Psychiatric Disorders and Treatments, Exams of Nursing

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NRNP 6665 Final Exam (2 Versions 200 Q &

ALatest-2024/2025): Walden University | 100%

Verified Q & A

**Version 1

1. Question:** 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. functional neurological symptom disorder
2. Question:** A condition characterized by the person giving approximate answers, with clouding of consciousness, frequently accompanied by hallucinations or other dissociative, somatoform or conversion symptoms is **A. Ganser Syndrome
3. Question:** Which of the following can cause delirium? Check all that apply. **A. Polypharmacy B. Sleep deprivation
4. Question:** Acute withdrawal from alcohol represents which type of clinical problem in psychosomatic medicine? **A. Medical complications of psychiatric conditions or treatments
5. Question:** The principal theoretician to bring psyche and soma together was which of the following? **A. Sigmund Freud
6. Question:** Which of the following would not be included in the treatment plan for a patient with illness anxiety disorder? **A. Exploratory invasive procedures to obtain diagnosis
7. Question:** Which of the following is consistent with current literature about the relationship between obstetrical complications and autism spectrum disorders (ASD)? **A. Research proves there is a positive correlation between obstetrical complications and ASD
8. Question:** The epidemiology related to kleptomania includes which of the following? **A. Kleptomania is reported to occur in fewer than 5 percent of identified shoplifters.
9. Question:** A frontotemporal 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
10. Question:** Which of the following demographics are consistent with autism spectrum disorder (ASD) **A. Four times more common in boys than girls.
11. Question:** The ARNP is working with the family of a patient with Alzheimer’s Disease who keeps stating the family is plotting against her, trying to have her “snuffed out.” The family is distraught because they state they are doing their

best to make sure their family member is safe. The ARNP explains which of the following in educating the patient about the patient’s **A. The patient is delusional. An estimated 30 to 40 percent of patients with dementia have delusions

12. Question:** Which of the following persons hypothesized that the symptoms of conversion disorder reflect unconscious conflict? **A. Sigmund Freud
13. Question:** Which of the following is consistent within normal range developmental milestones in adaptive skills for a 4 - year-old? **A. Toilets self alone; uses fork
14. Question:** A temporary marked alteration in the state of consciousness or by the customary sense of personal identity without the replacement by an alternate sense of identity is known as which of the following? **A. Dissociative trance disorder
15. Question:** Differential diagnoses to be considered when diagnosing Ganser syndrome include which of the following? **A. All the above (organic dementia, depressive pseudodementia, Korsakoff’s syndrome)
16. Question:** A patient who has been raped, presents with the inability to recall important personal information and any information about the rape, does recall events prior and since. There does not appear to be any physiological reason for this. This presentation is consistent with which of the following diagnoses? **A. Dissociative amnesia
17. Question:** Depersonalization can result from which of the following conditions? Check all that apply. **A. Seizure disorders
18. Question:** 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. Conduct Disorder
19. Question:** A sudden unexpected purposeful travel away from home with inability to recall all of one’s past accompanied by confusion about personal identity not due to direct effects of a substance or a general medical condition which causes clinically significant distress or impairment in social, occupational, or other important areas of functioning is most specifically known as which of the following? **A. Dissociative fugue
20. Question:** Which of the following is NOT considered a nonpathological form of amnesia? **A. Generalized Amnesia
21. Question:** The diagnosis formerly known as multiple personality disorder is now known as which of the following? A. Dissociative Identity Disorder

22) Question: A patient presents reporting acute amnesia and fugue episodes in addition to recurrent blackouts, unexplained possessions, and fluctuations in skills, habits, and knowledge. The ARNP recognizes this is consistent with which of the following? **A. Dissociative Identity Disorders

