Grodde
ck
D.
Ferencz
iMidterm 6635 PMHNP Walden University January 2021
1 points
QUESTION 22
1. Select the disorder in children and adolescents that is described by depressed or
irritable mood for most of the day for a majority of days in at least one year.
A.
Major
depression
B.
Cyclothymia
C.
Bereavement
D.
Persistent
depression
1 points
QUESTION 23
1. Select the type of dissociative amnesia described by inability to recall any events in a
particular lifespan period.
A.
Selective
B.
Localized
C.
Generaliz
ed
D.
Continuo
us
1 points
QUESTION 24
1. Select the frequency range of heritability of bipolar disorder.
A.
60%-
90%
B.
50%-
80%
C.
30%-
60%
D.
10%-
40%
1 points
QUESTION 25
1. Select the two symptoms that result from prolonged sleep deprivation.
A AmbitionMidterm 6635 PMHNP Walden University January 2021
.B.
Hallucinati
ons
C.
Contented
ness
D.
Irritability
1 points
QUESTION 26
1. Select the most likely stressor to cause an adjustment disorder.
A.
Medical
illness
B.
Natural
disaster
C.
Vehicle
accident
D.
Substance
abuse
1 points
QUESTION 27
1. Select the medical condition that must be excluded as a cause of somatic symptom
disorder or hypochondriasis.
A.
Angina
pectoris
B.
Asthma
C.
Diabetes
D.
Multiple
sclerosis
1 points
QUESTION 28
1. Select the function that is most affected by conversion disorder.
A.
Voluntary
motor
B.
Hearing
C.
Involuntary
motorMidterm 6635 PMHNP Walden University January 2021
D.
Smelling
1 points
QUESTION 29
1. Select the therapy for insomnia that can be effective at up to three years after
discontinuation.
A.
Cognitivebehavioral
B.
Sedating
antihistamines
C.
Benzodiazepines
D.
Paradoxical
intention
1 points
QUESTION 30
1. Select the mental health model that is most associated with human interpersonal
connection.
A.
Maturity
B.
Resilienc
e
C.
Spiritual
D.
WellBeing
1 points
QUESTION 31
1. Select the behavior that best describes early onset bipolar disorder in children and
adolescents.
A.
Aggressi
on
B.
Withdra
wal
C.
Panic
D.
Exhibitio
n
1 pointsMidterm 6635 PMHNP Walden University January 2021
QUESTION 32
1. Select the two medical conditions in which derealization and depersonalization are
common.
A.
Anorexia
B.
Migraine
C.
Parkinso
n’s
D.
Seizures
1 points
QUESTION 33
1. Select the age stage of life in which identity crisis typically emerges.
A.
Childhood
B.
Adolescen
ce
C.
Middle
adult
D.
Elderly
adult
1 points
QUESTION 34
1. Select the two most important factors that guide the decision to prescribe
benzodiazepines to treat generalized anxiety.
A.
Specific target symptoms
B.
Patient insistence on a
benzodiazepine
C.
History of substance abuse
D.
Duration of therapy
1 points
QUESTION 35
1. Select age after which encopresis may be correctly diagnosed.
A.
2
B 3Midterm 6635 PMHNP Walden University January 2021
.C.
4
D.
6
1 points
QUESTION 36
1. Select the mg/dL blood alcohol level range that is associated with causing impaired
judgment and coordination.
A.
20 to 40
B.
50 to
100
C.
100 to
130
D.
140 to
190
1 points
QUESTION 37
1. Select the minimum treatment time to assess the effectiveness of antidepressant
drug therapy.
A.
1-2
weeks
B.
3-4
weeks
C.
6-8
weeks
D.
10-14
weeks
1 points
QUESTION 38
1. Select the exposure to violence that is excluded as a DSM-5 diagnostic criterion for
PTSD in children and adolescents.
A.
Electronic media
B.
Directly witnessed
C.
Report of family
memberMidterm 6635 PMHNP Walden University January 2021
D.
Repeated natural
disaster
1 points
QUESTION 39
1. Select the psychiatric disorder for which drug and nondrug treatments are least
effective.
A.
Dissociative
amnesia
B.
Major
depression
C.
Depersonalizatio
n
D.
Dissociative
identity
1 points
QUESTION 40
1. Select the life stage at which emotional and social behavior begin.
A.
Toddler
B.
Infancy
C.
Middle
years
D.
Preschool
1 points
QUESTION 41
1. Select two events that are excluded as causes of dissociative trance disorder.
A.
Natural disaster
B.
Substance abuse
C.
Experienced
violence
D.
