NRNP 6635 Midterm Exam / NRNP6635 Midterm Exam(Version 1) (100 Q & A)(Latest, 2024):Walden, Exams of Nursing

Download NRNP 6635 Midterm Exam / NRNP6635 Midterm Exam(Version 1) (100 Q & A)(Latest, 2024):Walden and more Exams Nursing in PDF only on Docsity!

NRNP 6635 Midterm Exam

Question 3

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

Question 4

Select age after which encopresis may be correctly diagnosed.

A. 2

B. 3

C. 4

D. 6

Question 5

Select the antidepressant drug that is most likely to cause death when taken in an overdose.

A. Fluoxetine

B. Mirtazapine

C. Imipramine

D. Trazodone

Question 6

Select the disorder in which inflicting injury to self or others is common.

A. Pain

B. Conversion

Select the therapeutic plasma concentration range for lithium in mEq/L.

C. Somatic symptom

D. Factitious

Question 7

A. 0.1-0.

B. 0.6-1.

C. 1.4-1.

D. 2.0-2.

Question 9

Select the antidepressant drug that inhibits reuptake of both norepinephrine and serotonin (5-

HT).

A. Fluoxetine

B. Desipramine

C. Venlafaxine

D. Bupropion

Question 10

Select the psychiatric disorder that occurs most commonly in patients hospitalized for medical

problems and surgery.

A. Depression

B. Adjustment

C. Bipolar

Shor

D. Anxiety t

Question 11

Select the short rating scale used to assess change in psychiatric inpatients.

A. PANSS

Select the class of drugs most effective in treating pain disorder.

B. BPRS

C. HAM-D

D. CAPS

Question 12

A. Opioid^ analgesics

B. TCA^ and^ SSRI^ antidepressants

C. Beta-adrenergic^ blockers

D. Mood^ stabilizers

Question 13

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

Question 14

Select the most commonly occurring eating disorder.

A. Anorexia nervosa

B. Bulimia nervosa

C. Purging

D. Binge

Question 15

Select the age stage of life in which identity crisis typically emerges.

A. Childhood

B. Adolescence

C. Middle adult

D. Elderly adult

Question 16

Select the two rating scales used specifically for schizophrenia.

A. PANSS

B. MMSE

C. SAPS

D. BPRS

Question 17

Select the drug that has been effective in treating social anxiety in children.

A. Bupropion

B. Carbamazepine

C. Amitriptyline

D. Fluoxetine

uestion 18

Select the drug used to treat bipolar disorder that may cause hypothyroidism.

A. Lithium

B. Risperidone

C. Lamotrigine

D. Valproate

Question 19

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)

Question 20

Select the most likely stressor to cause an adjustment disorder.

A. Natural^ disaster

B. Emergency^ surgery

C. Vehicle^ accident

D. Substance^ abuse

Question 21

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. Concentration

C. Calculation

D. Alertness

Question 21

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. Concentration

C. Calculation

D. Alertness

Question 22

Select the memory category retained in transient global amnesia that is absent in dissociative

amnesia.

Select the most important mediator of the stress response:

Select the drug proven most effective in treating PTSD.

A. Family members

B. Sequential events

C. Personal identity

D. Adolescent years

Question 23

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 member

D. Repeated natural disaster

Question 24

A. Corticotrophin-releasing^ hormone

B. Neuropeptide^ Y

C. GABA

D. Galanin

Question 25

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

uestion 26

A. Buspirone

B. Paroxetine

C. Trazodone

D. Clonidine

Question 27

Select the two methods to treat dissociative amnesia.

A. Antipsychotic drugs

B. Cognitive therapy

C. Hypnosis

D. Psychoanalysis

Question 27

Select the two methods to treat dissociative amnesia.

A. Antipsychotic drugs

B. Cognitive therapy

C. Hypnosis

D. Psychoanalysis

Question 28

Select the factor that best correlates with the occurrence of PTSD in children.

A. Excessive dopamine metabolites

B. Higher IQ

C. Larger corpus callosum

D. Low IQ

Question 29

Select the maximum time period recommended for treatment of insomnia with hypnotic drugs.

A. 1 week

Select the drug proven most effective in treating PTSD.

Select the most effective treatment for social anxiety disorder in children.

B. 2 weeks

C. 1 month

D. 6 months

Question 30

Differential diagnosis for consideration when suspecting a cyclothymic disorder include:

A. Seizures

B. Substance^ abuse

C. Narcissistic^ Personality^ Disorder

D. All of^ the^ above

Question 31

A. Buspirone

B. Sertraline

C. Trazodone

D. Clonidine

Question 32

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

Question 33

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

Anatomical and functional neuroimaging studies have associated a decreased activation in what

part of the brain with obsessive-compulsive behaviors

Question 34

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

Question 35

Select the DSM-5 disorder formerly called multiple personality disorder.

A. Depersonalization

B. Dissociative^ fugue

C. Dissociative^ identity

D. Derealization

Question 36

Select the two factors that do not cause dissociative amnesia.

