NRNP 6635 Midterm UPDATED ACTUAL Questions and CORRECT Answers

NRNP 6635 Midterm UPDATED ACTUAL
Questions and CORRECT Answers
Select the function that is most affected by conversion disorder:


A. Voluntary motor
B. Hearing
C. Involuntary motor

D. Smelling - CORRECT ANSWER - A. Voluntary motor


Conversion Disorder = Pt has neurological symptoms (paralysis, blindness, seizures) that CAN'T
be explained by medical conditions


Symptoms Involve:
- Voluntary motor function (ex. sudden paralysis, limb weakness, abnormal gait, tremors)
- Sensory function (ex. vision loss, numbness)


TIP:
"Conversion = Voluntary Gone Version"
Helps you remember that voluntary motor s/s are what goes "wrong" in conversion disorder.


In normal language development, at what age would you see the beginning of grammar
formation?


A. 12-18 months
B. 12-24 months
C. 24-36 months

D. 36-54 months - CORRECT ANSWER - C. 24-36 months (2-3 years)

,At what age do the emotional skills of shame, pride, envy, and embarrassment appear in healthy
emotional development?


A. 5-10 years
B. 3-5 years
C. 1-2 years

D. 6 months - CORRECT ANSWER - B. 3-5 years


Characteristics of OSA include:


A. Excessive sleepiness & restless sleep
B. Waking with choking/gasping for breath
C. Snoring and obesity

D. All of the above - CORRECT ANSWER - D. All of the above


What section of the brain regulates human emotional drive?


A. Brain stem
B. Frontal cortex
C. Amygdala

D. Hippocampus - CORRECT ANSWER - C. Amygdala


Brain stem = Basic life functions (breathing, heart rate, arousal)
Frontal cortex = Decision making, planning, social behavior
Amygdala = Regulates emotions (fear, anger, pleasure)
Hippocampus = Memory formation, spatial navigation


Select the 2 complications in diagnosing patients with anorexia nervosa:

,A. Determining occurrence of substance abuse
B. Denial of symptoms
C. Insisting weight loss has a medical cause

D. Secrecy regarding eating ritual - CORRECT ANSWER - B. Denial of symptoms & D.
Secrecy regarding eating ritual


Select the age in which rumination disorder (food swallowed but not digested, is regurgiated)
occurs most frequently.


A. Male infants 3 - 12 months
B. Female infants 6 - 18 months
C. Children 2 - 5 years

D. Adolescents 13 - 15 years - CORRECT ANSWER - A. Male infants 3 - 12 months


Rumination disorder = Not limited by gender


6 - 18 months, this can still occur, but more common in 3 - 12 months


Select the type of amnesia in which patients are aware of their memory loss with repeated
questioning.


A. Substance related
B. Posttraumatic
C. Transient global

D. Dissociative - CORRECT ANSWER - C. Transient global


Substance related = Confused/unaware during intoxication

, Posttraumatic = Followed by head injury. Pt may be confused/unconscious and often doesn't
realize they've lost memory until after recovery.


Transient global = Awareness of memory loss and repeated questioning. Can't form new
memories. Lasts for less than 24 hours, and memory returns fully after.


Dissociative = Retrograde amnesia due to stress/trauma. Patients may not be aware of the
memory loss, and there is often emotional detachment.


Select the 2 characteristics of impulses that are usually absent from compulsions.


A. Pleasure seeking
B. Psychological impairment
C. Commiting actions

D. Repetitive performance - CORRECT ANSWER - A. Pleasure seeking & B.
Psychological impairment


Pleasure Seeking
- Impulses are usually pleasurable
- Compulsions are NOT pleasurable, they relieve anxiety but feel distressing/forced


Psychological Impairment
- Impulses don't always cause immediate psychological impairment during the act.
- Usually causes psychological distress


Committing Actions
- Impulses AND compulsions involve taking action (stealing vs. handwashing). This is NOT a
distinguishing factor.


Repetitive Performance