NURS 6670N- Midterm exam practice questions with Correct answers marked yellow.

NURS 6670N- Midterm exam practice questions with Correct answers marked yellow. Question 1 Question 2 Clare’s history of personal relationships is characterized by complete intolerance of being alone. Whether it is an intimate-partner relationship or a close friend, Clare appears to always need someone in her life. She had a live- in boyfriend of 3 years, and while they were together, he took care of everything. The PMHNP expects all of the following to be additional features of Clare’s history except: Question 4 Question 5 Question 6 Question 7 Question 8 Question 9 Which among the following neurotransmitters is decreased in depression and increased in mania? Question 10 Question 11 Question 12 Which of the following is a true statement with respect to the treatment of narcissistic personality disorder? Question 13 Question 14 Question 15 Question 16 Question 17 Which of the following is a true statement with regard to the etiology of substance abuse? Question 18 Assessment of the manic state in a patient with bipolar disorder is likely to include all the following except: Question 19 An important part of the history will come from the caregiver The patient must also be interviewed alone to preserve privacy of the relationship A sexual history is not necessary in patients who are not sexually active All of the above. Question 20 Dependence Abuse Adaptation Addiction Question 21 Diazepam Pimozide Psychotherapy Group therapy Question 22 She should be admitted for inpatient detoxification People in good physical health rarely have DTs A beta adrenergic antagonist medication can minimize her risk of DTs Women rarely experience DTs Question 23 Venlafaxine and clozapine Fluoxetine and olanzapine Amitriptyline and haloperidol Paroxetine and buspirone Question 24 Sense of self-importance Defense mechanisms Self-esteem Interpersonal relationships Question 25 Discontinuing medication presents a marked risk of return to alcohol A program of psychotherapy should be started before stopping medication She needs to continue medication for a minimum of 3 months Cessation of mood stabilizers prematurely increases risk for a depressive episode Question 26 SCID BPRS PANSS HAM-D Question 27 Eye movement desensitization and reprocessing therapy Implosive therapy Systematic desensitization Relaxation and cognitive techniques Question 28 When symptoms are preceded by antidepressant therapy, a diagnosis of bipolar does not apply His symptoms may be consistent with bipolar disorder if they persist for at least 2 weeks A formal assessment of the social and occupational implications of his symptoms should be performed The symptoms are most likely a physiologic adaptation to the sertraline and most often normalize Question 29 Lamotrigine Valproic acid Lithium Amitriptyline Question 30 Insight-oriented psychotherapy Behavior therapy Virtual therapy Pharmacotherapy Question 31 Cannabis intoxication delirium is characterized by all of the following except: Impaired memory Perception Psychosis Motor coordination Question 32 Avoidant personalities have a strong desire for personal relationships Avoidant personalities may have an active fantasy life Schizoid personalities are perceived as distant and aloof Schizoid personalities may be very attached to animals Question 33 Affect Cognition Thought process Abstract reasoning Question 34 Have a family history of the same disorder Respond well to dialectical behavioral therapy Have impaired emotional defense mechanisms Come from smaller nuclear families Question 35 An acute change in mental status Angry verbal outbursts that seem unwarranted Death of her best friend An unplanned weight loss despite consistent oral intake Question 36 Psychoanalytic Behavioral Existential Cognitive Question 37 An SNRI will likely be the most appropriate choice if pharmacotherapy is indicated for this episode This may be an inaccurate characterization, as depressed patients tend to overemphasize negatives In some circumstances patients will purposefully mischaracterize the efficacy of medications they feel were ineffective Some forms of recurrent depression are best managed with nonpharmacologic strategies Question 38 The treatment of dependent personality is rarely successful Occupational dysfunction is rarely impaired Dependent personalities tend to have long-term relationships with one person This disorder tends to be more common in men Question 39 The physiologic stress accompanying her first episode of depression may have produced changes in brain biology that makes her susceptible to subsequent episodes without an external trigger The pharmacotherapy required to achieve remission with her first episode resulted in neuroplastic changes that increased her likelihood of experiencing additional depressive episodes The scientific literature suggests that the loss of a sibling is the life event most closely associated with recurrent episodes of major depressive disorder throughout adulthood Response to pharmacotherapy often takes a minimum of 8 weeks and that M.T. is much more likely to achieve remission if he can continue to provide the necessary support throughout her remission period. Question 40 A thorough physical examination A family history of mental health disease A urine drug screen An assessment for phobic disorder Question 41 The difference between a manic and hypomanic episode is best characterized by all the following except: The duration of symptoms is shorter