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NURS 6670 Midterm Exam (Latest, 2020) / NURS 6670N Midterm Exam / NURS6670
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Midterm Exam (75 Q & A, 100% Correct Answers)
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Question 1
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The PMHNP is conducting an initial interview with a patient whose history is consistent with avoidant personality
disorder. The PMHNP understands that one of the most striking features of this interview is likely to be centered
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upon the patient’s:
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Clothing
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Speech pattern
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Anger la
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Anxiety
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Sp
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Question 3
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A PMHNP student is reviewing his notes from his clinical experience over the past week to prepare his first required
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case presentation on a patient suffering a major depressive episode. Which of the following patients best represents
the DSM-5 criteria for major depressive episode?
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A 27-year-old female with a 1-month history of social withdrawal, anorexia, hypersomnia,
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unprovokedoutbursts of anger, and a strong family history of endogenous depression
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A 41-year-old male with a history of childhood sexual abuse, loss of interest in both his
professional andpersonal life, an unplanned 10 lb. weight loss in the last 3 months, and
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Sp
perceptual disturbances
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A 65-year-old male whose wife died 2 months ago and he reports a 3-week history of generally depressed
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mood, guilt about his wife’s death, insomnia, difficulty focusing on daily tasks, with increasing
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thoughts ofdying
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A 72-year-old female who just relocated across country to live with her adult son and daughter-in-
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law who is despondent about leaving her home and reports forgetfulness, loss of appetite, new
onset bowel problems, and extreme loss of energy
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Question 4 ne
A variety of pharmacologic agents have demonstrated effectiveness in the treatment of post-traumatic stress
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disorder. Which of the following does not have any evidenced-based support in the literature?
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Sp
SSRIs
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TCAs
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sh
Sp
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Antiadrenergi
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cs
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Antipsychotics
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Sp
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Question 5
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The PMHNP is on call at the local county correctional facility. He is asked to evaluate M.S., a 21-year-old male who
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Sp
was just arrested following an altercation at a local bar. M.S. has never been incarcerated before and apparently has
no psychiatric or medical history available. His toxicology screen was negative for alcohol or any drugs of abuse.
His mother says that he has in the past had some occasions when he got kind of agitated, but this is the first time it’s
ne
la
been a problem. Reportedly some people from his office were at the bar celebrating a birthday, and before anyone
knew what happened an argument escalated into M.S. getting very loud, yelling, and acting ―crazy‖ before he
tz
punched a coworker and started breaking bottles. When considering a manic or hypomanic episode, the PMHNP
sh
Sp
expects that his speech would most likely be:
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Stuttered
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sh
Sp
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Increase
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d
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sh
Sp
Childlike
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Confused
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Question 6
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Fletcher is a 29-year-old male referred for court-ordered counseling. He has a long history of repeated offenses
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including DUI, domestic violence, battery, and other violent acts that fortunately have not yet caused any serious
injury or death to the recipients. An interview with his wife reveals that he has lied about almost everything for the
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Sp
last few years; he is able to get hired for jobs because he is very engaging and likeable, and then invariably he gets
fired because he misses work and doesn’t do his job properly when he is there. According to the wife, they have
ne
known each other since high school, where Fletcher was very happy and well-adjusted. He was on the soccer team,
la
liked by teachers, and never demonstrated the tendencies he does now. Apparently in college he got involved with a
fraternity that was notorious for alcohol and drug abuse, and he started drinking heavily; it was ―all downhill from
there.‖ The PMHNP considers that:
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Sp
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History and symptoms are most consistent with antisocial personality disorder
ne
la
Fletcher needs a neurological workup to include an EEG and assessment for neurological soft signs
tz
sh
Sp
Consistent with his symptoms, Fletcher will likely respond well to a stress interview
ne
la
It is likely that substance abuse is the underlying cause of symptoms and should be explored further
tz
sh
Sp
ne
la
tz
sh
Sp
Question 7
Which among the following neurotransmitters is decreased in depression and increased in mania?
