NRNP 6675 Final Exam: Multiple Choice Questions and Answers, Exams of Nursing

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NRNP 6675 Final Exam (2 Versions, 200 Q & A,

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NRNP6675 Final Exam / NRNP-6675N Final

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1. Concerns when treating geriatric patients with psychotherapeutic drugs include all of the following EXCEPT: ✔□ A. Elderly persons may be more susceptible to adverse effects of psychotherapeutic drugs. ✔□ B. Elderly persons may metabolize psychotherapeutic drugs more slowly. C. Elderly persons may metabolize psychotherapeutic drugs more rapidly. ✔□ D. Elderly persons may excrete psychotherapeutic drugs more slowly. Question 2 The treatment of others equitably and distribution of benefits/burdens fairly is known aswhich of the following? A. Fidelity ✔□ B. Justice C. Beneficence D. Non- maleficence Question 3 Persons who subordinate their own needs to those of others, get other to assume responsibility for major areas of the lives, lack self-confidence, and may experience intense discomfort when alone for more than a brief period of time are demonstrating characteristics consistent with which of thefollowing personality disorders? A. Avoidant personality disorder B. Passive personality disorder ✔□ C. Dependent personality disorder D. Antisocial personality disorder

Question 4 According to Sullivan, which of the following are consistent with a mentor/mentee relationship? A. Mentors are assigned B. Mentor relationships are shorter term ✔□ C. Goals for the mentoring relationship are setmutually. D. A and B only Question 5 A form of child abuse in which a parent or caretaker repeatedly fabricates or actually inflicts injury or illness in a child for whom medical intervention is then sought, often in an emergencysetting, is known as which of the following? A. Korsakoff's syndrome B. Snyder's syndrome C. Munchausen syndrome ✔□ D. Munchausen syndrome by proxy Question 6 The need for nurse practitioners to practice to the full extent of their education and trainingis necessary for which of the following reasons? Select all that apply. A. The growth in number and proportion of older Americans ✔□ B. The projected primary care physician shortage by 2025 ✔□ C. Increased number of individuals who have access to healthcare ✔□ D. The economic push for cost-effective healthcare Question 7 The ARNP assessing lifestyle as a social determinant of health would ask about which ofthe following? ✔□ A. Diet B. Education

C. Health literacy D. Inherited diseases Question 8 In educating the patient beginning to take Lithium, the ARNP explains which of the following related to diet and fluid intake? A. Caffeine and alcohol act as hydration agents and can raise your lithium concentrations. B. Drink at least a gallon or more of water per day and limit your salt intake. C. If you go on a diet, your doctor may need to increase frequency of blood tests. ✔□ D. All of the above Question 9 The goal of psychotropic treatment is to eliminate all manifestations of a disorder to belowthe syndromal threshold, which is defined as which of the following? A. Response ✔□ B. Remission C. Resistance D. Sensitization Question 10 The NP can impact health policy and healthcare by doing which of the following? A. Become an active member of local, state, and/or national NP organizations. B. Become familiar with the resources available on NP organization websites. C. Volunteer to serve on legislative committees within professional NP organizations. ✔□ D. All the above Question 11 A term used to describe individuals and families who are found to live in overcrowdedhomes, relocate frequently, and struggle to pay rent and monthly expenses is which of the following? A. Homelessness B. Housing instability C. Transiency ✔□ D. A and B

Question 12 Which of the following is consistent with current literature regarding the epidemiology of dependent personality disorder? A. Dependent personality is more common in men than in women. B. Dependent personality disorder is more common in young children than in older ones. ✔□ C. Persons with chronic physical illness in childhood may be most susceptible to this disorder. D. B and C only Question 13 Patients who injure themselves by self-mutilation (i.e., cutting their skin) but who usually do not wish to die are said to have which of the following? A. Suicide intent B. Suicidal ideations ✔□ C. Parasuicidal behavior D. Aborted suicide attempt Question 14 The NP preceptor should have which of the following? A. Knowledge of the NP role B. The ability to be a role model for the preceptee C. Solid clinical skill set in the specialty for which the NP student is being precepted ✔□ D. All the above Question 15 The treatment of choice for patients with histrionic personality disorder include which of the following? A. Psychoanalytic oriented individual psychotherapy B. Psychoanalytic oriented group psychotherapy C. Exposure therapy ✔□ D. A or B Question 16 The antipsychotics which are most likely to cause neuroleptic-induced parkinsonism are which have which of the following effects?

