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NRNP 6635 Week 6 Exam C Psychpathology Diag Reasoning-2022-Summer

INSTRUCTIONS

  1. Timed Test : This test has a time limit of 2 hours and 30 minutes.
  1. Timer Setting: This test will save and submit automatically when the time expires.
  1. Force Completion: This test can be saved and resumed at any point until time has expired. The timer will continue to run if you leave the test.
  2. Due Date: This Test is due on July 11, 1:59:00 AM EDT.

Question 1

Select the prognosis range of untreated PTSD patients.

 

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

Question 2

Select two events that are causes of dissociative trance disorder.

 

A.

Natural disaster

 

B.

Substance abuse

 

C.

Experienced violence

 

D.

Appropriate drug therapy

Question 3

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

 

A.

Toddler

 

B.

Infancy

 

C.

Middle years

 

D.

Preschool

Question 4

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

 

A.

Clomipramine

 

B.

Valproate

 

C.

Lithium

 

D.

Venlafaxine

Question 5

Select the two rating scales used specifically for schizophrenia.

 

A.

PANSS

 

B.

MMSE

 

C.

SAPS

 

D.

BPRS

Question 6

Select the event most associated with the occurrence of dissociative fugue.

 

A.

Head trauma

 

B.

Substance abuse

 

C.

Partner betrayal

 

D.

Unplanned travel

Question 7

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

 

A.

Childhood

 

B.

Middle adult

 

C.

Young adult

 

D.

Adolescent

Question 8

Select the preferred treatment for bulimia nervosa.

 

A.

Cognitive-behavior therapy (CBT)

 

B.

SNRI antidepressants

 

C.

Monoamine oxidase inhibitors (MAOIs)

 

D.

Dynamic psychotherapy

Question 9

Select the antidepressant drug most likely to cause sexual dysfunction.

 

A.

Sertraline

 

B.

Amitriptyline

 

C.

Duloxetine

 

D.

Clomipramine

Question 10

Select the mental health disorder that commonly coexists with generalized anxiety disorder.

 

A.

Bipolar I

 

B.

Alzheimer’s disease

 

C.

Major depression

 

D.

Schizophrenia

Question 11

Select the characteristic in long sleepers (more than 9 hours) that is absent in short sleepers (less than 6 hours).

 

A.

Mildly depressed

 

B.

Ambitious

 

C.

Socially adept

 

D.

Efficient

Question 12

Select the psychiatric disorder that occurs most commonly in patients hospitalized for medical problems and surgery.

 

A.

Depression

 

B.

Adjustment

 

C.

Bipolar

 

D.

Anxiety

Question 13

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

 

A.

Poor concentration

 

B.

Sleep problems

 

C.

Excessive guilt

 

D.

Decreased appetite

Question 14

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

 

A.

Central apnea

 

B.

Somnambulence

 

C.

Insomnia

 

D.

Narcolepsy

Question 15

Select the neurotransmitter involved in obsessive-compulsive disorder (OCD) in children and adolescents based on the common comorbidity of tic disorders.

 

A.

Norepinephrine

 

B.

GABA

 

C.

Dopamine

 

D.

Acetylcholine

Question 16

Select the age stage of life in which identity crisis typically emerges.

 

A.

Childhood

 

B.

Adolescence

 

C.

Middle adult

 

D.

Elderly adult

Question 17

Select the type of dissociative amnesia described by patient’s inability to recall any information about her or his family.

 

A.

Selective

 

B.

Localized

 

C.

Continuous

 

D.

Systematized

Question 18

The following psychopharmacology agent is NOT a recommended in the treatment of PTSD:

 

A.

Sertraline

 

B.

Paroxetine

 

C.

Valproate

 

D.

Alprazolam

Question 19

Select the DSM-5-TR disorder formerly called multiple personality disorder.

 

A.

Depersonalization

 

B.

Dissociative fugue

 

C.

Dissociative identity

 

D.

Derealization

Question 20

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

 

A.

MMSE

 

B.

AIMS

 

C.

CAGE

 

D.

HAM-D

More NRNP 6635 Week 6 Exam Questions

Question 21

Children with a first-degree relative diagnosed with major depression are three times more likely to develop the disorder than those children without a family history of depression.

 

A.

True

 

B.

False

 

C.

Neither

 

D.

I don’t know

Question 22

Behavioral theories hypothesize anxiety is:

 

A.

A conditioned response to a specific environmental stimulus

 

B.

