MGRADES
NURS 5210 Module 3: Impulsivity &
Conduct UPDATED ACTUAL Exam
Questions and CORRECT Answers
Impulsivity - CORRECT ANSWER - - Inability to stop the initiation of actions
- Acting without forethought
- Lack of reflection on the consequences of one's behavior
- Inability to postpone reward over more beneficial but delayed reward
- Lacking the willpower to not give into temptations
Compulsivity - CORRECT ANSWER - - The inability to terminate ongoing actions
- Actions inappropriate to the situation but which nevertheless persist, often resulting in
undesirable consequences
- Inability to adapt behavior after negative feedback
Neurocircuitry of Impulsivity - CORRECT ANSWER - "Bottom-up" circuit from the
ventral striatum to the thalamus, from the thalamus to the ventromedial prefrontal cortex, and
then back to the ventral striatum
How does the neurocircuitry of impulsivity differ from normal? - CORRECT ANSWER -
Usually modulated "top-down" from the prefrontal cortex
Neurocircuitry of Compulsivity - CORRECT ANSWER - "Bottom-up" circuit from the
dorsal striatum to the thalamus, from the thalamus to the orbitofrontal cortex, and then back to
the dorsal striatum
How does the neurocircuitry of compulsivity differ from normal? - CORRECT
ANSWER - Usually modulated "top-down" from the orbitofrontal cortex
, MGRADES
Reward Pathway - Mesolimbic Dopamine Circuit: A trigger to the mesolimbic system causes the
release of: - CORRECT ANSWER - - Endorphins
- Anandamide
- Acetylcholine
- Dopamine
Reward Pathway - Mesolimbic Dopamine Circuit: ___ typically causes a release of dopamine in
a manner that is more explosive and pleasurable than what occurs naturally - CORRECT
ANSWER - Drug abuse/use
Reward Pathway - Mesolimbic Dopamine Circuit: Drug-induced reward can start a cascade of
neuroadaptation in the ___ that migrates to the ___, causing ___. - CORRECT ANSWER -
- Ventral striatum loop
- Dorsal striatal loop
- The shift from impulsivity to compulsivity
Categorization of Diagnosis: Impulsivity - CORRECT ANSWER - - Pyromania
- Kleptomania
- IED (intermittent explosive disorder)
- Mania
- ADHD
- Impulsive violence
- Borderline Personality Disorder
- Antisocial Personality Disorder
Categorization of Diagnosis: Impulsivity & Compulsivity Overlap - CORRECT
ANSWER - - Drug addiction
- Gambling
- Obesity/ Binge eating
NURS 5210 Module 3: Impulsivity &
Conduct UPDATED ACTUAL Exam
Questions and CORRECT Answers
Impulsivity - CORRECT ANSWER - - Inability to stop the initiation of actions
- Acting without forethought
- Lack of reflection on the consequences of one's behavior
- Inability to postpone reward over more beneficial but delayed reward
- Lacking the willpower to not give into temptations
Compulsivity - CORRECT ANSWER - - The inability to terminate ongoing actions
- Actions inappropriate to the situation but which nevertheless persist, often resulting in
undesirable consequences
- Inability to adapt behavior after negative feedback
Neurocircuitry of Impulsivity - CORRECT ANSWER - "Bottom-up" circuit from the
ventral striatum to the thalamus, from the thalamus to the ventromedial prefrontal cortex, and
then back to the ventral striatum
How does the neurocircuitry of impulsivity differ from normal? - CORRECT ANSWER -
Usually modulated "top-down" from the prefrontal cortex
Neurocircuitry of Compulsivity - CORRECT ANSWER - "Bottom-up" circuit from the
dorsal striatum to the thalamus, from the thalamus to the orbitofrontal cortex, and then back to
the dorsal striatum
How does the neurocircuitry of compulsivity differ from normal? - CORRECT
ANSWER - Usually modulated "top-down" from the orbitofrontal cortex
, MGRADES
Reward Pathway - Mesolimbic Dopamine Circuit: A trigger to the mesolimbic system causes the
release of: - CORRECT ANSWER - - Endorphins
- Anandamide
- Acetylcholine
- Dopamine
Reward Pathway - Mesolimbic Dopamine Circuit: ___ typically causes a release of dopamine in
a manner that is more explosive and pleasurable than what occurs naturally - CORRECT
ANSWER - Drug abuse/use
Reward Pathway - Mesolimbic Dopamine Circuit: Drug-induced reward can start a cascade of
neuroadaptation in the ___ that migrates to the ___, causing ___. - CORRECT ANSWER -
- Ventral striatum loop
- Dorsal striatal loop
- The shift from impulsivity to compulsivity
Categorization of Diagnosis: Impulsivity - CORRECT ANSWER - - Pyromania
- Kleptomania
- IED (intermittent explosive disorder)
- Mania
- ADHD
- Impulsive violence
- Borderline Personality Disorder
- Antisocial Personality Disorder
Categorization of Diagnosis: Impulsivity & Compulsivity Overlap - CORRECT
ANSWER - - Drug addiction
- Gambling
- Obesity/ Binge eating
