NURS 6670 MIDTERM EXAM 3 – QUESTION AND
ANSWERS LATEST UPDATED.
•
•
•
• Question 1
0 out of 1 points
From a biological perspective, all of the following neurotransmitters are
implicit in the anxiety response except:
Selected
Answer:
Gamma-
aminobutyric acid
Answers:
Gamma-
aminobu
tyric
acid
Norepin
ephrine
Seroton
in
Dopamine
Resp (d)isthecorectanswer.Whiledop
onse amineisclearlyimplicitinotherm
entalhealthdisorders,suchassc
Feed hizophrenia,itisnotamong
back theneurotransmiterslinkedtothe
: anxietyresponse.
• Question 2
1 out of 1
points
Mr. Kendall is a 47-year old male who is presented to care by his
younger sister, Megan. Mr. Kendall has spent his entire adult life
living in an apartment that was attached to his parents’ home. His
mother died a few weeks ago, and the property is listed for sale.
Mr. Kendall will have to move, and while discussing this with him,
Megan became very concerned. He has apparently been considered
odd all his life, has never married or even dated as far as Megan
, knows, but she had no idea how odd he was. When his mother
died, he seemed disconnected from reality and had episodes of
talking to people who weren’t present. Megan says that
sometimes she does not even understand what he is talking
about. He seems to think he has psychic powers, and that he
doesn’t need to move because he knows the house will not be
sold. When considering a diagnosis of schizotypal disorder, the
PMHNP expects which of the following to be present in the
history?
Selected
Answer: A history of schizophrenia of a first-
degree relative
Ans
wers
: A history of
schizophrenia of
a first- degree
relative
Sustained
psychosis
predating his
mother’s death
Comorbid
Resp
onse Asperger’s
Feed
syndrome
back
: Apparent frank
thought
disorder
(a) is the correct answer. A strong family history of
schizophrenia supports a diagnosis of schizotypal
personality disorder. Sustained psychosis and frank thought
disorder are consistent with schizophrenia and help
differentiate it from schizotypal personality. Comorbid
Asperger’s syndrome is not associated with this disorder but
is sometimes a differential diagnosis in patients with
schizoid personality disorder.
• Question 3
1 out of 1 points
Becci is a 31-year-old female who presents to the PMHNP for
evaluation after being referred by her friend who is a patient of the
practice. She describes a relatively acute, recent onset of panic
attacks. Becci says that “out of the blue” her heart starts to race,
,her mouth gets dry, she gets shaky, and feels like she cannot get
her breath. She is afraid because her friend has panic disorder and
Becci knows that before her friend got treatment, she basically
would not leave the house in case an attack happened. The PMHNP
recognizes that the immediate priority in assessment for Becci is:
Selected
Answer: A thorough physical examination
Answers:
A thorough physical examination
A family history
of mental health
disease
A urine drug screen
An
assessment
for phobic
disorder
Response (a) is the correct answer. While these are elements of a panic
attack, there are a variety of organic conditions that can
, Feedback: cause these symptoms. Becci needs a physical
examination and appropriate laboratory assessment to rule
out physiologic causes of her symptoms, such as thyroid
disease. The remaining elements above will all be part of
the mental health assessment once physical health is
determined.
• Question 4
1 out of 1 points
The PMHNP is working on a graduate program in which he is
hoping to develop a new personality assessment tool. After an
exhaustive review of the literature and many months of work, he
developed a tool to use in a research study and needs to
establish its psychometric properties. He distributes the tool to
four different professionals in the field and asks that they assess
whether the questions appear to measure what they are
purported to measure. This is an assessment of:
Selected
Answer: Face validity
Answers: Internal consistency
reliability
Parallel
form
reliability
Construct
validity
Face validity
Resp (d) is the correct answer. Assessing whether the items
onse measure what they appear to measure is face validity.
Feed Construct validity uses data outside of the test to measure
back validity. Reliability evaluates whether the tests measure
: what it is supposed to measure consistently.
• Question 5
1 out of 1 points
Among the various psychotherapeutic techniques available for
treating post-traumatic stress disorder, which mechanism achieves
its effect by having patients work through the traumatic event
while in a deep state of relaxation?