Appropriate drug
therapy
1 points
QUESTION 42Midterm 6635 PMHNP Walden University January 2021
1. Select the nondrug therapy with the greatest evidence of effectiveness in treating
major depressive disorder.
A.
Family
B.
Psychoanal
ytic
C.
Cognitive
D.
Behavior
1 points
QUESTION 43
1. Select the theorist who developed the eight stages of psychosocial life cycle.
A.
Bowlb
y
B.
Perls
C.
Erikso
n
D.
Roger
s
1 points
QUESTION 44
1. Select the two common characteristics of illness anxiety disorder.
A.
Avoidance of provider
evaluation
B.
Few or lack of somatic
symptoms
C.
Frequent provider visits
D.
Presence of a fixed
delusion
1 points
QUESTION 45
1. Select the serum assessment that is required when prescribing drugs to treat
psychiatric disorders in psychosomatic patients.
A.
Potassium
B.
White blood
cellsMidterm 6635 PMHNP Walden University January 2021
C.
Liver enzymes
D.
Blood urea
nitrogen
1 points
QUESTION 46
1. Select the alternate name for persistent depressive disorder.
A.
Cyclothy
mia
B.
Bipolar I
C.
Bipolar II
D.
Dysthymi
a
1 points
QUESTION 47
1. Select the serum substance that should be measured to aid the diagnosis of restless
leg syndrome.
A.
Potassiu
m
B.
Ferritin
C.
Magnesi
um
D.
Albumin
1 points
QUESTION 48
1. Select the scientist who is most associated with the development of learning theory.
A.
Piaget
B.
Ainswor
th
C.
Bowlby
D.
Pavlov
1 pointsMidterm 6635 PMHNP Walden University January 2021
QUESTION 49
1. Select the event most associated with the occurrence of dissociative fugue.
A.
Head trauma
B.
Substance
abuse
C.
Partner
betrayal
D.
Unplanned
travel
1 points
QUESTION 50
1. Select the drug proven most effective in treating PTSD.
A.
Buspiro
ne
B.
Paroxeti
ne
C.
Trazodo
ne
D.
Clonidin
e
1 points
QUESTION 51
1. Select the percentage that most accurately represents the rate of heritability of
major depression.
A.
15
B.
30
C.
45
D.
60
1 points
QUESTION 52
1. Select two neurotransmitters associated with anxiety.
A.
Dopami
neMidterm 6635 PMHNP Walden University January 2021
B.
Glutam
ate
C.
Serotoni
n
D.
GABA
1 points
QUESTION 53
1. Select the drug with the most rapid onset of action to treat acute mania.
A.
Lithium
B.
Clonazep
am
C.
Lamotrigi
ne
D.
Valproate
1 points
QUESTION 54
1. Select the most likely stressor to cause an adjustment disorder.
A.
Natural
disaster
B.
Emergency
surgery
C.
Vehicle
accident
D.
Substance
abuse
1 points
QUESTION 55
1. Select the mental health disorder that commonly coexists with generalized anxiety
disorder.
A.
Bipolar I
B.
Alzheimer’s
disease
C.
Major
depressionMidterm 6635 PMHNP Walden University January 2021
D.
Schizophrenia
1 points
QUESTION 56
1. Select the percentage range of correlation between obesity and psychiatric disorders.
A.
10 to
20
B.
20 to
30
C.
40 to
60
D.
50 to
70
1 points
QUESTION 57
1. Select the obsessive-compulsive disorder for which a patient is likely to initially seek
help from a non-psychiatric provider.
A.
Hoarding
B.
Excoriation
C.
Hair-pulling
D.
Body
dysmorphia
1 points
QUESTION 58
1. Select two types of theories that have contributed to causes of anxiety.
A.
Psychoanalytic
theory
B.
Behavioral
theory
C.
Family
D.
Group
1 points
QUESTION 59
1. Select the age group in which adjustment disorders occur most frequently.Midterm 6635 PMHNP Walden University January 2021
A.
Childhood
B.
Middle
adult
C.
Young
adult
D.
Adolescen
t
1 points
QUESTION 60
1. Select the drug used to treat bipolar disorder that may cause hypothyroidism.
A.
Lithium
B.
Risperido
ne
C.
Lamotrigi
ne
D.
Valproate
1 points
QUESTION 61
1. Select the psychiatric disorder that occurs most commonly in patients hospitalized for
medical problems and surgery.
A.
Depressi
on
B.
Adjustm
ent
C.
Bipolar
D.
Anxiety
1 points
QUESTION 62
1. Select the public performance that is most associated with social anxiety in children.
A.