23. Question:** Deficits 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. Right parietal
24. Question:** A major neurocognitive disorder with severe impairment in memory, judgment, orientation, and cognition is known as which of the following? **A. Dementia
25. Question:** The patient with an illness anxiety disorder is requesting medication only from the ARNP. The ARNPs response about pharmacotherapy in illness anxiety disorder would include which of the following? **A. Pharmacotherapy helps alleviating symptoms but cannot provide lasting relief
26. Question:** Which of the following is consistent with what is known about kleptomania? **A. The goal for the person with kleptomania is the act of stealing
27. Question:** 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
28. Question:** Under hypnosis or during psychotherapy, a patient may recover a memory of a painful experience that is etiologically significant. This is known as which of the following? **A. Recalled Memory Syndrome
29. Question:** Which of the following conversion disorder symptoms are associated with a good prognosis? **A. Paralysis and blindness
30. Question:** According to the DSM- 5 which of the following symptoms differentiates illness anxiety disorder from somatic symptom disorder? **A. In somatic symptom disorder, persons are primarily concerned with the idea they are ill, with few or no somatic symptoms.
31. Question:** A recurrent failure to resist impulses to steal objects not needed for personal use or monetary value is an essential feature of which of the following disorders? **A. KLEPTOMANIA
32. Question:** Which of the following would be a cause of concern for the ARNP working with parents of a 0 – 3 - month-old? A. The parent becomes upset whenever the baby cries.

33) Question: Identifying developmental milestones is an important skill set for ARNPs for which of the following reasons? A. Often developmental milestones go unrecognized until a child is much older. B. Knowing when a significant variation in development has occurred improves diagnostic accuracy. C. The sooner a significant developmental impairment is identified and addressed, the better the long-term outcomes could be for patients. **D. All of the above

34. Question:** Which of the following is true about compulsions? A. The person feels compelled to act out their pathological behavior. B. Compulsions are usually ego dystonic. **C. A and B only
35. Question:** The ARNP recognizes which of the following when the 2 - month-old opens her mouth when she sees a bottle. **A. The 2 - month-old is demonstrating a normal developmental visual motor skill.
36. Question:** The ARNP notices the 6 - month-old does not have a spontaneous smile response and realizes which of the following? **A. This is a social/emotional developmental red-flag delay and triggers further assessment.
37. Question:** Data supports which of the following demographics of persons with conversions disorder? **A. Conversion disorder is most common among rural people
38. Question:** Which of the following is consistent with what is known about electroconvulsive therapy (ECT) use in patients with dissociative identity disorder (DID)? **A. ECT is helpful in ameliorating refractory mood disorders and does not worsen dissociative memory problems
39. Question:** Which of the following conditions associated with childhood are part of the five conditions which comprise disruptive, impulse-control, and conduct disorders? **A. ODD
40. Question:** 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. Disruptive, impulse-control disorders
41. Question:** A person reveals to the ARNP that they steal to get the things they want and cannot afford. The person says they just can’t help themselves because they have kleptomania. The ARNP realizes the following: **A. The person likely does not have kleptomania because a person with kleptomania is more concerned with the act of stealing rather than the obtaining the object which has been stolen.
42. Question:** Which of the following would demonstrate the normal achievement of gross motor developmental milestone for a 6 - month-old?

A. BRIEFLY SITS ALONE: PIVOTS IN PRONE

43) Question: According to a psychodynamic perspective, depersonalization and derealization are understood as which of the following? **A. Traumatic stress response

