NRNP 6635 Final Exam: Questions and Answers for Walden University, Exams of Nursing

Download NRNP 6635 Final Exam: Questions and Answers for Walden University and more Exams Nursing in PDF only on Docsity!

NRNP 6635 Final Exam / NRNP6635 Final Exam

(2 Versions)(Each 100 Q & A)(2024-

2025):Walden university

NRNP 6635 Final Exam

Question 1 Select the mental function that is most affected in mild cognitive impairment. Selected

Answer: D. Recent memory

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 is most associated with the occurrence of ADHD. 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

Answer: Tolerance, particularly to the sensory and other psychological effects, is evident as soon as the second or third day of successive LSD use. Four to 6 days free of 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 negative symptom of schizophrenia. Selected

Answer: A. Anhedonia

Question 17 Select the main cause female orgasmic disorder. Selected Answer:

B. Genetic

Question 18 Select the age range for 90% of patients treated for schizophrenia. Selected

Answer: About 90 percent of patients in treatment for schizophrenia are

between 15 and 55 years old.

B. 10 - 55

Question 19 Select the non-drug therapy in which mastery of anxiety through desensitization is critical to successful treatment of sexual dysfunction. Selected Answer: The behavior therapist enables the patient to master the anxiety through a standard program of systematic desensitization, which is designed to inhibit the learned anxious response by encouraging behaviors antithetical to anxiety. \AC1336647530\BEHAVIORAL THERAPY

C. Group

Question 20 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

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

Select the psychiatric emergency that is indicated by mothers who express inadequate distress over their children’s medical symptoms. Selected Answer: Careful observation may reveal that the mothers often do not exhibit appropriate signs of distress on hearing the details of the child’s medical symptoms.

D. Munchausen’s syndrome

Question 32 Select the drug that is least life-threatening when consumed in an overdose. Selected Answer:

B. Zolpidem

Question 33 Select the drug that is most safe and effective in treating mild to moderate memory loss in early Alzheimer’s disease. Selected Answer:

A. Donepezil

Question 34 Select the substance that is most commonly abused by adolescents. Selected Answer:

B. Marijuana

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

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:

B. Absence in age less than 50

Question 47 Select the neurotransmitter that inhibits sexual orgasm. Selected Answer:

A. Serotonin

Question 48 Select the drug that is least likely to cause male sexual dysfunction. Selected Answer:

B. Sertraline

Question 49 Select the youngest age at which childhood-onset schizophrenia can be distinguished from autism spectrum. Selected Answer:

A. 3

Question 50 Select the most effective form of questioning when taking a sex history. Selected Answer:

B. Open ended

Question 51 Select the initial intervention to treat children experiencing acute school refusal. Selected Answer:

B. Return to school the next

normal day

Select the subtype of schizophrenia in which auditory hallucinations are frequent. Selected

Answer: D. Residual

Question 59 Select the neurotransmitter deficiency that is most associated with delirium. Selected

Answer: B. Acetylcholine

Question 60 Select the rating scale used to assess medication-induced movement disorders. Selected Answer:

C. AIMS

Question 61 Select the symptom not present in paranoid personality disorder. Selected

Answer: B. Fixed delusions

Question 62 Select the percentage range of schizophrenic patients that remain significantly impaired throughout their lives. Selected C.

Answer: 40 to 60

Question 63 Select the drug most likely to inhibit female orgasm. Selected

Answer: Paroxetine

Question 64 Select the two non-drug therapies most likely to be effective in treating paraphilic disorders.

Selected Answers:

A. Cognitive behavioral

D. Insight

Question 65 Select the two patient populations most likely suffer neuroleptic-induced parkinsonian symptoms. Selected Answers:

A.Female

E. Elderly

Question 66 Select the factor that is most influential in determining gender role development. Selected Answer:

C. Genetics

Question 67 Select the most common paraphilic disorder. Selected Answer:

F. Pedophilia

Question 68 Select the therapy that is contrary to position statements of the American Academy of Child and Adolescent Psychiatry. Selected B.

Answer: Conversion

Question 69 Select the psychiatric disorder in which patients refuse mental health care and deny their

Select the infectious disease that when untreated may lead to an incorrect diagnosis of depression. Selected

Answer: B. Lyme

Question 76 Select the two essential features of sexual dysfunction. Selected

Answers: A. Failure to achieve orgasm

D. Pain during sexual activity

Question 77 Select the personality disorder in which patients seek social withdrawal. Selected

Answer: D. Schizotypal

Question 78 Select the percentage of the U.S. population with a substance dependence problem as of year 2012. Selected

Answer: B. 20%

Question 79 Select the youngest age by which early-onset schizophrenia occurs. Selected Childhood-onset schizophrenia is defined by an onset of psychotic symptoms before the age of 13 years,

Answer: B. 13

Question 80 Select two psychiatric disorders that are often misdiagnosed as childhood-onset or early onset schizophrenia. Selected

Answers: A. Autism spectrum

Bipolar I

Question 81 Select the comorbid disorder that is more frequent in children with gender dysphoria. Selected

Answer: A. Down syndrome

Question 82 Select two treatments for adults who identify as transgender. Selected

Answers: A. Hormonal

B. Surgical

Question 83 Select two comorbid factors common in schizophrenic patients. Selected

Answers: A. Substance abuse

C. Undiagnosed medical illness

Question 84 Select the age at which sexual identity is self-evident. Selected

Answer: B. 2 to 3 years

Question 85 Select the pair of terms that represents the greatest conflict regarding sexual behavior. Selected

Answer: C. medical and legal

Question 86 Select the two characteristics that describe normal sexual behavior. Selected

Answers: A. Varies from era to era

Selected

Answer: D. Medroxyprogesterone

Question 93 Select the most distinguishing feature in the course and prognosis of schizophrenia. Selected

Answer: A. Worsening after each relapse

Question 94 Select the personality disorder in which patients are preoccupied with perfectionism and interpersonal control.

Selected Answer: B. Obsessive compulsive

Question 95 Select the rare adverse effect of SSRI antidepressants. Selected

Answer: A. Tardive dyskinesia

Question 96 Select the neurotransmitter for which the metabolite 5 - HIAA in CSF is evident and predictive of suicide. Selected

Answer: A. Serotonin

Question 97 Select the two behaviors of schizophrenic patients that occur more frequently than in the general population. Selected

Answers: B. Violence

C. Suicide

Question 98 Select the neurotransmitter that has least involvement in drug-induced movement

disorders. Selected

Answer: C. Dopamine

Question 99 Select the factor that exerts the strongest influence on the initiation of substance use disorder in adolescents. Selected

Answer: C. Parents

Question 100 Select the intrinsic chemical released in orgasm that reinforces pleasurable sensation. Selected

User JOAN FORCHAM

Course NRNP- 6635 - 3 /NRNP- 6635 C- 3 - Psychpathology Diag Reasoning-

QTR-Term-wks- 1 - thru- 11 - ( 03 / 01 / 2021 - 05 / 16 / 2021 )-PT 27

Test Exam - Week 11

Started 5/15/21 3:35 PM

Submitted 5/15/21 6:04 PM

Due Date 5/17/21 1:59 AM

Status Completed

Attempt

Score

Time

Elapsed

Results

Displayed

75 out of 100 points

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

Submitted Answers

Select two treatments for adults who identify as transgender.

- Question 1