Dancin
g
B.
Speaki
ng
C AthletiMidterm 6635 PMHNP Walden University January 2021
. cs
D.
Eating
1 points
QUESTION 63
1. Select the anxiety disorder that emerges in ages 9 to 18 months.
A.
Separatio
n
B.
Generaliz
ed
C.
Social
D.
Traumati
c
1 points
QUESTION 64
1. Select the neurodevelopmental disorder typically diagnosed in childhood.
A.
Bipolar I
B.
Major
depression
C.
Intellect
D.
Agoraphobia
1 points
QUESTION 65
1. Select the maximum time period recommended for treatment of insomnia with
hypnotic drugs.
A.
1 week
B.
2
weeks
C.
1
month
D.
6
month
sMidterm 6635 PMHNP Walden University January 2021
1 points
QUESTION 66
1. Select the neurotransmitter that is most genetically involved in childhood and
adolescent depression.
A.
Norepinephrine
B.
Serotonin
C.
Dopamine
D.
Gamma amino butyric acid
(GABA)
1 points
QUESTION 67
1. Select the antidepressant drug that is most likely to cause death when taken in an
overdose.
A.
Fluoxetin
e
B.
Mirtazapi
ne
C.
Imiprami
ne
D.
Trazodon
e
1 points
QUESTION 68
1. Select the antidepressant drug most likely to cause sexual dysfunction.
A.
Sertraline
B.
Amitriptyli
ne
C.
Duloxetine
D.
Clomiprami
ne
1 points
QUESTION 69
1. Select the hormone or neurotransmitter that is involved in regulating the 24-hour
circadian sleep-wake cycle.Midterm 6635 PMHNP Walden University January 2021
A.
Dopamine
B.
Corticotrophin
releasing
C.
Serotonin
D.
Melatonin
1 points
QUESTION 70
1. Select the cognitive function category in a mental status examination that is
represented by the question, “Starting at 3 A.M., count back the time 2 hours at a time.”
A.
Orientation
B.
Concentrat
ion
C.
Calculation
D.
Alertness
1 points
QUESTION 71
1. Select the therapeutic plasma concentration range for lithium in mEq/L.
A.
0.1-
0.5
B.
0.6-
1.2
C.
1.4-
1.9
D.
2.0-
2.6
1 points
QUESTION 72
1. Select the rating scale used to assess children and adolescents for ADHD.
A.
Connors
B.
CBCL
C.
AchenbaMidterm 6635 PMHNP Walden University January 2021
ch
D.
DISC
1 points
QUESTION 73
1. Select the primary cause of reactive attachment disorder in children.
A.
Death of mother
B.
Bullying by peers
C.
Negligent
parenting
D.
Fetal alcohol
syndrome
1 points
QUESTION 74
1. Select the rating scale used to assess significant alcohol problem.
A.
BPRS
B.
CAGE
C.
YBOC
S
D.
CAPS
1 points
QUESTION 75
1. Select the criterion that differentiates Bipolar II from Bipolar I disorder.
A.
Major
depression
B.
Mania
C.
Psychosis
D.
Hypomania
1 points
QUESTION 76Midterm 6635 PMHNP Walden University January 2021
1. Select the largest percentage prevalence of psychiatric disorders in patients
hospitalized for medical conditions.
A.
10
B.
33
C.
50
D.
67
1 points
QUESTION 77
1. Select the rating scale used to assess response to antidepressant drug therapy.
A.
BDI
B.
MMSE
C.
BPRS
D.
HAMD
1 points
QUESTION 78
1. Select the treatment of choice for identity crisis.
A.
Antidepressant
drugs
B.
Behavioral
modification
C.
Antianxiety drugs
D.
Individual
psychotherapy
1 points
QUESTION 79
1. Select the most exclusive feature rapid eye movement (REM) sleep.
A.
Bradycardia
B.
Relaxation of skeletal
musclesMidterm 6635 PMHNP Walden University January 2021
C.
Dreaming
D.
Tachypnea
1 points
QUESTION 80
1. Select the DSM-5 disorder formerly called multiple personality disorder.
A.
Depersonalizati
on
B.
Dissociative
fugue
C.
Dissociative
identity
D.
Derealization
1 points
QUESTION 81
1. Select the two primary psychometric properties of psychiatric rating scales.
A.
Reproducibil
ity
B.
Reliability
C.
Validity
D.
Variability
1 points
QUESTION 82
1. Select the percent of OCD patients who also have depressive symptoms.
A.
50
B.
30
C.
15
D.
