Psychiatric Disorders and Treatments, Exams of Nursing

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Select the psychiatric disorder that occurs most commonly in patients hospitalized for medical problems and surgery. A. Depression B. Adjustment C. Bipolar D. Anxiety What is the primary goal of data collection during the psychiatric interview? A. To obtain the family’s perception of the patient’s health and illness B. To explain the provider’s perception of the patient’s health and illness C. To obtain the patient’s perception of their health and illness D.

To obtain statistics regarding the patient’s health and illness

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 Behavioral theories hypothesize anxiety is: A. A conditioned response to a specific environmental stimulus B. The person’s feelings of living in a purposeless universe C. The result of psychic conflict between ID and EGO D. A result of an unconscious memory

What is the recommended duration of treatment with psychopharmacology of panic disorder once treatment becomes effective? A. 4-6 weeks B. 1-2 months C. 3-7 months D. 8-12 months

Select the two most effective treatments for obsessive-compulsive disorder (OCD) in children and adolescents. A. SSRI antidepressants B. SNRI antidepressants C. Cognitive behavioral therapy (CBT) D. Parent-child interaction therapy (PCIT) Select the mood disorder in which diagnosis requires symptoms present for at least two years. A. Major depression B. Dysthymia C. Bipolar II D. Cyclothymia

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 7 D. 5 to 6 Select the rating scale used to assess children and adolescents for ADHD. A. Connors B. CBCL C. Achenbach D. DISC

Select the preferred treatment for bulimia nervosa. A. Cognitive-behavior therapy (CBT) B. SNRI antidepressants C. Monoamine oxidase inhibitors (MAOIs) D. Dynamic psychotherapy Select the serious risk of treating cyclothymic patients with antidepressant drugs. A. Acute depression B. Manic episode C. Uncontrolled impulses D. Suicidal ideation

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 months D. 6 months The following psychotherapy interventions is NOT a recommended in the treatment of PTSD: A. Behavioral Therapy B. Chelation Therapy C. Cognitive Therapy D. Hypnosis

Benzodiazepine treatment for anxiety conditions lasts for: A. 3 months B. 1 year C. indefinitely D. 6 weeks Differential diagnosis for consideration when suspecting a cyclothymic disorder include: A. Seizures B. Substance abuse C. Narcissistic Personality Disorder D. All of the above

Select the best antidepressant alternative to fluoxetine to treat a patient suffering loss of sleep, appetite and weight for the past three months. A. Mirtazapine B. Citalopram C. Duloxetine D. Bupropion Select the two comorbid disorders with which Pica occurs most commonly. A. Enuresis B. Encopresis C. Autism D. Intellectual disability

Select the neurotransmitter dysregulation that is most directly involved with OCD. A. Dopamine B. Norepinephrine C. Serotonin D. GABA Select the rating scale used to assess response to antidepressant drug therapy. A. BDI B. MMSE C. BPRS D. HAM-D

Select the two types of symptom patterns common to OCD patients. A. Recurrent nightmares B. Flight of ideas C. Intrusive thoughts D. Contamination What is the most IMMEDIATE consideration in assessing depression in adolescents? A. Sleep B. Safety C. Appetite D. Anger

Select the type of dissociative amnesia described by patient’s inability to recall any information about her or his family. A. Selective B. Localized C. Continuous D. ystematized Select the disorder in which concurrent substance abuse occurs in 5% to 10% of patients. A. Bipolar I B. Bipolar II C. Major depression D. Cyclothymia

Select the behavior that best describes early onset bipolar disorder in children and adolescents. A. Aggression B. Withdrawal C. Panic D. Exhibition Select the two methods to treat dissociative amnesia. A. Antipsychotic drugs B. Cognitive therapy C. Hypnosis D. Psychoanalysis

Select the factor that is required to cause PTSD from a stressor. A. Intense fear B. Non-shared experience C. Concurrent substance abuse D. Survivor’s guilt Select the percent rate of mortality in anorexia nervosa patients. A. 1 to 5 B. 3 to 12 C. 5 to 18 D. 18 to 25

Select the most common stressor of PTSD in women. A. Home accident B. Partner or spousal abuse C. Sexual assault D. Natural disaster Select the psychiatric disorder for which drug and nondrug treatments are least effective. A. Dissociative amnesia B. Major depression C. Depersonalization D. Dissociative identity

Select the third most commonly reported psychiatric symptom. A. Depression B. Anxiety C. Psychosis D. Depersonalization Which rating scale is recommended for measuring health and disability? A. WHODAS 2. B. BDI C. CAPS D. Conners Rating Scale

Select two common uses of items taken in kleptomania. A. Gifts B. Displaying C. Selling D. Hiding Select the neurodevelopmental disorder typically diagnosed in childhood. A. Bipolar I B. Major depression C. Intellect D. Agoraphobia

Select the drug proven most effective in treating PTSD. A. Buspirone B. Paroxetine C. Trazodone D. Clonidine 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)

Select the age range in which somatic symptom disorder or hypochondriasis occurs most frequently. A. 15- B. 20- C. 35- D. 65- Anatomical and functional neuroimaging studies have associated a decreased activation in what part of the brain with obsessive-compulsive behaviors? A. Bodmann’s area B. Substantia nigra C. Caudate D. Wernicke’s area

Select the nondrug therapy approved for use in patients who have failed to achieve satisfactory improvement with correctly prescribed antidepressant drugs. A. Transcranial magnetic stimulation B. Phototherapy C. Vagal nerve stimulation D. Psychoanalysis Select the most important mediator of the stress response: A. Corticotrophin-releasing hormone B. Neuropeptide Y C. GABA D. Galanin

Select the DSM-5 disorder formerly called multiple personality disorder. A. Depersonalization B. Dissociative fugue C. Dissociative identity D. Derealization Select the least extent of sleep debt that can cause hypersomnolence. A. 4 hours per night for one month B. 3 hours per night for two weeks C. 2 hours per night for one week D. 1 hour per night for three days

Select two signs and symptoms of bulimia nervosa. 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 Select the largest percentage prevalence of psychiatric disorders in patients hospitalized for medical conditions. A. 10 B. 33 C. 50 D. 67

Select the therapy for insomnia that can be effective at up to three years after discontinuation. A. Cognitive-behavioral B. Sedating antihistamines C. Benzodiazepines D. Paradoxical intention Select the two factors that do not cause dissociative amnesia. A. Sexual abuse B. Substance abuse C. Surgical pain D. Partner betrayal

Select the drug in addition to a benzodiazepine used to treat generalized anxiety disorder. A. Buspirone B. Trazodone C. Quetiapine D. Lamotrigine Select the self-report rating scale used to screen for major depression. A. BDI B. HAM-D C. BPRS D. SANS