WALDEN UNIVERSITY COMBINED NURS 6635 PSYCHOPATHOLOGY FINAL EXAM

• Question 1 Select the development time of symptoms in neuroleptic malignant syndrome. Selected Answer: • Question 2 B. 24-72 hours Select the non-drug therapy in which mastery of anxiety through desensitization is critical to successful treatment of sexual dysfunction. Selected Answer: • Question 3 C. Behavi or Select the main cause female orgasmic disorder. Selected Answer: • Question 4 D. Psychologi cal Select the difference between illusions and hallucinations. Selected Answers: • Question 5 B. Hallucinations ARE NOT based upon real images or sensations. Select two terms preferred to describe sexual orientation. Selected Answers: B. Heterosex ual • Question 6 C. Homosexu al Differential diagnoses for consideration when assessing gender dysphoria in adolescents and adults include all of the following EXCEPT Selected Answer: • Question 7 D. Fetishistic Disorder Select the preferred drug used to treat alcohol withdrawal. Selected Answer: • Question 8 C. Lorazepa m Select the substance of abuse with the strongest evidence for genetic association. Selected Answer: • Question 9 C. Alcoh ol Select the age before which a majority of paraphilic disorders occurs. Selected B. Answer: 18 • Question 10 Select the mental function that is most affected in mild cognitive impairment. Selected Answer: D. Recent memory • Question 11 What theorist saw schizophrenia as a reaction to life stressors? Selected Answer: B. Meye r • Question 12 All of the following are symptoms of alcoholic withdrawal delirium EXCEPT Selected Answers: B. Autonomic dysfunction • Question 13 What laboratory test assists with the diagnosis of schizophrenia? Selected Answer: D. No lab test • Question 14 Select the therapy that is contrary to position statements of the American Academy of Child and Adolescent Psychiatry. Selected Answer: B. Conversi on • Question 15 Select two comorbid factors common in schizophrenic patients. Selected Answers: A. Substance abuse D. Undiagnosed medical illness • Question 16 Select the most effective form of questioning when taking a sex history. Selected Answer: B. Openended • Question 17 What is known as the peak age of onset for schizophrenia in males? Selected Answer: B. 10-25 years old • Question 18 Select the personality disorder in which patients are preoccupied with perfectionism and interpersonal control. Selected Answer: B. Obsessivecompulsive • Question 19 Select the epidemiologic characteristic of tardive dyskinesia symptoms. Selected Answer: D. 5% to 10% of patients require hospitalization • Question 20 Select the hepatic enzyme that performs the initial metabolism of alcohol. Selected A. Answer: AD H • Question 21 Select the personality disorder that presents the greatest challenge to diagnose by experienced providers. Selected Answer: A. Borderlin e • Question 22 Select the characteristic of sexually abused children. Selected Answer: C. Sexual knowledge beyond their age • Question 23 Select the medical condition that occurs less frequently in schizophrenic patients than in the general population. Selected Answer: D. Rheumatoid arthritis • Question 24 Select the rare adverse effect of SSRI antidepressants. Selected Answer: A. Tardive dyskinesia • Question 25 Select the psychiatric disorder for which the term neuroleptic is used to describe drug effects. Selected Answer: B. Schizophre nia • Question 26 Select the age at which sexual identity is self-evident. Selected Answer: B. 2 to 3 years • Question 27 Select the diagnostic criterion for catatonia resulting from a medical condition. Selected Answer: C. Waxy flexibility • Question 28 Select the most frequently abused illicit drug. Selected Answer: A. Marijuan a • Question 29 Select the youngest age at which childhood-onset schizophrenia can be distinguished from autism spectrum. Selected D. Answer: 6 • Question 30 Select the negative symptom of schizophrenia. Selected Answer: A. Anhedon ia • Question 31 Select the main goal of psychosocial therapies for persons with schizophrenia. Selected Answer: C. Develop skills for independent living • Question 32 Select the personality disorder in which patients exhibit covert obstructionism, procrastination and pessimism. Selected Answer: D. Passiveaggressive • Question 33 Select the drug that is least likely to cause male sexual dysfunction. Selected Answer: A. trazodo ne • Question 34 Select the most frequent cause of infant and childhood intellectual disability that is attributed to a specific gene. Selected Answer: A. Fragile X • Question 35 Select the factor that best correlates