lOMoARcPSD|3013804
lOMoARcPSD|3013804
Chapter 1: Theoretical Framework of Practice
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Temperament—a genetically influenced early form of personality—describes an infant’s pattern of
central nervous system responses and behaviors. Among the different types of temperament, which
one is associated with more impairment of brain functioning and, in the absence of positive,
nurturing parenting, is a risk factor for later development of psychiatric disorders?
A.
Easy
B.
Slow-to-warm-up/inhibited
C.
Mixed
D.
Difficult
2. According to psychosocial developmental theory, in the recently described “ninth age of man,”
beyond the life cycle,
A.
There are no further tasks to accomplish.
B.
The tasks that are the most important are generative versus stagnation.
C.
There is an emphasis on intimacy versus isolation.
D.
Tasks include overcoming life transitions.
3. Which attachment pattern is more likely to be found among children who have been abused?
A.
Secure
B.
Inhibited
C.
Disorganized
D.
Avoidant
4. Nobel Prize winner Eric Kandel demonstrated that the brain
A.
Is plastic before birth but becomes hard-wired at birth
B.
Has plasticity and can change during the first 3 years of life
C.
Has plasticity that allows it to make new connections in response to learning
D.
Is unable to make new connections after age 26
5. The primary relevance of Bowlby’s attachment theory for psychiatric advanced practice nurses is
that
A.
Toddlers develop primitive defense mechanisms such as denial.
B.
Toddlers develop an inner working model of how adults will respond to them.
C.
Toddlers face the psychosocial task of autonomy versus shame.
D.
Toddlers develop a fear of engulfment and enmeshment.
6. Early attachment experiences are transformed into inner working models of the self and mother by
age
A.
7 years
B.
5 years
C.
3 years
D.
1 year
Page
, lOMoARcPSD|3013804
7. In a cantilevered model of needs such as Hansell’s model,
A.
Basic needs must be met first
B.
There is a hierarchy of needs
C.
Each need supports all other needs
D.
Self-actualization is the last need to be met
8. Freud’s drive theory proposes that individuals are motivated by
A.
Basic drives for survival and reproduction.
B.
Need to reduce anxiety.
C.
Need to resolve interpersonal conflicts.
D.
Basic drives for altruism.
9. Brain plasticity, which refers to the brain’s capacity to change in response to an event,
A.
Is the same for all individuals
B.
Involves physical changes of the brain
C.
Is absent in older adults
D.
Is independent of genetic influence
10. It is believed that recovery can be promoted in children by all of the following except
A.
Teaching problem-solving skills
B.
Providing social support
C.
Limiting challenging experiences
D.
Providing structure to daily life
11. The primary focus of the biopsychosocial model is
A.
Heritability of psychiatric disorders
B.
Domains of functioning
C.
Abnormalities of neurotransmission
D.
Abnormalities of systems and circuits
Page
, lOMoARcPSD|3013804
Chapter 1: Theoretical Framework of Practice
Answer Section
MULTIPLE CHOICE
1. ANS: D PTS: 1
2. ANS: D PTS: 1
3. ANS: C PTS: 1
4. ANS: C PTS: 1
5. ANS: B PTS: 1
6. ANS: D PTS: 1
7. ANS: C PTS: 1
8. ANS: A PTS: 1
9. ANS: B PTS: 1
10. ANS: C PTS: 1
11. ANS: B PTS: 1
, lOMoARcPSD|3013804
Chapter 2: Neurobiological Theory of Psychiatric Disorders: Brain functioning, brain
development and prenatal and perinatal factors disrupting brain development
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. On evaluation, the patient appears to be having difficulty with working memory, planning, and
insight into his problems. The psychiatric advanced practice nurse recognizes that these symptoms
are associated with problems with the
A.
Frontal lobe
B.
Temporal lobe
C.
Parietal lobe
D.
Occipital lobe
2. On mental status examination, the patient’s thoughts reveal lack of directedness, excessive details,
and difficulty with closure. This pattern is called
A.
Concrete thinking
B.
Circumstantiality
C.
Perseveration
D.
Thought blocking
3. The brain structure that is believed to have a gating/filtering function and is the area of the brain
through which all sensory information passes en route to various cortical areas is which of the
following:
A.
Brainstem
B.
Reticular activating system
C.
Thalamus
D.
Hypothalamus
4. Which area of the brain is a very primitive in terms of evolution and is involved in swallowing,
arousal, and breathing?
A.
Parietal lobe
B.
Insula
C.
Cerebellum
D.
Brainstem
5. Which of these brain structures puts emotional meaning on a stimulus, forms emotional memories,
and is involved with rage and fear?
A.
Hippocampus
B.
Temporal lobe
C.
Amygdala
D.
Midbrain
6. The principal excitatory neurotransmitter in the central nervous system is
A.
Gamma-aminobuytric acid (GABA)
B.
Serotonin
C.
