NUR 6665 FINAL EXAM |Nur6665 FINAL EXAM Questions and Answers, Exams of Nursing

Download NUR 6665 FINAL EXAM |Nur6665 FINAL EXAM Questions and Answers and more Exams Nursing in PDF only on Docsity! 6665 Final Exam Which of the following is true regarding how intermittent explosive disorder is differentiated from antisocial or borderline personality disorder? A In personality disorders, the aggressiveness and impulsivity are mild. . B In personality disorders, the person is much less aware of the . symptoms. C In personality disorders, functioning is less likely to be affected. . D In personality disorders, aggressiveness and impulsivity is part of the . person’s character and is present between outbursts. Indicators of imitative dissociative identity disorder include which of the following symptoms? A Symptom exaggeration . B Confusion and shame related to . symptoms C Use of symptoms to excuse antisocial . behaviors D A and C only . Which of the following would be a developmental trigger for a 3-year- old? Check all that apply. A Cannot balance on one foot for 3 seconds, cannot copy a circle . B Lack of imaginative plan; cannot hypothesize an other’s thought . C Cannot use a three-word sentence; speech only 50% . understandable D Speech less than 75% understandable; cannot identify self or . details in pictures A child who demonstrates repetitive significant violations of social rules and the rights of others over the course of a year would likely be diagnosed with which of the following diagnoses? A Attention-deficit/hyperactivity . disorder B Autism spectrum disorder . C Conduct disorder . D Oppositional defiant disorder . Experiences of depersonalization and derealization are common in which of the following patients? A Patients with seizures . B Patients with migraines . C Patients who use . marijuana D All of the above . Which of the following is consistent with what is known about treating individuals with kleptomania? A Insight-oriented psychotherapy has been shown to be effective . regardless of motivation level of the individual. B Psychoanalysis is the treatment of choice. . C Behavior therapy including aversion therapy has been reported to be . successful with highly motivated individuals. D A combination of aversive conditioning and alter social contingencies . has been reported successful even when self-motivation was lacking. Which of the following biological factors have been associated with kleptomania? Check all that apply. A Brain diseases . B Cortical atrophy . C Mental retardation . D Enlarged lateral . ventricles A type of delirium characterized by cycling through psychomotor agitation and retardation, from apathy to hypervigilance is known as which of the following? A. Mixed delirium B. Bipolar delirium A This is normal for most 6-month-old. . B This is a cognitive developmental red-flag delay and triggers further . assessment. C This is a social/emotional developmental red-flag delay and triggers . further assessment. D This represents a normal delay for a 6-month-old; will need to be . assessed further at the 9-month-old assessment. cognitive assessment should include which of the following? A Baseline cognitive . functioning B Changes from baseline . functioning C Speed of onset of cognitive . changes D All of the above . Interest in fires and deliberate setting of fires for financial gain is known as which of the following? A Arson . B Pyromania . C Intermittent explosive . disorder D Impulse control disorde . An illness of symptoms or deficits that affect voluntary motor or sensory functions, which suggest another medical condition but that is judged to be caused by psychological factors because the illness is preceded by conflicts or other stressors in known as which of the following? A Factitious disorder . B Illness anxiety disorder . C Somatic symptom disorder . D Functional neurological symptom . disorder A child 0–3 months would be expected to be able to do which of the following? A Develop social smile . B React and turn toward . sounds C Watch faces, follows . objects D All the above . Which of the following questions would be important when differentiating pyromania from conduct disorder or antisocial personality disorder? Check all that apply. A Was the fire set in response to a delusion or hallucination? . B Was the fire set deliberately, not a failure to resist an . impulse? C Was the fire set as an act of sabotage? . D Was the fire set with a failure to appreciate the . consequences of the act? In treating a patient with dementia and a co-occurring depression, which of the following symptoms should be treated first? A Insomnia . B Irritability . C Loss of . appetite D Depressed . mood Which of the following is NOT consistent with what is known about intermittent explosive disorder across the lifespan? A Intermittent explosive disorder may appear at any stage of life. . B Intermittent explosive disorder usually appears between late . adolescence and early adulthood. C Intermittent explosive disorder typically increases in severity with the . onset of middle age. D The onset of intermittent explosive disorder may be acute or insidious. . Which of the following can cause delirium? Check all that apply. A Polypharmacy . B Sleep deprivation . C Admission/transfer/discharge from a healthcare . facility D None of the above . Precipitating factors for delirium do NOT include which of the following? A Pain . B Surgery . C Age 65 and older . D Use of physical . restraints A category of disorders characterized by the inability to resist an intense impulse, drive, or temptation to perform a particular act that is obviously harmful to self or others or both is known as which of the following? A Dissociative disorders . B Psychosomatic disorders . C Trauma and stressor related disorders . D Disruptive, impulse-control and conduct . disorders Deficits in attention and the ability to complete