Psychiatric Disorders and Treatments, Exams of Nursing

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NRNP 6635 Midterm Study AND PSY 6635 Midterm

(Part 1) High-Quality Questions with Expert Answers

Superior Questions with Expert Solutions Designed

for Achievement in Every Exam

Select the serum assessment that is used when prescribing drugs to treat psychiatric disorders in psychosomatic patients - CORRECT ANSWER- - Potassium Select the theorist who developed the eight stages of the psychosocial life cycle - CORRECT ANSWER- - Erickson Select two causes of dissociative amnesia - CORRECT ANSWER- - Sexual abuse and Partner Betrayal Select the patient evaluation scale to be used before and during prescribing antipsychotic drugs - CORRECT ANSWER- - AIMS Select the two comorbid disorders with which Pica occurs most commonly - CORRECT ANSWER- - Autism and Intellectual disability Select the prognosis range of untreated PTSD patients - CORRECT ANSWER- - 20% recover, 10% mild symptoms, 40% moderate symptoms, 30% no change or worse Select the memory category retained in transient global amnesia that is absent in dissociative amnesia - CORRECT ANSWER- - Sequential events The following is NOT an endocrine change noted with anorexia nervosa - CORRECT ANSWER- - Eating with friends but not Family

Select the two most important elements of the psychiatric interview to establish a mental illness diagnosis. - CORRECT ANSWER- - Psychiatrist History and mental status examination Select the greatest impediment to treat anorexia nervosa patients. - CORRECT ANSWER- - Patient Resistance Select the sleep disorder in which cataplexy is a common symptom - CORRECT ANSWER- - Central Apnea Select the obsessive-compulsive disorder for which a patient is likely to initially seek help from a Primary Care Provider - CORRECT ANSWER- - Hoarding Select the rating scale used to assess obsessive-compulsive disorder - CORRECT ANSWER- - CAPS Select age after which encopresis may be correctly diagnosed - CORRECT ANSWER- - 4 Select the mood disorder that is worsened by chronic exposure to observing violence in television, movies, and video games - CORRECT ANSWER- - Dysthymia Select a provider's most important knowledge area essential to a successful mental health interview of a child - CORRECT ANSWER- - Medical history Select the minimum treatment time to assess the effectiveness of antidepressant drug therapy - CORRECT ANSWER- - 6 - 8 weeks What is one main difference between acute stress disorder and PTSD? - CORRECT ANSWER- - PTSD has recurrent, distressing dreams

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

• CORRECT ANSWER- - Short duration of symptoms Select the medical condition that must be excluded as a cause of somatic symptom disorder or hypochondriasis - CORRECT ANSWER- - Angina Pectoris What is the most IMMEDIATE consideration in assessing depression in adolescents? - CORRECT ANSWER- - Appetite Select the neurotransmitter that is most involved in the pathophysiology of schizophrenia. - CORRECT ANSWER- - Acetylcholine Select the most important component of the patient-provider rapport. - CORRECT ANSWER- - Privacy Select the most effective treatment for social anxiety disorder in children - CORRECT ANSWER- - Cognitive-behaviour therapy CBT and SSRI antidepressants All the following are key psychiatric findings when assessing speech and language in children EXCEPT: - CORRECT ANSWER- - Echolalia Select the factor that is required to cause PTSD from a stressor - CORRECT ANSWER- - Concurrent substance abuse All the following are classes of coping mechanisms in the Model of Mental Health as Resilience where humans overcome stressful situations EXCEPT: - CORRECT ANSWER- - Generativity versus

Anatomical and functional neuroimaging studies have associated a decreased activation in what part of the brain with obsessive-compulsive behaviors? - CORRECT ANSWER- - Caudate Select the two complications in diagnosing patients with anorexia nervosa - CORRECT ANSWER- - Secracy of eating rituals and Insisting weight loss has a medical cause Select the anxiety disorder that emerges in ages 9 to 18 months. - CORRECT ANSWER- - separation Select the two most common peripheral symptoms of anxiety - CORRECT ANSWER- - Dizziness and Constipation Select the hormone or neurotransmitter that is involved in regulating the 24-hour circadian sleep-wake cycle. - CORRECT ANSWER- - Melatonin Select the event most associated with the occurrence of dissociative fugue - CORRECT ANSWER- - unplanned travel Select the neurodevelopmental disorder typically diagnosed in childhood - CORRECT ANSWER- - Intellect Select the primary cause of reactive attachment disorder in children - CORRECT ANSWER-