with attempted and completed suicide. Selected Answer: A. Mental illness • Question 36 Select the substance that is most commonly abused by adolescents. Selected Answer: D. Alcoh ol • Question 37 Select the patient population at most risk of mortality from delirium. Selected Answer: C. Alcohol withdrawal • Question 38 Heavy use of cannabis in individuals with no previous psychiatric illnesses can produce: Selected Answer: D. Psychos is • Question 39 Select the drug that is most likely to cause parkinsonian movement symptoms. Selected Answer: D. Haloperid ol • Question 40 Select the intrinsic chemical released in orgasm that reinforces pleasurable sensation. Selected Answer: D. Oxytoci n • Question 41 What is an example of a thought disorder? Selected Answer: D. Delusio n • Question 42 The enzyme ADH that catalyzes the conversion of alcohol into acetaldehyde is inhibited by which medication? Selected Answer: A. Disulfiram • Question 43 Select two psychiatric disorders that are often misdiagnosed as childhood-onset or earlyonset schizophrenia. Selected Answers: A. Autism spectrum D. Bipolar I • Question 44 Select the characteristic found in persons with intersex conditions. Selected Answer: B. Birth with atypical anatomy • Question 45 Select the brain region that shows the greatest anatomical abnormalities in schizophrenic patients. Selected Answer: C. Prefrontal cortex • Question 46 Select the psychiatric theorist who proposed that all pleasurable impulses and activities are sexual in origin. Selected Answer: C. Freu d • Question 47 Select the neurotransmitter for which the metabolite 5-HIAA in CSF is evident and predictive of suicide. Selected Answer: A. Serotoni n • Question 48 Select the primary method to assess cognition. Selected Answer: C. Mental status exam • Question 49 Select the gender dysphoria in which genital surgery is usually not chosen. Selected Answer: C. Crossdress er • Question 50 Select the infectious disease that when untreated may lead to an incorrect diagnosis of depression. Selected Answer: A. Syphili s • Question 51 Select the psychiatric emergency that is indicated by mothers who express inadequate distress over their children’s medical symptoms. Selected Answer: D. Munchausen’s syndrome • Question 52 Select the two characteristics that describe normal sexual behavior. Selected Answers: A. Varies from era to era B. Reflects cultural mores • Question 53 Select the drug that is least life-threatening when consumed in an overdose. Selected Answer: B. Zolpide m • Question 54 Select the characteristic of masturbation. Selected Answer: C. Is most universally practiced • Question 55 Select the characteristic that is greater in childhood than adult onset schizophrenia. Selected Answer: B. Social withdrawal • Question 56 Select the most reliable method to make a diagnosis of schizophrenia. Selected Answer: D. Patient history • Question 57 Select the youngest age by which early-onset schizophrenia occurs. Selected A. Answer: 10 • Question 58 Select the drug most likely to be effective treating paraphilic disorders. Selected Answer: D. Medroxyprogester one • Question 59 Select the personality disorder in which patients are most likely to tolerate spousal abuse to avoid losing sense of attachment. Selected Answer: A. Depende nt • Question 60 What is the term for patients who mimic mental health symptoms without having the disorder for secondary gain? Selected Answer: C. Fictitiou s • Question 61 Select the neurotransmitter system that is most associated with the addictive rewarding properties of opioids. Selected Answer: A. Dopaminer gic • Question 62 Select the neurotransmitter that has least involvement in drug-induced movement disorders. Selected Answer: A. Norepinephri ne • Question 63 Select the type of hallucinations most common in schizophrenia. Selected Answer: C. Auditor y • Question 64 All of the following are criteria for gender dysphoria diagnosis in children EXCEPT Selected Answers: D. Dressing in clothing of assigned gender • Question 65 Select the age range at which most children with gender dysphoria begin to show increased anxiety over anticipated changes to their bodies. Selected Answer: A. 11 to 14 • Question 66 Select the personality disorder that is assigned to Cluster B in DSM-5. Selected Answer: C. Histrioni c • Question 67 Select the factor that increases suicidal risk in patients in early treatment with SSRI antidepressants. Selected Answer: C. Energ y • Question 68 Select the two non-drug therapies most likely to be effective in treating paraphilic disorders. Selected Answers: A. Cognitivebehavioral