multi-step commands are associated with impairment in which of the following regions of the brain? A Frontal . B Prefrontal . C Cingulate . gyrus Which of the following statements is consistent with literature about the epidemiology of pyromania? A Pyromania is more frequently seen in men rather than women. . B Most patients who set fires can be classified as having pyromania. . C More than 40 percent of people with pyromania are younger than 18 . years of age. D A and C . The principal theoretician to bring psyche and soma together was which of the following? A Sigmund . Freud B Anna Freud . C Karl Abraham . D Georg . Groddeck eficits in language including naming, repetition, reading and comprehension, and writing is NOT associated with impairment in which of the following regions of the brain? A Broca . B Wernicke . C Right . parietal D Left . temporal A tension state that can exist without an action is known as which of the following? A An . obsession B A . compulsion C An impulse . D Ego . dystonic Schizophrenia in a patient with end-stage renal disease is an example of which type of clinical problem in psychosomatic medicine? A Co-occurring medical and psychiatric conditions . B Psychiatric symptoms secondary to a medical . condition C Psychiatric symptoms as a reaction to a medical . condition D Psychiatric complications of medical conditions and . treatments ntotemporal dementia with onset in the fifth to sixth decade of life, more common in men, marked by personality change and cognitive decline, is known as which of the following? A Pick’s disease . B Lewy body dementia . C Huntington’s disease . D Creutzfeldt-Jakob . disease Genetic, imaging, and pharmacological studies support the hypothesis that ADHD is based on which of the following? A GABA dysregulation . B Serotonin dysregulation . C Dopamine dysregulation . D Norepinephrine . dysregulation A dissociative disorder described as an identity disturbance due to prolonged and intense coercive persuasion is known as which of the following? A Brainwashing . B Ganser syndrome . C Imitative dissociation identity . disorder D Factitious dissociative identity . disorder Which of the following questions are recommended to assess sexual identity in a male adolescent? A Do you have or have you had a girlfriend? . B Do you have or have you had a boyfriend? . C Do you have, or have you had romantic feelings . toward anyone? D A and C only . According to a psychodynamic perspective, depersonalization and derealization are understood as which of the following? A A traumatic stress response . B A selective serotonin response . C A NMDA (N-methyl D-aspartate) . response D An affective response in defense of . the ego The term psychosomatic literally refers to which of the following? A Imaginary illness . B Psychiatric illness . C How the mind effects the . body D How the body effects the . mind A dementia which usually occurs in the sixth decade of life, characterized by gradual onset and progressive decline without focal neurological deficits . C L- . tryptophan D . A term use to describe a neurodevelopmental disorder characterized by impairments in reciprocal social communication and a tendency to engage in repetitive stereotyped patterns of behaviors, interests and activities is A Intellectual disability . B Specific learning disorder . C Autism spectrum disorder (ASD) . D Attention deficit/hyperactivity disorder . (ADHD) Differential diagnoses to be considered when diagnosing Ganser syndrome include which of the following? A Organic dementia . B Depressive . pseudodementia C Korsakoff’s syndrome . D All the above . The ARNP notices that a patient with a conversion disorder unable to walk has an inappropriately cavalier attitude toward what seems to be a major impairment and recognizes this an associated psychological symptom known as which of the following? A Identification . B Primary gain . C Secondary gain . D La belle . indifference A person erroneously believes they sustained an emotional or physical trauma in early life is known as which of the following? A Ganser syndrome . B False memory syndrome . C Factitious dissociative identity . disorder D Imitative dissociative identity . disorder There is significant overlap in symptoms of dementia and delirium, however the distinguishing feature is which of the following? A Memory . B Orientation . C Appearance . D Duration of onset of . symptoms Which of the following approaches/treatments are recommended in working with patients with a conversion disorder? A After a very thorough evaluation to r/o any medical cause, tell the . patient that the symptoms are imaginary. B Recommend psychotherapy to focus on issues of stress and coping. . C Recommend psychoanalysis to explore intrapsychic conflicts. . D B and C only . Which of the following is NOT considered a nonpathological form of amnesia? A Hypnotic amnesia . B Generalized amnesia . C Infantile and childhood . amnesia D Amnesia for sleep and . dreaming he Confusion Assessment Methods Instrument (CAMI) is a standardized assessment tool for which of the following disorders? A Dementia . B Delirium . C Pick’s . disease D A and C . Delirium is an example of which type of clinical problem in psychosomatic medicine? A Psychiatric symptoms secondary to a medical condition . B Psychiatric symptoms as a reaction to a medical condition . of treatment C Psychiatric complications of medical conditions and . treatment D Medical complications of psychiatric conditions or . treatment A disorder characterized by the presence of two or more distinct identities which differ from each other in that each presents as having its own pattern of perceiving, relating to, and thinking about the environment and self. A DISSOCIATIVE IDENTITY DISORDER . B Imitative Dissociative Identity . Disorder C Factitious Dissociative Identity . Disorder D Malingered Dissociative Identity . Disorder