The person’s feelings of living in a purposeless universe

 

C.

The result of psychic conflict between ID and EGO

 

D.

A result of an unconscious memory

Question 23

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

 

A.

Freud

 

B.

Abraham

 

C.

Groddeck

 

D.

Ferenczi

Question 24

Select the rating scale used to assess significant alcohol problem.

 

A.

BPRS

 

B.

CAGE

 

C.

YBOCS

 

D.

CAPS

Question 25

Select the drug used to treat bipolar disorder that may cause Stevens-Johnson syndrome.

 

A.

Carbamazepine

 

B.

Risperidone

 

C.

Lamotrigine

 

D.

Valproate

Question 26

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 nervosa

 

D.

Binge eating and purging is most common in winter

Question 27

Select the exposure to violence that is excluded as a DSM-5-TR diagnostic criterion for PTSD in children and adolescents.

 

A.

Electronic media

 

B.

Directly witnessed

 

C.

Report of family member

 

D.

Repeated natural disaster

Question 28

Select the anxiety disorder that emerges in ages 9 to 18 months.

 

A.

Separation

 

B.

Generalized

 

C.

Social

 

D.

Traumatic

Question 29

Select age after which encopresis may be correctly diagnosed.

 

A.

2

 

B.

3

 

C.

4

 

D.

6

Question 30

Select the antidepressant drug that is most likely to cause death when taken in an overdose.

 

A.

Fluoxetine

 

B.

Mirtazapine

 

C.

Imipramine

 

D.

Trazodone

Question 31

Select the antidepressant drug that inhibits reuptake of both norepinephrine and serotonin (5-HT).

 

A.

Fluoxetine

 

B.

Desipramine

 

C.

Venlafaxine

 

D.

Bupropion

Question 32

Select the mood disorder that frequently coexists in children and adolescents with ADHD.

 

A.

Disruptive mood dysregulation disorder

 

B.

Major depression

 

C.

Dysthymia

 

D.

Panic Disorder

Question 33

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

 

A.

Enuresis

 

B.

Encopresis

 

C.

Autism

 

D.

Intellectual disability

Question 34

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

 

A.

Behavioral Therapy

 

B.

Chelation Therapy

 

C.

Cognitive Therapy

 

D.

Hypnosis

Question 35

Select two imaging methods used to study anxiety disorders.

 

A.

CT

 

B.

TMS

 

C.

MRI

 

D.

EKG

Question 36

Select the two methods to treat dissociative amnesia.

 

A.

Antipsychotic drugs

 

B.

Cognitive therapy

 

C.

Hypnosis

 

D.

Psychoanalysis

Question 37

Select the population in which rumination disorder occurs most frequently.

 

A.

Male infants aged 3 to 12 months

 

B.

Female infants 6 to 18 months

 

C.

Children aged 2 to 5 years

 

D.

Adolescents aged 13 to 15 years

Question 38

Select the drug proven most effective in treating PTSD.

 

A.

Buspirone

 

B.

Paroxetine

 

C.

Trazodone

 

D.

Clonidine

Question 39

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

 

A.

PANSS

 

B.

BPRS

 

C.

HAM-D

 

D.

CAPS

Question 40

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

 

A.

Intense fear

 

B.

Non-shared experience

 

C.

Concurrent substance abuse

 

D.

Survivor’s guilt

More NRNP 6635 Week 6 Exam Questions

Question 41

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

 

A.

Derealization

 

B.

Transient global amnesia

 

C.

Depersonalization

 

D.

Dissociative identity

Question 42

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 43

Select the two diagnostic criteria of somatic symptom disorder or hypochondriasis.

 

A.

Persistence for at least 6 months

 

B.

Presence of suicidal ideation

 

C.

Lack of medical evidence

 

D.

Co-occurrence of substance abuse

Question 44

Select the primary cause of reactive attachment disorder in children.

 

A.

Death of mother

 

B.

Bullying by peers

 

C.

Negligent parenting

 

D.

Fetal alcohol syndrome

Question 45

Select two brain regions that are associated with anxiety disorders.

 

A.

Substantia nigra

 

B.

Locus ceruleus

 

C.

Temporal lobe

 

D.

Raphe nuclei

Question 46

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

 

A.

To not prescribe the medication to the population of consideration

 

B.

To obtain informed consent from patients

 

C.

To document adverse reactions

 

D.

The need for closer monitoring of potential symptoms by the provider

Question 47

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

 

A.

PTSD

 

B.

