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NURS 6635 Week 11 Final Exam

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1. Question: Select the diagnostic criterion for catatonia resulting from a medical condition. 2. Question: Select the negative symptom of schizophrenia. 3. Question: Select the most defining characteristic of inevitable suicide. 4. Question: Select the type of neuro chemical receptor that is blocked by caffeine. 5. Question: Select the main cause female orgasmic disorder. 6. Question: Select the symptom not present in paranoid personality disorder. 7. Question: Select the disorder that is often comorbid with brief psychotic disorder 8. Question: Select the age before which a majority of paraphilic disorders occurs. 9. Question: Select the lifetime prevalence of schizophreniain the United States. 10. Question: Select the age range of the highest rate of substance dependence or abuse 11. Question: Select the characteristic that is greater in childhood than adult on set schizophrenia. 12. Question: Select the personality disorder in which patients are most likely to tolerate spous a lab use to avoid losing sense of attachment. 13. Question: Select the personality disorder in which patients exhibit cover to bstructionism, procrastination and pessimism 14. Question: Select the drug of choice to treat psychosis in delirious patients. 15. Question: Select the substance of abuse with the strongest evidence for genetic association. 16. Question: Select the type of hallucinations most common in schizophrenia. 17. Question: Select the neuro transmitter system that is most associated with the addictive rewarding properties of opioids 18. Question: Select the preferred drug used to treat alcohol withdrawal. 19. Question: SelecttheneurotransmitterthatismostassociatedwiththeoccurrenceofADHD. 20. Question: Select the most frequently abused illicit drug 21. Question: Select the percentage of substance-addicted persons with a concurrent psychiatric disorder. 22. Question: TO BE typed 23. Question: Select the usual time delay to the onset of tardivedys kinesia symptoms after initiating anti psychotic drug therapy. 24. Question: Select two comorbid factors common in schizophrenic patients. 25. Question: Select the psychiatric disorder for which the term neuro lepticis used to describe drug effects. 26. Question: Select the two characteristics that describe normal sexual behavior. 27. Question: Select the most common paraphilic disorder. 28. Question: Select the brain region devoid of cannabinoid receptors. 29. Question: Select the most common error by the provider in the practice of family-oriented therapy for persons with schizophrenia. 30. Question: Select the rating scale used to assess medication-induced movement disorders. 31. Question: Select the theorist who first studied social and cultural influences on suicide 32. Question: Select the time of treatment of schizophrenic patients with correct antipsychotic drug therapy that represents an adequate medication trial 33. Question: Select the two behaviors of schizophrenic patients that occur more frequently than in the general population. 34. Question: Select the neuro transmitter that increases sexual desire. 35. Question: Select the two Freudian stages of psycho sexual development 36. Question: Select the most frequent cause of intellectual disability in U.S.children. 37. Question: Select the substance that is most commonly abused by adolescents. 38. Question: Select the percent blood alcohol level at which voluntary motor activity becomes impaired. 39. Question: Selectthedisorderinwhichthehighestpercentageofpatientscommitsuicide 40. Question: Select the psychiatric disorder in which patients refuse mental healthcare and deny their problems. 41. Question: Select the two patient populations in which delirium occurs most frequently 42. Question: Select the procedure most applicable to confirming a diagnosis of delirium. 43. Question: Select the sub type of schizophreniain which auditory hallucinations are frequent 44. Question: Select the two defense mechanisms used commonly by patients with personality disorders. 45. Question: Select the two drugs used to treat alcohol dependence. 46. Question: Select two criteria to diagnose gender dysphoriain children. 47. Question: Select the time of onset for tolerance to develop from continuous use of hallucinogens such as LSD. 48. Question: Select the youngest age by which early-onset schizophrenia occurs. 49. Question: Select the category of symptoms that is most commonly comorbid with cognitive disorders. 50. Question: Select the most reliable method to make a diagnosis of schizophrenia. 51. Question: Select the percentage of the U.S. population with a substance dependence problem as of year 2012. 