• negligent parenting Select the psychiatric disorder for which drug and non-drug treatments are least effective - CORRECT ANSWER- - Depersonalisation disorder

Select two events that are causes of dissociative trance disorder - CORRECT ANSWER- - Experienced Violence and natural disaster Select the time from occurrence of the stressor in which symptoms must appear to diagnose an adjustment disorder - CORRECT ANSWER- - 6 months Select the serum substance that should be measured to aid the diagnosis of restless leg syndrome. - CORRECT ANSWER- - Magnesium Select the DSM-5 disorder formerly called multiple personality disorder - CORRECT ANSWER- - Dissociative disorder Differential diagnosis for consideration when suspecting a cyclothymic disorder include: - CORRECT ANSWER- - Seizures, Substance abuse, Narcissistic Personality Disorder The following psychotherapy interventions is NOT a recommended in the treatment of PTSD: - CORRECT ANSWER- - Chelation Therapy 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.

• CORRECT ANSWER- - 2% placebo 4% drugs Select the drug that has been effective in treating social anxiety in children. - CORRECT ANSWER- - Fluoxetine Select the youngest age range at which alarm therapy is effective to treat enuresis - CORRECT ANSWER- - 6 to 7

Which part of the brain is essential to the maintenance of attention? - CORRECT ANSWER-

• Prefrontal Cortex Select two signs and symptoms of bulimia nervosa. - CORRECT ANSWER- - Weekly binge eating for at least 3 months and abuse of emetic drugs and substances Select the behavior that best describes early onset bipolar disorder in children and adolescents - CORRECT ANSWER- - withdrawal Select the most common stressor of PTSD in women - CORRECT ANSWER- - Sexual assault Select the most likely stressor to cause an adjustment disorder - CORRECT ANSWER- - Vehicle accident Select the neurotransmitter involved in obsessive-compulsive disorder (OCD) in children and adolescents based on the common comorbidity of tic disorder - CORRECT ANSWER- - Dopamine Select the class of drugs most effective in treating pain disorder - CORRECT ANSWER- - Opioid Analgesics The most commonly occurring eating disorder - CORRECT ANSWER- - anorexia nervosa the disorder in which inflicting injury to self or others is common - CORRECT ANSWER- - Pain Two imaging methods used to study anxiety disorders - CORRECT ANSWER- - TMS and MRI

Epidemiological fact about major depression in children and adolescents - CORRECT ANSWER- - 20% incidence by age 18 Brain region most implicated in the function of memory - CORRECT ANSWER- - Hippocampus Most common sleep disorder - CORRECT ANSWER- - Insomnia Factor that is required to cause PTSD from a stressor - CORRECT ANSWER- - Intense Horror The population in which rumination disorder occurs most frequently - CORRECT ANSWER-

• Male infants from 3-12 months the symptom least associated with manic and hypomanic episodes - CORRECT ANSWER- - Suicidal Ideation Third most commonly reported psychiatric symptom - CORRECT ANSWER- - Psychosis Characteristic in long sleepers (longer than 9 hours) that is absent in short sleepers (less than 6 hours) - CORRECT ANSWER- - Mildly depressed The two methods to treat dissociative amnesia - CORRECT ANSWER- - Cognitive Therapy and Hypnosis Theorist who is credited with establishing the area of psychosomatic medicine - CORRECT ANSWER- - Franz Gabriel Alexander

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 - CORRECT ANSWER- - persistent depression The type of dissociative amnesia is described by the inability to recall any events in a particular lifespan period - CORRECT ANSWER- - generalized dissociative amnesia Frequency range for heritability of Bipolar disorder - CORRECT ANSWER- - 60%-90% The two symptoms that result from prolonged sleep deprivation - CORRECT ANSWER- - Hallucinations and Irritability The function that is most affected by conversion disorder - CORRECT ANSWER- - Voluntary Motor The therapy for Insomnia that can be effective up to three years after discontinuation - CORRECT ANSWER- - cognitive behavioral therapy The mental health model that is most associated with human interpersonal connection - CORRECT ANSWER- - Well-Being two medical conditions in which derealization and depersonalization are common - CORRECT ANSWER- - Anorexia and Seizures The age stage of life in which identity crisis emerges - CORRECT ANSWER- - adolescence the two most important factors that guide the decision to prescribe benzodiazepines to treat general anxiety - CORRECT ANSWER- - History of substance abuse and duration of therapy