44. Question:** Which of the following is consistent with brain-imaging findings related to autism spectrum disorder (ASD)? **A. Increased head size and brain volume
45. Question:** Which of the following biological factors have been associated with kleptomania? Check all that apply. **A. Cortical atrophy, brain diseases, mental retardation and enlarged lateral ventricles
46. Question:** The symptom of giving approximate answers is known as which of the following? **A. Paralogia
47. Question:** An acute onset, short-term confusion, with changes in cognition and level of awareness due to a physiological cause is known as which of the following? **A. Delirium
48. Question:** A dissociative disorder described as an identity disturbance due to prolonged and intense coercive persuasion is known as which of the following? **A. Brainwashing
49. Question:** The ARNP in working with a parent of a 6 - month-old would offer which of the following in anticipatory guidance? **A. All of the above (give baby much attention, attune to baby’s need for hunger, fatigue, diaper change and provide supervised time for cawing, sitting and rolling)
50. Question:** Which of the following are behavioral red flags for a 6 – 12 - year- old? **A. None of the above
51. Question:** Neuropsychiatric testing is defined as which of the following? **A. Standardized quantitative reproducible evaluation of patient’s cognitive abilities
52. Question:** The term psychosomatic literally refers to which of the following? **A. How the mind effects the body
53. Question:** Which of the following questions are recommended to assess sexual identity in a male adolescent? **A. Do you have, or have you had romantic feelings toward anyone?
54. Question:** A tension state that can exist without an action is known as which of the following? **A. An obsession
55. Question:** Which of the following diagnostic instruments for autism spectrum disorder is recommended for universal clinical practice? A. Autism Diagnostic Interview – revised (ADI-R)

56) Question: A new diagnosis in the DSM- 5 characterized by persons preoccupied with being sick or developing a disease of some kind is known as which of the following? **A. Illness anxiety disorder

57. Question:** A disorder characterized by 6 or more months of general and no delusional preoccupations with fears of having a serious disease based on a person’s misinterpretation of bodily symptoms that causes significant distress and impairment in one’s life is **A. Somatic symptom disorder
58. Question:** A precipitous onset prion disease, with rapid decline, progressing to death within 6 months of onset is known as which of the following? **A. Creutzfeldt-Jackob disease
59. Question:** A term use to describe a neuro developmental disorder characterized by impairments in reciprocal social communication and a tendency to engage in repetitive stereotyped patterns of behaviors, interests and activities is **A. Autism Spectrum Disorder
60. Question:** Which of the following is an example of a medical complication of psychiatric conditions or treatment? **A. Neuroleptic Malignant Syndrome
61. Question:** Experiences of depersonalization and derealization are common in which of the following patients? **A. All of the above (Patients with seizures, migraines or use marijuana)
62. Question:** Which of the following shows normal developmental visual motor skill for an 18 - month-old? **A. Scribbles on own; makes 3 - cube tower
63. Question:** 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. Prefrontal Cortex
64. Question:** Which of the following is not consistent with what is known about depersonalization and derealization? **A. Derealization is two to four times more often in men than in women.
65. Question:** The second-most common type of dementia caused by cardiovascular and cerebrovascular disease with progressive cognitive decline in stepwise fashion is known as which of the following? **A. Vascular Dementia
66. Question:** Which of the following would be a developmental red flag that would trigger further assessment for a 2-year-old? **A. Cannot use a meaningful two-word phase; lack of empathy (looking sad if a child cries)
67. Question:** Which of the following are included in the clinical features of anxiety illness disorder? Check all that apply.

**A. Persons maintain they have a particular disease or as time progresses their belief may transfer to another disease. Preoccupation with illness may or may not interfere with their interaction with family, friends, and co-workers. They are often addicted to internet search about their feared illness, inferring the worst from the information.

