NURS 6670 MIDTERM EXAM 1 QUESTION AND ANSWERS. VERIFIED BY EXPERT ANSWERS. DOWNLOAD TO SCORE A

NURS 6670 MIDTERM EXAM 1 – QUESTION AND ANSWERS 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 1 www.OnlineNursingP intimate-partner relationship or a close friend, Clare appears to always need someone in her life. She had a live- in boyfriend of 3 years, and while they were together, he took care of everything. The PMHNP expects all of the following to be additional features of Clare’s history except: Has disproportionate anger toward an abusive spouse Question 4 Clothing Speech pattern Anger Anxiety Question 5 A 27-year-old female with a 1-month history of social withdrawal, anorexia, hypersomnia, unprovoked outbursts of anger, and a strong family history of endogenous depression A 41-year-old male with a history of childhood sexual abuse, loss of interest in both his professional and personal life, an unplanned 10 lb. weight loss in the last 3 months, and perceptual disturbances A 65-year-old male whose wife died 2 months ago and he reports a 3-week history of generally depressed mood, guilt about his wife’s death, insomnia, difficulty focusing on daily tasks, with increasing thoughts of dying A 72-year-old female who just relocated across country to live with her adult son and daughter-in-law who is despondent about leaving her home and reports forgetfulness, loss of appetite, new onset bowel problems, and extreme loss of energy Question 6 SSRIs TCAs Antiadrenergics Antipsychotics Question 7 Stuttered Increased Childlike Confused Question 8 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) Countertransference-focused psychotherapy (CTFP) Dialectical behavioral therapy (DBT) Question 11 A history of schizophrenia of a first-degree relative Sustained psychosis predating his mother’s death Comorbid Asperger’s syndrome Apparent frank thought disorder Question 12 Which of the following is a true statement with respect to the treatment of narcissistic personality disorder? 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 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