A. High potency drugs with low levels of anticholinergic activity. B. Low potency drugs with low levels of anticholinergic activity. ✔□ C. High potency drugs with high levels of anticholinergic activity. D. Low potency drugs with high levels of anticholinergic activity. Question 17 Treatment aimed at reducing intimate partner violence and domestic violence includeswhich of the following? A. Enhancing self-efficacy of the victim. B. Reducing recidivism of the abuser. C. Hormonal therapy for the perpetrator of abuse ✔□ D. A and B only Question 18 A patient presents with a formal, tense manner. He reluctantly reports a longstanding (since early adulthood) pervasive suspiciousness of others, preoccupied with trustworthiness of friends,unjustified concerns about others deceiving him, angry about perceived insults and slights, reluctant to confide in the ARNP. The ARNP suspects the patient likely has which of the following personality disorders? A. Schizoid personality disorder ✔□ B. Paranoid personality disorder C. Borderline personality disorder D. Antisocial personality disorder Question 19 Which of the following is consistent with current perspectives on nurse practitioner competencies? ✔□ A . The National Organization of Nurse Practitioner Faculties has developed a list of core competencies that all students should have upon graduation from a master's program.B . Nursing specialty organizations DO NOT publish competencies for NPs who provide care in specialty areas. C

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Employers DO NOT establish their own set of competencies.D . There are national standards for judging/evaluating nurse practitioner competencies. Question 20 Which of the following core competencies are quality competencies? A. Uses best available evidence to continually improve quality of practice. B. Integrates ethical policies in decision making. C. Evaluates the relationships among access cost quality safety and their influence on health care. ✔□ D. A and CQuestion 21 Which of the following are criteria for a particular suicide to be considered inevitable? A. Strong genetic history of suicide in one or more family members. B. A strong genetic loading of mental illness in the family. C. The patient must have received the highest standard of treatment and that treatment failed. ✔□ D. All of the above. Question 22 The misuse of the charge's funds for personal gain is known as which of the following? A. Neglect B. Physical abuse ✔□ C. Financial abuse/exploitation D. Emotional/psychological abuse Question 23 Which of the following professionals would be able to precept a nurse practitioner student? A. An advanced registered nurse practitioner B. A physician C. A unlicensed social worker ✔□ D. A and BQuestion 24

According to Freud, passive and dependent personality traits are associated with whichstage of development? ✔□ A. Oral stage B. Anal stage C. Phallic stage D. Latency stage Question 25 Self-injurious behavior with a nonfatal outcome, accompanied by explicit or implicit evidence that the person intended to die, is most specifically known as which of the following? A. Suicide ✔□ B. Suicide intent C. Suicide attempt D. Aborted suicide attempt Question 26 The incidence of suicide is highest for which of the following populations? A. Older Latino men B. Older Caucasian men C. Older Caucasian women ✔□ D. Older African Americanmen Question 27 "Assumes complex and advanced leadership roles to initiate and guide change" is a NPcore competency for which NP competency area? A. Policy competencies B. Quality competencies ✔□ C. Leadership competencies D. Practice inquiry competencies Question 28 At a minimum, a psychiatric evaluation in an emergency should include which of the following? Select all that apply. ✔□ A. Is the patient psychotic? ✔□ B. Is the patient suicidal or homicidal? ✔□ C. Is the problem organic, functional, or a combination?

D. Is it safe for the patient to be in the emergency room? Question 29 Which stage of the cycle of domestic violence is characterized by the abusersubconsciously implementing defense mechanisms and cognitive distortions to alleviate the ego dystonic implication of the abuse? A. Sweetheart phase B. Honeymoon phase C. Tension building phase ✔□ D. Defensive phase Question 30 An ARNP takes a position in which the ARNP is guaranteed a set salary but can make additional salary if he or she generates practice income over some set amount. This is known as what type of pay structure? A. Fee for service B. Average percentage of net receipts ✔□ C. Base salary plus percentage D. Hourly rate with bonus Question 31 A patient with history of schizophrenia, currently prescribed Haldol, presents to the emergency department with hyperthermia, muscle rigidity, autonomic instability, and elevated phosphokinase. The ARNP recognizes these symptoms are consistent with which of the following psychiatricemergencies? A. Nutmeg intoxication B. Bromide intoxication ✔□ C. Extrapyramidal symptoms D. Neuroleptic malignant syndrome Question 32 Patients with extreme sensitivity to rejection who are socially withdrawn because they consider themselves socially inept, although are not asocial, and show a great desire for