52. Question: Select the disorder in which is characterized by lack breast development 53. Question: Select two terms preferred to describe sexual orientation. 54. Question: Select the characteristic of masturbation 55. Question: Select the medical condition that occurs less frequently in schizophrenic patients than in the general population. 56. Question: Select the factor that best correlates with attempted and completed suicide 57. Question: Select the drug that is most likely to cause park in sonian movement symptoms. 58. Question: Select the personality disorder in which patients are continually in crisis and exhibit unpredictable behavior. 59. Question: Select the main goal of psycho social therapies for persons with schizophrenia. 60. Question: Select the most common cause of dementiain elderly persons 61. Question: Select the development time of symptoms in neuro lepticmalignant syndrome 62. Question: Select the brain region that shows the greatest anatomical abnormalities in schizophrenic patients. 63. Question: Select the mental function that is most affected in mild cognitive impairment 64. Question: Select the time frame for symptoms of schizophreni form disorder 65. Question: Select the personality disorder in which patients are preoccupied with perfectionism and interpersonal control 66. Question: Select the factor associated with a four-to five-fold greater occurrence of gender dysphoriain male than in female children. 67. Question: Select the age range at which most children with gender dysphoria begin to show increased anxiety over anticipated changes to their bodies. 68. Question: Select the drug used to treat age-related sexual dysfunction 69. Question: Select the characteristic of sexually abused children. 70. Question: Select the rare adverse effect of SSRI anti depressants. 71. Question: Select the drug that is least life-threatening when consumed in an over dose. 72. Question: Select the distinguishing characteristic of paraphilic disorders 73. Question: Select the neuro transmitter that is most implicated inschizophreniabasedontheeffectivenessofantipsychoticdrugtherapy. 74. Question: Select the initial intervention to treat children experiencing acute school refusal 75. Question: Select the two patient populations most likely suffer neuro leptic-induced park insonian symptoms. 76. Question: Select the psychoactive substance that is most frequently consumed worldwide 77. Question: Select the intrinsicchemicalreleasedinorgasmthatreinforcespleasurablesensation. 78. Question: Select the comorbid disorder that is more frequent in children with gender dysphoria. 79. Question: Select the ageat which sexual identity is self-evident. 80. Question: Select two of the “Four A ’s” symptoms of schizophrenia described by Bleuler. 81. Question: Select the brain region that is associated with substance addiction. 82. Question: Select the two essential features of sexual dysfunction 83. Question: Select the neuro transmitter for which themetabolite5-HIAA in CSF is evident and predictive of suicide. 84. Question: Select the factor that is most influential in determining gender role development 85. Question: Select the primary defense mechanism that is common in delusional disorder 86. Question: Select the epidemiologic characteristic of tardive dyskinesia symptoms. 87. Question: Select the percentage of remission that results from correct antipsychotic drugtherapy of schizophrenic patients. 88. Question: Select the two normal functions in As perger’s Disorder that are absent in Autism Spectrum Disorder 89. Question: Select the non-drug therapy in which mastery of anxiety through desensitization is critical to successful treatment of sexual dysfunction. 90. Question: Select the neuro transmitter that inhibits sexual orgasm 91. Question: Select two psychiatric disorders that are often misdiagnosed as childhood-onset or early-onset schizophrenia. 92. Question: Select the characteristic found in persons with inter sex conditions. 93. Question: Select the pair of terms that represents the greatest conflict regarding sexual behavior. 94. Question: Select the most effective form of questioning when taking a sex history 95. Question: Select the two main conditions to initially identify in adult psychiatric emergencies 96. Question: Select the primary method to assess cognition 97. Question: Select the neuro transmitter that has least involvement in drug-induced movement disorders. 98. Question: Select the personality disorder that presents the greatest challenge to diagnose by experienced providers 99. Question: Select the two factors that are not applicable to diagnosing schizo affective disorder 100. Question:Select the infectious disease that when untreated may lead to an incorrect diagnosis of depression. 101. Question: When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