68. Question:** A dementia which usually occurs in the sixth decade of life, characterized by gradual onset and progressive decline without focal neurological deficits is known as which of the following? **A. Alzheimer’s Disease
69. Question:** Which of the following is true about impulses? Check all that apply. **A. Impulses are usually ego-dystonic, Impulsive behaviors are characterized by their repetitive nature, The repeated acting out of impulses leads to psychological impairment
70. Question:** Which of the following is consistent with dementia in HIV? **A. the individual's decline is progressive in nature with motoric and behavioral abnormalities.
71. Question:** Somatoform disorders represent which type of clinical problem in psychosomatic Medicine? **A. Psychological factors precipitating medical symptoms
72. Question:** A type of delirium characterized by psychomotor retardation and apathy is known as which of the following? **A. Hypoactive delirium
73. Question:** A child 0 – 3 months would be expected to be able to do which of the following? **A. All the above (Develop social smile, React, and turn toward sounds. Watch faces, follows objects)
74. Question:** The ARNP is meeting with a person who reports a fascination with fire, along with recurrent deliberate and purposeful setting of fires. The ARNP realizes that these behaviors are consistent with which of the following disorders? **A. Pyromania
75. Question:** Which of the following supports a good prognosis for a person with a conversion disorder? **A. Tremors and aphonia
76. Question:** Which of the following medications are FDA-approved medications for the treatment of delirium? **A. None of the above
77. Question:** Depression secondary to interferon treatments represents which of the following clinical problems in psychosomatic medicine? **A. Psychiatric complications of medical conditions or treatment
78. Question:** Which of the following is a common visceral symptom of conversion disorder?

**A. Diarrhea

79. Question:** Which of the following are common disorders that must be differentiated from dissociative identity disorder? Check all that apply. **A. Amnesic disorders, PTSD, acute stress disorders, malingering and factitious amnesia
80. Question:** In treating a patient with dementia and a co-occurring depression, which of the following symptoms should be treated first? **A. Loss of appetite
81. Question:** Which of the following is consistent with normal range gross motor developmental milestones for a 4 - year-old? **A. Walks downstairs one step to a tread, stands on one foot for 5 to 8 seconds
82. Question:** Which of the following social interactions indicates progression into the normal range, meeting developmental milestones for a 5 - year-old? **A. Engages in imaginative play
83. Question:** Visual hallucinations are associated with impairment in which of the following regions of the brain? **A. Occipital lobe
84. Question:** The ARNP is doing a physical exam on a patient that has a paralyzed hand of unknown etiology in which the patient’s hand is raised and dropped into the patient’s face. Which of the following patient responses support the finding of a conversion disorder? **A. The patient’s hand falls next to the patient’s face
85. Question:** Which of the following are included in the five different milestone skill areas that should be evaluated? **A. All the above (Social/emotional skills. Gross/fine motor skills. Speech and language skills)
86. Question:** Which of the following approaches/treatments are recommended in working with patients with a conversion disorder? **A. B and C only (Recommend psychotherapy to focus on issues of stress and coping. Recommend psychoanalysis to explore intrapsychic conflicts)
87. Question:** Which of the following adaptive skills are consist with normal range developmental milestone of an 18 - month-old?

A. Gets onto a chair; removes garment

88) Question: N-Methyl D-aspartate glutamate receptor antagonists are used to treat dementia by doing which of the following? **A. All the above

89. Question:** Which of the following is NOT consistent with what is known about intermittent explosive disorder across the lifespan?

A. Intermittent explosive disorder typically increases in severity

with the onset of middle age.

90) Question: Which of the following is not consistent with what is known about the epidemiology of dissociative fugue? **A. It is more common in men than women

91. Question:** A cognitive assessment should include which of the following?

A. All the above (Baseline cognitive functioning, Changes from

baseline functioning, Speed of onset of cognitive changes

92) Question: 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. La belle indifference

93. Question:** Which of the following speech and language skills are consistent with normal developmental milestones of a 3 - year-old?

A. Uses two-word sentences; understands me and you

94) Question: A patient presents with persistent feelings of detachment from oneself, like watching oneself in a movie. The ARNP recognizes this as which of the following? **A. Dissociation

95. Question:** 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
96. Question:** A person erroneously believes they sustained an emotional or physical trauma in early life is known as which of the following? **A. False memory
97. Question:** MRI findings in patients with intermittent explosive disorder may reveal changes to which area of the brain that is associated with loss of impulse control? **A. Prefrontal cortex
98. Question:** The ARNP evaluates a 4 - year-old who cannot balance on one foot for 3 seconds, cannot copy a circle and realizes which of the following?