Dissociative disorder

 

C.

OCD

 

D.

Delusional disorder

Question 48

Select the most influential source of bias in a mental status examination.

 

A.

Culture

 

B.

Genetics

 

C.

Environment

 

D.

Age

Question 49

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

 

A.

Buspirone

 

B.

Trazodone

 

C.

Quetiapine

 

D.

Lamotrigine

Question 50

Select the criteria in DSM-5-TR to diagnose a child with major depressive disorder.

 

A.

At least three symptoms including suicidal thoughts for three weeks

 

B.

At least five symptoms including violence toward others for three weeks

 

C.

At least three symptoms excluding substance abuse for two weeks

 

D.

At least five symptoms including irritable mood for two weeks

Question 51

Select the comorbid disorder most frequently associated with anorexia nervosa.

 

A.

Depression

 

B.

Anxiety

 

C.

Schizophrenia

 

D.

Substance use disorder

Question 52

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

 

A.

BDI

 

B.

HAM-D

 

C.

BPRS

 

D.

SANS

Question 53

Select the drug with the most rapid onset of action to treat acute mania.

 

A.

Lithium

 

B.

Clonazepam

 

C.

Lamotrigine

 

D.

Valproate

Question 54

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

 

A.

11 to 12

 

B.

9 to 10

 

C.

6 to 7

 

D.

5 to 6

Question 55

Select the drug that has been effective in treating social anxiety in children.

 

A.

Bupropion

 

B.

Carbamazepine

 

C.

Amitriptyline

 

D.

Fluoxetine

Question 56

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

 

A.

PTSD diagnosis require symptoms to last at least for one month.

 

B.

Acute stress disorder symptoms can last at least for one month.

 

C.

PTSD has recurrent, distressing dreams.

 

D.

Acute stress disorder has recurrent, distressing dreams.

Question 57

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

 

A.

Major depression

 

B.

Dysthymia

 

C.

Bipolar II

 

D.

Cyclothymia

Question 58

Select the neurodevelopmental disorder typically diagnosed in childhood.

 

A.

Bipolar I

 

B.

Major depression

 

C.

Intellect

 

D.

Agoraphobia

Question 59

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

 

A.

Nausea

 

B.

Increased blood pressure

 

C.

Headache

 

D.

Fatigue

Question 60

All the following are key psychiatric findings when assessing speech and language in children EXCEPT:

 

A.

Normal articulation

 

B.

Unusual syntax

 

C.

Echolalia

 

D.

Repetitive stereotypical phrases

Question 61

Select the therapeutic plasma concentration range for lithium in mEq/L.

 

A.

0.1-0.5

 

B.

0.6-1.2

 

C.

1.4-1.9

 

D.

2.0-2.6

Question 62

Select the most exclusive feature rapid eye movement (REM) sleep.

 

A.

Bradycardia

 

B.

Relaxation of skeletal muscles

 

C.

Dreaming

 

D.

Tachypnea

Question 63

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 64

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

 

A.

rapid onset of symptoms

 

B.

short duration of symptoms

 

C.

positive response to benzodiazepines

 

D.

strong social supports

Question 65

The most common clinical mistake leading to an ineffective antidepressant drug trial is:

 

A.

Discontinuation due to adverse events

 

B.

The initial antidepressant drug selection

 

C.

Use of too low of dosage of the antidepressant for too short a time

 

D.

Not assessing for substance use

Question 66

Select the two diverse symptoms of OCD.

 

A.

Rituals

 

B.

Flashbacks

 

C.

Loose associations

 

D.

Intrusive thoughts

Question 67

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

 

A.

Bodmann’s area

 

B.

Substantia nigra

 

C.

Caudate

 

D.

Wernicke’s area

Question 68

Select the two characteristics of impulses that are usually absent from compulsions.

 

A.

Pleasure seeking

 

B.

Psychosocial impairment

 

C.

Committing actions

 

D.

Repetitive performance

Question 69

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

 

A.

10 to 20

 

B.

20 to 30

 

C.

40 to 60

 

D.

50 to 70

Question 70

Select the rating scale used to assess children and adolescents for ADHD.

 

A.

Connors

 

B.

CBCL

 

C.

Achenbach

 

D.

DISC

Question 71

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

 

A.

Bipolar

 

B.

Oppositional

 

C.

Conduct

 

D.

Dysthymia

Question 72

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

 

A.

Potassium

 

B.

White blood cells

 

C.

Liver enzymes

 

D.

