NURS 6670 Midterm Exam: Psychiatric Disorders - Questions and Answers, Exams of Nursing

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Alexa is a 27-year-old female who has come to group therapy while she is in the city jail. She was arrested for vagrancy because she was sleeping in her car in a parking lot at a local shopping center. She could not post bail, so she is sentenced to 14 days in jail. During group, she contributes that none of this is her fault. Her mother is totally evil because she would not let Alexa stay in the family home. She has some other family. but they are all jerks because they won’t help her. Alexa’s friend Melanie is the absolute best person in the world, but she can’t help because her boss fired her for no reason. Alexa has a history of arrests for buying illegal drugs and prostitution. The last time she was in jail, her sentence was extended for 30 days because she got into a fight with another inmate and beat her up so badly she had to be admitted to the hospital for 6 days. The PMHNP considers which of the following personality disorders? Anne is a 32-year-old female who presented to care after a random drug screening at work was positive for cocaine. She was initi

Question 3

NURS 6670 Midterm Exam

Question 1

Histrionic Narcissistic Borderline Schizoid

Question 2

The physiologic symptoms of withdrawal may require a short-term hospitalization Unlike other substances of abuse, there are no medications to help reduce the intensity of withdrawal She will need to be monitored for depression Overcoming the intense craving for cocaine is the biggest issue Clare’s history of personal relationships is characterized by complete intolerance of being alone. Whether it is an

A variety of pharmacologic agents have demonstrated effectiveness in the treatment of post-traumatic stress disorder. Which of th The PMHNP is on call at the local county correctional facility. He is asked to evaluate M.S., a 21-year-old male who was just arr His mother says that he has in the past had some occasions when he got kind of agitated, but this is the first time it’s been a probl Fletcher is a 29-year-old male referred for court-ordered counseling. He has a long history of repeated offenses including DUI, do

Question 6

SSRIs TCAs Antiadrenergics Antipsychotics

Question 7

Stuttered Increased Childlike Confused

Question 8

last few years; he is able to get hired for jobs because he is very engaging and likeable, and then invariably he gets fired because Among the various types of therapeutic intervention for patients with borderline personality disorder, which of the following is ch History and symptoms are most consistent with antisocial personality disorder Fletcher needs a neurological workup to include an EEG and assessment for neurological soft signs Consistent with his symptoms, Fletcher will likely respond well to a stress interview It is likely that substance abuse is the underlying cause of symptoms and should be explored further

Question 9

Which among the following neurotransmitters is decreased in depression and increased in mania? Dopamine Norepinephrine Serotonin Glutamate

Question 10

Mentalization-based treatment (MBT) Transference-focused psychotherapy (TFP)

While preparing a class on personality disorders for a class of PMHNP students, the instructor is presenting case studies of patien Currently described as a brilliant computer programmer, he clearly prefers solitary pursuits and the company of his cat over peop Darius is a 26-year-old male who presents for care as part of couple therapy with his wife, who is being seen for dependency issu The PMHNP considers that Darius may have obsessive compulsive personality disorder (OCPD). In differentiating this from obs Psychoanalytic psychotherapy has strong empiric support Both serotonergic drugs and lithium are useful Group therapy is rarely helpful Immobilized patients (hospitalized or incarcerated) have the best outcomes

Question 13

Schizoid personality disorder Schizotypal personality disorder Paranoid personality disorder Delusional disorder

Question 14

A history of racing thoughts Difficulty interacting with others Extremely high expectations of self Significant impairment at work

Hugo is a 39-year-old male who has encouraged his wife to come to counseling because he is worried about her wine drinking. H When developing a pharmacologic treatment plan for the management of major depressive disorder, the PMHNP counsels the pa

Question 15

Hugo’s wife meets diagnostic criteria for this disorder A trial period with no wine ingestion is necessary to assess for withdrawal symptoms The family history should be assessed for genetic tendency Hugo may have unreasonable expectations

Question 16

Antidepressant discontinuation syndrome Rebound depressive symptoms A manic or hypomanic episode Unresponsiveness to medication with future episodes