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companionship are demonstrating symptoms most consistent with which of the following personality disorders? A. Narcissistic personality disorder ✔□ B. Avoidant personality disorder C. Borderline personality disorder D. Schizoid personality disorder Question 33 Non-pharmacological treatment for abuse includes all of the following EXCEPT: A. Cognitive behavioral therapy B. Build a community of support C. Assist patient to devise safe escape plan ✔□ D. Involve the abuser in the treatmentplanning Question 34 Obsessive-compulsive, dependent, and avoidant personality traits are associated withwhich of the following personality clusters A. Cluster A B. Cluster B ✔□ C. Cluster C D. Cluster D Question 35 Which of the following is the therapeutic blood level range for lithium?A. 0.2-1.0 mEq/L B. 0.3-0.8 mEq/L ✔□ C. 0.3-1.2 mEq/L D. 0.5-1.5 mEq/L Question 36 The obligation to not inflict harm or balancing unavoidable harm with benefits of good achieved is known as which of the following? A. Fidelity B. Beneficence ✔□ C. Non-maleficence D. Respect for autonomy Question 37

Which of the following is not consistent with guidelines for a mentor?A . Reassure the mentee that the mentor is available at any time of need.B . Review basic concepts to ensure the mentee has the fundamentals prior to starting the mentoring process. C . Be prepared to fill the meeting time with specific issues and objectives. ✔□ D . Be specific and kind when giving constructive feedback that may not be what the mentee might want to hear. Question 38 An ARNP takes a position in which a specific amount is paid according to a set job description. This type of pay structure is known as which of the following? A. Straight salary B. Average percentage of net receipts C. Base salary plus percentage ✔□ D. Hourly rate Question 39 Acknowledging a person's right to make choices, to hold views, and to take actions basedon personal value is known as which of the following? A. Justice B. Fidelity C. Beneficence ✔□ D. Respect for autonomy Question 40 Narcissistic, borderline, antisocial, and histrionic subtypes are associated with which of the following Personality disorders? A. Cluster A ✔□ B. Cluster B C. Cluster C D. Cluster D

Question 41 Using the LIAASE: A General Cultural Competence Tool, the ARNP would do which of the following? A. Agree to disagree on differences in values. B. Solicit other options or points of view. C. Acknowledge and validate powerful emotions when expressed. ✔□ D. All of the above. Question 42 Being knowledgeable about one's own thoughts, feelings, and sensations as well as the ability to reflect on how these can affect one's interactions with others is known as which of the following? ✔□ A. Cultural Awareness B. Cultural Competence C. Cultural Humility D. Cultural Sensitivity Question 43 The ARNP recognizes which of the following as long-term effects of sex trafficking on victims? A. Severe depression B. Spiritual questions C. Trauma bonding ✔□ D. All of the above Question 44 Which of the following is used for treating alcohol-dependent individuals seeking to continueto remain alcohol free after they have stopped drinking? A. Tacrine B. Amantadine C. Galantamine ✔□ D. Acamprosate Question 45

All of the following are risk factors for sexual assault EXCEPT ✔□ A. Religion B. Serious mental illness C. Substance use disorder D. Family history of sexual abuse Question 46 A personality disorder characterized by emotional constriction, orderliness, perseverance, stubbornness, indecisiveness, and a pervasive pattern of perfectionism and inflexibility is known as whichof the following? A. Depressive personality disorder B. Borderline personality disorder C. Dependent personality disorder ✔□ D. Obsessive-compulsive personality disorder Question 47 A patient with a history of alcohol use presents to the emergency department withoculomotor disturbances, cerebellar ataxia, and confusion. The ARNP recognizes these symptoms as consistent with which of the following psychiatric emergencies? A. Akathisia B. Korsakoff's syndrome C. Wernicke's encephalopathy ✔□ D. Idiosyncratic alcohol intoxication Question 48 A patient on lithium with a history of alcohol use disorder presents with dry mouth, ataxia, dizziness, abdominal pain, and slurred speech. The ARNP should do which of the following?A . The ARNP recognizes this is likely a relapse on alcohol so sends the patient home to sleepit off. ✔□ B . The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, decreasesthe