B. Dialectical • Question 69 Select the most common error by the provider in the practice of family-oriented therapy for persons with schizophrenia. Selected Answer: B. Encouraging family to promote patients to resume normal activity too quickly • Question 70 Select the factor that exerts the strongest influence on the initiation of substance use disorder in adolescents. Selected Answer: A. Peer s • Question 71 In the dopamine hypothesis, what is known to be linked to the severity of positive psychotic symptoms in schizophrenia? Selected Answer: A. Excessive dopamine release • Question 72 Select the personality disorder in which patients seek social withdrawal. Selected Answer: A. Schizoi d • Question 73 Select the two patient populations most likely suffer neuroleptic-induced parkinsonian symptoms. Selected Answers: A. Femal e C. Elderl y • Question 74 Select the medical condition in which erectile dysfunction drugs (e.g., sildenafil) are likely to be ineffective. Selected Answer: A. Insulin-dependent diabetes • Question 75 Schizophrenia is equally prevalent in men and women. Selected Answer: A. Tru e • Question 76 Select the factor that is most influential in determining gender role development. Selected Answer: C. Learnin g • Question 77 Select the personality disorder in which patients are continually in crisis and exhibit unpredictable behavior. Selected Answer: C. Borderlin e • Question 78 Select the most common cause of dementia in elderly persons. Selected Answer: C. Alzheimer’s disease • Question 79 In the diagnosis of schizophrenia, symptoms must persist for how long? Selected Answer: C. 6-8 months • Question 80 Select the most common paraphilic disorder. Selected Answer: C. Pedophili a • Question 81 Select the distinguishing characteristic of paraphilic disorders. Selected Answer: A. Deviation from normal sexual behavior • Question 82 Select the most distinguishing feature in the course and prognosis of schizophrenia. Selected Answer: A. Worsening after each relapse • Question 83 Select the disorder in which the highest percentage of patients commit suicide. Selected Answer: D. Moo d • Question 84 Select the theorist who first studied social and cultural influences on suicide. Selected Answer: B. Durkhei m • Question 85 Select the rating scale used to assess medication-induced movement disorders. Selected Answer: C. AIM S • Question 86 Bleuler identified “Four As” as fundamental symptoms of schizophrenia to frame his theory of internal mental schisms of patients that include all the following EXCEPT: Selected Answers: C. Arrogance • Question 87 Select the two most life-threatening adverse effects of cocaine use. Selected Answers: A. Respiratory depression B. Cardiac arrhythmias • Question 88 Select the most distinguishing characteristic of delirium. Selected Answer: B. Sudden onset • Question 89 Select the drug used to treat neuroleptic malignant syndrome. Selected Answer: C. Dantrole ne • Question 90 Select the comorbid disorder that is more frequent in children with gender dysphoria. Selected Answer: C. Autism spectrum • Question 91 Select the two main conditions to initially identify in adult psychiatric emergencies. Selected Answers: A. Violenc e B. Suicide • Question 92 Select the brain region devoid of cannabinoid receptors. Selected Answer: A. Brain stem • Question 93 Select the category of symptoms that is most commonly comorbid with cognitive disorders. Selected Answer: A. Behavior al • Question 94 Select the two defense mechanisms used commonly by patients with personality disorders. Selected Answers: C. Splitting D. Projectio n • Question 95 Select the pair of terms that represents the greatest conflict regarding sexual behavior. Selected Answer: B. cultural and spiritual • Question 96 The FDA requires a black box warning of monitoring for agranulocytosis for which antipsychotic medication? Selected Answer: A. Clozapi ne • Question 97 What is the terminology term for the dream-like state of patients with schizophrenia who are engaged in their hallucinations and exclude involvement in the real world? Selected Answer: A. Oneiroid • Question 98 Select two treatments for adults who identify as transgender. Selected Answers: A. Hormon al D. Surgical • Question 99 Select the two normal functions in Asperger’s Disorder that are absent in Autism Spectrum Disorder. Selected Answers: A. Cognitive ability C. Language skills • Question 100 Select the primary defense mechanism that is common in delusional disorder. Selected Answer: A. Projectio n • Question 101 When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Ye Answer: s