NRNP 6665 Final Exam / NRNP6665 Final Exam(3 Versions)(Each 100 Q & A)(Latest,2025):Walden, Exams of Nursing

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NRNP 6665 Final Exam / NRNP

Final Exam (3 Versions)(Each 100

Q & A)(2024-2025):Walden

university

NRNP 6665 Final Exam

Final Questions

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

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?

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?

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.

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.

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.

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

Question 1

The Confusion Assessment Methods Instrument (CAMI) is a standardized assessment tool

for which of the following disorders?

A. Dementia

B. Delirium

C. Pick's disease

D. A and C

The answer is B-Delirium

Question 2

Which of the following is a common sensory deficit of conversion disorder? Check all that

apply.

A. Blindness

B. Tunnel vision

C. Blindness

D. Deafness

The answer is A-Blindness and D-Deafness

Question 3 Delirium is an example of which type of clinical problem in psychosomatic

medicine?

A. Psychiatric symptoms secondary to a medical condition

B. Psychiatric symptoms as a reaction to a medical condition of treatment

C. Psychiatric complications of medical conditions and treatment

D. Medical complications of psychiatric conditions or treatment

The answer is A- Psychiatric symptoms secondary to a medical condition

Question 4

All the following medications are used in the treatment of Parkinson's disease

dementia/psychosis EXCEPT for

A. NuLaid

B. Rivastigmine

C. Pimavanserin

D. Memantine

The answer is D-Memantine

Question 5

Indicators of imitative dissociative identity disorder include which of the following symptoms?

A. Symptom exaggeration

B. Confusion and shame related to symptoms

C. Use of symptoms to excuse antisocial behaviors

D. A and C only

The answer is B- confusion and shame related to symptoms

Question 6

Which of the following can lower a person's resistance to control impulses?

A. Fatigue

C. Supervision of patient to prevent a repeated episode of fire setting

D. All the above

The answer is B- Cognitive therapy

Question 12

Which of the following biological factors have been associated with kleptomania? Check all

that apply.

A. Brain diseases

B. Cortical atrophy

C. Mental retardation

D. Enlarged lateral ventricles

The answers are: A-brain diseases, B-Cortical atrophy, and D-enlarged lateral

ventricles

Question 13

A neurodevelopmental disorder characterized by impairment confined to a specific area of

academic achievement (i.e., reading, writing, arithmetic, spelling) without deficits in

intellectual and adaptive behaviors is

A. Intellectual disability

B. Communication disorder

C. Specific learning disorder

D. Autism spectrum disorder

The answer is A-Intellectual disability

Question 14 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

The answer is B -Recommend psychotherapy to focus on issues of stress and

coping

Question 15

Experiences of depersonalization and decreolization are common in which of the following

patients?

A. Patients with seizures

B. Patients with migraines

C. Patients who use marijuana

D. All of the above

The answer is C- Patients who use marijuana

Question 16

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. False memory syndrome

B. Recalled memory syndrome

C. Dissociative trance disorder

D. Recovered identity disorder

The answer is C- Dissociative trance disorder

Question 17

Which of the following is recommended as a first line therapy for a patient with dementia

and behavioral disturbance?

A Valproic acid (Depakote)

B. Risperdal

C. Haloperidol

D. None of the above

The answer is D-none of the above

Question 18 According to the DSM-5, delirium is specified as acute or persistent. Which of

the following time frames is consistent with acute delirium specification?

A. A few hours or days

B. Three weeks or less

C. One month or less

D. Less than 3 months

The answer is A- A few hours or days

Question 19 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 ego-dystonic.

C. Impulsive behaviors are characterized by their repetitive nature.

D. The repeated acting out of impulses leads to psychological impairment.

The answers are B-, Impulses are usually ego-dystonic, C- Impulsive behaviors are

characterized by their repetitive nature, and D-. The repeated acting out of impulses

leads to psychological impairment

Question 20

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

The answer is B-Prefrontal cortex

Question 21

Patients with kleptomania have a high lifetime comorbidity of which of the following

disorders?

A. Mood disorders

B. Schizophrenia

C. Dissociative disorders