NRNP 6635- NRNP 6635N MIDTERM EXAM (3 VERSIONS, 300 Q & A, LATEST- 2023-2024) - WALDEN, Exams of Nursing

Download NRNP 6635- NRNP 6635N MIDTERM EXAM (3 VERSIONS, 300 Q & A, LATEST- 2023-2024) - WALDEN and more Exams Nursing in PDF only on Docsity! 1 NRNP 6635- NRNP 6635N MIDTERM EXAM (3 VERSIONS, 300 Q & A, LATEST- 2023-2024) - WALDEN UNIVERSITY - 100% VERIFIED QUESTIONS & ANSWERS Select the serum assessment that is required when prescribing drugs to treat psychiatric disorders in psychosomatic patients. Selecte d Answer : A. Potassi u m Select the theorist who developed the eight stages of psychosocial life cycle. Selecte d Answer : C. Eriks o n 2 Select two causes of dissociative amnesia. Selecte d Answer s: A. Sexual abuse D. Partner betray al Select the patient evaluation scale to be used before and during prescribing antipsychotic drugs. Selecte A. d Answer MM : S E Select the two comorbid disorders with which Pica occurs most commonly. Selecte d Answer s: C. Autism D. Intellectual disability Select the prognosis range of untreated PTSD patients. Selecte d Answer : A. 10% recover, 20% mild symptoms, 30% moderate symptoms, 40% no change or worse Select the memory category retained in transient global amnesia that is absent in dissociative amnesia. Selecte d Answer : B. Sequenti al events The following is NOT an endocrine change noted with anorexia nervosa: Selected A. 5 Select the medical condition that must be excluded as a cause of somatic symptom disorder or hypochondriasis. Selecte d Answer : A. Angina pectori s What is the most IMMEDIATE consideration in assessing depression in adolescents? Selecte d Answer : B. Safe t y Select the neurotransmitter that is most involved in the pathophysiology of schizophrenia. Selecte d Answer : B. Dopa mi ne Select the most important component of the patient-provider rapport. Selecte d Answer : A. Empa t hy Select the most effective treatment for social anxiety disorder in children. Selecte d Answer : B. Cognitive-behavior therapy (CBT) and SSRI antidepressants All the following are key psychiatric findings when assessing speech and language in children EXCEPT: Selecte d Answer : A. Normal articulation 6 Select the factor that is required to cause PTSD from a stressor. Selecte d Answer : A. Intens e horror All the following are classes of coping mechanisms in the Model of Mental Health as Resilience where humans overcome stressful situations EXCEPT: Selecte d Answer : B. Generativity versus Stagnation Anatomical and functional neuroimaging studies have associated a decreased activation in what part of the brain with obsessive-compulsive behaviors? Selecte d Answer : B. Substanti a nigra Select the two complications in diagnosing patients with anorexia nervosa. Selecte d Answer s: Denial of symptoms Insisting weight loss has a medical cause Select the anxiety disorder that emerges in ages 9 to 18 months. Selecte d Answer : A. Separa ti on Select the two most common peripheral symptoms of anxiety. Selecte d Answer s: B. Dizzin e ss D. 7 Tremors Select the hormone or neurotransmitter that is involved in regulating the 24- hour circadian sleep-wake cycle. Selecte d Answer : D. Melato ni n Select the event most associated with the occurrence of dissociative fugue. Selecte d Answer : A. Head traum a Select the neurodevelopmental disorder typically diagnosed in childhood. Selecte d Answer : C. Intell e ct Select the primary cause of reactive attachment disorder in children. Selecte d Answer : A. Death of mother Select the psychiatric disorder for which drug and nondrug treatments are least effective. Selecte d Answer : D. Dissociative identity Select two events that are causes of dissociative trance disorder. Selecte d Answer s: B. Substance abuse D. 10 Select the most common stressor of PTSD in women. Selecte d Answer : C. Sexua l assau lt Select the most likely stressor to cause an adjustment disorder. Selecte d Answer : B. Natura l disaste r Select the motivation in pyromania that is absent in patients who commit arson. Selecte d Answer : A. Financi al gain What does a black-box warning from the FDA indicate for prescribers? Selecte d Answer : D. The need for closer monitoring of potential symptoms by the provider Select the third most commonly reported psychiatric symptom. Selecte d Answer : D. Depersonaliza ti on Select the disorder in which patients feel detached from their environment. Selecte d Answer : A. Derealiza ti on 11 Select the least extent of sleep debt that can cause hypersomnolence. Selecte d Answer : B. 3 hours per night for two weeks 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. Selecte d Answer : A. Major depressio n Select the disorder in which children are irritable and