A. Sexual^ abuse

B. Substance^ abuse

C. Surgical^ pain

D. Partner^ betrayal

Question 38

Select the population in which rumination disorder occurs most frequently.

B

C

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 years

Question 39

Select the two most commonly co-occurring anxiety disorders that may present with generalized

anxiety disorder.

A. PTSD

B. Dissociative disorder

C. OCD

D. Delusional disorder

Question 39

Select the two most commonly co-occurring anxiety disorders that may present with generalized

anxiety disorder.

A. PTSD

B. Dissociative disorder

C. OCD

D. Delusional disorder

Question 40

Select the greatest challenge in the long-term treatment of Bipolar I and II disorder.

Psychotic

A. symptoms

Mood

. stabilization

. Acute^ depression

D. Panic^ anxiety

Question 41

Select the most exclusive feature rapid eye movement (REM) sleep.

What is one main difference between acute stress disorder and PTSD?

A. PTSD^ diagnosis require^ symptoms^ to^ last^ at^ least^ for^ one^ month.

B. Acute^ stress^ disorder^ symptoms^ can^ last^ at^ least^ for^ one^ month.

C. PTSD^ has^ recurrent,^ distressing^ dreams.

D. Acute^ stress^ disorder^ has^ recurrent,^ distressing^ dreams.

Question 42

A. Bradycardia

B. Relaxation^ of^ skeletal^ muscles

C. Dreaming

D. Tachypnea

Question 43

Select the two medical conditions in which derealization and depersonalization are common.

A. Anorexia

B. Migraine

C. Parkinson’s

D. Seizures

Question 44

Select the disorder in which children are irritable and display temper outbursts, but are not likely

to cause physical harm to themselves and others.

A. Oppositional

B. Conduct

C. Dysregulation

D. Bipolar

Question 45

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. Systematized

Question 46

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

Question 47

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

Question 48

Select the time after cessation of the stressor causing an adjustment disorder in which symptoms

should cease to persist.

A. 1 month

B. 3 months

C. 6 months

D. 1 year

Select the disorder in which patients feel detached from their environment.

Question 49

Select the symptom that is least associated with manic and hypomanic episodes.

A. Suicidal^ ideation

B. Inflated^ self-esteem

C. Distractibility

D. Pressured^ speech

Question 50

A. Derealization

B. Transient^ global^ amnesia

C. Depersonalization

D. Dissociative^ identity

Question 51

Select the percentage occurrence of anxiety disorders in children and adolescents.

A. 2-

B. 5-

C. 10-

D. 20-

Question 51

Select the percentage occurrence of anxiety disorders in children and adolescents.

A. 2-

B. 5-

C. 10-

D. 20-

Question 52

Select the most likely stressor to cause an adjustment disorder.

A. Medical illness

B. Natural disaster

C. Vehicle accident

D. Substance abuse

Question 53

Select the two diverse symptoms of OCD.

A. Rituals

B. Flashbacks

C. Loose associations

D. Intrusive thoughts

Question 54

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

Binge eating and purging is most common in

D. winter

Question 55

Select the two symptoms that result from prolonged sleep deprivation.

A. Ambition

B. Hallucinations

C. Contentedness

D. Irritability

Question 56

Select the disorder that is most similar to cyclothymia.

A. Major depression

B. Bipolar II

C. Schizophrenia

D. Bipolar I

Question 57

Select the theorist who developed the eight stages of psychosocial life cycle.

A. Bowlby

B. Perls

C. Erikson

D. Rogers

Question 58

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)

Question 59

Factors that indicate a good prognosis for PTSD disorders include all the following EXCEPT:

A. rapid^ onset^ of^ symptoms

B. short^ duration^ of^ symptoms

C. positive^ response^ to^ benzodiazepines

D. strong^ social^ supports

Question 60

Select the age range in which somatic symptom disorder or hypochondriasis occurs most

frequently.

A. 15-

B. 20-

C. 35-

D. 65-

Question 61

Select the comorbidity most commonly occurring with intermittent explosive disorder.

A. Narcissism

B. Pyromania

C. Depersonalization

D. Kleptomania

Question 62

Select the alternate name for persistent depressive disorder.

A. Cyclothymia

B. Bipolar I

C. Bipolar II

D. Dysthymia

Question 63

Select the preferred treatment for bulimia nervosa.

A. Cognitive-behavior^ therapy^ (CBT)

B. SNRI^ antidepressants

C. Monoamine^ oxidase^ inhibitors^ (MAOIs)

D. Dynamic^ psychotherapy

Question 64

Select the greatest impediment to treating anorexia nervosa patients.

Select the public performance that is most associated with social anxiety in children.

A. Drug adverse effects

B. Variability of family therapy

C. Patient resistance

D. Noncompliance with therapy

Question 65

Select the two most common peripheral symptoms of anxiety.

A. Bradycardia

B. Dizziness

C. Constipation

D. Tremors

Question 66

Select the therapy that has been most effective in treating childhood PTSD.