A. This is a developmental red flag for a 4 - year-old that should

trigger a specialized assessment.

99) Question: Which of the following is consistent with what is known about treating individuals with kleptomania?

A. Insight-oriented psychotherapy and psychoanalysis have been

successful but depend on patients’ motivations.

Version 2 1) Which of the following would be a developmental red flag that would trigger further assessment for a 2 - year-old? A. Cannot jump; cannot throw object overhand. B. Cannot use a three-word sentence; speech only 50% understandable C. Cannot use a meaningful two-word phrase; lack of empathy (looking sad if a child cries) D. Never imitates adult activities; cannot do parallel play. 2) Which of the following are included in the clinical features of anxiety illness disorder? Check all that apply. A. Persons maintain they have a particular disease or as time progresses their belief may transfer to another disease. B. Lab results, lack of progression of the disease, and appropriate reassurances from the provider are helpful treatments for the person with the disease. C. Preoccupation with illness may or may not interfere with their interaction with family, friends, and co-workers. D. They are often addicted to internet search about their feared illness, inferring the worst from the information. 3) A dementia which usually occurs in the sixth decade of life, characterized by gradual onset and progressive decline without focal neurological deficits is known as which of the following? A. HIV dementia B. Vascular dementia C. Lewy-body dementia D. Alzheimer's type dementia (DAT)

4) Which of the following is true about impulses? Check all that apply. A. Impulses are acted upon with the expectation of receiving pleasure B. Impulses are usually egodystonic. C. Impulsive behaviors are characterized by their repetitive nature. D. The repeated acting out of impulses leads to psychological impairment. 5) Which of the following is consistent with dementia in HIV? A. The individual's decline is very slow and may take years to progress. B. The individual's decline is progressive in nature with motoric and behavioral abnormalities. C. The individual's decline is in a stepwise fashion with motoric and behavioral abnormalities. D. The individual's decline has marked variability and fluctuating motoric and behavioral abnormalities. 6) Somatoform disorders represent which type of clinical problem in psychosomatic Medicine? A. Co-occurring medical and psychiatric conditions. B. Psychiatric complications of medical conditions and treatments.

C. Psychiatric symptoms secondary to a medical condition. D. Psychological factors precipitating medical symptoms. 7) A type of delirium characterized by psychomotor retardation and apathy is known as which of the following? A. Mixed delirium B. Medical delirium C. Hypoactive delirium D. Hyperactive delirium 8) 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 9) The ARNP is meeting with a person who reports a fascination with fire, along with recurrent deliberate and purposeful setting of fires. The ARNP realizes that these behaviors are consistent with which of the following disorders? A. Pyromania B Obsessive-compulsive disorder C. Intermittent explosive disorder D. Pyrophobia 10) Which of the following supports a good prognosis for a person with a conversion disorder? A. Insidious onset B. Clearly identifiable stressors at time of onset C. Average intelligence D. B and C 11) Which of the following medications are FDA-approved medications for the treatment of delirium? A. Donepezil B. Galantamine C. Rivastigmine D. None of the above 12) Depression secondary to interferon treatments represents which of the following clinical problems in psychosomatic medicine? A. Psychiatric complications of medical conditions and treatments. B. Psychiatric symptoms secondary to a medical condition. C. Psychological factors precipitating medical symptoms. D. Psychiatric symptoms as a reaction to medical condition or treatments.