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Walden University, NURS 6635 Exam




NURS 6635 Final Exam

Winter Session
NURS 6635 Psychopathology and Diagnostic Reasoning Practicum



Exam Elaborations Questions, Answers, Explanation

,Walden University_NURS6635 Exam Final Winter 2021




QUESTION 1
1. Select the diagnostic criterion for catatonia resulting from a medical condition.
A
Loose association
.
B
Pressured speech
.
C
Waxy flexibility
.
D Involuntary
. movement


Answer: C .
Step-by-Step explanation
Catatonia is a type of schizophrenia that have symptoms usually involve lack of movement or
immobility. One of the behaviors that the catatonic patient have is waxy flexibility where his or her
limbs stay in the position or unable to move. He or she needs another person to reposition his or her
limbs. Therefore, the answer is waxy flexibility.

1 points
QUESTION 2
1. Select the negative symptom of schizophrenia.
A
Anhedonia
.
B
Delusions
.
C
Catatonia
.
D Hallucinatio
. ns
Answer: A
.
Step-by-Step explanation
Schizophrenia is a serious mental illness that affects a person's ability to think, behave, express
feelings, interpret reality, and interact with others. Schizophrenia is the most chronic and debilitating
of the main psychiatric disorders, despite its rarity.

There are symptoms of Schizophrenia - negative and positive ones.
We will talk about the positive symptoms first.
1.) Hallucinations - the patient can hear, smell, see and feel something that nobody does.2.) Delusion
- the patient have mistaken or faulty beliefs.
3) Disorganized thoughts - patient is having a hard time to sort out or to arrange his thoughts.4) Hard
to concentrate - lose focus on something or what he does.
5) Movement disorders.

,Walden University_NURS6635 Exam Final Winter 2021


So, we can eliminate "Delusions" (letter B) and "Hallucinations" (Letter D) as choices for negative
symptoms of Schizophrenia.

Now, we will talk about the negative symptoms of Schizophrenia.
1.) Lack of pleasure - the patient does not have joy or being happy whatever he does. Also called
anhedonia.
2.) Trouble of speech - don't show or being open on his thoughts and feelings. Also called alogia.
3.) Flattening - no emotions in talking like monotonal talk.
4.) Withdrawal - no social life or having no plans with friends. Also called apathy.
5) Struggling with the basic chores in daily life - hard to do some basic stuff or stopping taking care of
themselves.
6.) No - follow through - also called avolition.

So, we can say that Anhedonia (letter A) is the answer, but what is Catatonia?
Catatonia is a psychomotor disorder. It involves the connection between the mental and movement
function. Recently, it was thought of as a type of Schizophrenia. Thus, Catatonia is not a negative
symptoms of Schizophrenia.

Thus, ANHEDONIA (Letter A) is the only negative symptoms of Schizophrenia in the given
choices.


To support my explanation, I will attach some articles / links for references.
https://www.webmd.com/schizophrenia/schizophrenia-symptoms
https://www.healthline.com/health/mental-health/negative-symptoms-of-schizophrenia
https://www.healthline.com/health/catatonia https://www.webmd.com/schizophrenia/what-is-
catatonia




1 points


QUESTION 3
1. Select the most defining characteristic of inevitable suicide.
A
Lack of family history
.
B Unexpected adverse drug
. effect
C Provider loses hope in
. patient
D
Failure of best therapy
.

Answer: C .
Step-by-Step explanation
The lack of hope is the inevitable cause of suicide. If the provider loses hope in the patient then there
is no way for the patient to recover.

Option C is correct.

, Walden University_NURS6635 Exam Final Winter 2021




1 points
QUESTION 4
1. Select the type of neurochemical receptor that is blocked by caffeine.
A
GABA
.
B
Glutamate
.
C
Adenosine
.
D Norepinephri
. ne
Caffeine is the most widely consumed psychoactive drug. The only molecular targets for caffeine at nontoxic doses are the
main adenosine receptors in the brain, namely the inhibitory A1 receptors (A1R) and the facilitatory A2A receptors (A2AR)
(9)




1 points
QUESTION 5
1. Select the main cause female orgasmic disorder.
A
Cultural
.
B
Genetic
.
C
Hormonal
.
D Psychologi
. cal

Answer: D .
Step-by-Step explanation The
right answer is Option D.

Physical, Situational & Psychological factors can contribute to female orgasmic disorder
such as:
1. Physical
1. Medical conditions
2. Medications
2. Situational
1. Sexual inexperience
2. Insufficient foreplay
3. Lack of understanding about how genital organs function4.
Poor communication about sex
3. Psychological
1. Guilty feeling about sex2.
Anxiety & depression 3.
Relationship issues

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