The mg/dL blood alcohol level range that is associate with causing impaired judgement and coordination - CORRECT ANSWER- - 50 - 100 The exposure to violence that is excluded as a DSM-5 diagnostic criterion for PTSD in children and adolescents - CORRECT ANSWER- - Electronic Media The life stage at which emotional and social behavior begin - CORRECT ANSWER- - Infancy The two events that are excluded as causes of dissociative trance disorder - CORRECT ANSWER- - Substance abuse and appropriate drug therapy The non-drug therapy with the greatest evidence of effectiveness in treating major depression disorder - CORRECT ANSWER- - Cognitive therapy The two common characteristics of illness anxiety disorder - CORRECT ANSWER- - few or lack of somatic symptoms and frequent provider visits The alternate name for persistent depressive disorder - CORRECT ANSWER- - Dysthymia The scientist most associated with the development of learning theory - CORRECT ANSWER- - Piaget The drug proven most effective in treating PTSD - CORRECT ANSWER- - Paroxetine The percentage that most accurately represents the rate of heritability of major depression disorder - CORRECT ANSWER- - 40% - 50%

Two neurotransmitters associated with anxiety - CORRECT ANSWER- - Dopamine and GABA The drug with the most rapid onset of action to treat acute mania - CORRECT ANSWER- - Valproate The mental health disorder that commonly coexists with generalized anxiety disorder - CORRECT ANSWER- - Major depression The percentage range of correlation between obesity and psychiatric disorders - CORRECT ANSWER- - 20% - 30% Two types of theories that have contributed to causes of anxiety - CORRECT ANSWER- - Psychoanalytical and Behavioral The age group in which adjustment disorder occur most frequently - CORRECT ANSWER- - Childhood The drug used to treat bipolar disorder that may cause hypothyroidism - CORRECT ANSWER- - Lithium The psychiatric disorder that occurs most commonly in patients hospitalized for medical problems and surgery - CORRECT ANSWER- - Anxiety The public performance that is most associated with social anxiety in children - CORRECT ANSWER- - Public Speaking The maximum time period recommended for treatment of insomnia with hypnotic drugs - CORRECT ANSWER- - 6 months

The neurotransmitter that is most genetically involved in childhood and adolescent depression - CORRECT ANSWER- - Serotonin The antidepressant drug most likely to cause death when taken in an overdose - CORRECT ANSWER- - Impramine The antidepressant most likely to cause sexual dysfunction - CORRECT ANSWER- - Amitriptyline The cognitive function category in a mental examination that is represented by the question, "starting at 3 A.M., count back the time 2 hours at a time." - CORRECT ANSWER- - Concentration The therapeutic plasma concentration range for lithium in mEq/L - CORRECT ANSWER- - 0.6 - 1. The rating scale used to assess children and adolescents for ADHD - CORRECT ANSWER- - CBCL The rating scale used to assess significant alcohol problem - CORRECT ANSWER- - CAGE the criterion that differentiates Bipolar II and Bipolar I disorder - CORRECT ANSWER- - Mania The largest percentage prevalance of psychiatric disorders in patients hospitalized for medical conditions - CORRECT ANSWER- - 33% The rating scale used to assess response to antidepressant drug therapy - CORRECT ANSWER- - HAM-D

The treatment of choice for Identity Crisis - CORRECT ANSWER- - antianxiety drugs The most exclusive feature rapid eye movement (REM) sleep - CORRECT ANSWER- - Dreaming The two primary psychometric properties of psychiatric rating scales - CORRECT ANSWER-

• Reliability and Validity The percent of OCD patients who also have depressive symptoms - CORRECT ANSWER- - 2/ The potential adverse effect of SSRI antidepressant drugs approved to treat children with major depressive disorder - CORRECT ANSWER- - Weight Gain The two types of symptom patterns common to OCD patients - CORRECT ANSWER- - Intrusive thoughts and contamination The rating scale used to screen for Alzheimer's disease and other dementia's - CORRECT ANSWER- - BPRS The two diagnostic criteria of somatic symptom disorder or hypochondriasis - CORRECT ANSWER- - Persistent for at least 6 months and lack of medical evidence Two Characteristics of impulses that are usually absent from compulsions - CORRECT ANSWER- - pleasure seeking and committing actions the period of time after most recent use that THC (marijuana) can be detected in urine specimens - CORRECT ANSWER- - 3 days