ANSWERS LATEST UPDATED.
•
•
•
• Question 1
0 out of 1 points
From a biological perspective, all of the following neurotransmitters are
implicit in the anxiety response except:
Selected
Answer:
Gamma-
aminobutyric acid
Answers:
Gamma-
aminobu
tyric
acid
Norepin
ephrine
Seroton
in
Dopamine
Resp (d)isthecorectanswer.Whiledop
onse amineisclearlyimplicitinotherm
entalhealthdisorders,suchassc
Feed hizophrenia,itisnotamong
back theneurotransmiterslinkedtothe
: anxietyresponse.
• Question 2
1 out of 1
points
Mr. Kendall is a 47-year old male who is presented to care by his
younger sister, Megan. Mr. Kendall has spent his entire adult life
living in an apartment that was attached to his parents’ home. His
mother died a few weeks ago, and the property is listed for sale.
Mr. Kendall will have to move, and while discussing this with him,
Megan became very concerned. He has apparently been considered
odd all his life, has never married or even dated as far as Megan
, knows, but she had no idea how odd he was. When his mother
died, he seemed disconnected from reality and had episodes of
talking to people who weren’t present. Megan says that
sometimes she does not even understand what he is talking
about. He seems to think he has psychic powers, and that he
doesn’t need to move because he knows the house will not be
sold. When considering a diagnosis of schizotypal disorder, the
PMHNP expects which of the following to be present in the
history?
Selected
Answer: A history of schizophrenia of a first-
degree relative
Ans
wers
: A history of
schizophrenia of
a first- degree
relative
Sustained
psychosis
predating his
mother’s death
Comorbid
Resp
onse Asperger’s
Feed
syndrome
back
: Apparent frank
thought
disorder
(a) is the correct answer. A strong family history of
schizophrenia supports a diagnosis of schizotypal
personality disorder. Sustained psychosis and frank thought
disorder are consistent with schizophrenia and help
differentiate it from schizotypal personality. Comorbid
Asperger’s syndrome is not associated with this disorder but
is sometimes a differential diagnosis in patients with
schizoid personality disorder.
• Question 3
1 out of 1 points
Becci is a 31-year-old female who presents to the PMHNP for
evaluation after being referred by her friend who is a patient of the
practice. She describes a relatively acute, recent onset of panic
attacks. Becci says that “out of the blue” her heart starts to race,
,her mouth gets dry, she gets shaky, and feels like she cannot get
her breath. She is afraid because her friend has panic disorder and
Becci knows that before her friend got treatment, she basically
would not leave the house in case an attack happened. The PMHNP
recognizes that the immediate priority in assessment for Becci is:
Selected
Answer: A thorough physical examination
Answers:
A thorough physical examination
A family history
of mental health
disease
A urine drug screen
An
assessment
for phobic
disorder
Response (a) is the correct answer. While these are elements of a panic
attack, there are a variety of organic conditions that can
, Feedback: cause these symptoms. Becci needs a physical
examination and appropriate laboratory assessment to rule
out physiologic causes of her symptoms, such as thyroid
disease. The remaining elements above will all be part of
the mental health assessment once physical health is
determined.
• Question 4
1 out of 1 points
The PMHNP is working on a graduate program in which he is
hoping to develop a new personality assessment tool. After an
exhaustive review of the literature and many months of work, he
developed a tool to use in a research study and needs to
establish its psychometric properties. He distributes the tool to
four different professionals in the field and asks that they assess
whether the questions appear to measure what they are
purported to measure. This is an assessment of:
Selected
Answer: Face validity
Answers: Internal consistency
reliability
Parallel
form
reliability
Construct
validity
Face validity
Resp (d) is the correct answer. Assessing whether the items
onse measure what they appear to measure is face validity.
Feed Construct validity uses data outside of the test to measure
back validity. Reliability evaluates whether the tests measure
: what it is supposed to measure consistently.
• Question 5
1 out of 1 points
Among the various psychotherapeutic techniques available for
treating post-traumatic stress disorder, which mechanism achieves
its effect by having patients work through the traumatic event
while in a deep state of relaxation?