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Dopamine
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Norepinephrin
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Serotonin
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sh
Sp
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Glutamate
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tz
sh
Sp
Question 8
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Among the various types of therapeutic intervention for patients with borderline personality disorder, which of the
la
following is characterized as polymodal, including group skills training, individual therapy, telephone consultation,
and a consultation team with a goal of improving interpersonal skills and decreasing self-destructive behavior?
tz
sh
Sp
ne
Mentalization-based treatment (MBT)
la
tz
sh
Sp
Transference-focused psychotherapy (TFP)
ne
la
Countertransference-focused psychotherapy (CTFP)
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sh
Sp
Dialectical behavioral therapy (DBT)
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la
tz
sh
Sp
ne
la
Question 9
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, t
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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
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the property is listed for sale. Mr. Kendall will have to move, and while discussing this with him, Megan became
la
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
tz
episodes of talking to people who weren’t present. Megan says that sometimes she does not even understand what he
sh
Sp
is talking about. He seems to think he has psychic powers, and that he doesn’t need to move because he knows the
ne
house will not be sold. When considering a diagnosis of schizotypal disorder, the PMHNP expects which of the
la
following to be present in the history?
tz
sh
Sp
A history of schizophrenia of a first-degree relative
ne
la
Sustained psychosis predating his mother’s death
tz
sh
Sp
ne
Comorbid Asperger’s syndrome
la
tz
sh
Apparent frank thought disorder
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ne
la
tz
sh
Sp
ne
la
tz
sh
Sp
ne
la
tz
sh
Sp
ne
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Question 12
Which of the following is a true statement with respect to the treatment of narcissistic personality disorder?
tz
sh
Sp
ne
la
Psychoanalytic psychotherapy has strong empiric support
tz
sh
Sp
ne
Both serotonergic drugs and lithium are useful
la
tz
sh
Sp
Group therapy is rarely helpful
ne
la
Immobilized patients (hospitalized or incarcerated) have the best outcomes
tz
sh
Sp
ne
la
sh
Sp
la
ne
tz
sh
ne
la
tz
sh
Sp
NURS 6670 Midterm Exam (Latest, 2020) / NURS 6670N Midterm Exam / NURS6670
ne
Midterm Exam (75 Q & A, 100% Correct Answers)
la
tz
sh
Sp
ne
la
tz
sh
Sp
Question 1
ne
la
The PMHNP is conducting an initial interview with a patient whose history is consistent with avoidant personality
disorder. The PMHNP understands that one of the most striking features of this interview is likely to be centered
tz
upon the patient’s:
sh
Sp
ne
Clothing
la
tz
sh
Sp
Speech pattern
ne
Anger la
tz
sh
Sp
Anxiety
ne
la
tz
sh
Sp
ne
Question 3
la
A PMHNP student is reviewing his notes from his clinical experience over the past week to prepare his first required
tz
sh
Sp
case presentation on a patient suffering a major depressive episode. Which of the following patients best represents
the DSM-5 criteria for major depressive episode?
ne
la
A 27-year-old female with a 1-month history of social withdrawal, anorexia, hypersomnia,
tz
sh
Sp
unprovokedoutbursts of anger, and a strong family history of endogenous depression
ne
la
A 41-year-old male with a history of childhood sexual abuse, loss of interest in both his
professional andpersonal life, an unplanned 10 lb. weight loss in the last 3 months, and
tz
sh
Sp
perceptual disturbances
ne
la
A 65-year-old male whose wife died 2 months ago and he reports a 3-week history of generally depressed
tz
sh
Sp
mood, guilt about his wife’s death, insomnia, difficulty focusing on daily tasks, with increasing
ne
thoughts ofdying
la
sh
Sp
A 72-year-old female who just relocated across country to live with her adult son and daughter-in-
la
, t
ne
tz
sh
law who is despondent about leaving her home and reports forgetfulness, loss of appetite, new
onset bowel problems, and extreme loss of energy
ne
la
tz
sh
Sp
Question 4 ne
A variety of pharmacologic agents have demonstrated effectiveness in the treatment of post-traumatic stress
la
disorder. Which of the following does not have any evidenced-based support in the literature?
tz
sh
Sp
SSRIs
ne
la
TCAs
tz
sh
Sp
ne
Antiadrenergi
la
cs
tz
sh
Sp
Antipsychotics
ne
la
tz
sh
Sp
ne
Question 5
la
The PMHNP is on call at the local county correctional facility. He is asked to evaluate M.S., a 21-year-old male who
tz
sh
Sp
was just arrested following an altercation at a local bar. M.S. has never been incarcerated before and apparently has
no psychiatric or medical history available. His toxicology screen was negative for alcohol or any drugs of abuse.