for hypomanic episodes Hypomanic episodes do not cause marked impairment in function There are no psychotic features with hypomanic episodes Hypomanic episodes may occur as a response to antidepressants Question 42 Pharmacotherapy Psychoanalytic psychotherapy Transference-focused psychotherapy A stress interview Question 43 Urinary tract infection Mild cognitive impairment Normal pressure hydrocephalus Depression Question 44 In documenting a mental status exam (MSE) for Janet, a 54-year-old female, the PMHNP notes that she is bradykinesic, has poverty of speech, is depressed, and appears flat. This includes all the following elements of physical examination except: Appearance Motor activity Mood Affect Question 45 Low-grade chronicity for at least 2 years Insidious onset, usually in childhood or adolescence Strong family history of depression and bipolar disorder Long asymptomatic periods between episodes Question 46 Which of the following personality disorders is associated with females with fragile X syndrome? Borderline Narcissistic Dependent Schizotypal Question 47 Borderline personality disorder Structural brain damage Substance abuse disorder Cognitive impairment Question 48 Family therapy Behavior therapy Psychoanalytic therapy Interpersonal therapy Question 49 He needs to be increased to 200 mg today and follow up in 4 weeks He should maintain this dose for 4 weeks and reassess He should change his therapy to an SNRI Addition of cognitive behavioral therapy would likely improve response Question 50 Pharmacologic treatment is not indicated The etiology is different Perfectionism is common Physical symptoms are lacking Question 51 Intrusion symptoms Avoiding stimuli Autonomic arousal Clinical significance Question 52 At least 90 minutes Person-centered Comprehensive Insight-oriented Question 53 Patients who require long-term benzodiazepine management should be maintained on long-acting agents The use of benzodiazepines long term for anxiety does not pose a high risk of dependence and abuse The panel supports increased federal and/or state restrictions on benzodiazepine prescribing When detoxifying from therapeutic dosages, daily intake should be decreased by 10–25% Question 54 The time course of symptoms Presence of physiologic arousal Reexperiencing the event Response to pharmacotherapy Question 55 Urine drug screen Hepatic function test Pulmonary function test 12-lead ECG Question 56 Reinforcement Reassurance Encouragement Acknowledgement Question 57 Macrocytosis Transaminitis Uremia Hypertriglyceridemia Question 58 Fluoxetine Paroxetine Escitalopram Sertraline Question 59 Alcohol Cannabis Opiate Hallucinogen Question 60 Caffeine intake Use of dietary supplements Testosterone level Liver function tests Question 61 From a biological perspective, all of the following neurotransmitters are implicit in the anxiety response except: Gamma-aminobutyric acid Norepinephrine Serotonin Dopamine Question 62 BPRS Toxicology screen Head imaging Family history Question 63 Schizophrenia Social anxiety Schizoid personality Agoraphobia Question 64 Any history of suicidal attempts or serious ideation History and current patterns of substance abuse Concomitant psychotic features such as hallucination or delusion Manic symptoms that are sustained most of the day for at least 2 weeks Question 65 Lithium carbonate is the drug of choice for Joe Joe would be best managed with injectable antipsychotics Risperidone is an appropriate choice when mania is characterized by anger and violence Symbyax (olanzapine/fluoxetine) is the safest choice for Joe given his psychosis Question 66 Reveal a very strong desire for an intimate relationship Become very engaged in group therapy Describe an active fantasy life with imaginary friends Demonstrate psychotic or delusional features Question 67 Patients on lithium carbonate for management of bipolar disorder should be subject to routine assessment of: CBC and BMP TSH and serum Na+ CMP and ECG LFTs and EEG Question 68 Depression presents with more somatic symptoms as compared to younger age groups Ageism may cause primary care clinicians to accept depressive symptoms in the elderly as normal Risk factors include loss of spouse, physical illness, and social isolation Incidence of geriatric depression is estimated at 60–75% of the population Question 69 When differentiating a major depressive episode from dysthymic disorder, the PMHNP considers that: The cognitive theory of depression does not apply to dysthymia Hospitalization is typically indicated early in the course of dysthymia Dysthymia is more subjective in its presentation than depression Insight-oriented therapy is the most effective treatment for dysthymia Question 70 Reconsider the diagnosis of major depressive episode Add bupropion to her medication regimen Increase the dose of fluoxetine Change to another antidepressant medication Question 71 Internal consistency reliability Parallel form reliability Construct validity Face validity Question 72 The presence of fixed delusional thought Disdain for weak or sickly people A history of antisocial behavior Extreme ―drama‖ in most personal relationships Question 73 The major defensive mechanisms employed by patients with histrionic personality disorder include: Repression and dissociation Projective identification Fantasy and isolation Splitting Question 74 Lorazepam Venlafaxine Propranolol Buspirone Question 75 Pharmacotherapy with clonazepam Free-association, nondirective therapy Interpersonal therapy Serotonergic agents