5
1 points
QUESTION 83Midterm 6635 PMHNP Walden University January 2021
1. Select the potential adverse effect of SSRI antidepressant drugs approved to treat
children with major depressive disorder.
A.
Weight gain
B.
Hypomanic
behavior
C.
Loss of interest
D.
Inappropriate
guilt
1 points
QUESTION 84
1. Select the two complications in diagnosing patients with anorexia nervosa.
Determining occurrence of
substance abuse
Denial of symptoms
Insisting weight loss has a medical
cause
Secrecy regarding eating rituals
1 points
QUESTION 85
1. Select the two types of symptom patterns common to OCD patients.
A.
Recurrent
nightmares
B.
Flight of ideas
C.
Intrusive
thoughts
D.
Contamination
1 points
QUESTION 86
1. Select the rating scale used to screen for Alzheimer’s disease and other dementias.
A.
BPRS
B.
YBOC
S
C.
NPIMidterm 6635 PMHNP Walden University January 2021
D.
BDI
1 points
QUESTION 87
1. Select the most effective treatment for social anxiety disorder in children.
A.
Bupropion and SNRI antidepressants
B.
Cognitive-behavior therapy (CBT) and SSRI
antidepressants
C.
Cognitive-behavior therapy (CBT) and
amitriptyline
D.
Coaching approach behavior and leading by
modeling
1 points
QUESTION 88
1. Select the two diagnostic criteria of somatic symptom disorder or hypochondriasis.
A.
Persistence for at least 6
months
B.
Presence of suicidal
ideation
C.
Lack of medical evidence
D.
Co-occurrence of
substance abuse
1 points
QUESTION 89
1. Select the time from occurrence of the stressor in which symptoms must appear to
diagnose an adjustment disorder.
A.
1 week
B.
1
month
C.
3
month
s
D.
6
month
s
1 pointsMidterm 6635 PMHNP Walden University January 2021
QUESTION 90
1. Select the two characteristics of impulses that are usually absent from compulsions.
A.
Pleasure seeking
B.
Psychosocial
impairment
C.
Committing actions
D.
Repetitive
performance
1 points
QUESTION 91
1. Select the period of time after most recent use that THC (marijuana) can be detected
in urine specimens.
A.
7-12
hours
B.
36-72
hours
C.
3 days
D.
2-7 days
1 points
QUESTION 92
1. Select the delay of time between exposure to the stressor and onset of PYSD
symptoms.
A.
1 month to 3
years
B.
6 weeks to 10
years
C.
6 months to 5
years
D.
1 week to 30
years
1 points
QUESTION 93
1. Select the nondrug therapy approved for use in patients who have failed to achieve
satisfactory improvement with correctly prescribed antidepressant drugs.
A.
Transcranial magneticMidterm 6635 PMHNP Walden University January 2021
stimulation
B.
Phototherapy
C.
Vagal nerve stimulation
D.
Psychoanalysis
1 points
QUESTION 94
1. Select a provider’s most important knowledge area essential to a successful mental
health interview of a child.
A.
Normal
development
B.
Cultural
background
C.
Sibling position
D.
Medical history
1 points
QUESTION 95
1. Select the drug that has been effective in treating social anxiety in children.
A.
Bupropion
B.
Carbamaze
pine
C.
Amitriptylin
e
D.
Fluoxetine
1 points
QUESTION 96
1. Select the youngest age range at which alarm therapy is effective to treat enuresis.
A.
11 to
12
B.
9 to
10
C.
6 to 7Midterm 6635 PMHNP Walden University January 2021
D.
5 to 6
1 points
QUESTION 97
1. Select the most important mediator of the stress response:
A.
Corticotrophin-releasing
hormone
B.
Neuropeptide Y
C.
GABA
D.
Galanin
1 points
QUESTION 98
1. Select the symptom that is most likely improve early in the drug treatment of major
depression.
A.
Poor
concentration
B.
Sleep
problems
C.
Excessive guilt
D.
Decreased
appetite
1 points
QUESTION 99
1. Select the criteria in DSM-5 to diagnose a child with major depressive disorder.
A.
At least three symptoms including suicidal thoughts for
three weeks
B.
At least five symptoms including violence toward others
for three weeks
C.
At least three symptoms excluding substance abuse for
two weeks
D.
At least five symptoms including irritable mood for two
weeks
1 points
QUESTION 100
1. Select two signs and symptoms of bulimia nervosa.Midterm 6635 PMHNP Walden University January 2021
A.
Weekly binge eating for at least three
months
B.
Abuse of emetic drugs and substances
C.
Greater weight loss than with anorexia
nervosa
D.
Binge eating and purging is most
common in winter [Show Less]