Psych NP Review EXAM
QUESTIONS AND VERIFIED
ANSWERS 100%
GUARANTEED PASS
Describe Alzhemier's Disease - correct answer Irreversible cause of dementia
50-60% of degenerative dementias.
Insidious onset.
Death 8-10 yrs after symptoms recognized.
Physical findings generally absent or present only in later stages (hyperreflexia, Babinski, frontal
lobe release signs).
May experience illusions, hallucinations, or delusions.
Cortical atrophy, enlarged cerebral ventricles
What is pseudodementia? Signs & symptoms? - correct answer a depressed patient appears to
have dementia.
*also seen in schizophrenia, main, other disorders
Unable to remember correctly, cannot calculate well, complains of lost cognitive abilities &
skills.
Treatable; NOT dementia.
Discuss Wernicke's Encephalopathy - correct answer 1. alcohol-related amnesia
2. probably due to chronic thiamine (B1) deficiency
3. ophthalmoplegia, ataxic gait, nystagmus, mental confusion
4. requires emergency thiamine treatment
,Discuss Wernicke-Korsakoff Syndrome - correct answer 1. Cognitive and memory impairment
endure after thiamine treatment for alcohol-related amnesia.
2. Autopsy shows hemorrhage & sclerosis of hypothalamic mamillary bodies & nuclei of
thalamus; more diffuse lesions in brainstem, cerebellum, & limbic system.
What are sleep hygiene measures - correct answer Developed for people with chronic insomnia:
1. waking up & going to bed at same time every day, even on weekends
2. avoiding long periods of wakefulness in bed
3. not using bed to read, watch TV, or work
4. leaving the bed & not returning until drowsy if sleep does not begin w/in a set period (20-30
min)
5. avoiding napping
6. exercising at least 3-4x/week (not in evenings)
7. discontinuing or reducing the consumption of alcoholic beverages, beverages containing
caffeine, cigarettes, & sedative-hypnotic drugs
What are the findings in genetic studies of panic disorder? - correct answer hereditary.
20% for 1st degree relatives w/disorder [2% control].
45% for identical twins
15% for fraternal twins
What is the pharmacological treatment of panic disorder? - correct answer [medication &
psychotherapy]
SSRIs effective 70-80%
SNRI venlafaxine also effective
, Distinction between autism, mental retardation, & learning disorders? - correct answer AUTISM:
uneven profile of functional intellectual abilities
MR: subnormal intelligence + deficits in adaptive functioning
LEARNING DISORDERS:individual is performing markedly below a level expected in one area on
the basis of a person's IQ
simultagnosia - correct answer Inability to comphrehend more than one element of visual scene
at a time
anosognosia - correct answer Ignorance of illness
apraxias - correct answer Inability to carry out specific tasks
astereognosis - correct answer Inability to recognize objects by touch
adiadochokinesia - correct answer Inability to perform rapid alternating movements
Name four disturbances of attention - correct answer Hypervigliance, selective inattention,
distractibility, trance
What is hypervigilance? - correct answer excessive attention and focus on all internal and
external stimuli
What is selective inattenion? - correct answer Blocking out only things that generate anxiety
What is distractability? - correct answer Inability to concentrate attention
What is trance? - correct answer focused attention and altered consciousness
QUESTIONS AND VERIFIED
ANSWERS 100%
GUARANTEED PASS
Describe Alzhemier's Disease - correct answer Irreversible cause of dementia
50-60% of degenerative dementias.
Insidious onset.
Death 8-10 yrs after symptoms recognized.
Physical findings generally absent or present only in later stages (hyperreflexia, Babinski, frontal
lobe release signs).
May experience illusions, hallucinations, or delusions.
Cortical atrophy, enlarged cerebral ventricles
What is pseudodementia? Signs & symptoms? - correct answer a depressed patient appears to
have dementia.
*also seen in schizophrenia, main, other disorders
Unable to remember correctly, cannot calculate well, complains of lost cognitive abilities &
skills.
Treatable; NOT dementia.
Discuss Wernicke's Encephalopathy - correct answer 1. alcohol-related amnesia
2. probably due to chronic thiamine (B1) deficiency
3. ophthalmoplegia, ataxic gait, nystagmus, mental confusion
4. requires emergency thiamine treatment
,Discuss Wernicke-Korsakoff Syndrome - correct answer 1. Cognitive and memory impairment
endure after thiamine treatment for alcohol-related amnesia.
2. Autopsy shows hemorrhage & sclerosis of hypothalamic mamillary bodies & nuclei of
thalamus; more diffuse lesions in brainstem, cerebellum, & limbic system.
What are sleep hygiene measures - correct answer Developed for people with chronic insomnia:
1. waking up & going to bed at same time every day, even on weekends
2. avoiding long periods of wakefulness in bed
3. not using bed to read, watch TV, or work
4. leaving the bed & not returning until drowsy if sleep does not begin w/in a set period (20-30
min)
5. avoiding napping
6. exercising at least 3-4x/week (not in evenings)
7. discontinuing or reducing the consumption of alcoholic beverages, beverages containing
caffeine, cigarettes, & sedative-hypnotic drugs
What are the findings in genetic studies of panic disorder? - correct answer hereditary.
20% for 1st degree relatives w/disorder [2% control].
45% for identical twins
15% for fraternal twins
What is the pharmacological treatment of panic disorder? - correct answer [medication &
psychotherapy]
SSRIs effective 70-80%
SNRI venlafaxine also effective
, Distinction between autism, mental retardation, & learning disorders? - correct answer AUTISM:
uneven profile of functional intellectual abilities
MR: subnormal intelligence + deficits in adaptive functioning
LEARNING DISORDERS:individual is performing markedly below a level expected in one area on
the basis of a person's IQ
simultagnosia - correct answer Inability to comphrehend more than one element of visual scene
at a time
anosognosia - correct answer Ignorance of illness
apraxias - correct answer Inability to carry out specific tasks
astereognosis - correct answer Inability to recognize objects by touch
adiadochokinesia - correct answer Inability to perform rapid alternating movements
Name four disturbances of attention - correct answer Hypervigliance, selective inattention,
distractibility, trance
What is hypervigilance? - correct answer excessive attention and focus on all internal and
external stimuli
What is selective inattenion? - correct answer Blocking out only things that generate anxiety
What is distractability? - correct answer Inability to concentrate attention
What is trance? - correct answer focused attention and altered consciousness
