NURS 6635 MIDTERM EXAM NEW UPDATED QUESTIONS WITH ANSWERS TESTED AND VERIFIED ANSWERS ,GUA, Exams of Nursing

Download NURS 6635 MIDTERM EXAM NEW UPDATED QUESTIONS WITH ANSWERS TESTED AND VERIFIED ANSWERS ,GUA and more Exams Nursing in PDF only on Docsity! NURS 6635 MIDTERM NRNP 1. Select the serum assessment that is required when prescribing drugs to treat psychiatric disorders in psychosomatic patients. Selected Answer: A. Potassiu m • Question 2 Select the theorist who developed the eight stages of psychosocial life cycle. Selected Answer: C. Erikso n • Question 3 • Question 5 • Question 7 • Question 8 Select two causes of dissociative amnesia. Selected Answers: A. Sexual abuse D. Partner betrayal • Question 4 Select the patient evaluation scale to be used before and during prescribing antipsychoticdrugs. Selected A. Answer: MM SE Select the two comorbid disorders with which Pica occurs most commonly. Selected Answers: C. Autism D. Intellectualdisability • Question 6 Select the prognosis range of untreated PTSD patients. Selected Answer: A. 10% recover, 20% mild symptoms, 30% moderate symptoms, 40% nochange or worse Select the memory category retained in transient global amnesia that is absent indissociative amnesia. Selected Answer: B. Sequential events The following is NOT an endocrine change noted with anorexia nervosa: Selected A. • Question 22 • Question 25 • Question 26 Select the medical condition that must be excluded as a cause of somatic symptomdisorder or hypochondriasis. Selected Answer: A. Angina pectoris • Question 21 What is the most IMMEDIATE consideration in assessing depression in adolescents? Selected Answer: B. Safet y Select the neurotransmitter that is most involved in the pathophysiology ofschizophrenia. Selected Answer: B. Dopami ne • Question 23 Select the most important component of the patient-provider rapport. Selected Answer: A. Empat hy • Question 24 Select the most effective treatment for social anxiety disorder in children. Selected Answer: B. Cognitive-behavior therapy (CBT) and SSRIantidepressants All the following are key psychiatric findings when assessing speech and language inchildren EXCEPT: Selected Answer: A. Normal articulation • Question 28 • Question 30 • Question 31 Select the factor that is required to cause PTSD from a stressor. Selected Answer: A. Intense horror • Question 27 All the following are classes of coping mechanisms in the Model of Mental Health asResilience where humans overcome stressful situations EXCEPT: Selected Answer: B. Generativity versus Stagnation Anatomical and functional neuroimaging studies have associated a decreased activationin what part of the brain with obsessive-compulsive behaviors? Selected Answer: B. Substantia nigra • Question 29 Select the two complications in diagnosing patients with anorexia nervosa. Selected Answers: Denial of symptoms Insisting weight loss has a medical cause Select the anxiety disorder that emerges in ages 9 to 18 months. Selected Answer: A. Separati on Select the two most common peripheral symptoms of anxiety. Selected Answers: B. Dizzine ss D. • Question 32 • Question 37 Tremors Select the hormone or neurotransmitter that is involved in regulating the 24-hourcircadian sleep- wake cycle. Selected Answer: D. Melatoni n • Question 33 Select the event most associated with the occurrence of dissociative fugue. Selected Answer: A. Head trauma • Question 34 Select the neurodevelopmental disorder typically diagnosed in childhood. Selected Answer: C. Intelle ct • Question 35 Select the primary cause of reactive attachment disorder in children. Selected Answer: A. Death of mother • Question 36 Select the psychiatric disorder for which drug and nondrug treatments are least effective. Selected Answer: D. Dissociative identity Select two events that are causes of dissociative trance disorder. Selected Answers: B. Substance abuse D. • Question 53 • Question 54 • Question 55 • Question 49 Select the most common stressor of PTSD in women. Selected Answer: C. Sexual assault • Question 50 Select the most likely stressor to cause an adjustment disorder. Selected Answer: B. Natural disaster • Question 51 Select the motivation in pyromania that is absent in patients who commit arson. Selected Answer: A. Financial gain • Question 52 What does a black-box warning from the FDA indicate for prescribers? Selected Answer: D. The need for closer monitoring of potential symptoms bythe provider Select the third most commonly reported psychiatric symptom. Selected Answer: D. Depersonalization Select the disorder in which patients feel detached from their environment. Selected Answer: