Nurs 6635 Exam Final Winter 2021 - Questions And Answers With Elaborations

NURS 6635 EXAM FINAL WINTER 2021 QUESTION 1 1. Select the diagnostic criterion for catatonia resulting from a medical condition. A Loose association . B Pressured speech . C Waxy flexibility . D Involuntary . movement Answer: C . Step-by-Step explanation Catatonia is a type of schizophrenia that have symptoms usually involve lack of movement or immobility. One of the behaviors that the catatonic patient have is waxy flexibility where his or her limbs stay in the position or unable to move. He or she needs another person to reposition his or her limbs. Therefore, the answer is waxy flexibility. 1 points QUESTION 2 1. Select the negative symptom of schizophrenia. A Anhedonia . B Delusions . C Catatonia . D Hallucinatio . ns Answer: A . Step-by-Step explanation Schizophrenia is a serious mental illness that affects a person's ability to think, behave, express feelings, interpret reality, and interact with others. Schizophrenia is the most chronic and debilitating of the main psychiatric disorders, despite its rarity. There are symptoms of Schizophrenia - negative and positive ones. We will talk about the positive symptoms first. 1.) Hallucinations - the patient can hear, smell, see and feel something that nobody does. 2.) Delusion - the patient have mistaken or faulty beliefs. 3) Disorganized thoughts - patient is having a hard time to sort out or to arrange his thoughts. 4) Hard to concentrate - lose focus on something or what he does. 5) Movement disorders. So, we can eliminate "Delusions" (letter B) and "Hallucinations" (Letter D) as choices for negative symptoms of Schizophrenia. Now, we will talk about the negative symptoms of Schizophrenia. 1.) Lack of pleasure - the patient does not have joy or being happy whatever he does. Also called anhedonia. 2.) Trouble of speech - don't show or being open on his thoughts and feelings. Also called alogia. 3.) Flattening - no emotions in talking like monotonal talk. 4.) Withdrawal - no social life or having no plans with friends. Also called apathy. 5) Struggling with the basic chores in daily life - hard to do some basic stuff or stopping taking care of themselves. 6.) No - follow through - also called avolition. So, we can say that Anhedonia (letter A) is the answer, but what is Catatonia? Catatonia is a psychomotor disorder. It involves the connection between the mental and movement function. Recently, it was thought of as a type of Schizophrenia. Thus, Catatonia is not a negative symptoms of Schizophrenia. Thus, ANHEDONIA (Letter A) is the only negative symptoms of Schizophrenia in the given choices. To support my explanation, I will attach some articles / links for references. 1 points QUESTION 3 1. Select the most defining characteristic of inevitable suicide. A Lack of family history . B Unexpected adverse drug . effect C Provider loses hope in . patient D Failure of best therapy . Answer: C . Step-by-Step explanation The lack of hope is the inevitable cause of suicide. If the provider loses hope in the patient then there is no way for the patient to recover. Option C is correct. 1 points QUESTION 4 1. Select the type of neurochemical receptor that is blocked by caffeine. 1 points QUESTION 5 1. Select the main cause female orgasmic disorder. A Cultural . B Genetic . C Hormonal . D Psychologi Walden University_NURS6635 Exam Final Winter 2021 4. Past abuse   Walden University_NURS6635 Exam Final Winter 2021 1 points QUESTION 6 1. Select the symptom not present in paranoid personality disorder. A Denial of . responsibility B Fixed delusions . C Suspicious of . coworkers D Hostility and . irritability Answer: A . Step-by-Step explanation C- Suspicious of coworkers Suspicious of coworkers is a symptom of paranoid personality disorder it displays unusual behavior towards others. Usually associated with trust issues and unstable self confidence. They tend to admit with negative feelings towards others and uncomfortable having in a group. The symptoms of paranoid personality disorder may appear in childhood or adolescence. People who suffer prefer isolation, have weak peer relationships, social anxiety, academic underachievement, hypersensitivity, idiosyncratic fantasies, and odd thoughts and language. These teenagers can seem "weird" or "eccentric," making them easy targets for bullying. 1 points QUESTION 7 1. Select the disorder that is often comorbid with brief psychotic disorder. A Generalized . anxiety B Bipolar I . C Depressive . D Personality . Answer: B . Step-by-Step explanation It is because a genetic link, who have mood disorder. 1 points QUESTION 8 1. Select the age before which a majority of paraphilic disorders occurs. A 2 . 2 B 1 . 8 C 2 . 5 D 5 . 0 Answer: B . Step-by-Step explanation Paraphilias occurs primarily in males with an average onset between age 8 and 12. Hence option (B) is the correct option 1 points QUESTION 9 1. Select the lifetime prevalence of schizophrenia in the United States. 