Psychiatric Disorders and Treatments, Exams of Nursing

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66 out of 100 points

2 hours, 28 minutes out of 2 hours and 30 minutes

Submitted ANSs

Select the serum assessment that is required when prescribing drugs to treat psychiatric disorders in psychosomatic patients.

Selecte

d ANS:

A.

Potassi u m Select the theorist who developed the eight stages of psychosocial life cycle.

Selecte

d ANS:

C.

Eriks o n

Review Test Submission:

Exam - Week 6

• Question 2

• Question 3

Select two causes of dissociative amnesia.

Selecte

d ANSs:

A.

Sexual abuse

D.

Partner betray al Select the patient evaluation scale to be used before and during prescribing antipsychotic drugs.

Selecte

d ANS:

A.

MM

S E

Select the two comorbid disorders with which Pica occurs most commonly.

Selecte

d ANSs:

C.

Autism

D.

Intellectual disability Select the prognosis range of untreated PTSD patients.

Selecte

d ANS:

A.

10% recover, 20% mild symptoms, 30% moderate symptoms, 40% no change or worse Select the memory category retained in transient global amnesia that is absent in dissociative amnesia.

Selecte

d ANS:

B.

Sequential events The following is NOT an endocrine change noted with anorexia nervosa:

Selected A.

**- Question 4

• Question 5
• Question 6
• Question 7
• Question 8**

ANS:

Increase d Glucose Select the two most important elements of the psychiatric interview to establish a mental illness diagnosis.

Selecte

d ANSs:

A.

Psychiatric history

C.

Mental status examination Select the greatest impediment to treating anorexia nervosa patients.

Selecte

d ANS:

D.

Noncompliance with therapy Select the sleep disorder in which cataplexy is a common symptom.

Selecte

d ANS:

D.

Narcole p sy Select the obsessive-compulsive disorder for which a patient is likely to initially seek help from a Primary Care Provider.

Selecte

d ANS:

D.

Body dysmorph ia Select the rating scale used to assess obsessive-compulsive disorder.

Selecte

d ANS:

C.

YBO

C S

**- Question 9

• Question 10
• Question 11
• Question 12
• Question 13
• Question 14**

Select age after which encopresis may be correctly diagnosed.

Selected

C. ANS:

Select the mood disorder that is worsened by chronic exposure to observing violence in television, movies, and video games.

Selecte

d ANS:

A.

Bipol a r Select a provider’s most important knowledge area essential to a successful mental health interview of a child.

Selecte

d ANS:

A.

Normal development Select the minimum treatment time to assess the effectiveness of antidepressant drug therapy.

Selecte

d ANS:

A.

1-

weeks What is one main difference between acute stress disorder and PTSD?

Selecte

d ANS:

A.

PTSD diagnosis require symptoms to last at least for one month. Factors that indicate a good prognosis for PTSD disorders include all the following EXCEPT:

Selecte

d ANS:

B.

short duration of symptoms

**- Question 15

• Question 16
• Question 17
• Question 18
• Question 19
• Question 20**

Select the medical condition that must be excluded as a cause of somatic symptom disorder or hypochondriasis.

Selecte

d ANS:

A.

Angina pectori s What is the most IMMEDIATE consideration in assessing depression in adolescents?

Selecte

d ANS:

B.

Safe t y Select the neurotransmitter that is most involved in the pathophysiology of schizophrenia.

Selecte

d ANS:

B.

Dopa mi ne Select the most important component of the patient-provider rapport.

Selecte

d ANS:

A.

Empa t hy Select the most effective treatment for social anxiety disorder in children.

Selecte

d ANS:

B.

Cognitive-behavior therapy (CBT) and SSRI antidepressants All the following are key psychiatric findings when assessing speech and language in children EXCEPT:

Selecte

d ANS:

A.

Normal articulation

**- Question 21

• Question 22
• Question 23
• Question 24
• Question 25
• Question 26**

Select the factor that is required to cause PTSD from a stressor.