Blood urea nitrogen

Question 73

Select the nondrug therapy with the greatest evidence of effectiveness in treating major depressive disorder.

 

A.

Family

 

B.

Psychoanalytic

 

C.

Cognitive

 

D.

Behavior

Question 74

Select the disorder in which inflicting injury to self or others is common.

 

A.

Pain

 

B.

Conversion

 

C.

Somatic symptom

 

D.

Factitious

Question 75

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

Question 76

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

 

A.

1-2 weeks

 

B.

3-4 weeks

 

C.

6-8 weeks

 

D.

10-14 weeks

Question 77

Select the most common sleep disorder.

 

A.

Parasomnia

 

B.

Hypersomnia

 

C.

Insomnia

 

D.

Apnea

Question 78

What is the primary goal of data collection during the psychiatric interview?

 

A.

To obtain the family’s perception of the patient’s health and illness

 

B.

To explain the provider’s perception of the patient’s health and illness

 

C.

To obtain the patient’s perception of their health and illness

 

D.

To obtain statistics regarding the patient’s health and illness

Question 79

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.

 

A.

Major depression

 

B.

Cyclothymia

 

C.

Bereavement

 

D.

Persistent depression

Question 80

Select the therapy that is as effective as appropriate drugs to treat OCD.

 

A.

Psychotherapy

 

B.

Behavior

 

C.

Family

 

D.

Group

Question 81

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

 

A.

Norepinephrine

 

B.

Dopamine

 

C.

Serotonin

 

D.

Acetylcholine

Question 82

Select the best antidepressant alternative to fluoxetine to treat a patient suffering loss of sleep, appetite and weight for the past three months.

 

A.

Mirtazapine

 

B.

Citalopram

 

C.

Duloxetine

 

D.

Bupropion

Question 83

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

 

A.

Normal development

 

B.

Cultural background

 

C.

Sibling position

 

D.

Medical history

Question 84

Select the two primary psychometric properties of psychiatric rating scales.

 

A.

Reproducibility

 

B.

Reliability

 

C.

Validity

 

D.

Variability

Question 85

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

 

A.

HAM-A

 

B.

CAGE

 

C.

YBOCS

 

D.

CAPS

Question 86

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

Question 87

Select the neurotransmitter dysregulation that is most directly involved with OCD.

 

A.

Dopamine

 

B.

Norepinephrine

 

C.

Serotonin

 

D.

GABA

Question 88

Select the most common stressor of PTSD in women.

 

A.

Home accident

 

B.

Partner or spousal abuse

 

C.

Sexual assault

 

D.

Natural disaster

Question 89

Differential diagnosis for consideration when suspecting a cyclothymic disorder include:

 

A.

Seizures

 

B.

Substance abuse

 

C.

Narcissistic Personality Disorder

 

D.

All of the above

Question 90

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

 

A.

Transcranial magnetic stimulation

 

B.

Phototherapy

 

C.

Vagal nerve stimulation

 

D.

Psychoanalysis

Question 91

Select the most common stressor of PTSD in young men.

 

A.

Home accident

 

B.

Partner or spousal abuse

 

C.

Military combat

 

D.

Natural disaster

Question 92

Select the disorder in which concurrent substance abuse occurs in 5% to 10% of patients.

 

A.

Bipolar I

 

B.

Bipolar II

 

C.

Major depression

 

D.

Cyclothymia

Question 93

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

 

A.

Natural disaster

 

B.

Substance abuse

 

C.

Experienced violence

 

D.

Appropriate drug therapy

Question 94

Differential diagnoses for consideration when suspecting a agoraphobia disorder include all the following EXCEPT:

 

A.

Dependent personality disorder

 

B.

Obsessive-Compulsive disorder

 

C.

Schizophrenia

 

D.

Paranoid personality disorder

Question 95

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 96

Select the comorbidity most commonly occurring with intermittent explosive disorder.

 

A.

Narcissism

 

B.

Pyromania

 

C.

Depersonalization

 

D.

Kleptomania

Question 97

Select the theorist who developed psychoanalysis.

 

A.

Maslow

 

B.

Skinner

 

C.

Erikson

 

D.

Freud

Question 98

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

 

A.

Recurrent nightmares

 

B.

Flight of ideas

 

C.

Intrusive thoughts

 

D.

Contamination

Question 100

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

 

A.

Oppositional

 

B.

Conduct

 

C.

Dysregulation

 

D.

Bipolar

 

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