13) Which of the following is a common visceral symptom of conversion disorder? A. Seizures B. Diarrhea C. Paralysis D. Mid-line anesthesia 14) Which of the following are common disorders that must be differentiated from dissociative identity disorder? Check all that apply. A. Perimenstrual disorders B. Posttraumatic stress disorder C. Obsessive-compulsive disorder D. B and C only 15) 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 16) Which of the following is consistent with normal range gross motor developmental milestones for a 4 - year-old? A. Walks downstairs, jumps backwards B. Balances on one foot for 4 seconds, can broad jump 1 foot C. Writes part of name; copies a square. D. Eats independently, unbuttons items 17) Which of the following social interactions indicates progression into the normal range, meeting developmental milestones for a 5 - year-old? A. Shares on own B. Engages in imaginative play C. Group play; has a preferred friend D. Has a group of friends, apologizes for errors 18) Visual hallucinations are associated with impairment in which of the following regions of the brain? A. Occipital B. Temporal C. Left parietal D. Frontal, prefrontal 19) The ARNP is doing a physical exam on a patient that has a paralyzed hand of unknown etiology in which the patient's hand is raised and dropped into the patient's face. Which of the following patient responses support the finding of a conversion disorder? A. The patient's hand drops onto the patient's face. B. The patient's hand falls next to the patient's face. C. The patient's hand stays in the air when dropped. D. This would not be an appropriate test for conversion disorder.

20) Which of the following are included in the five different milestone skill areas that should be evaluated? A. Social/emotional skills B. Gross/fine motor skills C. Speech and language skills D. All the above 21) 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 22) Which of the following adaptive skills are consist with normal range developmental milestone of an 18 - month-old? A. Bite, chews cookie; looks for fallen item B. Finger feeds items; takes off a hat. C. Gets onto a chair; removes garment D. Opens doorknobs; pulls off pants. 23) N-Methyl D-aspartate glutamate receptor antagonists are used to treat dementia by doing which of the following? A. Stall the neurodegenerative processes B. Promotes synaptic plasticity C. Prevent over excitation of glutamate receptors D. All of the above 24) 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. 25) Which of the following is not consistent with what is known about the epidemiology of dissociative fugue? A. It is usually described in adults. B. It is commonly described in men C. It is more common in women than in men.

D. It is more common during natural disasters, war time, or times of major social dislocations and violence. 26) A 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 27) 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 28) Which of the following speech and language skills are consistent with normal developmental milestones of a 3 - year-old? A. Uses three-word sentences; names body parts. B. Uses two-word sentences; understands me and you C. Follows three-step request; tells stories D. Responds to "why?"; likes rhyming words 29) A patient presents with persistent feelings of detachment from oneself, like watching oneself in a movie. The ARNP recognizes this as which of the following? A. Derealization B. Depersonalization C. Generalized amnesia D. Dissociative identity disorder 30) 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 31) 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 32) MRI findings in patients with intermittent explosive disorder may reveal changes to which area of the brain that is associated with loss of impulse control? A. Cerebellum

B. Prefrontal cortex C. Temporal lobe D. Parietal lobe 33) The ARNP evaluates a 4 - year-old who cannot balance on one foot for 3 seconds, cannot copy a circle and realizes which of the following? A. This is normal for a 4 - year-old. B. This is a developmental red flag for a 4 - year-old that should trigger a specialized assessment. C. This is a developmental red flag for a 5 - year-old so do nothing at this point. D. This is a minor concern, the APRN advises to enroll the child in gymnastics for balance and an art class to learn to draw better. 34) 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

Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are strategies that are typically used in which of the following therapies? According to the APA which of the following are required to support a child’s DSM- 5 diagnosis? settings.

.

C The^ child’s symptoms^ are^ impairing^ a^ child’s^ functioning^ in^ at^ least^ two

NRNP 6665 Midterm Exam

Question 1

A Relaxation therapy

.

B Social skills training

.

C Motivational

.

Interviewing

D Applied^ behavioral

.

analysis

Question 2

A The^ child’s^ clinical^ presentation^ fulfills^ the^ specific^ symptom^ based

.

diagnostic criteria.

B The child’s symptoms are not caused by other diagnoses or stressors.

.

D A and B

.

Question 3

Which of the following is NOT consistent with good sleep hygiene?

A Allow child to keep a cell phone at bedside.

.

B Establish bedtime routines and maintain consistently.

.

C Limit^ use^ of^ electronics^ in^ the^ evening^ i.e.,^ television,

.

computer, etc.