Jeffrey T. is a 27-year-old man who has presented for care after being required to do so by the county court. He was involved in a Danielle is a 31-year-old female who is having a psychiatric evaluation at the insistence of her husband. They have been married

Question 20

Dependence Abuse Adaptation Addiction

Question 21

Diazepam Pimozide Psychotherapy Group therapy

Margo is a 47-year-old female who admits to a history of fairly heavy alcohol use over many years. She admits that she has had p Anthony is a 41-year-old male patient who presents for evaluation. His wife made the appointment because she is worried about h

Question 22

She should be admitted for inpatient detoxification People in good physical health rarely have DTs A beta adrenergic antagonist medication can minimize her risk of DTs Women rarely experience DTs

Question 23

Venlafaxine and clozapine Fluoxetine and olanzapine Amitriptyline and haloperidol Paroxetine and buspirone

Question 24

Among the various psychotherapeutic techniques available for treating post-traumatic stress disorder, which mechanism achieves A 22-year-old male patient is started on sertraline 50 mg p.o. daily after presenting with a major depressive episode. After tolerat

HAM-D

Question 27

Eye movement desensitization and reprocessing therapy Implosive therapy Systematic desensitization Relaxation and cognitive techniques

Question 28

When symptoms are preceded by antidepressant therapy, a diagnosis of bipolar does not apply His symptoms may be consistent with bipolar disorder if they persist for at least 2 weeks A formal assessment of the social and occupational implications of his symptoms should be performed The symptoms are most likely a physiologic adaptation to the sertraline and most often normalize

The PMHNP is seeing a patient who has been referred by primary care. The patient was diagnosed with major depressive disorde Mariel is a middle-aged woman who is referred by her primary care provider for management of agoraphobia. Mariel has had this

Question 29

Lamotrigine Valproic acid Lithium Amitriptyline

Question 30

Insight-oriented psychotherapy Behavior therapy Virtual therapy Pharmacotherapy

Question 31

Cannabis intoxication delirium is characterized by all of the following except: Impaired memory Perception

Cory is a 23-year-old male recently incarcerated in the county correction facility for a 9-month sentence following his third convi Mrs. Maxwell is a 75-year-old patient with moderate Alzheimer’s dementia. She lives with her son and his wife and generally do

Question 34

Have a family history of the same disorder Respond well to dialectical behavioral therapy Have impaired emotional defense mechanisms Come from smaller nuclear families

Question 35

An acute change in mental status Angry verbal outbursts that seem unwarranted Death of her best friend An unplanned weight loss despite consistent oral intake

Question 36

The psychological sciences have contributed theoretical foundations to the etiology and management of anxiety disorders from bo Mrs. Bowen is a 33-year-old female who presents as a new patient requesting medication for depression. She reports a long histo Dependence is a common feature of many psychiatric disorders. One of the primary distinguishing features that differentiates dep Psychoanalytic Behavioral Existential Cognitive

Question 37

An SNRI will likely be the most appropriate choice if pharmacotherapy is indicated for this episode This may be an inaccurate characterization, as depressed patients tend to overemphasize negatives In some circumstances patients will purposefully mischaracterize the efficacy of medications they feel were ineffective Some forms of recurrent depression are best managed with nonpharmacologic strategies

Question 38

The treatment of dependent personality is rarely successful Occupational dysfunction is rarely impaired Dependent personalities tend to have long-term relationships with one person

Janel is a 37-year-old woman who is being interviewed as part of a family assessment. Her 10-year-old son is having some behav An assessment for phobic disorder

Question 41

The difference between a manic and hypomanic episode is best characterized by all the following except: The duration of symptoms is shorter for hypomanic episodes Hypomanic episodes do not cause marked impairment in function There are no psychotic features with hypomanic episodes Hypomanic episodes may occur as a response to antidepressants

Question 42

Pharmacotherapy Psychoanalytic psychotherapy Transference-focused psychotherapy A stress interview

Question 43