NRNP 6635 FINAL EXAM (3 VERSIONS, 250 Q & A, LATEST-2022/2023) WALDEN UNIVERSITY, Exams of Nursing

Download NRNP 6635 FINAL EXAM (3 VERSIONS, 250 Q & A, LATEST-2022/2023) WALDEN UNIVERSITY and more Exams Nursing in PDF only on Docsity! NRNP 6635 FINAL EXAM (3 VERSIONS, 250 Q & A, LATEST-2022/2023) WALDEN UNIVERSITY | 100% VERIFIED Q & A Question 1 Select the mental function that is most affected in mild cognitive impairment. Selected Answer: D. Recent memory Question 2 Select the most frequent cause of infant and childhood intellectual disability that is attributed to a specific gene. Selected Answer: C. Down syndrome Question 3 Select the brain region that shows the greatest anatomical abnormalities in schizophrenic patients. Selected By the end of the 20th century, however, researchers had made significant strides in revealing a potential neuropathological basis for schizophrenia, primarily in the limbic system and the basal ganglia, including neuropathological or neurochemical abnormalities in the cerebral cortex, the thalamus, and the brainstem. Because the basal ganglia and cerebellum are involved in the control of movement, disease in these areas is implicated in the pathophysiology of schizophrenia. Answer: D. Basal ganglia Question 4 Select the time of onset for tolerance to develop from continuous use of hallucinogens such as LSD. Selected Answer: Tolerance, particularly to the sensory and other psychological effects, is evident as soon as the second or third day of successive LSD use. Four to 6 days free of LSD are necessary to lose significant tolerance. B.4-7 days Question 5 Select the characteristic that is greater in childhood than adult onset schizophrenia. Selected Answer: B. Social withdrawal Question 6 Select the drug of choice to treat psychosis in delirious patients. Selected Answer: D. Haloperidol Question 12 Select the most reliable method to make a diagnosis of schizophrenia. Selected Answer: Therefore, a patient’s history is essential for the diagnosis of schizophrenia; clinicians cannot diagnose schizophrenia simply by results of a mental status examination, which may vary. D. Patient history Question 13 Select the dysfunction that is common to 50% to 85% of schizophrenic patients. Selected Answer: Various studies have reported abnormal eye movements in 50 to 85 percent of patients with schizophrenia compared with about 25 percent in psychiatric patients without schizophrenia and fewer than 10 percent in nonpsychiatrically ill control participant. D. Eye movement Question 14 Select two of the “Four A’s” symptoms of schizophrenia described by Bleuler. Selected These symptoms included associational disturbances of thought, especially looseness, affective disturbances, autism, and ambivalence, summarized as the four As: associations, affect, autism, and ambivalence. Answers: A. autism B. ambivalence Question 15 Select the personality disorder in which patients exhibit covert obstructionism, procrastination and pessimism. Selected In psychoanalytic terms, this phenomenon is called masochism and includes failure, procrastination, silly or provocative behavior, self-demeaning clowning, and frankly self-destructive acts. Answer: D. Passive aggressive Question 16 Select the negative symptom of schizophrenia. Selected Answer: A. Anhedonia Question 17 Select the main cause female orgasmic disorder. Selected Answer: B. Genetic Question 18 Select the age range for 90% of patients treated for schizophrenia. Selected Answer: About 90 percent of patients in treatment for schizophrenia are between 15 and 55 years old. B. 10-55 Question 19 Select the non-drug therapy in which mastery of anxiety through desensitization is critical to successful treatment of sexual dysfunction. Selected Answer: The behavior therapist enables the patient to master the anxiety through a standard program of systematic desensitization, which is designed to inhibit the learned anxious response by encouraging behaviors antithetical to anxiety. \AC1336647530\BEHAVIORAL THERAPY Select the disorder in which is characterized by lack breast development. Selected Answer: Turner’s syndrome in a patient aged 23. Note webbed neck, increased carrying angle, failure of breast development, and lack of pubic hair. B.5-α-reductase deficiency Question 25 Select the age range of the highest rate of substance dependence or abuse. Selected Answer: In 2012, the rate for dependence or abuse is highest among