A. Derealizati on • Question 57 • Question 59 • Question 60 Select the least extent of sleep debt that can cause hypersomnolence. Selected Answer: B. 3 hours per night for two weeks • Question 56 Select the disorder in children and adolescents that is described by depressed or irritablemood for most of the day for a majority of days in at least one year. Selected Answer: A. Major depression Select the disorder in which children are irritable and display temper outbursts, but arenot likely to cause physical harm to themselves and others. Selected Answer: A. Oppositional • Question 58 Select the nondrug therapy approved for use in patients who have failed to achievesatisfactory improvement with correctly prescribed antidepressant drugs. Selected Answer: A. Transcranial magnetic stimulation Fetal alcohol syndrome is characterized by all the following EXCEPT: Selected Answer: D. Scanty Lanugo Select the age stage of life in which identity crisis typically emerges. Selected Answer: B. Adolescence • Question 61 • Question 65 • Question 64 • Question 66 • Question 67 Select the brain region that is most implicated in the function of memory. Selected Answer: [None Given] • Question 62 Select the two most effective treatments for obsessive-compulsive disorder (OCD) inchildren and adolescents. Selected Answers: A. SSRI antidepressants C. Cognitive behavioral therapy(CBT) • Question 63 Select two types of theories that have contributed to causes of anxiety. Selected Answers: [None Given] Select the self-report rating scale used to screen for major depression. Selected A. Answer: BD I Select the two symptoms that result from prolonged sleep deprivation. Selected Answers: B. Hallucinatio ns D. Irritability Select the least effective method to treat dissociative amnesia. Selected Answer: D. Group therapy • Question 79 • Question 80 • Question 81 • Question 82 • Question 83 20 to 30 Select the largest percentage prevalence of psychiatric disorders in patients hospitalizedfor medical conditions. Selected C. Answer: 5 0 Select the symptom that is most likely improve early in the drug treatment of majordepression. Selected Answer: B. Sleep problems Select the most effective treatment found in the studies of adolescents with depression. Selected Answer: C. SSRI plusCBT Select the mood disorder in which diagnosis requires symptoms present for at least twoyears. Selected Answer: D. Cyclothy mia Select the two most commonly co-occurring anxiety disorders that may present withgeneralized anxiety disorder. Selected Answers: A. PTS D C. OCD • Question 84 • Question 86 • Question 89 Select the factor that best correlates with the occurrence of PTSD in children. Selected Answer: D. Lower IQ • Question 85 Select two events that are excluded as causes of dissociative trance disorder. Selected Answers: B. Substance abuse D. Appropriate drug therapy According to Bowlby’s theory of anxiety, what is fundamental to the growth ofattachment in an infant? Selected Answer: C. Mother’s ability to relieve infant anxiety • Question 87 Select the preferred treatment for bulimia nervosa. Selected Answer: A. Cognitive-behavior therapy (CBT) • Question 88 Select the greatest challenge in the long-term treatment of Bipolar I and II disorder. Selected Answer: C. Acute depression Select the life stage at which emotional and social behavior begin. Selected Answer: A. Toddler • Question 94 • Question 95 • Question 90 Select the symptom that is least associated with manic and hypomanic episodes. Selected Answer: B. Inflated self- esteem • Question 91 Select the two primary psychometric properties of psychiatric rating scales. Selected Answers: B. Reliability C. Validity • Question 92 Select the theorist who developed psychoanalysis. Selected Answer: D. Freu d • Question 93 Select the disorder that is most similar to cyclothymia. Selected Answer: B. BipolarII Select the public performance that is most associated with social anxiety in children. Selected Answer: B. Speaki ng Select the antidepressant drug most likely to cause sexual dysfunction. Selected Answer: A. Sertrali ne 1 points 1 points QUESTION 6 1. Select the prognosis range of untreated PTSD patients. 1 points QUESTION 7 1. Select the memory category retained in transient global amnesia that is absent in dissociative amnesia. 