Selecte

d ANS:

A.

Intense horror All the following are classes of coping mechanisms in the Model of Mental Health as Resilience where humans overcome stressful situations EXCEPT:

Selecte

d ANS:

B.

Generativity versus Stagnation Anatomical and functional neuroimaging studies have associated a decreased activation in what part of the brain with obsessive-compulsive behaviors?

Selecte

d ANS:

B.

Substanti a nigra Select the two complications in diagnosing patients with anorexia nervosa.

Selecte

d ANSs:

Denial of symptoms Insisting weight loss has a medical cause Select the anxiety disorder that emerges in ages 9 to 18 months.

Selecte

d ANS:

A.

Separa ti on Select the two most common peripheral symptoms of anxiety.

Selecte

d ANSs:

B.

Dizzin e ss

D.

**- Question 27

• Question 28
• Question 29
• Question 30
• Question 31**

Tremors Select the hormone or neurotransmitter that is involved in regulating the 24- hour circadian sleep-wake cycle.

Selecte

d ANS:

D.

Melato ni n Select the event most associated with the occurrence of dissociative fugue.

Selecte

d ANS:

A.

Head trauma Select the neurodevelopmental disorder typically diagnosed in childhood.

Selecte

d ANS:

C.

Intell e ct Select the primary cause of reactive attachment disorder in children.

Selecte

d ANS:

A.

Death of mother Select the psychiatric disorder for which drug and nondrug treatments are least effective.

Selecte

d ANS:

D.

Dissociative identity Select two events that are causes of dissociative trance disorder.

Selecte

d ANSs:

B.

Substance abuse

D.

**- Question 32

• Question 33
• Question 34
• Question 35
• Question 36
• Question 37**

Appropriate drug therapy Select the time from occurrence of the stressor in which symptoms must appear to diagnose an adjustment disorder.

Selecte

d ANS:

C.

months Select the serum substance that should be measured to aid the diagnosis of restless leg syndrome.

Selecte

d ANS:

B.

Ferrit i n Select the DSM-5 disorder formerly called multiple personality disorder.

Selecte

d ANS:

C.

Dissociative identity Differential diagnosis for consideration when suspecting a cyclothymic disorder include:

Selecte

d ANS:

B.

Substan ce abuse The following psychotherapy interventions is NOT a recommended in the treatment of PTSD:

Selecte

d ANS:

B.

Chelatio n 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

**- Question 38

• Question 39
• Question 40
• Question 41
• Question 42
• Question 43**

antidepressant drugs.

Selecte

d ANS:

C.

2% placebo, 10% drug Select the drug that has been effective in treating social anxiety in children.

Selecte

d ANS:

A.

Bupropi o n Select the youngest age range at which alarm therapy is effective to treat enuresis.

Selecte

d ANS:

D.

5 to 6 Which part of the brain is essential to the maintenance of attention?

Selecte

d ANS:

B.

Right frontal lobe Select two signs and symptoms of bulimia nervosa.

Selecte

d ANSs:

A.

Weekly binge eating for at least three months

B.

Abuse of emetic drugs and substances Select the behavior that best describes early onset bipolar disorder in children and adolescents.

Selecte

d ANS:

A.

Aggres si on

**- Question 44

• Question 45
• Question 46
• Question 47
• Question 48**

Select the most common stressor of PTSD in women.

Selecte

d ANS:

C.

Sexua l assaul t Select the most likely stressor to cause an adjustment disorder.

Selecte

d ANS:

B.

Natural disaste r Select the motivation in pyromania that is absent in patients who commit arson.

Selecte

d ANS:

A.

Financi al gain What does a black-box warning from the FDA indicate for prescribers?

Selecte

d ANS:

D.

The need for closer monitoring of potential symptoms by the provider Select the third most commonly reported psychiatric symptom.

Selecte

d ANS:

D.

Depersonalizat i on Select the disorder in which patients feel detached from their environment.

