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NRNP 6635 FINAL EXAM QUESTIONS AND ANSWERS
WALDEN UNIVERSITY
(Well Elaborated Questions & Answers)
Question 1 Select the psychiatric theorist who proposed that all pleasurable impulses and activities are sexual in origin. Selected Answer:
C.
Freud Question 2 Select the most frequent cause of infant and childhood intellectual disability that is attributed to a specific gene. Selected Answer: C. Down syndrome Question 3 Select the neurotransmitter that increases sexual desire. Selected Answer: B. Dopamine
Question 4 Select the drug of choice to treat psychosis in delirious patients. Selected Answer: D. Haloperidol Question 5 Select the characteristic that is greater in childhood than adult onset schizophrenia. Selected Answer: B. Social withdrawal Question 6 Select the personality disorder in which patients are continually in crisis and exhibit unpredictable behavior. Selected Answer: C. Borderline Question 7 Select the factor that best correlates with attempted and completed suicide. Selected Answer: A. Mental illness Question 8 Select the brain region that shows the greatest anatomical abnormalities in schizophrenic patients. Selected By the end of the 20th century, however, researchers had made significant
LSD are necessary to lose significant tolerance. B.4- 7 days Question 12 Select the most reliable method to make a diagnosis of schizophrenia. Selected Answer: Therefore, a patient’s history is essential for the diagnosis of schizophrenia; clinicians cannot diagnose schizophrenia simply by results of a mental status examination, which may vary. D. Patient history Question 13 Select the dysfunction that is common to 50% to 85% of schizophrenic patients. Selected Answer: Various studies have reported abnormal eye movements in 50 to 85 percent of patients with schizophrenia compared with about 25 percent in psychiatric patients without schizophrenia and fewer than 10 percent in nonpsychiatrically ill control participant. D. Eye movement Question 14 Select two of the “Four A’s” symptoms of schizophrenia described by Bleuler. Selected These symptoms included associational disturbances of thought, especially looseness, affective disturbances, autism, and ambivalence, summarized as the four As: associations, affect, autism, and ambivalence. Answers:
A. autism B. ambivalence Question 15 Select the personality disorder in which patients exhibit covert obstructionism, procrastination and pessimism. Selected In psychoanalytic terms, this phenomenon is called masochism and includes failure, procrastination, silly or provocative behavior, self-demeaning clowning, and frankly self-destructive acts. Answer: D. Passive aggressive Question 16
Select the disorder that is often comorbid with brief psychotic disorder. Selected Answer: Personality disorder is also a predisposing factor for other psychiatric disorders D. Personality Question 21
Select the psychoactive substance that is most frequently consumed worldwide. Selected Answer : Caffeine is the most widely consumed psychoactive substance in the world. B. Caffeine Question 22 Select the age range at which most children with gender dysphoria begin to show increased anxiety over anticipated changes to their bodies. Selected Answer: Gender identity crystallizes in most persons by age 2 or 3 years. Parents, however, typically report that the cross-gender behaviors were apparent before 3 years of age. Children typically begin to develop a sense of their gender identity around age 3. D. 3 to 4 Question 23 Select the theorist who first studied social and cultural influences on suicide. Selected Answer: The first major contribution to the study of the social and cultural influences on suicide was made at the end of the 19th century by the French sociologist Emile Durkheim. B. Durkheim Question 24 Select the disorder in which is characterized by lack breast development.
Answer: In 2012, the rate for dependence or abuse is highest among adults age 18 to 25 (19 percent) compared to youths age 12 to 17 (6 percent) and adults age 26 or older (7 percent). After age 21, a general decline occurred with age. B. 18 - 25 Question 26 Select two terms preferred to describe sexual orientation. Selected Answers: Hemosexual and Hecterosexual A. Gay D. Lesbian Question 27 Select the two patient populations in which delirium occurs most frequently. Selected Answers: B. Terminally ill C. Long-term care Question 28 Select the drug used to treat neuroleptic malignant syndrome. Selected Answer: C. Dantrolene Question 29 Select the drug that is most likely to cause parkinsonian movement symptoms. Selected Answer: D. Haloperidol Question 30
Select the two main conditions to initially identify in adult psychiatric emergencies. Selected Answers: B. Suicide D. Substance intoxication Question 31
Question 35 Select the development time of symptoms in neuroleptic malignant syndrome. Selected Answer: The symptoms usually evolve over 24 to 72 hours, and the untreated syndrome lasts 10 to 14 days. D. 10 - 14 days Question 36
Select the patient population at most risk of mortality from delirium. Selected C. Answer: Alcohol withdrawal Question 37 Select the most distinguishing characteristic of delirium. Selected Answer: Classically, delirium has a sudden onset (hours or days), a brief and fluctuating course, and rapid improvement when the causative factor is identified and eliminated, but each of these characteristic features can vary in individual patients. B. Sudden onset Question 38 Select the category of symptoms that is most commonly comorbid with cognitive disorders. Selected Answer: A. Behavioral Question 39 Select the primary defense mechanism that is common in delusional disorder. Selected Answer: A.Projection Question 40 Select the neurotransmitter system that is most associated with the addictive rewarding
Selected The most common hallucinations, however, are auditory, with voices that are often threatening, obscene, accusatory, or insulting. Answer: C. Auditory Question 42 Select the diagnostic criterion for catatonia resulting from a medical condition. Selected Answer:
B. Waxy flexibility
Question 43 Select the two factors that are not applicable to diagnosing schizoaffective disorder. Selected Answers: As with most psychiatric diagnoses, schizoaffective disorder should not be used if the symptoms are caused by substance abuse or a secondary medical condition.
C. Medical condition D. Substance abuse
Question 44 Select the percentage of substance-addicted persons with a concurrent psychiatric disorder. Selected Answer: B. 50 Question 45 Select the hepatic enzyme that performs the initial metabolism of alcohol. Selected Answer:
A.ADH
Question 46 Select the epidemiologic characteristic of tardive dyskinesia symptoms. Selected Answer:
Select the initial intervention to treat children experiencing acute school refusal. Selected Answer:
B. Return to school the next
normal day
Question 52 Select the primary method to assess cognition. Selected Answer:
C. Mental status exam
Question 53 Select the preferred drug used to treat alcohol withdrawal. Selected Answer:
D. Lorazepam
Question 54 Select the procedure most applicable to confirming a diagnosis of delirium. Selected Answer: C. EEG Question 55 Select the brain region that is associated with substance addiction. Selected Answer: A. Prefrontal cortex Question 56 Select the two defense mechanisms used commonly by patients with personality disorders. Selected Answers: C. Splitting/D. Projection