Friday, May 14, 2021 7:47:28 PM EDT User Isaac oluwole Alade Course NRNP-6635-19-Psychpathology Diag Reasoning-QTR-Term-wks-1- thru-11-(03/01/2021-05/16/2021)-PT27 Test Exam - Week 11 Started 5/16/21 7:18 PM Submitted 5/16/21 9:24 PM Due Date 5/17/21 1:59 AM Status Completed Attempt Score Time Elapsed Results Displayed 62 out of 100 points 2 hours, 6 minutes out of 2 hours and 30 minutes Submitted Answers • Question 1 Select the factor that best correlates with attempted and completed suicide. Selected Answer: • Question 2 A. Mental illness Select the disorder in which the highest percentage of patients commit suicide. Selected D. Answer: Moo d • Question 3 Select the usual time delay to the onset of tardive dyskinesia symptoms after initiating antipsychotic drug therapy. Selected Answer: • Question 4 C. 3 months Select two psychiatric disorders that are often misdiagnosed as childhood-onset or early-onset schizophrenia. Selected Answers: • Question 5 A. Autism spectrum D. Bipolar I Select the two most life-threatening adverse effects of cocaine use. Selected Answers: • Question 6 A. Respiratory depression B. Cardiac arrhythmias Select the characteristic of sexually abused children. Selected Answer: • Question 7 C. Sexual knowledge beyond their age Select the drug most likely to inhibit female orgasm. Selected Bupropio Answer: n • Question 8 Select the rating scale used to assess medication-induced movement disorders. Selected Answer: • Question 9 C. AIM S Select the pair of terms that represents the greatest conflict regarding sexual behavior. Selected Answer: • Question 10 B. cultural and spiritual What is an example of a thought disorder? Selected Answer: • Question 11 D. Delusio n Select the drug used to treat age-related sexual dysfunction. Selected Answer: • Question 12 A. sildena fil Select the drug that is most likely to cause parkinsonian movement symptoms. Selected Answer: • Question 13 D. Haloperid ol Select the personality disorder in which patients are preoccupied with perfectionism and interpersonal control. Selected Answer: • Question 14 B. Obsessivecompulsive What is the terminology term for the dream-like state of patients with schizophrenia who are engaged in their hallucinations and exclude involvement in the real world? Selected Answer: • Question 15 A. Oneiroid The enzyme ADH that catalyzes the conversion of alcohol into acetaldehyde is inhibited by which medication? Selected Answer: • Question 16 A. Disulfiram Select the personality disorder in which patients are most likely to tolerate spousal abuse to avoid losing sense of attachment. Selected Answer: • Question 17 B. Narcissist ic Select the youngest age at which childhood-onset schizophrenia can be distinguished from autism spectrum. Selected D. Answer: 6 • Question 18 Select the infectious disease that when untreated may lead to an incorrect diagnosis of depression. Selected A. Answer: • Question 19 Syphili s Select the main cause female orgasmic disorder. Selected Answer: • Question 20 C. Hormon al What is known as the peak age of onset for schizophrenia in males? Selected Answer: • Question 21 B. 10-25 years old Select the medical condition in which erectile dysfunction drugs (e.g., sildenafil) are likely to be ineffective. Selected Answer: • Question 22 A. Insulin-dependent diabetes Select the two essential features of sexual dysfunction. Selected Answers: B. Nonresponse to sexual stimulation C. Pain during sexual activity • Question 23 Select the two Freudian stages of psychosexual development. Selected Answers: B. Oral D. Genit al • Question 24 Select the most distinguishing characteristic of delirium. Selected Answer: • Question 25 B. Sudden onset Select the non-drug therapy in which mastery of anxiety through desensitization is critical to successful treatment of sexual dysfunction. Selected Answer: • Question 26 C. Behavi or Select the most common cause of dementia in elderly persons. Selected Answer: • Question 27 C. Alzheimer’s disease The presence of hallucinations or delusions IS needed for a diagnosis of schizophrenia. Selected Answers: A. Tru e • Question 28 Select the youngest age by which early-onset schizophrenia occurs. Selected A. Answer: 1 0 • Question 29 Select the diagnostic criterion for catatonia resulting from a medical condition. Selected Answer: • Question 30 C. Waxy flexibility Select the two non-drug therapies most likely to be effective in treating paraphilic disorders. Selected Answers: A. Cognitivebehavioral B. Dialectical • Question 31 Select the psychiatric emergency that is indicated by mothers who express inadequate distress over