1 pointsQUESTION 4 1. Select the patient evaluation scale to be used before and during prescribing antipsychotic drugs. A MMSE . B AIMS . C CAGE . D HAM- . D QUESTION 5 1. Select the two comorbid disorders with which Pica occurs most commonly. A Enuresis . B Encopresis . C Autism . D Intellectual . disability A 10% recover, 20% mild symptoms, 30% moderate symptoms, 40% no . change or worse B 20% recover, 10% mild symptoms, 40% moderate symptoms, 30% no . change or worse C 30% recover, 40% mild symptoms, 20% moderate symptoms, 10% no . change or worse D 40% recover, 30% mild symptoms, 10% moderate symptoms, 20% no . change or worse 1 points 1 points 1 points 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 . QUESTION 9 1. Select the two most important elements of the psychiatric interview to establish amental illness diagnosis. A Psychiatric history . B Family history . C Mental status . examination D Review of systems . QUESTION 10 1. Select the greatest impediment to treating anorexia nervosa patients. A Drug adverse effects . B Variability of family . therapy C Patient resistance 1 points 1 points 1 points QUESTION 13 1. Select the rating scale used to assess obsessive-compulsive disorder. 1 points . D Noncompliance with . therapy QUESTION 11 1. Select the sleep disorder in which cataplexy is a common symptom. A Central apnea . B Somnambule . nce C Insomnia . D Narcolepsy . QUESTION 12 1. Select the obsessive-compulsive disorder for which a patient is likely to initially seekhelp from a Primary Care Provider. A Hoarding . B Excoriation . C Hair-pulling . D Body . dysmorphia A HAM- . A B CAGE . C YBOC . S D CAPS . 1 points 1 points 1 points QUESTION 22 1. Select the neurotransmitter that is most involved in the pathophysiology of schizophrenia. 1 points . D Multiple . sclerosis QUESTION 21 1. What is the most IMMEDIATE consideration in assessing depression in adolescents? A Sleep . B Safety . C Appetit . e D Anger . A Norepinephri . ne B Dopamine . C Serotonin . D Acetylcholine . QUESTION 23 1. Select the most important component of the patient-provider rapport. A Empathy . B Confidentiali . ty C Respect . D Privacy . 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 QUESTION 25 1. All the following are key psychiatric findings when assessing speech and language inchildren 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 asResilience where humans overcome stressful situations EXCEPT: A Adaptive involuntary coping mechanisms (defense . mechanisms) 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 points QUESTION 30 1. Select the anxiety disorder that emerges in ages 9 to 18 months. 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 A Separatio . n B Generaliz . ed C Social . D Traumatic . 1 points 1 points QUESTION 39 1. Select the serum substance that should be measured to aid the diagnosis of restless leg syndrome. 1 points QUESTION 40 1. Select the DSM-5 disorder formerly called multiple personality disorder. 1 points D Appropriate drug . therapy QUESTION 38 1. Select the time from occurrence of the stressor in which symptoms must appear todiagnose an adjustment disorder. A 1 week . B 1 . month C 3 . months D 6 . months A Potassiu . m B Ferritin . C Magnesiu . m D Albumin . A Depersonalizatio . n B Dissociative . fugue C Dissociative . identity D Derealization . QUESTION 41 1. Differential diagnosis for consideration when suspecting a cyclothymic disorder include: A Seizures . B Substance abuse . C Narcissistic Personality . Disorder D All of the above . 1 points QUESTION 42 1. The following psychotherapy interventions is NOT a recommended in the treatmentof PTSD: A Behavioral . Therapy B Chelation . Therapy C Cognitive . Therapy D Hypnosis . 1 points QUESTION 43 1. Select the difference in rates of suicidal thoughts and behaviors between placebo anddrug 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 1 points QUESTION 44 1 points QUESTION 45 1. Select the youngest age range at which alarm therapy is effective to treat enuresis. 1 points 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 . A 11 to . 12 B 9 to . 10 C 6 to 7 . D 5 to 6 . 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 . 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 1 points 1 points 1 points QUESTION 55 1. Select the least extent of sleep debt that can cause hypersomnolence. A Depression . B Anxiety . C Psychosis . D Depersonalizati . on QUESTION 54 1. Select the disorder in which patients feel detached from their environment. A Derealization . B Transient global . amnesia C Depersonalization . D Dissociative identity . A 4 hours per night for one . month B 3 hours per night for two . weeks C 2 hours per night for one . week D 1 hour per night for three . days QUESTION 56 1. Select the disorder in children and adolescents that is described by depressed orirritable mood for most of the day for a majority of days in at least one year. A Major depression . B Cyclothymia . C Bereavement 1 points 1 points 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. 