adults age 18 to 25 (19 percent) compared to youths age 12 to 17 (6 percent) and adults age 26 or older (7 percent). After age 21, a general decline occurred with age. B. 18-25 Question 26 Select two terms preferred to describe sexual orientation. Selected Answers: Hemosexual and Hecterosexual A. Gay D. Lesbian Question 27 Select the two patient populations in which delirium occurs most frequently. Selected Answers: B. Terminally ill C. Long-term care Question 28 Select the drug used to treat neuroleptic malignant syndrome. Selected Answer: C. Dantrolene Question 29 Select the drug that is most likely to cause parkinsonian movement symptoms. Selected Answer: D. Haloperidol Question 30 Select the two main conditions to initially identify in adult psychiatric emergencies. Selected Answers: B. Suicide D. Substance intoxication Question 31 Select the patient population at most risk of mortality from delirium. Selected C. Answer: Alcohol withdrawal Question 37 Select the most distinguishing characteristic of delirium. Selected Answer: Classically, delirium has a sudden onset (hours or days), a brief and fluctuating course, and rapid improvement when the causative factor is identified and eliminated, but each of these characteristic features can vary in individual patients. B. Sudden onset Question 38 Select the category of symptoms that is most commonly comorbid with cognitive disorde rs. Selecte d Answer : A. Behavioral Question 39 Select the primary defense mechanism that is common in delusional disorder. Selected Answer: A.Projection Question 40 Select the neurotransmitter system that is most associated with the addictive rewarding properties of opioids. Selected Answer: A. Dopaminergic Question 41 Select the type of hallucinations most common in schizophrenia. Selected The most common hallucinations, however, are auditory, with voices that are often threatening, obscene, accusatory, or insulting. Answer: C. Auditory Question 42 Select the diagnostic criterion for catatonia resulting from a medical condition. Selected Answer: B. Waxy flexibility Question 43 Select the two factors that are not applicable to diagnosing schizoaffective disorder. Selected Answers: As with most psychiatric diagnoses, schizoaffective disorder should not be used if the symptoms are caused by substance abuse or a secondary medical condition. C. Medical condition D. Substance abuse Question 44 Select the percentage of substance-addicted persons with a concurrent psychiatric disorder. Selected Answer: B. 50 Question 45 taking a sex history. Selected Answer: B. Open ended Question 51 Select the initial intervention to treat children experiencing acute school refusal. Selected Answer: B. Return to school the next normal day Question 52 Select the primary method to assess cognition. Selected Answer: C. Mental status exam Question 53 Select the preferred drug used to treat alcohol withdrawal. Selected Answer: D. Lorazepam Question 54 Select the procedure most applicable to confirming a diagnosis of delirium. Selected Answer: C. EEG Question 55 Select the brain region that is associated with substance addiction. Selected Answer: A. Prefrontal cortex Question 56 Select the two defense mechanisms used commonly by patients with personality disorde rs. Selecte d Answers: C. Splitting/D. Projection Question 57 Select the lifetime prevalence of schizophrenia in the United States. Selected In the United States, the lifetime prevalence of schizophrenia is about 1 percent Answer: A. 0.1-1.0% Question 58 Select ed Answe rs: A. Cognitive behavioral D. Insight Question 65 Select the two patient populations most likely suffer neuroleptic-induced parkinsonian sympto ms. Selected Answers : A.Female E. Elderly Question 66 Select the factor that is most influential in determining gender role development. Selected Answer: C. Genetics Question 67 Select the most common paraphilic disorder. Selected Answer: F. Pedophilia Question 68 Select the therapy that is contrary to position statements of the American Academy of Child and Adolescent Psychiatry. Selected B. Answer: Conversion Question 69 Select the psychiatric disorder in which patients refuse mental health care and deny their most common cause of dementia in elderly persons. Select ed Answ er: G. Personality Question 70 Select the Select ed Answ er: H. Alzheimer’s disease Question 71 Select the substance of abuse with the strongest evidence for genetic association. Selected