1 points QUESTION 10 1. Select the age range of the highest rate of substance dependence or abuse. A 12-17 . B 18-25 . C 26-40 . D 65 and . older Answer: B . Step-by-Step explanation Statistics on Specific Population Demographics and Addiction Adolescents (aged 12-17): • In 2017, approximately 4% of the American adolescent population age 12 to 17 suffered from a substance use disorder; this equals 992,000 teens or 1 in 25 people in this age group.1 • About 443,000 adolescents age 12 to 17 had an alcohol use disorder in 2017, or 1.8% of adolescents.1 • An estimated 741,000 adolescents suffered from an illicit drug use disorder in 2017, or about 3% of this population.1 Young adults aged 18-25: • About 5.1 million young adults age 18 to 25 battled a substance use disorder in 2017, which equates to 14.8% of this population and about 1 in 7 people.1 • About 3.4 million young adults age 18 to 25 had an alcohol use disorder in 2017, or about 10% of young adults.1 • About 2.5 million young adults had an illicit drug use disorder in 2017, or about 7.3% of this population.1 • Heroin use among young adults between 18 and 25 years old doubled in the past decade.4 Over age 26: • Approximately 13.6 million adults age 26 or older struggled with a substance use disorder in 2017, or 6.4% of this age group.1 • About 10.6 million adults age 26 and older had an alcohol use disorder in 2017, or about 5% of this age group.1 • About 4.3 million adults age 26 or older had an illicit drug use disorder in 2017, or 2% of this age group.1 Elderly individuals: • More than 1 million elderly adults age 65 or older had a substance use disorder in 2017.7 • That same year, about 978,000 of people in this age group had an alcohol use disorder and about 93,000 had an illicit drug use disorder.7 • Two-thirds of the senior citizens over the age of 65 who struggle with alcohol use disorders developed the disorder before age 65.6 • Between 21% and 66% of elderly individuals battling a substance use disorder also suffer from a co-occurring mental health disorder.6 1 points QUESTION 11 1. Select the characteristic that is greater in childhood than adult onset schizophrenia. A Delusions . B Social withdrawal . C Hallucinations . D Disorganized . speech 1 points QUESTION 12 1. Select the personality disorder in which patients are most likely to tolerate spousal abuse to avoid losing sense of attachment. A Dependent . B Narcissistic . C Passive- . aggressive D Depressive . Answer: A . Step-by-Step explanation The correct answer is letter A. NarcissisticEgotistical, arrogant, grandiose, insouciant. Preoccupied with fantasies of success, beauty, or achievement. See themselves as admirable and superior, and therefore entitled to special treatment. Is a mental disorder in which people have an inflated sense of their own importance and a deep need for admiration. Those with narcissistic personality disorder believe that they're superior to others and have little regard for other people's feelings. DependentHelpless, incompetent, submissive, immature. Withdrawn from adult responsibilities. See themselves as weak or fragile. Seek constant reassurance from stronger figures. They have the need to be taken care of by a person. They fear being abandoned or separated from important people in their life. DepressiveSomber, discouraged, pessimistic, brooding, fatalistic. Present themselves as vulnerable and abandoned. Feel valueless, guilty, and impotent. Judge themselves as worthy only of criticism and contempt. Hopeless, suicidal, restless. This disorder can lead to aggressive acts and hallucinations. Passive- Resentful, contrary, skeptical, discontented. Resist fulfilling others' expectations. aggressive Deliberately inefficient. Vent anger indirectly by undermining others' goals. (Negativistic) Alternately moody and irritable, then sullen and withdrawn. Withhold emotions. Will not communicate when there is something problematic to discuss. 1 points QUESTION 13 1. Select the personality disorder in which patients exhibit covert obstructionism, procrastination and pessimism. A Obsessive- . compulsive B Sadomasochistic . C Borderline . D Passive-aggressive Answer: A . Step-by-Step explanation Chlorpromazine is a phenothiazine used for the treatment of psychotic disorders such as schizophrenia, psychotic disorders, manic phase of bipolar disorder, severe behavioral problems in children. It enables delirious patients to think more clearly, feel less nervous, and take part in everyday life. It can reduce aggressive behavior and the desire to hurt others or even the patients themselves. It helps in the management of aggressive behavior in a patient as well as reduces hallucinations. It works by helping to restore the balance of certain natural substances in the brain. Reference. 1 points QUESTION 15 1. Select the substance of abuse with the strongest evidence for genetic association. A Heroin . B Marijuan . a C Alcohol . D Cocaine . Answer: C . Step-by-Step explanation Alcohol Birnbaum, R., & Weinberger, D. R. (2017). Genetic insights into the neurodevelopmental schizophrenia. Nature Reviews Neuroscience, 18(12), 727-740. McCutcheon, R. A., Marques, T. R., & Howes, O. D. (2020). Schizophrenia—an overview. JAMA psychiatry, 77(2), 201-210. origins of 1 points QUESTION 17 1. Select the neurotransmitter system that is most associated with the addictive rewarding properties of opioids. A Dopaminer . gic B Serotonergi . c C Adrenergic . D Glutamater . gic Select the preferred drug used to treat alcohol withdrawal. A Fluoxetin . e B Propranol . ol C Lorazepa . m D Phenytoin . Answer: C . Step-by-Step explanation The correct answer is (C) Lorazepam In general hospital settings, alcohol dependence is a normal occurrence. It makes up a large portion of the referrals that a consultation-liaison psychiatrist receives. Medication over 80 are used to treat or