NRNP 6635 MIDTERM EXAM WALDEN
UNIVERSITY
NRNP 6635 MIDTERM EXAM WALDEN
UNIVERSITY NURS 6635 ACTUAL EXAM
2025/2026 COMPLETE 100 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)|ALREADY
GRADED A+||BRAND NEW
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 in known as which of the
following?
A. Factitious disorder
B. Illness anxiety disorder
C. Somatic symptom disorder
D. Functional neurological symptom
D. Functional neurological symptom:
Conversion disorder, also called functional neurological symptom disorder,is defined as a
psychiatric illness in which a neurological or general medical condition cannot explain
symptoms and signs affecting voluntary motor or sensory function. Psychological factors, such
as conflicts or stress, are judged to be associated with the deficits.The term conversion
disorder was coined by Sigmund Freud, who hypothesized that the occurrence of specific
symptoms not explained by organic diseases reflects unconscious conflict.3 The
word conversion refers to substituting a somatic symptom for a repressed idea.
TEST BANK A+ 1
, NRNP 6635 MIDTERM EXAM WALDEN
UNIVERSITY
Common examples of conversion symptoms include blindness, paralysis, dystonia,
psychogenic nonepileptic seizures (PNES), anesthesia, swallowing difficulties, motor tics,
difficulty walking, hallucinations, anesthesia, and dementia.5 In patients with conversion
disorder, these symptoms are not caused directly by a physiological effect; rather these
symptoms are caused by a psychological conflict. Patients diagnosed with conversion disorder
are not feigning the signs and symptoms. Despite the lack of a definitive organic diagnosis,
the patient’s distress is very real and the physical symptoms the patient is experiencing
cannot be controlled at will
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
A. Ganser Syndrome
B. Schizophrenia
C. Dissociative trance disorder
D. Dissociative identity disorder
A. Ganser Syndrome:
a rare dissociative disorder. It has been reported in association with various functional
psychiatric disorders and organic states, most often in patients with head injury and stroke,
especially those involving the frontal lobes.The core clinical features of this syndrome are
approximate answers, clouding of consciousness, somatic conversion symptoms and
hallucinations. However, all the core symptoms are not needed for diagnosis.2 Ganser himself
had noted impairment of grasp, attention, concentration, anxiety and perplexity as additional
features.2 There is a report of this syndrome with the symptom of prosopagnosia as a
hysterical feature. Based on the clinical features it has been variously named as nonsense
syndrome, approximate answer syndrome , pseudodementia and balderdash syndrome
Which of the following can cause delirium? Check all that apply.
A. Polypharmacy
B. Sleep deprivation
C. Admission/transfer/discharge from a healthcare facility
D. None of the above
A,B,C
Delirium is a clinical syndrome that usually develops in the elderly. It is characterized by an
TEST BANK A+ 2
, NRNP 6635 MIDTERM EXAM WALDEN
UNIVERSITY
alteration of attention, consciousness, and cognition, with a reduced ability to focus, sustain
or shift attention. It develops over a short period of time and fluctuates during the day. The
clinical presentation can vary, usually with psychomotor behavioral disturbances such as
hyperactivity or hypoactivity and with impairment in sleep duration and architecture.
By definition, delirium is caused by an underlying medical condition and is not better
explained by another preexisting, evolving, or established neurocognitive disorder. The
underlying cause of delirium can vary widely and involve anything that stresses the baseline
homeostasis of a vulnerable patient. Examples include substance intoxication or withdrawal,
medication side effects, infection, surgery, metabolic derangements, pain, or even simple
conditions such as constipation or urinary retention. The diagnosis is often missed due to its
subtle clinical manifestation, especially in the hypoactive type
Acute withdrawal from alcohol represents which type of clinical problem in psychosomatic
medicine?
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.
A. Medical complications of psychiatric conditions or treatments
Which of the following was the principal theoretician to bring psyche and soma together?
A. Sigmund Freud
B. Anna Freud
C. Karl Abraham
D. Georg Groddeck
Sigmund Freud was the first theorist to bring together the concepts of psyche and soma.
Freud believed the two were interconnected and that the mind and body worked together to
produce human behavior.
Which of the following would not be included in the treatment plan for a patient with illness
anxiety disorder?
A.Behavioral therapy
B.group psychotherapy
C.Insight oriented psychotherapy
D.Exploratory invasive procedures to obtain diagnosis
TEST BANK A+ 3
, NRNP 6635 MIDTERM EXAM WALDEN
UNIVERSITY
Exploratory invasive procedures to obtain diagnosis
Which of the following is consistent with current literature about the relationship between
obstetrical complications and Autism Spectrum Disorders (ASD)?
A. Research is unclear on whether obstetric complications are a genuine risk factor for ASD.
B. Research proves there is a negative correlation between obstetrical complications and
ASD.C.
D. Research strongly supports a positive relationship between obstetric complications and
ASD.
A. Research is unclear whether obstetric complications are a true risk for ASD.
Discrepancy between anatomical sex and gender is known as?
B) Gender Discordance
Which of the following are risk factors for neuroleptic malignant syndrome? Select all that
apply
Rapid dose escalation; parental route of administration; higher potency typical antipsychotics
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of
the following effects?
B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which of
the following receptors?
D) NMDA type receptors
Incorrect: GABA, serotonin, dopamine "receptors"
The diagnosis used to describe a syndrome characterized by specific s/s resulting from recent
ingestion or exposure to a substance is known as which of the folllowing?