His mother says that he has in the past had some occasions when he got kind of agitated, but this is the first time it’s
ne
la
been a problem. Reportedly some people from his office were at the bar celebrating a birthday, and before anyone
knew what happened an argument escalated into M.S. getting very loud, yelling, and acting ―crazy‖ before he
tz
punched a coworker and started breaking bottles. When considering a manic or hypomanic episode, the PMHNP
sh
Sp
expects that his speech would most likely be:
ne
la
Stuttered
tz
sh
Sp
ne
Increase
la
d
tz
sh
Sp
Childlike
ne
Confused
la
tz
sh
Sp
Question 6
ne
Fletcher is a 29-year-old male referred for court-ordered counseling. He has a long history of repeated offenses
la
including DUI, domestic violence, battery, and other violent acts that fortunately have not yet caused any serious
injury or death to the recipients. An interview with his wife reveals that he has lied about almost everything for the
tz
sh
Sp
last few years; he is able to get hired for jobs because he is very engaging and likeable, and then invariably he gets
fired because he misses work and doesn’t do his job properly when he is there. According to the wife, they have
ne
known each other since high school, where Fletcher was very happy and well-adjusted. He was on the soccer team,
la
liked by teachers, and never demonstrated the tendencies he does now. Apparently in college he got involved with a
fraternity that was notorious for alcohol and drug abuse, and he started drinking heavily; it was ―all downhill from
there.‖ The PMHNP considers that:
sh
Sp
la
, t
ne
tz
sh
History and symptoms are most consistent with antisocial personality disorder
ne
la
Fletcher needs a neurological workup to include an EEG and assessment for neurological soft signs
tz
sh
Sp
Consistent with his symptoms, Fletcher will likely respond well to a stress interview
ne
la
It is likely that substance abuse is the underlying cause of symptoms and should be explored further
tz
sh
Sp
ne
la
tz
sh
Sp
Question 7
Which among the following neurotransmitters is decreased in depression and increased in mania?
ne
la
Dopamine
tz
sh
Sp
Norepinephrin
ne
e
la
Serotonin
tz
sh
Sp
ne
Glutamate
la
tz
sh
Sp
Question 8
ne
Among the various types of therapeutic intervention for patients with borderline personality disorder, which of the
la
following is characterized as polymodal, including group skills training, individual therapy, telephone consultation,
and a consultation team with a goal of improving interpersonal skills and decreasing self-destructive behavior?
tz
sh
Sp
ne
Mentalization-based treatment (MBT)
la
tz
sh
Sp
Transference-focused psychotherapy (TFP)
ne
la
Countertransference-focused psychotherapy (CTFP)
tz
sh
Sp
Dialectical behavioral therapy (DBT)
ne
la
tz
sh
Sp
ne
la
Question 9
tz
sh
Sp
ne
la
sh
Sp
la
, t
ne
tz
sh
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
ne
the property is listed for sale. Mr. Kendall will have to move, and while discussing this with him, Megan became
la
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
tz
episodes of talking to people who weren’t present. Megan says that sometimes she does not even understand what he
sh
Sp
is talking about. He seems to think he has psychic powers, and that he doesn’t need to move because he knows the
ne
house will not be sold. When considering a diagnosis of schizotypal disorder, the PMHNP expects which of the
la
following to be present in the history?
tz
sh
Sp
A history of schizophrenia of a first-degree relative
ne
la
Sustained psychosis predating his mother’s death
tz
sh
Sp
ne
Comorbid Asperger’s syndrome
la
tz
sh
Apparent frank thought disorder
Sp
ne
la
tz
sh
Sp
ne
la
tz
sh
Sp
ne
la
tz
sh
Sp
ne
la
Question 12
Which of the following is a true statement with respect to the treatment of narcissistic personality disorder?
tz
sh
Sp
ne
la
Psychoanalytic psychotherapy has strong empiric support
tz
sh
Sp
ne
Both serotonergic drugs and lithium are useful
la
tz
sh
Sp
Group therapy is rarely helpful
ne
la
Immobilized patients (hospitalized or incarcerated) have the best outcomes
tz
sh
Sp
ne
la
sh
Sp
la