display temper outbursts, but are not likely to cause physical harm to themselves and others. Selecte d Answer : A. Oppositio n al Select the nondrug therapy approved for use in patients who have failed to achieve satisfactory improvement with correctly prescribed antidepressant drugs. Selecte d Answer : A. Transcranial magnetic stimulation Fetal alcohol syndrome is characterized by all the following EXCEPT: Selecte d Answer : D. Scant y Lanug o Select the age stage of life in which identity crisis typically emerges. Selecte d Answer : B. Adolesce n ce e Question 61  15 Select the short rating scale used to assess change in psychiatric inpatients. Selecte d Answer : A. PAN S S Select the two diverse symptoms of OCD. Selecte d Answer s: A. Rituals D. Intrusiv e thought s Select the antidepressant drug that is effective in treating OCD, because it is the most selective in preventing serotonin uptake. Selecte d Answer : D. Venlafa xi ne Select the drug in addition to a benzodiazepine used to treat generalized anxiety disorder. Selecte d Answer : D. Lamotri gi ne Select the percent of OCD patients who also have depressive symptoms. Selected C. Answer: 1 5 Episodes of major depression and hypomania are the main characteristics of: Selected Answer: 16 D. B i p o l a r I I D i s o r d e r 17 Benzodiazepine treatment for anxiety conditions lasts for: Selecte d Answer : C. indefinite ly Select the comorbid disorder most frequently associated with anorexia nervosa. Selecte d Answer : A. Depres si on Which side effect of venlafaxine places the medication as a second-line choice when compared with SSRIs? Selecte d Answer : B. Increased blood pressure Select the therapy for insomnia that can be effective at up to three years after discontinuation. Selecte d Answer : A. Cognitive - behavior al Select the two types of symptom patterns common to OCD patients. Selecte d Answer s: C. Intrusiv e thought s D. Contamination Select the percentage range of correlation between obesity and psychiatric disorders. Selected 20 Select the factor that best correlates with the occurrence of PTSD in children. Selecte d Answer : D. Lowe r IQ Select two events that are excluded as causes of dissociative trance disorder. Selecte d Answer s: B. Substance abuse D. Appropriate drug therapy According to Bowlby’s theory of anxiety, what is fundamental to the growth of attachment in an infant? Selecte d Answer : C. Mother’s ability to relieve infant anxiety Select the preferred treatment for bulimia nervosa. Selecte d Answer : A. Cognitive-behavior therapy (CBT) Select the greatest challenge in the long-term treatment of Bipolar I and II disorder. Selecte d Answer : C. Acute depressio n Select the life stage at which emotional and social behavior begin. Selecte d Answer : A. Toddle r 21 Select the symptom that is least associated with manic and hypomanic episodes. Selecte d Answer : B. Inflated self- esteem Select the two primary psychometric properties of psychiatric rating scales. Selecte d Answer s: B. Reliabilit y C. Validity Select the theorist who developed psychoanalysis. Selecte d Answer : D. Fre u d Select the disorder that is most similar to cyclothymia. Selecte d Answer : B. Bipola r II Select the public performance that is most associated with social anxiety in children. Selecte d Answer : B. Spea ki ng Select the antidepressant drug most likely to cause sexual dysfunction. Selecte d Answer : A. Sertral i ne 22 Select the theorist who is credited with establishing the area of psychosomatic medicine. Selecte d Answer : C. Grodd e ck Select two common uses of items taken in kleptomania. Selecte d Answer s: A. Gifts C. Selli n g Select the age group in which adjustment disorders occur most frequently. Selecte d Answer : D. Adolesc e nt Select the percent rate of mortality in anorexia nervosa patients. Selecte d Answer : C. 5 to 18 Select the two rating scales used specifically for schizophrenia. Selecte d Answer s: A. PAN S S C. SAPS When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Yes 25 QUESTION 9 1 QUESTION 10 A Family . members B Sequential . events C Personal . identity D Adolescent . years QUESTION 8 1. 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 . Psychiatric history . B Family history . C Mental status . examination D Review of systems . . B Variability of family . therapy C Patient resistance 26 QUESTION 12 QUESTION 11 1 1 points . D Noncompliance with . therapy A Central apnea . B Somnambule . nce C Insomnia . D Narcolepsy . Hoarding . B Excoriation . C Hair-pulling . D Body . dysmorphia QUESTION 13 1. Select the rating scale used to assess obsessive-compulsive disorder. A HAM- . A B CAGE . C YBOC . S D CAPS . 