Glutamate
lOMoARcPSD|3013804
Chapter 1: Theoretical Framework of Practice
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Temperament—a genetically influenced early form of personality—describes an infant’s pattern of
central nervous system responses and behaviors. Among the different types of temperament, which
one is associated with more impairment of brain functioning and, in the absence of positive,
nurturing parenting, is a risk factor for later development of psychiatric disorders?
A.
Easy
B.
Slow-to-warm-up/inhibited
C.
Mixed
D.
Difficult
2. According to psychosocial developmental theory, in the recently described “ninth age of man,”
beyond the life cycle,
A.
There are no further tasks to accomplish.
B.
The tasks that are the most important are generative versus stagnation.
C.
There is an emphasis on intimacy versus isolation.
D.
Tasks include overcoming life transitions.
3. Which attachment pattern is more likely to be found among children who have been abused?
A.
Secure
B.
Inhibited
C.
Disorganized
D.
Avoidant
4. Nobel Prize winner Eric Kandel demonstrated that the brain
A.
Is plastic before birth but becomes hard-wired at birth
B.
Has plasticity and can change during the first 3 years of life
C.
Has plasticity that allows it to make new connections in response to learning
D.
Is unable to make new connections after age 26
5. The primary relevance of Bowlby’s attachment theory for psychiatric advanced practice nurses is
that
A.
Toddlers develop primitive defense mechanisms such as denial.
B.
Toddlers develop an inner working model of how adults will respond to them.
C.
Toddlers face the psychosocial task of autonomy versus shame.
D.
Toddlers develop a fear of engulfment and enmeshment.
6. Early attachment experiences are transformed into inner working models of the self and mother by
age
A.
7 years
B.
5 years
C.
3 years
D.
1 year
Page
, lOMoARcPSD|3013804
7. In a cantilevered model of needs such as Hansell’s model,
A.
Basic needs must be met first
B.
There is a hierarchy of needs
C.
Each need supports all other needs
D.
Self-actualization is the last need to be met
8. Freud’s drive theory proposes that individuals are motivated by
A.
Basic drives for survival and reproduction.
B.
Need to reduce anxiety.
C.
Need to resolve interpersonal conflicts.
D.
Basic drives for altruism.
9. Brain plasticity, which refers to the brain’s capacity to change in response to an event,
A.
Is the same for all individuals
B.
Involves physical changes of the brain
C.
Is absent in older adults
D.
Is independent of genetic influence
10. It is believed that recovery can be promoted in children by all of the following except
A.
Teaching problem-solving skills
B.
Providing social support
C.
Limiting challenging experiences
D.
Providing structure to daily life
11. The primary focus of the biopsychosocial model is
A.
Heritability of psychiatric disorders
B.
Domains of functioning
C.
Abnormalities of neurotransmission
D.
Abnormalities of systems and circuits
Page
, lOMoARcPSD|3013804
Chapter 1: Theoretical Framework of Practice
Answer Section
MULTIPLE CHOICE
1. ANS: D PTS: 1
2. ANS: D PTS: 1
3. ANS: C PTS: 1
4. ANS: C PTS: 1
5. ANS: B PTS: 1
6. ANS: D PTS: 1
7. ANS: C PTS: 1
8. ANS: A PTS: 1
9. ANS: B PTS: 1
10. ANS: C PTS: 1
11. ANS: B PTS: 1
, lOMoARcPSD|3013804
Chapter 2: Neurobiological Theory of Psychiatric Disorders: Brain functioning, brain
development and prenatal and perinatal factors disrupting brain development
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. On evaluation, the patient appears to be having difficulty with working memory, planning, and
insight into his problems. The psychiatric advanced practice nurse recognizes that these symptoms
are associated with problems with the
A.
Frontal lobe
B.
Temporal lobe
C.
Parietal lobe
D.
Occipital lobe
2. On mental status examination, the patient’s thoughts reveal lack of directedness, excessive details,
and difficulty with closure. This pattern is called
A.
Concrete thinking
B.
Circumstantiality
C.
Perseveration
D.
Thought blocking
3. The brain structure that is believed to have a gating/filtering function and is the area of the brain
through which all sensory information passes en route to various cortical areas is which of the
following:
A.
Brainstem
B.
Reticular activating system
C.
Thalamus
D.
Hypothalamus
4. Which area of the brain is a very primitive in terms of evolution and is involved in swallowing,
arousal, and breathing?
A.
Parietal lobe
B.
Insula
C.
Cerebellum
D.
Brainstem
5. Which of these brain structures puts emotional meaning on a stimulus, forms emotional memories,
and is involved with rage and fear?
A.
Hippocampus
B.
Temporal lobe
C.
Amygdala
D.
Midbrain
6. The principal excitatory neurotransmitter in the central nervous system is
A.
Gamma-aminobuytric acid (GABA)
B.
Serotonin
C.
Glutamate