lithium by half, and encourages the patient to drink more fluids.C . The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, discontinuesthe lithium immediately, orders lithium level, serum electrolytes, and renal function tests.D . The ARNP recognizes these are symptoms of moderate to severe lithium toxicity, discontinues the lithium and tells the patient hemodialysis will most probably be needed. Question 49 "Walking on eggshells" and appeasement and avoidance behaviors by the victim is characteristic of which phase of the cycle of domestic violence? A. Honeymoon phase B. Abusive incident phase C. Tension-building phase ✔□ D. Refractory phase Question 50 Which of the following is inconsistent with current literature about victims of sexual abuse? ✔□ A All victims of sexual abuse are aware that they are in an abusive relationship. B . Victims of sexual abuse may willingly participate in sexual acts with an idolized authority figure. C . The pre-existing relationship and familiarity with the abuser may impede the victim's abilityto make rational decisions.D . The victim may make excuses for the abuser's behavior. Question 51 Self-care strategies for the ARNP in preparing for the certification exam include all of the following

EXCEPT:

A. Study in a distraction free environment. B. Six to eight hours of sleep is recommended. C. Drink lot of caffeine and eat high-concentrated sugars. ✔□ D. Plan to study for short periods of time over a longer timeperiod. Question 52 Which stage of the cycle of domestic violence is characterized by overt aggressive behavior towards the victim? A. Tension building phase ✔□ B. Abusive incident C. Honeymoon phase D. Planning phase Question 53 A term that defines a person who has distress with clinical symptomatology because their gender identity is not consistent with gender assigned at birth is which of the following? A. Cisgender B. Gender fluid C. Pangender ✔□ D. Gender dysphoria Question 54 A patient with an inability to conform to the social norms that ordinarily govern manyaspects of a person's behavior is consistent with which of the following personality disorders? A. Avoidant personality disorder ✔□ B. Antisocial personality disorder C. Borderline personality disorder D. Narcissistic personality disorder Question 55 The treatment of choice for patients with paranoid personality disorder includes which of thefollowing? A. Group therapy B. Behavioral

therapy C. Psychotherapy ✔□ D. B and C Question 56 In about half of the cases in which suicides occur while patients are on a psychiatric unit, a lawsuit results. Which of the following is not consistent with what courts expect related to inpatient psychiatric unit suicide events? A. Courts expect suicides to occur in inpatient settings. ✔□ B. Courts require zero suicide rates in inpatient setting. C. Periodic patient evaluation for suicide risk D. Evidence of formulation of a treatment plan with a high level of security Question 57 Type of employment in which either party may terminate for any reason at any time isknown as which of the following? A. Locum tenens ✔□ B. At will employment C. Employment by contract D. Profit sharing employment Question 58 Which of the following medical conditions can present with prominent mental statuschanges that mimic common psychiatric illnesses? Select all that apply. ✔□ A. Diabetes Mellitus ✔□ B. Thyroid disease C. AIDS ✔□ D. Head trauma Question 59 According to the AANP Process of Care Standards, performing or ordering preventative anddiagnostic procedures based on the patient's age and history is part of which of the following components?

✔□ A. Assessment of health status B. Development of a treatment plan C. Implementation of the treatment plan D. Care priorities Question 60 A patient on Lithium and Quetiapine presents to the emergency room with anorexia, persistent nausea and vomiting, blurred vision, choreoathetoid movements, muscle fasciculations, and hyperactive deep tendon reflexes. The ARNP should do all of the following EXCEPT: ✔□ A. Discontinue the Lithium. B. Obtain vital signs, and obtain a neurological evaluation with complete formal mental examination. C. Obtain lithium level, serum electrolytes, renal function tests and ECG. D. Give activated charcoal to remove unabsorbed Lithium. Question 61 A patient currently on risperidone presents to the emergency department with increased agitation, restlessness, muscle discomfort, and dysphoria. The APRN recognizes these symptoms of akathisia and recommends which of the following? Select all that may apply. A. Reduce antipsychotic dosage B. Benztropine IM C. Benadryl po or IM ✔□ D. B and C only Question 62 In order to qualify for ANCC board certification testing you must have a minimum of how many supervised clinical hours in the respective specialty for which you are seeking certification? A. 300 supervised clinical hours ✔□ B. 500 supervised clinicalhours