27 1 points QUESTION 16 1 points QUESTION 14 1. Select age after which encopresis may be correctly diagnosed. A . B . C . D . QUESTION 15 1. Select the mood disorder that is worsened by chronic exposure to observing violence in television, movies, and video games. A Bipolar . B Opposition . al C Conduct . D Dysthymia . A Normal . development B Cultural . background C Sibling position . D Medical history . QUESTION 17 1. Select the minimum treatment time to assess the effectiveness of antidepressant drug therapy. A 1-2 weeks 2 3 4 6 30 1 points QUESTION 26 QUESTION 27 . B Cognitive-behavior therapy (CBT) and SSRI . antidepressants C Cognitive-behavior therapy (CBT) and . amitriptyline D Coaching approach behavior and leading by . modeling QUESTION 25 1. All the following are key psychiatric findings when assessing speech and language in children EXCEPT: A Normal articulation . B Unusual syntax . C Echolalia . D Repetitive stereotypical . phrases A Intense horror . B Isolated experience . C Concurrent substance . abuse D Survivor’s guilt . A Adaptive involuntary coping mechanisms (defense . mechanisms) QUESTION 24 31 1 points QUESTION 28 1. Anatomical and functional neuroimaging studies have associated a decreased activation in what part of the brain with obsessive-compulsive behaviors? 1 points QUESTION 29 1. Select the two complications in diagnosing patients with anorexia nervosa. 1 B Generativity versus Stagnation . C Conscious Cognitive Strategies . D Consciously Seeking Social Support . A Bodmann’s . area B Substantia . nigra C Caudate . D Wernicke’s . area Determining occurrence of substance abuse Denial of symptoms Insisting weight loss has a medical cause Secrecy regarding eating rituals QUESTION 30 1. Select the anxiety disorder that emerges in ages 9 to 18 months. A Separatio . n B Generaliz . ed C Social . D Traumatic . 32 QUESTION 32 QUESTION 33 1 QUESTION 31 1. Select the two most common peripheral symptoms of anxiety. A Bradycardi . a B Dizziness . C Constipati . on D Tremors . Dopamine . B Corticotrophin . releasing C Serotonin . D Melatonin . . B Substance . abuse C Partner . betrayal D Unplanned . travel QUESTION 34 1. Select the neurodevelopmental disorder typically diagnosed in childhood. A Bipolar I 1 35 QUESTION 41 QUESTION 42 QUESTION 43 QUESTION 44 Seizures . B Substance abuse . C Narcissistic Personality . Disorder D All of the above . A Behavioral . Therapy B Chelation . Therapy C Cognitive . Therapy D Hypnosis . A 1% placebo, 5% . drug B 2% placebo, 4% . drug C 2% placebo, 10% . drug D 4% placebo, 12% . drug 36 QUESTION 46 1 1 points 1. Select the drug that has been effective in treating social anxiety in children. A Bupropion . B Carbamazepi . ne C Amitriptyline . D Fluoxetine . QUESTION 45 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 7 . D 5 to 6 . A Cortex . B Right frontal . lobe C Septum . D Amygdala . QUESTION 47 1. 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 37 QUESTION 49 1 1 . nervosa D Binge eating and purging is most common . in winter QUESTION 48 1. Select the behavior that best describes early onset bipolar disorder in children and adolescents. A Aggressio . n B Withdraw . al C Panic . D Exhibition . Home accident . B Partner or spousal . abuse C Sexual assault . D Natural disaster . QUESTION 50 1. Select the most likely stressor to cause an adjustment disorder. A Medical . illness B Natural . disaster C Vehicle . accident D Substance . abuse 40 QUESTION 59 1 1 1 points . D Persistent . depression QUESTION 57 1. 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 Oppositiona . l B Conduct . C Dysregulati . on D Bipolar . QUESTION 58 1. 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 . Microcephaly . B Midface hypoplasia . C Growth retardation with . weight/height D Scanty Lanugo . 41 QUESTION 61 1 points 1 points . B Adolescen . ce C Middle . adult D Elderly . adult A Hippocampus . B Temporal lobe . C Amygdala . D Corpus . callosum QUESTION 62 1. 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 63 1. Select two types of theories that have contributed to causes of anxiety. A Psychoanalytic . theory B Behavioral theory QUESTION 60 42 QUESTION 65 QUESTION 64 1 1 points . C Family . D Group . A BDI . B HAM- . D C BPRS . D SANS . Ambition . B Hallucinatio . ns C Contentedn . ess D Irritability . QUESTION 66 1. Select the least effective method to treat dissociative amnesia. A Antipsychotic . drugs B Cognitive . therapy C Hypnosis . D Group therapy . 45 QUESTION 75 1 1 A Depression . B Anxiety . C Schizophrenia . D Substance use . disorder Nausea . B Increased blood . pressure C Headache . D Fatigue . QUESTION 76 1. 