NRNP 6675 Week 6 Midterm Exam
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Question 1
A patient presents with the inability to remain still, with motor restlessness. This would
be assessed as which of the following?
A) Dystonia
B) Akathisia
C) Akinesia
D) Tardive dyskinesia
Rationale: Akathisia is characterized by subjective restlessness and an inability to
remain still, often described as motor restlessness. It is a common extrapyramidal side
effect of antipsychotic medications. Dystonia involves involuntary muscle contractions
causing abnormal postures; akinesia involves loss of voluntary movement; and tardive
dyskinesia involves involuntary rhythmic movements typically affecting the face and
mouth .
Question 2
According to USDHHS and the Federal Bureau of Primary Health Care, which of the
following individuals would be considered homeless?
A) An individual whose primary residence during the night is a supervised public
or private facility that provides temporary living accommodations
B) An individual who is a resident in transitional housing
,C) A person who is living with a friend
D) All of the above
Rationale: The federal definition of homelessness includes individuals whose primary
nighttime residence is a supervised public or private facility providing temporary living
accommodations. This includes emergency shelters and similar facilities. While
transitional housing residents and those "doubled up" with friends may experience
housing instability, they do not meet the strict federal definition of homelessness .
Question 3
A particular form of psychotherapy used for patients with borderline personality
disorder, especially those with parasuicidal behaviors such as frequent cutting, is known
as which of the following?
A) Dialectical Behavior Therapy
B) Mentalization-based Treatment
C) Transference-focused Psychotherapy
D) Exposure Therapy
Rationale: Dialectical Behavior Therapy (DBT) was specifically developed by Marsha
Linehan for treating borderline personality disorder, particularly in patients with
parasuicidal behaviors and self-harm. DBT combines cognitive-behavioral techniques
with mindfulness practices and focuses on emotion regulation, distress tolerance, and
interpersonal effectiveness .
Question 4
A patient presents with a formal, tense manner and reluctantly reports a longstanding
(since early adulthood) pervasive suspiciousness of others, preoccupation with the
trustworthiness of friends, unjustified concerns about others deceiving him, and anger
about perceived insults. The APRN suspects which personality disorder?
A) Schizoid Personality Disorder
B) Paranoid Personality Disorder
,C) Borderline Personality Disorder
D) Antisocial Personality Disorder
Rationale: Paranoid personality disorder is characterized by a pervasive pattern of
distrust and suspiciousness of others, beginning by early adulthood. Key features
include interpreting others' motives as malevolent, preoccupation with unjustified
doubts about loyalty, reluctance to confide in others, and bearing grudges. This
patient's presentation of formal, tense manner with longstanding suspiciousness is
consistent with this diagnosis .
Question 5
Patients with this personality disorder are described as excitable and emotional,
behaving in a colorful, dramatic, extroverted, attention-seeking fashion, often with an
inability to maintain deep long-lasting attachments.
A) Borderline Personality Disorder
B) Histrionic Personality Disorder
C) Narcissistic Personality Disorder
D) Antisocial Personality Disorder
Rationale: Histrionic personality disorder is characterized by excessive emotionality and
attention-seeking behavior. Individuals are often described as dramatic, excitable, and
extroverted. They may be uncomfortable when not the center of attention and often use
physical appearance to draw attention. Their speech is often impressionistic and lacking
in detail .
Question 6
A personality disorder characterized by emotional constriction, orderliness,
perseverance, stubbornness, indecisiveness, and a pervasive pattern of perfectionism
and inflexibility is known as which of the following?
A) Depressive Personality Disorder
B) Borderline Personality Disorder
, C) Dependent Personality Disorder
D) Obsessive-Compulsive Personality Disorder
Rationale: Obsessive-compulsive personality disorder (OCPD) is characterized by a
pervasive pattern of preoccupation with orderliness, perfectionism, and mental and
interpersonal control, at the expense of flexibility, openness, and efficiency. Features
include emotional constriction, stubbornness, indecisiveness, and excessive devotion to
work .
Question 7
The fear of or anxiety regarding places from which escape might be difficult is known as
which of the following?
A) Depression
B) Panic Disorder
C) Agoraphobia
D) Generalized Anxiety Disorder
Rationale: Agoraphobia is defined as marked fear or anxiety about two or more of the
following situations: using public transportation, being in open spaces, being in
enclosed places, standing in line or being in a crowd, or being outside of the home
alone. The individual fears these situations because escape might be difficult or help
might not be available .
Question 8
The fear of social situations, including situations that involve scrutiny or contact with
strangers, is known as which of the following?
