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NRNP6635 / NRNP 6635 Final EXAM 2 Psychopathology and Diagnostic Reasoning | Walden University

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Question 1 Select the mental function that is most affected in mild cognitive impairment. Selected Answer: D. Recent memory Question 2 Select the most frequent cause of infant and childhood intellectual disability that is attributed to a specific gene. Selected Answer: C. Down syndrome • Question 3 Select the neurotransmitter that is most associated with the occurrence of ADHD. Selected Answer: B. Dopamine • Question 4 Select the drug of choice to treat psychosis in delirious patients. Selected Answer: D. Haloperidol • Question 5 Select the characteristic that is greater in childhood than adult-onset schizophrenia. Selected Answer: B. Social withdrawal • Question 6 Select the personality disorder in which patients are continually in crisis and exhibit unpredictable behavior. Selected Answer: C. Borderline • Question 7 Select the factor that best correlates with attempted and completed greatest anatomical abnormalities in schizophrenic patients. Selected By the end of the 20th century, however, researchers had made significant strides in revealing a potential neuropathological basis for schizophrenia, primarily in the limbic system and the basal ganglia, including neuropathological or neurochemical abnormalities in the cerebral cortex, the thalamus, and the brainstem. Because the basal ganglia and cerebellum are involved in the control of movement, disease in these areas is implicated in the pathophysiology of schizophrenia. Answer: D. Basal ganglia • Question 9 Select the gender dysphoria in which genital surgery is usually not chosen. Selected Answer: but who maintain a gender identity that is the same as their birth-assigned gender known as crossdressers. C. Crossdresser • Question 10 Select the antipsychotic drug for which the labeling carries a black box warning for agranulocytosis. Selected Answer: A. Clozapine • Question 11 Select the time of onset for tolerance to develop from continuous use of hallucinogens such as LSD. Selected Answer: Tolerance, particularly to the sensory and other psychological effects, is evident as soon as the second or third day of successive LSD use. Four to 6 days free of LSD are necessary to lose significant tolerance. B.4-7 days • Question 12 Select the most reliable method to make a diagnosis of schizophrenia. Selected Answer: Therefore, a patient’s history is essential for the diagnosis of schizophrenia; clinicians cannot diagnose schizophrenia simply by results of a mental status examination, which may vary. D. Patient history • Question 13 Select the dysfunction that is common to 50% to 85% of schizophrenic patients. Selected Answer: Various studies have reported abnormal eye movements in 50 to 85 percent of patients with schizophrenia compared with about 25 percent in psychiatric patients without schizophrenia and fewer than 10 percent in nonpsychiatric ally ill control participant. D. Eye movement • Question 14 Select two of the “Four A’s” symptoms of schizophrenia described by Bleuler. Selected These symptoms included associational disturbances of thought, especially looseness, affective disturbances, autism, and ambivalence, summarized as the four As: associations, affect, autism, and ambivalence. Answers: A. autism B. ambivalence • Question 15 Select the personality disorder in which patients exhibit covert obstructionism, procrastination and pessimism. Selected In psychoanalytic terms, this phenomenon is called masochism and includes failure, procrastination, silly or provocative behavior, self-demeaning clowning, and frankly self-destructive acts. Answer: D. Passive aggressive • Question 16 Select the negative symptom of schizophrenia. Selected Answer: A. Anhedonia • Question 17 Select the main cause female orgasmic disorder. Selected Answer: B. Genetic •

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