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 QUESTION 77 1. Select the two types of symptom patterns common to OCD patients. A Recurrent QUESTION 74 46 1 QUESTION 79 1 . nightmares B Flight of ideas . C Intrusive thoughts . D Contamination . QUESTION 78 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 A 1 . 0 B 3 . 3 C 5 . 0 D 6 . 7 QUESTION 80 1. Select the symptom that is most likely improve early in the drug treatment of major depression. A Poor . concentration B Sleep problems . 47 1 1 QUESTION 83 C Excessive guilt . D Decreased . appetite QUESTION 81 1. Select the most effective treatment found in the studies of adolescents with depression. A SSRI plus . SNRI B CBT . C SSRI plus . CBT D SSRI . QUESTION 82 1. 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 . . B Dissociative . disorder C OCD . D Delusional . disorder 50 1 1 1 QUESTION 91 1. Select the two primary psychometric properties of psychiatric rating scales. A Reproducibili . ty B Reliability . C Validity . D Variability . QUESTION 92 1. Select the theorist who developed psychoanalysis. A Maslo . w B Skinn . er C Erikso . n D Freud . QUESTION 93 1. Select the disorder that is most similar to cyclothymia. A Major . depression B Bipolar II . C Schizophrenia . D Bipolar I . QUESTION 94 1. Select the public performance that is most associated with social anxiety in children. A Dancin . g 1 51 1 1 QUESTION 97 B Speaki . ng C Athletic . s D Eating . QUESTION 95 1. Select the antidepressant drug most likely to cause sexual dysfunction. A Sertraline . B Amitriptylin . e C Duloxetine . D Clomiprami . ne QUESTION 96 1. Select the theorist who is credited with establishing the area of psychosomatic medicine. A Freud . B Abraha . m C Grodde . ck D Ferencz . i . B Displayi . ng C Selling . D Hiding 52 QUESTION 98 1 . Childhood . B Middle . adult C Young . adult D Adolescen . t QUESTION 99 1. 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 55 QUESTION 13 1. Select the rating scale used to assess obsessive-compulsive disorder. A . HAMA B . CAGE C . YBOC S D . CAPS 1 points QUESTION 14 1. Select age after which encopresis may be correctly diagnosed. A . 2 B . 3 C . 4 D . 6 1 points QUESTION 15 1. Select the mood disorder that is worsened by chronic exposure to observing violence in television, movies, and video games. A . Bipolar B . Opposition al C . Conduct D . Dysthymia 1 points QUESTION 16 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 17 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 18 1. 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. 1 points 56 QUESTION 19 1. 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 1 points QUESTION 20 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 21 1. What is the most IMMEDIATE consideration in assessing depression in adolescents? A . Sleep B . Safety C . Appetit e D . Anger 1 points QUESTION 22 1. Select the neurotransmitter that is most involved in the pathophysiology of schizophrenia. A . Norepinephri ne B . Dopamine C . Serotonin D . Acetylcholine 1 points QUESTION 23 1. Select the most important component of the patient-provider rapport. A . Empathy B . Confidentiali ty C . Respect D . Privacy 1 points QUESTION 24 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 57 QUESTION 25 1. All the following are key psychiatric findings when assessing speech and language in children EXCEPT: A . Normal articulation B . Unusual syntax C . Echolalia D . Repetitive stereotypical phrases 1 points QUESTION 26 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 27 1. All the following are classes of coping mechanisms in the Model of Mental Health as Resilience where humans overcome stressful situations EXCEPT: A . Adaptive involuntary coping mechanisms (defense mechanisms) B . Generativity versus Stagnation C . Conscious Cognitive Strategies D . Consciously Seeking Social Support 1 points QUESTION 28 1. 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 1 points QUESTION 29 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 30 1. Select the anxiety disorder that emerges in ages 9 to 18 months. A . Separatio n B . Generaliz ed C . Social D . Traumatic 1 points 60 A . 1% placebo, 5% drug B . 2% placebo, 4% drug C . 2% placebo, 10% drug D . 4% placebo, 12% drug 1 points QUESTION 44 1. Select the drug that has been effective in treating social anxiety in children. A . Bupropion B . Carbamazepi ne C . Amitriptyline D . Fluoxetine 1 points QUESTION 45 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 7 D . 5 to 6 1 points QUESTION 46 1. Which part of the brain is essential to the maintenance of attention? A . Cortex B . Right frontal lobe C . Septum D . Amygdala 1 points QUESTION 47 1. 