Walden University NRNP 6665 Final Exam (pdf) | 2026/2027 | PMHNP
Q&A | Psychiatric Mental Health
**1. An illness of symptoms or deficits that affect voluntary motor or sensory
functions, which suggest another medical condition but that is judged to be
caused by psychological factors because the illness is preceded by conflicts
or other stressors, is known as which of the following?**
A) Somatic symptom disorder
B) Illness anxiety disorder
C) Functional neurological symptom disorder (conversion disorder)
D) Factitious disorder
**Correct Answer: C**
**Rationale:** Functional neurological symptom disorder (conversion
disorder) is characterized by symptoms or deficits affecting voluntary motor
or sensory functions that suggest a neurological or other medical condition
but are judged to be caused by psychological factors. The symptoms are not
intentionally produced and are preceded by conflicts or stressors.
---
**2. A condition characterized by the person giving approximate answers,
with clouding of consciousness, frequently accompanied by hallucinations or
other dissociative, somatoform, or conversion symptoms, is known as:**
A) Factitious disorder
B) Ganser syndrome
C) Malingering
D) Dissociative identity disorder
,**Correct Answer: B**
**Rationale:** Ganser syndrome is a rare dissociative disorder characterized
by the person giving approximate answers ("vorbeireden"), clouding of
consciousness, and frequently accompanied by hallucinations or other
dissociative, somatoform, or conversion symptoms. It is often associated
with severe stress or trauma.
---
**3. Which of the following can cause delirium? (Select all that apply)**
A) Polypharmacy
B) Sleep deprivation
C) Infection
D) Metabolic disturbances
**Correct Answer: A, B, C, D**
**Rationale:** Delirium is an acute neurocognitive disorder that can be
caused by multiple factors including polypharmacy (especially in older
adults), sleep deprivation, infections (particularly urinary tract infections in
the elderly), metabolic disturbances (electrolyte imbalances, hepatic or renal
failure), and other medical conditions. Delirium is often multifactorial and
requires identification and treatment of the underlying cause(s).
---
,**4. Acute withdrawal from alcohol represents which type of clinical problem
in psychosomatic medicine?**
A) Psychiatric conditions causing medical complications
B) Medical complications of psychiatric conditions or treatments
C) Psychological factors affecting medical conditions
D) Somatoform disorders
**Correct Answer: B**
**Rationale:** Acute withdrawal from alcohol represents a medical
complication of a psychiatric condition or treatment. Alcohol withdrawal is a
medical emergency that can lead to seizures, delirium tremens, and death. It
requires medical management and is considered a complication of the
psychiatric condition (alcohol use disorder).
---
**5. The principal theoretician to bring psyche and soma together was which
of the following?**
A) Sigmund Freud
B) Carl Jung
C) Alfred Adler
D) Erik Erikson
**Correct Answer: A**
, **Rationale:** Sigmund Freud was the principal theoretician to bring psyche
(mind) and soma (body) together. He developed theories about the
relationship between psychological conflicts and physical symptoms, laying
the foundation for psychosomatic medicine and the understanding of
conversion disorders.
---
**6. Which of the following would NOT be included in the treatment plan for a
patient with illness anxiety disorder?**
A) Cognitive-behavioral therapy
B) Reassurance and education
C) Exploratory invasive procedures to obtain diagnosis
D) Addressing health-related beliefs and behaviors
**Correct Answer: C**
**Rationale:** Exploratory invasive procedures to obtain diagnosis are NOT
appropriate for illness anxiety disorder and may reinforce the patient's health
anxiety. Treatment should focus on cognitive-behavioral therapy,
reassurance, education, and addressing maladaptive health beliefs and
behaviors. Excessive testing and procedures can lead to iatrogenic harm and
reinforce illness-related fears.
---
**7. The epidemiology related to kleptomania includes which of the
following?**
Q&A | Psychiatric Mental Health
**1. An illness of symptoms or deficits that affect voluntary motor or sensory
functions, which suggest another medical condition but that is judged to be
caused by psychological factors because the illness is preceded by conflicts
or other stressors, is known as which of the following?**
A) Somatic symptom disorder
B) Illness anxiety disorder
C) Functional neurological symptom disorder (conversion disorder)
D) Factitious disorder
**Correct Answer: C**
**Rationale:** Functional neurological symptom disorder (conversion
disorder) is characterized by symptoms or deficits affecting voluntary motor
or sensory functions that suggest a neurological or other medical condition
but are judged to be caused by psychological factors. The symptoms are not
intentionally produced and are preceded by conflicts or stressors.
---
**2. A condition characterized by the person giving approximate answers,
with clouding of consciousness, frequently accompanied by hallucinations or
other dissociative, somatoform, or conversion symptoms, is known as:**
A) Factitious disorder
B) Ganser syndrome
C) Malingering
D) Dissociative identity disorder
,**Correct Answer: B**
**Rationale:** Ganser syndrome is a rare dissociative disorder characterized
by the person giving approximate answers ("vorbeireden"), clouding of
consciousness, and frequently accompanied by hallucinations or other
dissociative, somatoform, or conversion symptoms. It is often associated
with severe stress or trauma.
---
**3. Which of the following can cause delirium? (Select all that apply)**
A) Polypharmacy
B) Sleep deprivation
C) Infection
D) Metabolic disturbances
**Correct Answer: A, B, C, D**
**Rationale:** Delirium is an acute neurocognitive disorder that can be
caused by multiple factors including polypharmacy (especially in older
adults), sleep deprivation, infections (particularly urinary tract infections in
the elderly), metabolic disturbances (electrolyte imbalances, hepatic or renal
failure), and other medical conditions. Delirium is often multifactorial and
requires identification and treatment of the underlying cause(s).
---
,**4. Acute withdrawal from alcohol represents which type of clinical problem
in psychosomatic medicine?**
A) Psychiatric conditions causing medical complications
B) Medical complications of psychiatric conditions or treatments
C) Psychological factors affecting medical conditions
D) Somatoform disorders
**Correct Answer: B**
**Rationale:** Acute withdrawal from alcohol represents a medical
complication of a psychiatric condition or treatment. Alcohol withdrawal is a
medical emergency that can lead to seizures, delirium tremens, and death. It
requires medical management and is considered a complication of the
psychiatric condition (alcohol use disorder).
---
**5. The principal theoretician to bring psyche and soma together was which
of the following?**
A) Sigmund Freud
B) Carl Jung
C) Alfred Adler
D) Erik Erikson
**Correct Answer: A**
, **Rationale:** Sigmund Freud was the principal theoretician to bring psyche
(mind) and soma (body) together. He developed theories about the
relationship between psychological conflicts and physical symptoms, laying
the foundation for psychosomatic medicine and the understanding of
conversion disorders.
---
**6. Which of the following would NOT be included in the treatment plan for a
patient with illness anxiety disorder?**
A) Cognitive-behavioral therapy
B) Reassurance and education
C) Exploratory invasive procedures to obtain diagnosis
D) Addressing health-related beliefs and behaviors
**Correct Answer: C**
**Rationale:** Exploratory invasive procedures to obtain diagnosis are NOT
appropriate for illness anxiety disorder and may reinforce the patient's health
anxiety. Treatment should focus on cognitive-behavioral therapy,
reassurance, education, and addressing maladaptive health beliefs and
behaviors. Excessive testing and procedures can lead to iatrogenic harm and
reinforce illness-related fears.
---
**7. The epidemiology related to kleptomania includes which of the
following?**