C. 600 supervised clinical hours D. 800 supervised clinical hours Question 63 In the judicial system one organization may publish one standard of care and an expert my testify to an alternate version of the standard of care. In this scenario who is the final arbiter of the standard of care? ✔□ A. The organization where the practitioner worked at thetime B. The judicial system C. The expert testifying D. The professional organization for the practitioner Question 64 Low health literacy has been linked with which of the following? A. Poor health outcomes B. lower rates of hospitalization C. Less frequent use of preventive services ✔□ D. All of the above Question 65 A patient appears odd, with a pervasive history of magical thinking, ideas of reference, illusions and derealization. This is consistent with which of the following personality disorders? A. Schizoid personality disorder B. Paranoid personality disorder ✔□ C. Schizotypal personality disorder D. Avoidant personality disorder Question 66 Which of the following medications is associated with Ebstein's anomaly when given during pregnancy? A. Haldol ✔□ B. Lithium C. Valproic acid

D. Chlorpromazine Question 67 Which of the following symptoms of borderline personality disorder assist in differentiating borderline personality disorder from schizophrenia? A. Chronic feelings of emptiness B. Prolonged psychotic episodes C. Demand extraordinary relationships ✔□ D. A and C only Question 68 A patient presents and is unapproachable, with poor eye contact, reporting a lifelong patternof isolation, uncomfortable with human interaction, and constricted affect. This presentation is consistent with which of the following personality disorders? ✔□ A. Schizoid personality disorder B. Borderline personality disorder C. Avoidant personality disorder D. Schizotypal personality disorder Question 69 Nurse practitioner preceptors should have at least how much experience as a nurse practitioner in the relevant specialty prior to precepting? A. A minimum of 6 months of experience as a licensed NP in the specialty B. A minimum of 9 months of experience as a licensed NP in the specialty C. A minimum of 1 year of experience as a licensed NP in the specialty ✔□ D. A minimum of 2 years of experience as a licensed NP in the specialtyQuestion 70 The ARNP is working with a patient who has a heightened sense of self-importance and grandiose feelings of uniqueness. The patient also lacks empathy for others, although is very sensitive

to minor criticism. The ARNP recognizes these symptoms as consistent with which of the following personality disorders? A. Schizotypal personality disorder B. Borderline personality disorder ✔□ C. Narcissistic personality disorder D. Histrionic personality disorder Question 71 The emotional burnout and lack of empathy towards clients that healthcare providers experience after treating victims of trauma is known as which of the following? ✔□ A. Compassion fatigue B. Primary traumatization C. Transference D. Countertransference Question 72 The ARNP recognizes which of the following as short-term effects of sex trafficking on victims? A. Depersonalization B. Post-traumatic stress disorder C. Higher risk behaviors (i.e., drug and alcohol abuse) ✔□ D. A and C only Question 73 According to Freud, stubborn, parsimonious, and highly conscientious traits are associated with which stage of development? A. Oral stage B. Anal stage ✔□ C. Phallic stage D. Latency stage

Question 74 Risk factors for school violence include which of the following? Select all that apply. ✔□ A. Bullying ✔□ B. Being bullied ✔□ C. Isolation D. Involvement in school organizations Question 75 As a PMHNP, one of the most common areas you will counsel your patients about is the importance of sleep hygiene. Which of the following is NOT consistent with common recommendations for good sleep hygiene? A. Avoid alcohol and caffeine. ✔□ B. Set a cool room temperature. C. Set TV to turn off within 1 hour of falling asleep. D. Go to bed at the same time each night. Question 76 Affirmatively acting to benefit another or others, going beyond what is required by law is known as which of the following? A. Fidelity B. Justice ✔□ C. Beneficence D. Non- maleficence Question 77 The term "suicide survivor" refers to which of the following? A. Those who have lost a loved one to suicide. B. Someone who has attempted suicide but failed. ✔□ C. Only those who have had a serious suicide attempt with a near deathexperience. D. This is an ambiguous term that should not be used. Question 78 Curriculum content that supports the NP scientific foundation competency area includes