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 1 points QUESTION 48 1. Select the behavior that best describes early onset bipolar disorder in children and adolescents. A . Aggressio n B . Withdraw al C . Panic D . Exhibition 1 points QUESTION 49 1. Select the most common stressor of PTSD in women. A . Home accident B . Partner or spousal abuse C . Sexual assault D . Natural disaster 1 points 61 QUESTION 50 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 62 Question 3 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 What is the recommended duration of treatment with psychopharmacology of panic disorder once treatment becomes effective? 65 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 A. Norepinephrine Select the neurotransmitter that is most genetically involved in childhood and adolescent depression. 66 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 A. Orientation B. Concentration C. Calculation D. Alertness Question 21 A. Orientation B. Concentration C. Calculation D. Alertness Question 22 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.” 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.” Select the memory category retained in transient global amnesia that is absent in dissociative amnesia. 67 A. Family members B. Sequential events C. Personal identity D. Adolescent years Question 23 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 Select the drug proven most effective in treating PTSD. Select the exposure to violence that is excluded as a DSM-5 diagnostic criterion for PTSD in children and adolescents. Select the most important mediator of the stress response: 70 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 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. Anatomical and functional neuroimaging studies have associated a decreased activation in what part of the brain with obsessive-compulsive behaviors? 71 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 A. PTSD B. Dissociative disorder C. OCD D. Delusional disorder Question 39 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 B. stabilization C. Acute depression D. Panic anxiety Question 41 Select the two most commonly co-occurring anxiety disorders that may present with generalized anxiety disorder. Select the two most commonly co-occurring anxiety disorders that may present with generalized anxiety disorder. 72 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 A. Anorexia B. Migraine C. Parkinson’s D. Seizures Question 44 A. Oppositional B. Conduct C. Dysregulation D. Bipolar Question 45 Select the most exclusive feature rapid eye movement (REM) sleep. Select the two medical conditions in which derealization and depersonalization are common. Select the disorder in which children are irritable and display temper outbursts, but are not likely to cause physical harm to themselves and others. 75 Select the most likely stressor to cause an adjustment disorder. A. Medical illness B. Natural disaster C. Vehicle accident D. Substance abuse Question 53 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. Select the two diverse symptoms of OCD. 76 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 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 two most effective treatments for obsessive-compulsive disorder (OCD) in children and adolescents. Select the age range in which somatic symptom disorder or hypochondriasis occurs most frequently. 77 A. 15-19 B. 20-30 C. 35-50 D. 65-80 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. 80 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 81 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 Select the nondrug therapy approved for use in patients who have failed to achieve satisfactory improvement with correctly prescribed antidepressant drugs. Select the most common stressor of PTSD in women. 82 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 A. Psychiatric history B. Family history C. Mental status examination D. Review of systems Question 84 A. Mildly depressed B. Ambitious C. Socially adept Select the two most important elements of the psychiatric interview to establish a mental illness diagnosis. Select the characteristic in long sleepers (more than 9 hours) that is absent in short sleepers (less than 6 hours). 85 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 A. Major depression B. Cyclothymia C. Bereavement D. Persistent depression Question 95 A. 1% placebo, 5% drug B. 2% placebo, 4% drug C. 2% placebo, 10% drug D. 4% placebo, 12% drug Question 96 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. 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. Select the activity in which children are most likely to suffer selective mutism. 86 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 87 B. Psychosocial impairment C. Committing actions D. Repetitive performance