D Set^ and^ maintain^ a^ bedtime^ that^ will^ allow^ for^ adequate

.

sleep.

Question 4

Which of the following antipsychotic medications have the greatest tendency to increase appetite and body weight?

(Risperdal)

.

D Risperidone

When assessing a child with disruptive or aggressive behavior, the clinician asks “Have you been thinking about or planning to hurt anyone?” to screen for which of the following diagnostic categories? The clinician assessing substance abuse in an adolescent asks, “Did you develop more mood or anxiety problems after you started using?” to screen for which of the following diagnostic possibilities?

D Substance^ induced^ mental

When the patient lacks capacity to make a decision the nurse has the ethical responsibility to do which of the following?

A Aripiprazole (Abilify)

.

B Ziprasidone

.

(Geodon)

C Haloperidol (Haldol)

.

Question 5

A Safety

.

B Bullying

.

C Conduct disorder

.

D Oppositional^ defiant

.

disorder Question 6

A Substance use disorder

.

B Substance withdrawal

.

C Substance tolerance

.

Question 7

A Become a surrogate decision maker for the patient.

.

B Consult^ a^ formally-designated^ surrogate^ for^ patient^ choices.

.

disorder

When assessing a child who has presented with concerns of being anxious and worried, the provider asks the child “Do you get sudden surges of fear that make your body feel shaky or your heart race?” to screen for which of the following common diagnostic possibilities? Which of the following antipsychotic medications has the greatest risk for weight gain and lipid changes?

.

(Zyprexa)

C Olanzapine

A period of at least one week in which both a manic episode and a major depressive episode occur almost daily is consistent with which diagnosis?

.

C Make^ safe^ choices^ for^ the^ patient^ based^ on^ the nurse’s^ beliefs

.

and values.

D Continue^ to^ support^ all^ the^ patient’s^ choices^ until^ a^ surrogate

.

can be found. Question 8

A Obsessive^ - compulsive

.

disorder

B Posttraumatic^ stress

.

disorder

C Panic disorder

.

D Separation^ anxiety

.

disorder Question 9

A Ziprasidone

.

(Geodon)

B Aripiprazole

.

(Abilify)

D Quetiapine

.

(Seroquel) Question 10

A Bipolar II Disorder

.

B Cyclothymic Disorder

.

C Most^ patients^ with^ anorexia^ nervosa^ will^ have^ no^ difficulty^ eating^ with^ their^ family^ in

The theory that depression results from specific thought distortions is consistent with which of the following?

D Bipolar^ I^ Disorder,^ cyclothymic

.

type Question 11 Which of the following is NOT true about symptomatology of anorexia nervosa?

A Most aberrant behaviors directed toward losing weight occurs in secret.

.

B All patients have an intense fear of gaining weight and becoming obese.

.

D Fear^ of^ gaining^ weight^ and^ becoming^ obese^ frequently^ contributes^ to^ the^ individual’s

.

lack of interest in and resistance to therapy/treatment. Question 12 Sleep-related hallucinations occurring at sleep onset are known as which of the following?

A Hypnagogic

.

B

Hypnopompic

.

C Complex

.

hallucinations

D Paranormal

.

hallucinations Question 13

A Cognitive theory

.

B Psychosocial theory

.

C Psychodynamic theory

.

D Learned^ helplessness

.

theory

.

public places.

.

episode

C Bipolar^ I^ Disorder, mixed

Reasons for the underuse of specific mental health treatments during childhood include which of the following? Which of the following is true regarding the cultural formulation interview with a child and caregiver?

.

build a therapeutic alliance.

A Asking^ about^ a^ child^ and^ caregiver’s^ cultural^ understanding is^ an^ efficient^ way^ to

According to the APA, “Psychologists seek to promote accuracy, honesty, and truthfulness in the practice of psychology,” reflecting which of the following ethical principles? Question 14

A Stigma associated with mental health

.