1 points QUESTION 58 1. Select the nondrug therapy approved for use in patients who have failed to achieve satisfactory improvement with correctly prescribed antidepressant drugs. 1 points . D Persistent . depression A Oppositiona . l B Conduct . C Dysregulati . on D Bipolar . A Transcranial magnetic . stimulation B Phototherapy . C Vagal nerve stimulation . D Psychoanalysis . QUESTION 59 1. Fetal alcohol syndrome is characterized by all the following EXCEPT: A Microcephaly . B Midface hypoplasia . C Growth retardation with . weight/height D Scanty Lanugo . QUESTION 60 1. Select the age stage of life in which identity crisis typically emerges. A Childhood . B Adolescen . ce C Middle . adult D Elderly . adult 1 points QUESTION 61 1. Select the brain region that is most implicated in the function of memory. A Hippocampus . B Temporal lobe . C Amygdala . D Corpus . callosum 1 points QUESTION 62 1. Select the two most effective treatments for obsessive-compulsive disorder (OCD) inchildren and adolescents. A SSRI antidepressants . B SNRI antidepressants . C Cognitive behavioral therapy . (CBT) D Parent-child interaction therapy . (PCIT) 1 points QUESTION 63 1. Select two types of theories that have contributed to causes of anxiety. A Psychoanalytic . theory B Behavioral theory 1 points 1 points 1 points QUESTION 71 1. Select the percent of OCD patients who also have depressive symptoms. B Trazodone . C Quetiapin . e D Lamotrigi . ne A 5 . 0 B 3 . 0 C 1 . 5 D 5 . QUESTION 72 1. Episodes of major depression and hypomania are the main characteristics of: A Dysthymia . B Bipolar I Disorder . C Mixed Mood . Disorder D Bipolar II Disorder . QUESTION 73 1. Benzodiazepine treatment for anxiety conditions lasts for: A 3 months . B 1 year . C indefinite . ly D 6 weeks . 1 points 1 points QUESTION 76 1. Select the therapy for insomnia that can be effective at up to three years after discontinuation. 1 points QUESTION 77 1. Select the two types of symptom patterns common to OCD patients. 1 pointsQUESTION 74 1. Select the comorbid disorder most frequently associated with anorexia nervosa. A Depression . B Anxiety . C Schizophrenia . D Substance use . disorder QUESTION 75 1. Which side effect of venlafaxine places the medication as a second-line choice whencompared with SSRIs? A Nausea . B Increased blood . pressure C Headache . D Fatigue . A Cognitive- . behavioral B Sedating . antihistamines C Benzodiazepines . D Paradoxical . intention A Recurrent 1 points QUESTION 78 1. Select the percentage range of correlation between obesity and psychiatric disorders. 1 points QUESTION 79 1. Select the largest percentage prevalence of psychiatric disorders in patients hospitalized for medical conditions. 1 points QUESTION 80 1. Select the symptom that is most likely improve early in the drug treatment of major depression. . nightmares B Flight of ideas . C Intrusive thoughts . D Contamination . 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 A Poor . concentration B Sleep problems . 1 points 1 points 1 points QUESTION 88 1. Select the greatest challenge in the long-term treatment of Bipolar I and II disorder. B SNRI antidepressants . C Monoamine oxidase inhibitors . (MAOIs) D Dynamic psychotherapy . A Psychotic . symptoms B Mood . stabilization C Acute depression . D Panic anxiety . QUESTION 89 1. Select the life stage at which emotional and social behavior begin. A Toddler . B Infancy . C Middle . years D Preschool . QUESTION 90 1. Select the symptom that is least associated with manic and hypomanic episodes. A Suicidal ideation . B Inflated self- . esteem C Distractibility . D Pressured . speech 1 points QUESTION 91 1. Select the two primary psychometric properties of psychiatric rating scales. 1 points QUESTION 92 1. Select the theorist who developed psychoanalysis. 1 points QUESTION 93 1. Select the disorder that is most similar to cyclothymia. 1 points QUESTION 94 1. Select the public performance that is most associated with social anxiety in children. A Reproducibili . ty B Reliability . C Validity . D Variability . A Maslo . w B Skinn . er C Erikso . n D Freud . A Major . depression B Bipolar II . C Schizophrenia . D Bipolar I . A Dancin . g 1 points 1 points QUESTION 96 1. Select the theorist who is credited with establishing the area of psychosomaticmedicine. A Freud 1 points 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 . B Abraha . m C Grodde . ck D Ferencz . i QUESTION 97 1. Select two common uses of items taken in kleptomania. A Gifts . B Displayi . ng C Selling . D Hiding