their children’s medical symptoms. Selected Answer: • Question 32 B. PTS D Select the most reliable method to make a diagnosis of schizophrenia. Selected Answer: • Question 33 D. Patient history Select the most distinguishing feature in the course and prognosis of schizophrenia. Selected Answer: • Question 34 A. Worsening after each relapse Select the neurotransmitter deficiency that is most associated with delirium. Selected Answer: • Question 35 B. Acetylcholi ne Select the factor that is most influential in determining gender role development. Selected Answer: • Question 36 D. Hormon al Select the disorder that is often comorbid with brief psychotic disorder. Selected Answer: • Question 37 D. Personali ty Select the characteristic of masturbation. Selected Answer: • Question 38 C. Is most universally practiced Select the disorder in which is characterized by lack breast development. Selected Answer: • Question 39 C. Turner’s syndrome Select the brain region that shows the greatest anatomical abnormalities in schizophrenic patients. Selected Answer: C. Prefrontal cortex • Question 40 Select the type of neurochemical receptor that is blocked by caffeine. Selected Answer: • Question 41 C. Adenosi ne Select the gender dysphoria in which genital surgery is usually not chosen. Selected Answer: • Question 42 D. Transgend er Select the two defense mechanisms used commonly by patients with personality disorders. Selected Answers: C. Splitting D. Projectio n • Question 43 The FDA requires a black box warning of monitoring for agranulocytosis for which antipsychotic medication? Selected Answer: • Question 44 A. Clozapi ne Select the factor that increases suicidal risk in patients in early treatment with SSRI antidepressants. Selected Answer: • Question 45 C. Energ y Select the patient population at most risk of mortality from delirium. Selected Answer: • Question 46 C. Alcohol withdrawal Select the most frequently abused illicit drug. Selected Answer: • Question 47 A. Marijuan a Heavy use of cannabis in individuals with no previous psychiatric illnesses can produce: Selected Answer: • Question 48 C. Amnes ia Select the neurotransmitter that is most associated with the occurrence of ADHD. Selected Answer: • Question 49 B. Dopami ne Select the psychiatric disorder in which patients refuse mental health care and deny their problems. Selected Answer: • Question 50 A. Obsessivecompulsive Select the age before which a majority of paraphilic disorders occurs. Selected B. Answer: 1 8 • Question 51 Select the most common error by the provider in the practice of familyoriented therapy for persons with schizophrenia. Selected Answer: D. Open discussion by practitioner with family about the patient’s frightening psychotic symptoms • Question 52 Select the age at which sexual identity is self-evident. Selected Answer: • Question 53 C. 4 to 5 years Select the brain region that is associated with substance addiction. Selected Answer: • Question 54 A. Prefrontal cortex Select the two normal functions in Asperger’s Disorder that are absent in Autism Spectrum Disorder. Selected Answers: A. Cognitive ability C. Language skills • Question 55 All of the following are subtypes of schizophrenia EXCEPT Selected Answer: A. Schizophreniform type • Question 56 In the dopamine hypothesis, what is known to be linked to the severity of positive psychotic symptoms in schizophrenia? Selected Answer: • Question 57 A. Excessive dopamine release Select the psychoactive substance that is most frequently consumed worldwide. Selected Answer: • Question 58 B. Caffei ne What substance is known to decrease blood concentrations of antipsychotics, yet improve cognitive impairments and parkinsonism in schizophrenia illnesses? Selected Answer: • Question 59 C. Marijuan a Select the two patient populations most likely suffer neuroleptic-induced parkinsonian symptoms. Selected Answers: A. Femal e C. Elderl y • Question 60 Select the drug of choice to treat psychosis in delirious patients. Selected Answer: • Question 61 D. Haloperid ol Select the hepatic enzyme that performs the initial metabolism of alcohol. Selected A. Answer: AD H • Question 62 Select the therapy that is contrary to position statements of the American Academy of Child and Adolescent Psychiatry. Selected Answer: • Question 63 B. Conversi on Select the initial intervention to treat children experiencing acute school refusal. Selected Answer: • Question 64 B. Return to school the next normal day Select the characteristic that is greater in childhood than adult onset schizophrenia. Selected Answer: • Question 65 C. Hallucinatio ns