Selecte

d ANS:

A.

Derealiza ti on

**- Question 49

• Question 50
• Question 51
• Question 52
• Question 53
• Question 54
• Question 55**

Select the least extent of sleep debt that can cause hypersomnolence.

Selecte

d ANS:

B.

3 hours per night for two weeks Select the 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.

Selecte

d ANS:

A.

Major depressio n Select the disorder in which children are irritable and display temper outbursts, but are not likely to cause physical harm to themselves and others.

Selecte

d ANS:

A.

Opposition al Select the nondrug therapy approved for use in patients who have failed to achieve satisfactory improvement with correctly prescribed antidepressant drugs.

Selecte

d ANS:

A.

Transcranial magnetic stimulation Fetal alcohol syndrome is characterized by all the following EXCEPT:

Selecte

d ANS:

D.

Scant y Lanug o Select the age stage of life in which identity crisis typically emerges.

Selecte

d ANS:

B.

Adolescen ce

**- Question 56

• Question 57
• Question 58
• Question 59
• Question 60**

Select the brain region that is most implicated in the function of memory.

Selecte

d ANS:

[Non

e

Given

]

Select the two most effective treatments for obsessive-compulsive disorder (OCD) in children and adolescents.

Selecte

d ANSs:

A.

SSRI antidepressants

C.

Cognitive behavioral therapy (CBT) Select two types of theories that have contributed to causes of anxiety.

Selecte

d ANSs:

[None

Given]

Select the self-report rating scale used to screen for major depression.

Selected

A. ANS:

BD

I

Select the two symptoms that result from prolonged sleep deprivation.

Selecte

d ANSs:

B.

Hallucinati o ns

D.

Irritability Select the least effective method to treat dissociative amnesia.

Selecte

d ANS:

D.

Group therap y

**- Question 65

• Question 62
• Question 63
• Question 64
• Question 66**

• • Question
• • Question

Select the short rating scale used to assess change in psychiatric inpatients.

Selecte

d ANS:

A.

PAN

S S

Select the two diverse symptoms of OCD.

Selecte

d ANSs:

A.

Rituals

D.

Intrusiv e thought s Select the antidepressant drug that is effective in treating OCD, because it is the most selective in preventing serotonin uptake.

Selecte

d ANS:

D.

Venlafa xi ne Select the drug in addition to a benzodiazepine used to treat generalized anxiety disorder.

Selecte

d ANS:

D.

Lamotri gi ne Select the percent of OCD patients who also have depressive symptoms.

Selected

C. ANS:

Episodes of major depression and hypomania are the main characteristics of:

Selecte

d ANS:

D.

Bipolar II

**- Question 72

• Question 68
• Question 69
• Question 70
• Question 71**

D i s o r d e r

Benzodiazepine treatment for anxiety conditions lasts for:

Selecte

d ANS:

C.

indefinite ly Select the comorbid disorder most frequently associated with anorexia nervosa.

Selecte

d ANS:

A.

Depres si on Which side effect of venlafaxine places the medication as a second-line choice when compared with SSRIs?

Selecte

d ANS:

B.

Increased blood pressure Select the therapy for insomnia that can be effective at up to three years after discontinuation.

Selecte

d ANS:

A.

Cognitive- behavioral Select the two types of symptom patterns common to OCD patients.

Selecte

d ANSs:

C.

Intrusiv e thought s

D.

Contamination Select the percentage range of correlation between obesity and psychiatric disorders.

Selected

B. ANS:

**- Question 73

• Question 74
• Question 75
• Question 76
• Question 77
• Question 78**

20 to 30 Select the largest percentage prevalence of psychiatric disorders in patients hospitalized for medical conditions.

Selected

C. ANS:

0

Select the symptom that is most likely improve early in the drug treatment of major depression.

Selecte

d ANS:

B.

Sleep problems Select the most effective treatment found in the studies of adolescents with depression.

Selecte

d ANS:

C.