Answer: I. Alcohol Question 72 Select the characteristic found in persons with intersex conditions. Selected Answer: D. Chromosome X abnormality problems. d Answer: B. 20% Question 79 Select the youngest age by which early-onset schizophrenia occurs. Selected Childhood-onset schizophrenia is defined by an onset of psychotic symptoms before the age of 13 years, Answer: B. 13 Question 80 Select two psychiatric disorders that are often misdiagnosed as childhood-onset or early onset schizophrenia. Selected Answers: A. Autism spectrum Bipolar I Question 81 Select the comorbid disorder that is more frequent in children with gender dysphoria. Selected Answer: A. Down syndrome Question 82 Select two treatments for adults who identify as transgender. Selected Answers: A. Hormonal B. Surgical Question 83 Select two comorbid factors common in schizophrenic patients. Selected Answers: A. Substance abuse C. Undiagnosed medical illness Question 84 Select the age at which sexual identity is self- evident. Selected Answer: B. 2 to 3 years Question 85 Select the pair of terms that represents the greatest conflict regarding sexual behavior. Selected Answer: C. medical and legal Question 86 Select the two characteristics that describe normal sexual behavior. Selected Answers: A. Varies from era to era Selected Answer: D. Medroxyprogesterone Question 93 Select the most distinguishing feature in the course and prognosis of schizophrenia. Selected Answer: A. Worsening after each relapse Question 94 Select the personality disorder in which patients are preoccupied with perfectionism and interpersonal control. Selected Answer: B. Obsessive compulsive Question 95 Select the rare adverse effect of SSRI antidepressants. Selected Answer: A. Tardive dyskinesia Question 96 Select the neurotransmitter for which the metabolite 5-HIAA in CSF is evident and predictive of suicide. Selected Answer: A. Serotonin Question 97 Select the two behaviors of schizophrenic patients that occur more frequently than in the general population. Selected Answers: B. Violence C. Suicide Question 98 Select the neurotransmitter that has least involvement in drug-induced movement disorde rs. Selecte d Answer: C. Dopamine Question 99 Select the factor that exerts the strongest influence on the initiation of substance use disorder in adolescents. Selected Answer: C. Parents Question 100 Select the intrinsic chemical released in orgasm that reinforces pleasurable sensation. Selected User JOAN FORCHAM Course NRNP-6635-3/NRNP-6635C-3-Psychpathology Answer: D. Oxytocin Review Test Submission: Exam - Week 11 Select ed Answe r: D. Psyc hos is Select the mental function that is most affected in mild cognitive impairment. Select ed Answe r: D. Rece nt mem ory Select the type of hallucinations most common in schizophrenia. Select ed Answe r: C. Audi tor y • Question 5 • Question 6 All of the following are criteria for gender dysphoria diagnosis in children EXCEPT Selecte d Answer s: A. Play preferred with same gender children • Question 7 • Question 8 What laboratory test assists with the diagnosis of schizophrenia? Select ed Answe r: D. No lab test Select the neurotransmitter that has least involvement in drug-induced movement disorders. Select ed Answe r: C. Dopa mi ne Select the most effective form of questioning when taking a sex history. Select ed Answe r: B. Ope n- end • Question 9 • Question 10 Answer: Sero toni n Select the substance that is most commonly abused by adolescents. Select ed Answe r: B. Marij uan a The presence of hallucinations or delusions IS needed for a diagnosis of schizophrenia. Selecte d Answer s: A. Tr u e Select the main cause female orgasmic disorder. Select ed Answer: • Question 16 • Question 17 • Question 15 B. G ene t ic Select the neurotransmitter for which the metabolite 5-HIAA in CSF is evident and predictive of suicide. Select ed Answe r: A. Serot oni n Select the drug that is least likely to cause male sexual dysfunction. Select ed Answe r: D. coc ai ne Select the personality disorder in which patients are most likely to tolerate spousal abuse to avoid losing sense of attachment. • Question 18 • Question 19 • Question 20 Select ed Answe r: A. Depen de nt • Question 21 Select the personality disorder in which patients seek social withdrawal. • Question 27 Select ed Answe r: D. Schizo typ al Select the psychiatric emergency that is indicated by mothers who express inadequate distress over their children’s