A. SSRI antidepressants

B. CBITS

C. SPARCS

D. Crisis intervention

Question 67

A. Dancing

B. Speaking

C. Athletics

D. Eating

Question 68

Select the serum assessment that is required when prescribing drugs to treat psychiatric disorders

in psychosomatic patients.

A. Potassium

Question 69

B. White^ blood^ cells^ Select the serum substance that should be measured to aid the

diagnosis of restless leg syndrome.

C. Liver^ enzymes

A. Potassium

Blood urea D B.

.

Fnietrooigtien

n

C. Magnesium

D. Albumin

Question 70

Select the behavior that best describes early onset bipolar disorder in children and adolescents.

A. Aggression

B. Withdrawal

C. Panic

D. Exhibition

Question 71

Select the anxiety disorder that emerges in ages 9 to 18 months.

A. Separation

B. Generalized

C. Social

D. Traumatic

Question 72

Select two imaging methods used to study anxiety disorders.

A. CT

B. TMS

C. MRI

D. EKG

Question 73

Select the therapy that is as effective as appropriate drugs to treat OCD.

A. Psychotherapy

B. Behavior

C. Family

D. Group

Question 74

Select the anxiety disorder that is most associated with selective mutism in children,

A. Social

B. Generalized

C. Separation

D. Phobic

Question 75

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

Question 76

Select two brain regions that are associated with anxiety disorders.

A. Substantia nigra

B. Locus ceruleus

C. Temporal lobe

D. Raphe nuclei

Question 77

Select the most common stressor of PTSD in women.

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

Question 78

Select the rating scale used to assess response to antidepressant drug therapy.

A. BDI

B. MMSE

C. BPRS

D. HAM-D

Question 79

A. Home accident

B. Partner or spousal abuse

C. Sexual assault

D. Natural disaster

Question 80

Behavioral theories hypothesize anxiety is:

A conditioned response to a specific

A. environmental stimulus

The person’s feelings of living in a

B. purposeless universe

The result of psychic conflict between ID

C. and EGO

D. A result of an unconscious memory

Question 81

Select the neurotransmitter that is most involved in the pathophysiology of schizophrenia.

A. Norepinephrine

B. Dopamine

C. Serotonin

D. Acetylcholine

Question 82

Select the function that is most affected by conversion disorder.

A. Voluntary motor

B. Hearing

C. Involuntary motor

D. Smelling

Question 83

Select the two most important elements of the psychiatric interview to establish a mental illness

diagnosis.

A. Psychiatric^ history

B. Family^ history

C. Mental^ status^ examination

D. Review^ of^ systems

Question 84

Select the characteristic in long sleepers (more than 9 hours) that is absent in short sleepers (less

than 6 hours).

A. Mildly^ depressed

B. Ambitious

C. Socially^ adept

D. Efficient

Question 85

Select the psychiatric disorder for which drug and nondrug treatments are least effective.

A. Dissociative^ amnesia

B. Major^ depression

C. Depersonalization

D. Dissociative^ identity

Question 86

The following is NOT an endocrine change noted with anorexia nervosa:

A. Increased^ Glucose

B. Hypothyroidism

C. Hypersecretion^ of^ corticotrophin-releasing^ hormone

D. Eating^ with^ friends, but^ not^ family

Question 87

Which part of the brain is essential to the maintenance of attention?

A. Cortex

B. Right frontal lobe

C. Septum

D. Amygdala

Question 88

Which side effect of venlafaxine places the medication as a second-line choice when compared

with SSRIs?

A. Nausea

B. Increased^ blood^ pressure

C. Headache

D. Fatigue

Question 89

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

Question 90

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

Question 91

Select the theorist who is credited with establishing the area of psychosomatic medicine.

A

Freud

.

B

Abraham

.

C

Groddeck

.

D

Ferenczi

.

Question 92

Children with a first-degree relative diagnosed with major depression are three times more likely

to develop the disorder than those children without a family history of depression.

A. True

B. False

C. Neither

D. I^ don't^ know

Question 93

Select the two types.

A. Recurrent nightmares

B. Flight of ideas

C. Intrusive thoughts

D. Contamination

Question 94

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

Question 95

Select the difference in rates of suicidal thoughts and behaviors between placebo and drug in

children and adolescents observed from random controlled trials of nine antidepressant drugs that

resulted in the 2004 FDA “black box” warning in labeling of antidepressant drugs.

A. 1%^ placebo,^ 5% drug

B. 2%^ placebo,^ 4% drug

C. 2%^ placebo,^ 10% drug

D. 4%^ placebo,^ 12% drug

Question 96

Select the activity in which children are most likely to suffer selective mutism.

A. Religious

B. Family

C. Playmates

D. School

Question 97

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

Question 98

Select the least effective method to treat dissociative amnesia.

A. Antipsychotic^ drugs

B. Cognitive^ therapy

C. Hypnosis

D. Group^ therapy

Question 99

Select the third most commonly reported psychiatric symptom.

A. Depression

B. Anxiety

C. Psychosis

D. Depersonalization

Question 100

Select the two characteristics of impulses that are usually absent from compulsions.

A. Pleasure seeking