B Poor problem recognition

.

C Limited^ availability^ of^ mental^ health

.

specialists

D All of the above

.

Question 15

B While^ cultural^ understanding^ is^ important,^ it^ is^ important not^ to^ personalize^ the

.

diagnosis.

C While^ obtaining^ cultural^ information^ is^ important,^ it^ may^ increase^ bias^ and^ thus

.

decrease accuracy of the assessment.

D Engaging^ in^ a^ discussion^ about^ culture,^ while^ interesting^ and^ engaging,^ is^ a

.

distraction from the problem that brought the child and caregiver to the provider. Question 16

A Integrity

.

B Justice

.

C Beneficence

.

D Nonmalefice

.

nce Question 17 Which of the following antidepressant medications have the greatest tendency to increase appetite and body weight?

B Trazodone

C Binge^ eating

ADHD, impulse-control, conduct disorder, and intellectual disabilities and anxiety disorders are predominant during which of the following age ranges?

B Ages^6 –

The clinician asks the child who is being seen for labile mood “Have you felt really down depressed or uninterested in things you used to enjoy for more than 2 weeks? to screen for which of the following diagnostic categories?

A Fluoxetine

.

(Prozac)

C Amitriptyline

.

(Elavil)

D Venlafaxine

.

(Effexor) Question 18 Which of the following is the most common eating disorder?

A Bulimia nervosa

.

B Anorexia nervosa

.

D Night^ eating

.

syndrome Question 19

A Ages 0 – 5

.

C Ages^13 –

.

18

D Ages 18+

.

Question 20

A Suicidality

.

B Bipolar^ disorder

.

12

.

disorder

.

(Desyrel)

Which of the following disorders is characterized by episodic bouts of intake of excessive amounts of food but without purging or similar compensatory behavior? During the evaluation of a patient with a history of Bipolar I Disorder, who is manic, the patient states that she is actually the Queen of England and quite wealthy. This is an example of which of the following? A form of cognitive behavioral therapy (CBT) that requires attending skills groups in addition to individual therapy sessions are known as which of the following?

.

C Major depressive disorder

.

D Disruptive^ mood^ dysregulation

.

disorder Question 21

A Bulimia nervosa

.

B Anorexia nervosa

.

C Binge^ eating

.

disorder

D Night^ eating

.

syndrome Question 22

A Mood-congruent manic delusion

.

B Mood-incongruent^ manic

.

delusion

C Mood-congruent^ manic

.

hallucination

D Mood-incongruent^ manic

.

hallucination Question 23

A Group CBT

.

B Trauma-Focused CBT

.

C Motivational^ Interviewing

Which of the following is consistent with recommendations for use of available evidence- based psychopharmacological interventions? The type of therapy typically indicated for individuals with chronic and significant suicidality and self-harm is known as which of the following? The average time from the start of child mental health symptoms until a young person enters mental health treatment is which of the following?

.

D Dialectical-behavioral

.

therapy Question 24

A If^ a^ child/adolescent^ has mild^ symptoms,^ prescribe^ medications^ prior^ to^ psychosocial

.

Interventions.

B If^ a^ child/adolescent^ has^ mild^ symptoms,^ initiate^ psychotropic^ medication^ at^ the

.

same time as appropriate psychosocial interventions are started. If a child/adolescent has moderate to severe range of symptoms initiate psychotropic

C medication at the same time as the appropriate psychosocial interventions are

. started.

D If^ a^ child/adolescent^ has^ a^ moderate^ to^ severe^ range^ of^ symptoms^ initiate

.

psychotropic medication prior to initiating psychosocial interventions. Question 25

A Cognitive^ behavioral^ therapy

.

(CBT)

B Trauma-focused CBT

.

C Motivational interviewing

.

D Dialectical-behavioral therapy

.

Question 26

A 4 –^6

.

weeks

B 3 –^6

.

months

C 1 – 2 years

.

D 8 –^10