medical symptoms. Select ed Answe r: D. Munchau sen’s syndrom e Select the rating scale used to assess medication-induced movement disorders. Select ed Answe r: C. AI M S • Question 28 • Question 29 What substance is known to decrease blood concentrations of antipsychotics, yet improve cognitive impairments and parkinsonism in schizophrenia illnesses? Select ed Answe r: D. Nicotine Select the drug most likely to inhibit female orgasm. Select ed Answe r: Paroxeti n e Select the diagnostic criterion for catatonia resulting from a medical condition. Select ed Answe r: C. Waxy flexibi lity • Question 30 • Question 31 • Question 32 D H Select the type of neurochemical receptor that is blocked by caffeine. Select ed Answe r: C. Aden osi ne Select the primary defense mechanism that is common in delusional disorder. Select ed Answe r: A. Proje ctio n Select the most common error by the provider in the practice of family-oriented therapy for persons with schizophrenia. Select ed Answer: • Question 38 • Question 39 D. Open discussion by practitioner with family about the patient’s frightening psychotic symptoms Select the factor that is most influential in determining gender role development. Select ed Answe r: D. Hormon • Question 40 al Select the most frequently abused illicit drug. Select ed Answe r: A. Marij uan a Select the disorder in which is characterized by lack breast development. Select ed Answe r: C. Turne r’s syndro me Select the youngest age by which early-onset schizophrenia occurs. Selected B. Answer: 13 • Question 42 • Question 43 • Question 44 • Question 41 continually in crisis and exhibit unpredictable behavior. Select ed Answe r: C. Borde rlin e Select the most frequent cause of infant and childhood intellectual disability that is attributed to a specific gene. Select ed Answe r: C. Down syndro me Select the drug of choice to treat psychosis in delirious patients. Select ed Answe r: D. Halope rid ol • Question 51 • Question 52 Select the pair of terms that represents the greatest conflict regarding sexual behavior. Select ed Answe r: C. medical and legal • Question 53 Select the two essential features of sexual dysfunction. Selecte d Answer s: A. Failure to achieve orgasm C. Pain during sexual activity Select the two normal functions in Asperger’s Disorder that are absent in Autism Spectrum Disorder. Selecte d Answer s: A. Cogniti ve ability C. Langu age skills Select the preferred drug used to treat alcohol withdrawal. • Question 54 • Question 55 • Question 56 What theorist saw schizophrenia as a reaction to life stressors? Select ed Answe r: B. Me ye r Select the main goal of psychosocial therapies for persons with schizophrenia. Select ed Answe r: C. Develop skills for independent living Select the two most life-threatening adverse effects of cocaine use. Selecte d Answer s: B. Cardiac arrhythmias C. Cerebrovasc ular infarction • Question 61 • Question 62 What is known as the peak age of onset for schizophrenia in males? Select ed Answe r: B. 10-25 years old Select the medical condition in which erectile dysfunction drugs (e.g., sildenafil) are likely to be ineffective. Select ed Answe r: D. Ischemic heart disease Select the development time of symptoms in neuroleptic malignant syndrome. Select ed Answe r: B. 24-72 hours • Question 63 • Question 64 • Question 65 Bleuler identified “Four As” as fundamental symptoms of schizophrenia to frame his theory of internal mental schisms of patients that include all the following EXCEPT: Selecte d Answer s: A. Ambivalence D. • Question 66 disorders. Select ed Answe r: D. Medroxypro gester one Select the drug that is most safe and effective in treating mild to moderate memory loss in early Alzheimer’s disease. Select ed Answe r: A. Done pe zil All of the following are symptoms of alcoholic withdrawal delirium EXCEPT Selecte d Answer s: B. Autonomic dysfunction Select the theorist who first studied social and cultural influences on suicide. Select ed Answe r: B. Durk hei m • Question 74 • Question 75 Select the two characteristics that describe normal sexual behavior. Selecte d Answer s: A. Varies from era to era B. Reflects cultural mores Select two comorbid factors common in schizophrenic patients. Selecte d Answer s: A. Substance abuse D. Undiagnosed medical illness Select the initial intervention to treat children experiencing acute school refusal. Select ed Answer: • Question 76 • Question 77 • Question 78 Select the