NRNP 6665/ NRNP 6665 PMHNP FINAL EXAM REVISION

Question 1 Which of the following can cause delirium? Check all that apply. A . Polypharmacy B . Sleep deprivation C . Admission/transfer/discharge from a healthcare facility D . None of the above The answers are A- Polypharmacy, and C- Admission/transfer/discharge from a healthcare facility Question 2 A patient who has been raped, presents with the inability to recall important personal information and any information about the rape, does recall events prior and since. There does not appear to be any physiological reason for this. This presentation is consistent with which of the following diagnoses? A . Dissociative amnesia B . Dissociative amnesia with dissociative fugue C . Localized dissociative amnesia D . Generalized dissociative amnesia The answer is C-Localized dissociative amnesia Question 3 A term use to describe a neurodevelopmental disorder characterized by impairments in reciprocal social communication and a tendency to engage in repetitive stereotyped patterns of behaviors, interests and activities is A . Intellectual disability B . Specific learning disorder C . Autism spectrum disorder (ASD) D . Attention deficit/hyperactivity disorder (ADHD) The answer is C- Autism spectrum disorder (ASD) Question 4 Acute withdrawal from alcohol represents which type of clinical problem in psychosomatic medicine? A . Medical complications of psychiatric conditions or treatments B . Psychiatric complications of medical conditions and treatments C . Psychiatric symptoms as a reaction to medical treatments. D . Co-occurring medical and psychiatric conditions. The answer is B- Psychiatric complications of medical conditions and treatments Question 5 A dissociative disorder described as an identity disturbance due to prolonged and intense coercive persuasion is known as which of the following? A . Brainwashing B . Ganser syndrome C . Imitative dissociative identity disorder D . Factitious dissociative identity disorder The answer is A-Brainwashing Question 6 Which of the following can lower a person's resistance to control impulses? A . Fatigue B . Incessant stimulation C . Psychic trauma D . All of the above The answer is D-All of the above Question 7 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 B . Psychiatric symptoms secondary to a medical condition C . Psychiatric symptoms as a reaction to a medical condition D . Psychiatric complications of medical conditions and treatments the answer is A-Co-occurring medical and psychiatric conditions Question 8 An acute onset, short-term confusion, with changes in cognition and level of awareness due to a physiological cause is known as which of the following? A . Delirium B . Dementia C . Psychosis D . Traumatic brain injury The answer is A -Delirium Question 9 A patient expresses feelings of unreality or of being detached from their environment, describing the perception of the outside world as unreal, dreamlike, and visually distorted. The ARNP recognizes this as which of the following? A . Derealization B . Depersonalization C . Generalized amnesia D . Dissociative identity disorder The answer is A-derealization Question 10 A patient presents with persistent feelings of detachment from one's self, like watching one's self in a movie. The ARNP recognizes this as which of the following? A . Derealization B . Depersonalization C . Generalized amnesia D Dissociative identity disorder The answer is B-Depersonalization