NRNP 6665 Week
11 Final Exam
(2026/2027) /NRNP
6665 PMHNP Care
Across The Lifespan
,1.
Question: 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?
Answer Choices:
A. Factitious disorder
B. Illness anxiety disorder
C. Somatic symptom disorder
D. Functional neurological symptom disorder
Correct Answer: D. Functional neurological symptom disorder
Rationale: Functional neurological symptom disorder (conversion
disorder) is characterized by symptoms affecting voluntary motor or
sensory function that suggest a neurological condition but are
incompatible with recognized neurological or medical conditions.
Psychological factors, such as conflicts or stress, are judged to be
associated with the symptoms. The term "conversion" refers to the
substitution of a somatic symptom for a repressed idea. Unlike
factitious disorder (A), the symptoms are not feigned, and the patient's
distress is genuine.
2.
Question: 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:
Answer Choices:
A. Ganser Syndrome
B. Schizophrenia
C. Dissociative trance disorder
D. Dissociative identity disorder
Correct Answer: A. Ganser Syndrome
Rationale: Ganser syndrome is a rare dissociative disorder
characterized by "approximate answers" (vorbeireden), clouding of
consciousness, and somatic conversion symptoms, often accompanied
by hallucinations. It has been associated with head injury, stroke, and
various functional psychiatric disorders. The core features include
approximate answers, clouding of consciousness, somatic conversion
symptoms, and hallucinations, though not all symptoms are required
for diagnosis.
3.
Question: Which of the following can cause delirium? Check all that
apply.
Answer Choices:
A. Polypharmacy
B. Sleep deprivation
C. Admission/transfer/discharge from a healthcare facility
, D. None of the above
Correct Answer: A, B, C
Rationale: Delirium is an acute, fluctuating disturbance in attention
and cognition caused by an underlying medical condition. It can be
triggered by anything that stresses the baseline homeostasis of a
vulnerable patient. Polypharmacy (A) is a significant risk factor, as
multiple medications can interact or have side effects that precipitate
delirium. Sleep deprivation (B) can severely disrupt brain function.
Admission/transfer/discharge (C) represents an environmental change
and stressor that can contribute to delirium in susceptible patients,
especially the elderly.
4.
Question: Acute withdrawal from alcohol represents which type of
clinical problem in psychosomatic medicine?
Answer Choices:
A. Medical complications of psychiatric conditions or treatments
B. Psychiatric complications of medical conditions and treatments
C. Psychiatric symptoms as a reaction to medical treatments
D. Co-occurring medical and psychiatric conditions
Correct Answer: A. Medical complications of psychiatric
conditions or treatments
Rationale: Alcohol Use Disorder is a psychiatric condition. Acute
alcohol withdrawal is a direct physiological (medical) complication that
arises from the treatment or cessation of the substance associated with
11 Final Exam
(2026/2027) /NRNP
6665 PMHNP Care
Across The Lifespan
,1.
Question: 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?
Answer Choices:
A. Factitious disorder
B. Illness anxiety disorder
C. Somatic symptom disorder
D. Functional neurological symptom disorder
Correct Answer: D. Functional neurological symptom disorder
Rationale: Functional neurological symptom disorder (conversion
disorder) is characterized by symptoms affecting voluntary motor or
sensory function that suggest a neurological condition but are
incompatible with recognized neurological or medical conditions.
Psychological factors, such as conflicts or stress, are judged to be
associated with the symptoms. The term "conversion" refers to the
substitution of a somatic symptom for a repressed idea. Unlike
factitious disorder (A), the symptoms are not feigned, and the patient's
distress is genuine.
2.
Question: 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:
Answer Choices:
A. Ganser Syndrome
B. Schizophrenia
C. Dissociative trance disorder
D. Dissociative identity disorder
Correct Answer: A. Ganser Syndrome
Rationale: Ganser syndrome is a rare dissociative disorder
characterized by "approximate answers" (vorbeireden), clouding of
consciousness, and somatic conversion symptoms, often accompanied
by hallucinations. It has been associated with head injury, stroke, and
various functional psychiatric disorders. The core features include
approximate answers, clouding of consciousness, somatic conversion
symptoms, and hallucinations, though not all symptoms are required
for diagnosis.
3.
Question: Which of the following can cause delirium? Check all that
apply.
Answer Choices:
A. Polypharmacy
B. Sleep deprivation
C. Admission/transfer/discharge from a healthcare facility
, D. None of the above
Correct Answer: A, B, C
Rationale: Delirium is an acute, fluctuating disturbance in attention
and cognition caused by an underlying medical condition. It can be
triggered by anything that stresses the baseline homeostasis of a
vulnerable patient. Polypharmacy (A) is a significant risk factor, as
multiple medications can interact or have side effects that precipitate
delirium. Sleep deprivation (B) can severely disrupt brain function.
Admission/transfer/discharge (C) represents an environmental change
and stressor that can contribute to delirium in susceptible patients,
especially the elderly.
4.
Question: Acute withdrawal from alcohol represents which type of
clinical problem in psychosomatic medicine?
Answer Choices:
A. Medical complications of psychiatric conditions or treatments
B. Psychiatric complications of medical conditions and treatments
C. Psychiatric symptoms as a reaction to medical treatments
D. Co-occurring medical and psychiatric conditions
Correct Answer: A. Medical complications of psychiatric
conditions or treatments
Rationale: Alcohol Use Disorder is a psychiatric condition. Acute
alcohol withdrawal is a direct physiological (medical) complication that
arises from the treatment or cessation of the substance associated with