SSRI plus CBT Select the mood disorder in which diagnosis requires symptoms present for at least two years.

Selecte

d ANS:

D.

Cycloth y mia Select the two most commonly co-occurring anxiety disorders that may present with generalized anxiety disorder.

Selecte

d ANSs:

A.

PT

S

D

C.

OCD

**- Question 79

• Question 80
• Question 81
• Question 82
• Question 83
• Question 84**

Select the factor that best correlates with the occurrence of PTSD in children.

Selecte

d ANS:

D.

Lowe r IQ Select two events that are excluded as causes of dissociative trance disorder.

Selecte

d ANSs:

B.

Substance abuse

D.

Appropriate drug therapy According to Bowlby’s theory of anxiety, what is fundamental to the growth of attachment in an infant?

Selecte

d ANS:

C.

Mother’s ability to relieve infant anxiety Select the preferred treatment for bulimia nervosa.

Selecte

d ANS:

A.

Cognitive-behavior therapy (CBT) Select the greatest challenge in the long-term treatment of Bipolar I and II disorder.

Selecte

d ANS:

C.

Acute depressio n Select the life stage at which emotional and social behavior begin.

Selecte

d ANS:

A.

Toddl e r

**- Question 85

• Question 86
• Question 87
• Question 88
• Question 89**

Select the symptom that is least associated with manic and hypomanic episodes.

Selecte

d ANS:

B.

Inflated self- esteem Select the two primary psychometric properties of psychiatric rating scales.

Selecte

d ANSs:

B.

Reliabili t y

C.

Validity Select the theorist who developed psychoanalysis.

Selecte

d ANS:

D.

Fre u d Select the disorder that is most similar to cyclothymia.

Selecte

d ANS:

B.

Bipola r II Select the public performance that is most associated with social anxiety in children.

Selecte

d ANS:

B.

Spea ki ng Select the antidepressant drug most likely to cause sexual dysfunction.

Selecte

d ANS:

A.

Sertral i ne

**- Question 90

• Question 91
• Question 92
• Question 93
• Question 94
• Question 95**

Select the theorist who is credited with establishing the area of psychosomatic medicine.

Selecte

d ANS:

C.

Grodd e ck Select two common uses of items taken in kleptomania.

Selecte

d ANSs:

A.

Gifts

C.

Selli n g Select the age group in which adjustment disorders occur most frequently.

Selecte

d ANS:

D.

Adolesce nt Select the percent rate of mortality in anorexia nervosa patients.

Selecte

d ANS:

C.

5 to 18 Select the two rating scales used specifically for schizophrenia.

Selecte

d ANSs:

A.

PAN

S S

C.

SAPS

When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

Selected Ye

**- Question 96

• Question 97
• Question 98
• Question 99
• Question 100
• Question 101**

ANS: s

A Potassium . B White blood

. cells C Liver enzymes . D (^) Blood urea . nitrogen 1 points QUESTION 2

1. Select the theorist who developed the eight stages of psychosocial life cycle. A (^) Bowlb . y B Perls . C (^) Erikso . n D (^) Roger . s 1 points QUESTION 3
2. Select two causes of dissociative amnesia. A Sexual abuse . B Substance . abuse C Surgical pain . D Partner . betrayal QUESTION 1
3. Select the serum assessment that is required when prescribing drugs to treat psychiatric disorders in psychosomatic patients.

QUESTION 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
2. 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 QUESTION 6
3. Select the prognosis range of untreated PTSD patients. 1 points QUESTION 7
4. Select the memory category retained in transient global amnesia that is absent in dissociative amnesia. 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
2. Select the two most important elements of the psychiatric interview to establish a mental illness diagnosis. A Psychiatric history . B Family history . C Mental status . examination D Review of systems . QUESTION 10
3. 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

. 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
2. Select the obsessive-compulsive disorder for which a patient is likely to initially seek help 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 13
3. Select the rating scale used to assess obsessive-compulsive disorder. 1 points