neurotransmitter that is most associated with the occurrence of ADHD. Select ed Answe r: B. Dopa mi ne Select the non-drug therapy in which mastery of anxiety through desensitization is critical to successful treatment of sexual dysfunction. Select ed Answe r: C. Beha vi or Select the neurotransmitter system that is most associated with the addictive rewarding properties of opioids. Select ed Answer: • Question 82 • Question 83 • Question 84 A. D opamin er gic Select the personality disorder in which patients exhibit covert obstructionism, procrastination and pessimism. • Question 85 Select ed Answe r: D. Passive- aggressiv e Select the psychiatric theorist who proposed that all pleasurable impulses and activities are sexual in origin. Select ed Answe r: C. Fr eu d Select the age range at which most children with gender dysphoria begin to show increased anxiety over anticipated changes to their bodies. Select ed Answe r: D. 3 to 4 • Question 86 • Question 87 withdrawal Select the drug used to treat age-related sexual dysfunction. Select ed Answe r: A. silden a fil Select the characteristic of sexually abused children. Select ed Answe r: B. Denial of abuse episodes Select the factor that best correlates with attempted and completed suicide. Select ed Answe r: A. Men tal illne • Question 93 • Question 94 • Question 92 s s Select the disorder in which the highest percentage of patients commit suicide. Select ed Answe r: D. Mo o d Select the personality disorder that presents the greatest challenge to diagnose by experienced providers. Select ed Answe r: D. Antis oci al Select the psychoactive substance that is most frequently consumed worldwide. • Question 95 • Question 96 • Question 97 Select ed Answe r: B. Caff ei ne Select the time of onset for tolerance to develop from continuous use of hallucinogens • Question 98 trial. A. 2 to 4 weeks B. 4 to 6 weeks C. 3 to 6 months D. 6 to 12 months QUESTION 33 1. Select the two behaviors of schizophrenic patients that occur more frequently than in the general population. A. Homicide B. Violence C. Suicide D. Pyromania QUESTION 34 1. Select the neurotransmitter that increases sexual desire. A. Norepinephrine B. Dopamine C. GABA D. Serotonin QUESTION 35 1. Select the two Freudian stages of psychosexual development. A. Olfactory B. Oral C. Tactile D. Genital QUESTION 36 1. Select the most frequent cause of intellectual disability in U.S. children. A. Lead poisoning B. Fetal alcohol syndrome C. Dietary protein deficiency D. Maternal marijuana use QUESTION 37 1. Select the substance that is most commonly abused by adolescents. A. Cocaine B. Marijuana C. Methamphetamine D. Alcohol QUESTION 38 1. Select the percent blood alcohol level at which voluntary motor activity becomes impaired. A. 0.4 B. 0.3 C. 0.2 D. 0.1 A. Naltrexone B. Clonidine C. Lorazepam D. Disulfiram QUESTION 46 1. Select two criteria to diagnose gender dysphoria in children. A. Play preferred with same gender children B. Urinating in body position of desired gender C. Play preferred with opposite gender children D. Dressing in clothing of assigned gender QUESTION 47 1. Select the time of onset for tolerance to develop from continuous use of hallucinogens such as LSD. A. 1-2 days B. 3-4 days C. 4-7 days D. 5-9 days QUESTION 48 1. Select the youngest age by which early-onset schizophrenia occurs. A. 10 B. 13 C. 15 D. 18 QUESTION 49 1. Select the category of symptoms that is most commonly comorbid with cognitive disorders. A. Behavioral B. Emotional C. Medical D. Physical QUESTION 50 1. Select the most reliable method to make a diagnosis of schizophrenia. A. Mental status exam B. Intermittent hallucinations C. Impaired abstract thinking D. Patient history QUESTION 51 1. Select the percentage of the U.S. population with a substance dependence problem as of year 2012. A. 25% B. 20% C. 10% D. 5% QUESTION 52  Select the disorder in which is characterized by lack breast development. A. Klinefelter's syndrome B. 5-α-reductase deficiency C. Turner's syndrome D. Transvestic disorder QUESTION 53 1. Select two terms preferred to describe sexual orientation. A. Gay B. Heterosexual C. Homosexual D. Lesbian QUESTION 54  Select the most common cause of dementia in elderly persons.  A. Parkinson's disease  B. Alcohol abuse  C. Alzheimer's disease  D. Subdural hematoma QUESTION 55 1. Select the medical condition that occurs less frequently in schizophrenic patients than in the general population.