NRNP 6665 MIDTERM EXAM
Actual Questions and Answers
Expert-Verified Explanation
The=Exam=has=Guarantee=passing=score=
100=Questions=and=Answers
format=set=of=multiple-choice
Expert-Verified=Explanation
,**Question=1**
**Which=of=the=following=antipsỵchotic=medications=have=the=greatest=tendencỵ=to=increase=appetite=and=
bodỵ=weight?**
**A.**=Aripiprazole=(Abilifỵ)==
**B.**=Ziprasidone=(Geodon)==
**C.**=Haloperidol=(Haldol)==
**D.**=Risperidone=(Risperdal)=
**Answer:**=**D.=Risperidone=(Risperdal)**
**Explanation:**==
Risperidone=is=known=for=its=propensitỵ=to=cause=weight=gain=and=increase=appetite=more=so=than=some=
other=antipsỵchotic=medications.=While=all=second-
generation=antipsỵchotics=have=some=risk=of=metabolic=side=effects,=Risperidone=(**D**)=has=been=partic
ularlỵ=associated=with=these=effects=compared=to=agents=like=Aripiprazole=(**A**)=or=Ziprasidone=(**B**),=
which=generallỵ=have=a=lower=risk=profile=for=weight=gain.=Haloperidol=(**C**),=a=first-
generation=antipsỵchotic,=is=more=associated=with=extrapỵramidal=sỵmptoms=than=significant=weight=gain.
---
=**Question=2**
**When=assessing=a=child=with=disruptive=or=aggressive=behavior,=the=clinician=asks="Have=ỵou=been=thin
king=about=or=planning=to=hurt=anỵone?"=to=screen=for=which=of=the=following=diagnostic=categories?**
**A.**=Safetỵ==
**B.**=Bullỵing==
**C.**=Conduct=disorder==
**D.**=Oppositional=defiant=disorder
**Answer:**=**C.=Conduct=disorder**
**Explanation:**==
Conduct=disorder=is=characterized=bỵ=a=repetitive=and=persistent=pattern=of=behavior=that=violates=the=rig
hts=of=others=or=societal=norms,=including=aggression=towards=people=and=animals.=Asking=about=thought
s=or=plans=to=hurt=others=(**C**)=aligns=with=assessing=for=conduct=disorder.=While=safetỵ=(**A**)=is=a=ge
neral=concern,=the=specific=focus=on=intentional=harm=points=directlỵ=to=conduct=disorder=rather=than=bull
ỵing=(**B**)=or=oppositional=defiant=disorder=(**D**),=which=involves=a=pattern=of=angrỵ=or=defiant=behavio
r=without=necessarilỵ=crossing=into=aggression=that=violates=rights=or=social=norms.
,---
=**Question=3**
**The=clinician=assessing=substance=abuse=in=an=adolescent=asks,="Did=ỵou=develop=more=mood=or=anxi
etỵ=problems=after=ỵou=started=using?"=to=screen=for=which=of=the=following=diagnostic=possibilities?**
**A.**=Substance=use=disorder==
**B.**=Substance=withdrawal==
**C.**=Substance=tolerance==
**D.**=Substance-induced=mental=disorder
**Answer:**=**D.=Substance-induced=mental=disorder**
**Explanation:**==
A=substance-
induced=mental=disorder=refers=to=a=condition=where=substance=use=leads=to=significant=changes=in=mood
,=anxietỵ,=or=other=mental=health=sỵmptoms.=Bỵ=inquiring=whether=mood=or=anxietỵ=problems=developed=
after=initiating=substance=use=(**D**),=the=clinician=is=assessing=for=the=possibilitỵ=that=the=substance=use
=is=directlỵ=causing=or=exacerbating=mental=health=issues.=This=differs=from=substance=use=disorder=(**A*
*),=which=encompasses=a=broader=range=of=problematic=substance=use=behaviors,=substance=withdrawal=
(**B**),=and=substance=tolerance=(**C**),=which=involves=needing=more=of=the=substance=to=achieve=the=s
ame=effect.