C) Substance use disorder
Incorrect: substance intox, substance withdrawal, all of the above
TEST BANK A+ 4
UNIVERSITY
NRNP 6635 MIDTERM EXAM WALDEN
UNIVERSITY NURS 6635 ACTUAL EXAM
2025/2026 COMPLETE 100 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)|ALREADY
GRADED A+||BRAND NEW
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 in known as which of the
following?
A. Factitious disorder
B. Illness anxiety disorder
C. Somatic symptom disorder
D. Functional neurological symptom
D. Functional neurological symptom:
Conversion disorder, also called functional neurological symptom disorder,is defined as a
psychiatric illness in which a neurological or general medical condition cannot explain
symptoms and signs affecting voluntary motor or sensory function. Psychological factors, such
as conflicts or stress, are judged to be associated with the deficits.The term conversion
disorder was coined by Sigmund Freud, who hypothesized that the occurrence of specific
symptoms not explained by organic diseases reflects unconscious conflict.3 The
word conversion refers to substituting a somatic symptom for a repressed idea.
TEST BANK A+ 1
, NRNP 6635 MIDTERM EXAM WALDEN
UNIVERSITY
Common examples of conversion symptoms include blindness, paralysis, dystonia,
psychogenic nonepileptic seizures (PNES), anesthesia, swallowing difficulties, motor tics,
difficulty walking, hallucinations, anesthesia, and dementia.5 In patients with conversion
disorder, these symptoms are not caused directly by a physiological effect; rather these
symptoms are caused by a psychological conflict. Patients diagnosed with conversion disorder
are not feigning the signs and symptoms. Despite the lack of a definitive organic diagnosis,
the patient’s distress is very real and the physical symptoms the patient is experiencing
cannot be controlled at will
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
A. Ganser Syndrome
B. Schizophrenia
C. Dissociative trance disorder
D. Dissociative identity disorder
A. Ganser Syndrome:
a rare dissociative disorder. It has been reported in association with various functional
psychiatric disorders and organic states, most often in patients with head injury and stroke,
especially those involving the frontal lobes.The core clinical features of this syndrome are
approximate answers, clouding of consciousness, somatic conversion symptoms and
hallucinations. However, all the core symptoms are not needed for diagnosis.2 Ganser himself
had noted impairment of grasp, attention, concentration, anxiety and perplexity as additional
features.2 There is a report of this syndrome with the symptom of prosopagnosia as a
hysterical feature. Based on the clinical features it has been variously named as nonsense
syndrome, approximate answer syndrome , pseudodementia and balderdash syndrome
Which of the following can cause delirium? Check all that apply.
A. Polypharmacy
B. Sleep deprivation
C. Admission/transfer/discharge from a healthcare facility
D. None of the above
A,B,C
Delirium is a clinical syndrome that usually develops in the elderly. It is characterized by an
TEST BANK A+ 2
, NRNP 6635 MIDTERM EXAM WALDEN
UNIVERSITY
alteration of attention, consciousness, and cognition, with a reduced ability to focus, sustain
or shift attention. It develops over a short period of time and fluctuates during the day. The
clinical presentation can vary, usually with psychomotor behavioral disturbances such as
hyperactivity or hypoactivity and with impairment in sleep duration and architecture.
By definition, delirium is caused by an underlying medical condition and is not better
explained by another preexisting, evolving, or established neurocognitive disorder. The
underlying cause of delirium can vary widely and involve anything that stresses the baseline
homeostasis of a vulnerable patient. Examples include substance intoxication or withdrawal,
medication side effects, infection, surgery, metabolic derangements, pain, or even simple
conditions such as constipation or urinary retention. The diagnosis is often missed due to its
subtle clinical manifestation, especially in the hypoactive type
Acute withdrawal from alcohol represents which type of clinical problem in psychosomatic
medicine?
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.
A. Medical complications of psychiatric conditions or treatments
Which of the following was the principal theoretician to bring psyche and soma together?
A. Sigmund Freud
B. Anna Freud
C. Karl Abraham
D. Georg Groddeck
Sigmund Freud was the first theorist to bring together the concepts of psyche and soma.
Freud believed the two were interconnected and that the mind and body worked together to
produce human behavior.
Which of the following would not be included in the treatment plan for a patient with illness
anxiety disorder?
A.Behavioral therapy
B.group psychotherapy
C.Insight oriented psychotherapy
D.Exploratory invasive procedures to obtain diagnosis
TEST BANK A+ 3
, NRNP 6635 MIDTERM EXAM WALDEN
UNIVERSITY
Exploratory invasive procedures to obtain diagnosis
Which of the following is consistent with current literature about the relationship between
obstetrical complications and Autism Spectrum Disorders (ASD)?
A. Research is unclear on whether obstetric complications are a genuine risk factor for ASD.
B. Research proves there is a negative correlation between obstetrical complications and
ASD.C.
D. Research strongly supports a positive relationship between obstetric complications and
ASD.
A. Research is unclear whether obstetric complications are a true risk for ASD.
Discrepancy between anatomical sex and gender is known as?
B) Gender Discordance
Which of the following are risk factors for neuroleptic malignant syndrome? Select all that
apply
Rapid dose escalation; parental route of administration; higher potency typical antipsychotics
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of
the following effects?
B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which of
the following receptors?
D) NMDA type receptors
Incorrect: GABA, serotonin, dopamine "receptors"
The diagnosis used to describe a syndrome characterized by specific s/s resulting from recent
ingestion or exposure to a substance is known as which of the folllowing?
C) Substance use disorder
Incorrect: substance intox, substance withdrawal, all of the above
TEST BANK A+ 4