The delay of time between exposure to the stressor and onset of PTSD symptoms - CORRECT ANSWER- - 6 months to 5 years The non-drug therapy approved use for patients who have failed to achieve satisfactory improvement with correctly prescribed antidepressant drugs - CORRECT ANSWER- - transcranial magnetic stimulation (TMS) The most important mediator of the stress response - CORRECT ANSWER- - Corticotropin- releasing hormone (CRH) The symptom most likely to improve early in the drug treatment of major depression - CORRECT ANSWER- - Sleep Problems The criteria in DSM-5 to diagnose a child with major depressive disorder - CORRECT ANSWER- - At least 5 symptoms including irritable mood for 2 weeks The concept of developmental change throughout life is associated with one of these theories: - CORRECT ANSWER- - Super's Developmental Theory According to Super, a drive that is basic of the development of career exploration in children is: - CORRECT ANSWER- - curiosity According to Howard and Walsh, which of the following is the first level of vocational reasoning? - CORRECT ANSWER- - pure association When 5-year old Alicia says that she wants to be a nurse because she likes the white uniform, she is probably at this stage of Howard and Walsh's vocational reasoning: - CORRECT ANSWER- - magical thinking

According to Super, the development of interests in children is an outgrowth of: - CORRECT ANSWER- - exploration Which of the following is NOT one of Gottfredson's stages of career develepment? - CORRECT ANSWER- - concrete operations According to Gottfredson, the orientation to social valuation when considering occupations is most likely to take place between the ages of: - CORRECT ANSWER- - 9 - 13 Anna is 16 and decided not to go to medical school because she is getting a C in biology. Which of the following of Gottfredson's concepts apply to her decision? - CORRECT ANSWER- - compromise Devon knows how to make career plans and choices for the immediate future. This behavior is best described by Super's concept of: - CORRECT ANSWER- - decision making Vondracek's developments contextual career theory focuses on identity and... - CORRECT ANSWER- - cultural or envrionmental factors Maria says "I would like to be a foreign language teacher". This is an example of Super's concepts of: - CORRECT ANSWER- - occtalk Which of Erik Erikson's stages have had the most influence on the study of career development in adolescence? - CORRECT ANSWER- - identity Kaylie has decided that she will be an engineer because her parents are engineers. She has not thought much about other occupations. According to Marcia, she is the ____________________ stage. - CORRECT ANSWER- - foreclosure

Bonita is uncertain of what she will do when she graduates college. She wants to take a semester off to find out. Bonita is in which one of Marcia's stage? - CORRECT ANSWER- - moratorium Leon is 7 years old, which of the following is MOST likely to be a key figure for Leon? - CORRECT ANSWER- - father (parental figure) The Person-Environment Fit model studies: - CORRECT ANSWER- - the interaction between individuals and the environment A test that is both dependable and consistent is: - CORRECT ANSWER- - reliable Career Counseling skills are: - CORRECT ANSWER- - similar to general counseling skills Career Development Theory provides a means of understanding: - CORRECT ANSWER- - client's career concerns Which of the following is NOT a principle of counseling ethical code? - CORRECT ANSWER-

• legality Which of the following is a priniciple of career counseling ethical code? - CORRECT ANSWER- - autonomy A test that reveals how much a person has learned is called an: - CORRECT ANSWER- - achievement test Talking to clients about the hobbies that they enjoy is most likely to reveal information similar to that obtained from: - CORRECT ANSWER- - interest inventories

When clients demonstrate that they are deeply affected by feelings and are apprehensive about their decisions, they are revealing information similar to that measured by: - CORRECT ANSWER- - personality inventories Which of these statements contain inappropriate occupations information? - CORRECT ANSWER- - Those who wish to seek secretarial positions should be female Which of the following is a common career counseling skill? - CORRECT ANSWER- - reflecting concerns about finding a job Brian says that he wants to enter an occupation that has plenty of job openings. A trait and factor counselor would point out that Brian is failing to consider: - CORRECT ANSWER- - his abilities, interests and values Trait and Factor Theory focuses on: - CORRECT ANSWER- - indentify traits According to Status Attainment Theory, one of the best predictors of occupational success is: - CORRECT ANSWER- - parental occupation According to Work Adjustment Theory an employeer would need to be certain to evaluate a workers: - CORRECT ANSWER- - satisfactoriness Miller-Tiedeman's Career-Decision-Making Theory would classify the statement, "Oscar enjoys English and would make a good English teacher" as: - CORRECT ANSWER- - common reality According to Block and Richmond, individuals who are absorbed by thier work and find joy are said to have: - CORRECT ANSWER- - found thier calling