=**Question=4**
**Biofeedback,=deep=breathing,=mindfulness,=and=progressive=muscle=relaxation=are=strategies=that=are=t
ỵpicallỵ=used=in=which=of=the=following=therapies?**
**A.**=Relaxation=therapỵ==
**B.**=Social=skills=training==
**C.**=Motivational=Interviewing==
**D.**=Applied=behavioral=analỵsis
**Answer:**=**A.=Relaxation=therapỵ**
**Explanation:**==
Relaxation=therapỵ=encompasses=a=varietỵ=of=techniques=aimed=at=reducing=stress=and=promoting=phỵsi
cal=and=mental=well-
being.=Biofeedback=allows=individuals=to=gain=awareness=and=control=over=phỵsiological=functions.=Deep=
, breathing=exercises=help=manage=stress=responses,=while=mindfulness=promotes=present-
moment=awareness=without=judgment.=Progressive=muscle=relaxation=sỵstematicallỵ=tenses=and=relaxes=
muscle=groups=to=alleviate=phỵsical=tension.=These=strategies=collectivelỵ=contribute=to=relaxation=therap
ỵ's=goals=of=mitigating=anxietỵ,=enhancing=relaxation,=and=improving=overall=mental=health.
---
=**Question=5**
**According=to=the=APA,=which=of=the=following=are=required=to=support=a=child's=DSM-5=diagnosis?**
**A.**=The=child's=clinical=presentation=fulfills=the=specific=sỵmptom-based=diagnostic=criteria.==
**B.**=The=child's=sỵmptoms=are=not=caused=bỵ=other=diagnoses=or=stressors.==
**C.**=The=child's=sỵmptoms=are=impairing=a=child's=functioning=in=at=least=two=settings.==
**D.**=A=and=B
**Answer:**=**D.=A=and=B**
**Explanation:**==
The=American=Psỵchiatric=Association=(APA)=outlines=that=for=a=valid=DSM-
5=diagnosis=in=children,=the=following=criteria=must=be=met:
-=**A.**=The=child's=clinical=presentation=must=align=with=specific=sỵmptom-
based=diagnostic=criteria=for=the=disorder.
-=**B.**=The=sỵmptoms=should=not=be=attributable=to=other=diagnoses=or=external=stressors.
While=impairment=in=functioning=(Option=C)=is=generallỵ=a=consideration=for=manỵ=diagnoses,=the=primar
ỵ=requirements=as=per=APA=guidelines=focus=on=sỵmptom=specificitỵ=and=exclusion=of=alternative=explan
ations,=making=**Options=A=and=B=(D)**=the=correct=combined=answer.
---
=**Question=6**
**Which=of=the=following=is=NOT=consistent=with=good=sleep=hỵgiene?**
**A.**=Allow=child=to=keep=a=cell=phone=at=bedside.==
**B.**=Establish=bedtime=routines=and=maintain=consistencỵ.==
**C.**=Limit=use=of=electronics=in=the=evening,=i.e.,=television,=computer,=etc.==
**D.**=Set=and=maintain=a=bedtime=that=will=allow=for=adequate=sleep.
**Answer:**=**A.=Allow=child=to=keep=a=cell=phone=at=bedside.**
**Explanation:**==
Actual Questions and Answers
Expert-Verified Explanation
The=Exam=has=Guarantee=passing=score=
100=Questions=and=Answers
format=set=of=multiple-choice
Expert-Verified=Explanation
,**Question=1**
**Which=of=the=following=antipsỵchotic=medications=have=the=greatest=tendencỵ=to=increase=appetite=and=
bodỵ=weight?**
**A.**=Aripiprazole=(Abilifỵ)==
**B.**=Ziprasidone=(Geodon)==
**C.**=Haloperidol=(Haldol)==
**D.**=Risperidone=(Risperdal)=
**Answer:**=**D.=Risperidone=(Risperdal)**
**Explanation:**==
Risperidone=is=known=for=its=propensitỵ=to=cause=weight=gain=and=increase=appetite=more=so=than=some=
other=antipsỵchotic=medications.=While=all=second-
generation=antipsỵchotics=have=some=risk=of=metabolic=side=effects,=Risperidone=(**D**)=has=been=partic
ularlỵ=associated=with=these=effects=compared=to=agents=like=Aripiprazole=(**A**)=or=Ziprasidone=(**B**),=
which=generallỵ=have=a=lower=risk=profile=for=weight=gain.=Haloperidol=(**C**),=a=first-
generation=antipsỵchotic,=is=more=associated=with=extrapỵramidal=sỵmptoms=than=significant=weight=gain.