which of the following? Select all that apply. ✔□ A. Comparison of patient data sets with evidence-based standards to improve care B. Science from other disciplines relevant to health care ✔□ C. High reliability organization principles. D. Compliance issues related to patient privacy with use of technology. Question 79 In Canterbury v. Spence the U.S. Court of Appeals for the District of Columbia Circuit listed physician responsibilities for disclosure. Which of the following is not listed as a responsibility? A. Adopt a standard of full disclosure with patients. B. Alert the patient to symptoms of bodily abnormality. C. Inform the patient when the ailment does not respond to the physician's ministrations. ✔□ D. Inform the patient about precautionary therapy that he or she should seek in the future. Question 80 Which of the following is the treatment of choice for patients with depressive personality? A. Exposure therapy B. Light-exposure therapy ✔□ C. Insight oriented psychotherapy D. Transmagnetic Stimulation (TMS) Question 81 Which of the following should be avoided when working with practice guidelines? ✔□ A Write guidelines with minute details that everyone will follow it in the exact same way. B . Base guidelines on evidence from widely used resources and reference those resources in the guidelines. C . Adopt an already published set of guidelines.

D

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If the guideline is inappropriate for a particular patient, document why an alternativeQuestion 82 Which of the following is not consistent with what is known about postpartum psychosis? A . Symptoms of postpartum psychosis can often begin within days of the delivery.B . The average time of onset of symptoms of postpartum psychosis is within 2 to 3 weeks of delivery. C Florid psychotic symptoms are usually preceded by prodromal signs such as insomnia,restlessness, agitation, and mild cognitive deficits. . ✔□ D This disorder primarily effects first time mothers and there is very little risk of postpartum psychosis in subsequent pregnancies. Question 83 Which of the following is consistent with recommendations regarding assessing for suicidal ideations? ✔□ A The clinician should always ask about suicidal ideations as part of every mental status examination. B . Assessing for suicidal ideations is only required if patient is depressed.C . Asking a psychotic patient if they are having suicidal ideations is not advised as this could introduce the idea to the patient. D . If a patient who has been threatening suicide becomes quiet and less agitated, it is safe to assume the suicidal ideations have subsided. Question 84 A claim of malpractice requires that a patient/plaintiff prove which of the following? Select all that apply.

A

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The existence of a client-professional relationship - duty to care. ✔□ B Behavior below the appropriate standard of care for professionals dealing in like circumstances. ✔□ C . A causal link between the practitioner's failure to conform to treatment standardsand harm to the patient. ✔□ D . Actual injury to the patient.Question 85 The Adverse Childhood Experience Study (Felitti et al., 1998) found which of the followingrelationships between child traumatic events and high-risk behaviors exhibited by adults? ✔□ A The study revealed a causal relationship between child traumatic events and high- risk adult behaviors. B . The study revealed a causal relationship between child traumatic events and high- risk adult behaviors. C . The study revealed no relationship between child traumatic events and high-riskadult behaviors. D . The study revealed an indirect relationship between child traumatic events and high-risk adult behaviors. Question 86 A method of therapy used to treat individuals with substance abuse based on the fundamental principle of a psychology that reinforced behaviors are likely to be repeated is known as which of the following? A. Exposure therapy

B. Contingency management C. Motivational interviewing ✔□ D. Cognitive behavioraltherapy Question 87 Cluster A personality traits consist of which of the following? ✔□ A. Schizotypal, schizoid, and paranoid subtypes B. Narcissistic, borderline, antisocial, and histrionic subtypes C. Obsessive-compulsive, dependent, and avoidant subtypes D. Depressive, anxious, hypomanic subtypes Question 88 Sexual assault is most often which of the following? A. A stranger B. An acquaintance ✔□ C. A familymember D. A professional Question 89 Which of the following is consistent with what is known about terrorist-bomber suicides? A. The goal is death or escape. B. The motivation is vengeance and mass murder. C. Psychological/psychiatric disorder is present in most cases. ✔□ D. A and B only Question 90 Which of the following is not consistent with recommendations for psychiatric history taking and the mental status evaluation of older adults?A . When a patient is cognitively impaired, an independent history should be obtained from a family member or caretaker.