A) Agoraphobia
B) Social Anxiety Disorder (Social Phobia)
C) Panic Disorder
D) Specific Phobia
Questions and Revised Correct
Answers () 100%
Guarantee Pas
Question 1
A patient presents with the inability to remain still, with motor restlessness. This would
be assessed as which of the following?
A) Dystonia
B) Akathisia
C) Akinesia
D) Tardive dyskinesia
Rationale: Akathisia is characterized by subjective restlessness and an inability to
remain still, often described as motor restlessness. It is a common extrapyramidal side
effect of antipsychotic medications. Dystonia involves involuntary muscle contractions
causing abnormal postures; akinesia involves loss of voluntary movement; and tardive
dyskinesia involves involuntary rhythmic movements typically affecting the face and
mouth .
Question 2
According to USDHHS and the Federal Bureau of Primary Health Care, which of the
following individuals would be considered homeless?
A) An individual whose primary residence during the night is a supervised public
or private facility that provides temporary living accommodations
B) An individual who is a resident in transitional housing
,C) A person who is living with a friend
D) All of the above
Rationale: The federal definition of homelessness includes individuals whose primary
nighttime residence is a supervised public or private facility providing temporary living
accommodations. This includes emergency shelters and similar facilities. While
transitional housing residents and those "doubled up" with friends may experience
housing instability, they do not meet the strict federal definition of homelessness .
Question 3
A particular form of psychotherapy used for patients with borderline personality
disorder, especially those with parasuicidal behaviors such as frequent cutting, is known
as which of the following?
A) Dialectical Behavior Therapy
B) Mentalization-based Treatment
C) Transference-focused Psychotherapy
D) Exposure Therapy
Rationale: Dialectical Behavior Therapy (DBT) was specifically developed by Marsha
Linehan for treating borderline personality disorder, particularly in patients with
parasuicidal behaviors and self-harm. DBT combines cognitive-behavioral techniques
with mindfulness practices and focuses on emotion regulation, distress tolerance, and
interpersonal effectiveness .
Question 4
A patient presents with a formal, tense manner and reluctantly reports a longstanding
(since early adulthood) pervasive suspiciousness of others, preoccupation with the
trustworthiness of friends, unjustified concerns about others deceiving him, and anger
about perceived insults. The APRN suspects which personality disorder?
A) Schizoid Personality Disorder
B) Paranoid Personality Disorder
,C) Borderline Personality Disorder
D) Antisocial Personality Disorder
Rationale: Paranoid personality disorder is characterized by a pervasive pattern of
distrust and suspiciousness of others, beginning by early adulthood. Key features
include interpreting others' motives as malevolent, preoccupation with unjustified
doubts about loyalty, reluctance to confide in others, and bearing grudges. This
patient's presentation of formal, tense manner with longstanding suspiciousness is
consistent with this diagnosis .
Question 5
Patients with this personality disorder are described as excitable and emotional,
behaving in a colorful, dramatic, extroverted, attention-seeking fashion, often with an
inability to maintain deep long-lasting attachments.
A) Borderline Personality Disorder
B) Histrionic Personality Disorder
C) Narcissistic Personality Disorder
D) Antisocial Personality Disorder
Rationale: Histrionic personality disorder is characterized by excessive emotionality and
attention-seeking behavior. Individuals are often described as dramatic, excitable, and
extroverted. They may be uncomfortable when not the center of attention and often use
physical appearance to draw attention. Their speech is often impressionistic and lacking
in detail .
Question 6
A personality disorder characterized by emotional constriction, orderliness,
perseverance, stubbornness, indecisiveness, and a pervasive pattern of perfectionism
and inflexibility is known as which of the following?
A) Depressive Personality Disorder
B) Borderline Personality Disorder
, C) Dependent Personality Disorder
D) Obsessive-Compulsive Personality Disorder
Rationale: Obsessive-compulsive personality disorder (OCPD) is characterized by a
pervasive pattern of preoccupation with orderliness, perfectionism, and mental and
interpersonal control, at the expense of flexibility, openness, and efficiency. Features
include emotional constriction, stubbornness, indecisiveness, and excessive devotion to
work .
Question 7
The fear of or anxiety regarding places from which escape might be difficult is known as
which of the following?
A) Depression
B) Panic Disorder
C) Agoraphobia
D) Generalized Anxiety Disorder
Rationale: Agoraphobia is defined as marked fear or anxiety about two or more of the
following situations: using public transportation, being in open spaces, being in
enclosed places, standing in line or being in a crowd, or being outside of the home
alone. The individual fears these situations because escape might be difficult or help
might not be available .
Question 8
The fear of social situations, including situations that involve scrutiny or contact with
strangers, is known as which of the following?
A) Agoraphobia
B) Social Anxiety Disorder (Social Phobia)
C) Panic Disorder
D) Specific Phobia
