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NR607 Week 6 Exam 2025/2026 – 85+ Verified Q&A | Dissociative Disorders, Memory Types, Somatic Symptom Disorders, DID, Polyvagal Theory

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This exam document includes 85+ verified multiple-choice questions and answers from the NR607 Week 6 module for the 2025/2026 academic year. It covers key psychiatric and diagnostic topics including dissociative disorders (DID, depersonalization/derealization, dissociative amnesia), trauma’s impact on memory systems (episodic, semantic, procedural, emotional), somatic symptom disorders, conversion disorder, and illness anxiety disorder. Also featured are theories such as structural dissociation, polyvagal theory, and trauma-informed care approaches. This document is highly recommended for PMHNP, MSN, DNP, and FNP students in advanced psychopathology, trauma, and clinical psychiatric diagnostics courses. Keywords: dissociative disorders, dissociative identity disorder, depersonalization, derealization, somatic symptom disorder, illness anxiety disorder, conversion disorder, factitious disorder, structural dissociation, trauma-informed care, memory and trauma, semantic memory, episodic memory, procedural memory, emotional memory, polyvagal theory, DID vs schizophrenia, window of tolerance, la belle indifference, diagnostic criteria DSM-5

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NR607 Week 6 2025/2026 Exam
Questions and Correct Answers | New
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Dissociative disorders - 🧠 ANSWER ✔✔-repeated discontinuity or disruption of

the normal integration of consciousness, memory, identity, emotion, perception,

body representation, motor control, and behavior

-characterized by dissociative symptoms that occur as an adaptive defense

response to trauma

-may impede various elements of psychological functioning, such as

consciousness, memory, emotion, identity, & motor control

-Stigma may hinder tx

• myths about the existence & validity of these disorders

-primary considerations: Safety & social problems


crucial to managing dissociative responses: - 🧠 ANSWER ✔✔-Trauma-informed

care



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,-Dissociation-specific psychotherapy


Somatic symptoms or psychophysiological disorders - 🧠 ANSWER ✔✔-

challenging to dx & treat

-characterized by physical symptoms or dysfunction linked to psychological

factors or emotional stress

-Psychotherapies such as CBT & stress management

• important to reduce symptom burden & promote health


How the nervous system responds to trauma - 🧠 ANSWER ✔✔Flee


Fight

Freeze

Collapse


Freeze vs Shutdown - 🧠 ANSWER ✔✔Freeze


-HYPERaroused

-muscles tense & full of energy, but can't release it

-similar levels of sympathetic & parasympathetic activation

-Increased HR/BP


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,-client might say, "I feel stuck," "I can't move," or "I feel like I am encased in

cement."

-Eyes widen

-body is ready to return to fight/flight as soon as the threat passes




Shutdown

-HYPOaroused

-muscles flaccid & loose

-parasympathic nervous system is dominant

-Decreased HR/BP/temp

-client may not be able to speak at all

-Blank stare

-Sensory info stops at the thalamus. It doesn't reach the cortex (so it's not

integrated).

• client less aware of their internal & external world.

-Endorphins release to numb pain.

• Dynorphins release, can make the client feel detached from their body.
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, -Can result in fainting

How trauma impacts the 4 different types of memory: Semantic memory - 🧠

ANSWER ✔✔-How Trauma Can Affect It


• prevent info (like words, images, sounds, etc.) from different parts of the brain

from combining to make a semantic memory.




-Related Brain Area

• temporal lobe & inferior parietal cortex

• collect infor from different brain areas to create semantic memory.

How trauma impacts the 4 different types of memory: Episodic memory - 🧠

ANSWER ✔✔-How Trauma Can Affect It


• shutdown episodic memory & fragment the sequence of events.




-Related Brain Area

• hippocampus

• responsible for creating & recalling episodic memory.



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