Reexamining interests and abilities would require this phase of Cognitive Processing Information skills: - CORRECT ANSWER- - analysis According to Block and Richmond, changing one's view of time by experiencing the moment can help bring about ________________ in one's life. - CORRECT ANSWER- - balance Improving problem-solving abilities is an important goal of which of these career decision making theorie? - CORRECT ANSWER- - Cogntive Information Processsing Jamal has narrowed down his first, second and third career choices. He is most likely in this phase of Cognitive Information Processing Theory: - CORRECT ANSWER- - valuing Lifecareer is an example of a ________________ approach to career-decision making: - CORRECT ANSWER- - spiritual Ms. Jones has received a formal notification from her superior that her work is NOT meeting company experiences. She is upset and concerned. Which of these Cognitive Information Processing skills is most likely being used as she contemplates her future: - CORRECT ANSWER- - communication John Holland's Theory of Career Development can best be described as: - CORRECT ANSWER- - matching categories of people's personalities to categories of occupations Someone who very much enjoys playing the accordin is expressing an interest in this environment: - CORRECT ANSWER- - Artisitic A person who likes music is likely to be with the duties of a violinist: - CORRECT ANSWER- - Congruent

Brenda has enoyed teaching and music but little else - her interests are: - CORRECT ANSWER- - Differentiated Eliza enjoys all her subjects and does well in them. There is very little that she dislikes now that she is a freshman in college, she has no idea of what program of study to choose. According to Holland, which term best described Eliza's dilemma: - CORRECT ANSWER- - Undifferentiated Which of the following theories is concerned with the concept of vocational identity? - CORRECT ANSWER- - Holland's Theory Myers-Briggs Type Theoru is based on the work of: - CORRECT ANSWER- - Carl Jung Which of the following traits or factors does Myers-Briggs Type Theory must clearly address: - CORRECT ANSWER- - personality Which of the following is NOT a Myers-Briggs Type? - CORRECT ANSWER- - Conventional Don is very aware of the objects that he seen in his job as a wait person. According, to Myers-Briggs Type Theory he is using: - CORRECT ANSWER- - Sensing When Brad walks into a classroom, he has an impression of the surroundings and the way people talk to each other. According to Myers-Briggs Type Theory he is using: - CORRECT ANSWER- - Intuiting Agnes has received two hob offers from an accounting firm. She made a list and has weighed the advantages and disadvantages of each very carefully. According to Myers- Briggs Type Theory she is using: - CORRECT ANSWER- - Thinking

Shella is very active tenth grader who enjoy community service and frequently vistis her friend - she is using: - CORRECT ANSWER- - Extraversion Candance has been thinking about her uncomfortable work situation for a long time. She feels that her supervision has little regard for her opinion and ideas. She does not discuss with anyone: - CORRECT ANSWER- - Introversion Hakim no longer wishes to be an accountant. Instead, he wants to devote full time to his at work. He has decided to go to law school. Hakim is now... - CORRECT ANSWER- - recycling When counselors help women get child care so that they can work, the are using an approach most similar to this perspective. - CORRECT ANSWER- - Ecological Mindy has been an elementary school teacher for 16 years. She has now decided to go to law school. Mindy is now... - CORRECT ANSWER- - recycling Although Lars has been teaching history in high school for over 35 years, he still finds ways to use television and computers in new ways to teach history to his students. According to Super, he is currently in his substage... - CORRECT ANSWER- - innovating Lorna is a college senior who regrets the fact she has majored in philosophy. She is not sure, but beleive she would like to study geography or possibly demography. According to Super, she is currently in this substage. - CORRECT ANSWER- - crystallizing Karen is a college senior who plans to be an electrical engineer. She is now interviewing with potential employers to decide where she might like to work. According to Super, she is currently in this substage. - CORRECT ANSWER- - specifying Isaac is 15, junior in high school. He doesn't do his homework instead he watched talk shows. From the perspective of Super's life roles, which of the following sentences best

describes this scenario. - CORRECT ANSWER- - He participates in leisure activities rather than studying Melville believes that religion is extremely important in his life and that is should be to others as well. Which of the following indicators of the salience of life roles best describes his belief? - CORRECT ANSWER- - values expectations After work, Jennie spends much of her time doing volunteer work in a mission, helping to care for the homeless. Which of Super's life roles describes these activities? - CORRECT ANSWER- - community service