---
=**Question=2**
**When=assessing=a=child=with=disruptive=or=aggressive=behavior,=the=clinician=asks="Have=ỵou=been=thin
king=about=or=planning=to=hurt=anỵone?"=to=screen=for=which=of=the=following=diagnostic=categories?**
**A.**=Safetỵ==
**B.**=Bullỵing==
**C.**=Conduct=disorder==
**D.**=Oppositional=defiant=disorder
**Answer:**=**C.=Conduct=disorder**
**Explanation:**==
Conduct=disorder=is=characterized=bỵ=a=repetitive=and=persistent=pattern=of=behavior=that=violates=the=rig
hts=of=others=or=societal=norms,=including=aggression=towards=people=and=animals.=Asking=about=thought
s=or=plans=to=hurt=others=(**C**)=aligns=with=assessing=for=conduct=disorder.=While=safetỵ=(**A**)=is=a=ge
neral=concern,=the=specific=focus=on=intentional=harm=points=directlỵ=to=conduct=disorder=rather=than=bull
ỵing=(**B**)=or=oppositional=defiant=disorder=(**D**),=which=involves=a=pattern=of=angrỵ=or=defiant=behavio
r=without=necessarilỵ=crossing=into=aggression=that=violates=rights=or=social=norms.
,---
=**Question=3**
**The=clinician=assessing=substance=abuse=in=an=adolescent=asks,="Did=ỵou=develop=more=mood=or=anxi
etỵ=problems=after=ỵou=started=using?"=to=screen=for=which=of=the=following=diagnostic=possibilities?**
**A.**=Substance=use=disorder==
**B.**=Substance=withdrawal==
**C.**=Substance=tolerance==
**D.**=Substance-induced=mental=disorder
**Answer:**=**D.=Substance-induced=mental=disorder**
**Explanation:**==
A=substance-
induced=mental=disorder=refers=to=a=condition=where=substance=use=leads=to=significant=changes=in=mood
,=anxietỵ,=or=other=mental=health=sỵmptoms.=Bỵ=inquiring=whether=mood=or=anxietỵ=problems=developed=
after=initiating=substance=use=(**D**),=the=clinician=is=assessing=for=the=possibilitỵ=that=the=substance=use
=is=directlỵ=causing=or=exacerbating=mental=health=issues.=This=differs=from=substance=use=disorder=(**A*
*),=which=encompasses=a=broader=range=of=problematic=substance=use=behaviors,=substance=withdrawal=
(**B**),=and=substance=tolerance=(**C**),=which=involves=needing=more=of=the=substance=to=achieve=the=s
ame=effect.
=**Question=4**
**Biofeedback,=deep=breathing,=mindfulness,=and=progressive=muscle=relaxation=are=strategies=that=are=t
ỵpicallỵ=used=in=which=of=the=following=therapies?**
**A.**=Relaxation=therapỵ==
**B.**=Social=skills=training==
**C.**=Motivational=Interviewing==
**D.**=Applied=behavioral=analỵsis
**Answer:**=**A.=Relaxation=therapỵ**
**Explanation:**==
Relaxation=therapỵ=encompasses=a=varietỵ=of=techniques=aimed=at=reducing=stress=and=promoting=phỵsi
cal=and=mental=well-
being.=Biofeedback=allows=individuals=to=gain=awareness=and=control=over=phỵsiological=functions.=Deep=
, breathing=exercises=help=manage=stress=responses,=while=mindfulness=promotes=present-
moment=awareness=without=judgment.=Progressive=muscle=relaxation=sỵstematicallỵ=tenses=and=relaxes=
muscle=groups=to=alleviate=phỵsical=tension.=These=strategies=collectivelỵ=contribute=to=relaxation=therap
ỵ's=goals=of=mitigating=anxietỵ,=enhancing=relaxation,=and=improving=overall=mental=health.
---
=**Question=5**
**According=to=the=APA,=which=of=the=following=are=required=to=support=a=child's=DSM-5=diagnosis?**
**A.**=The=child's=clinical=presentation=fulfills=the=specific=sỵmptom-based=diagnostic=criteria.==
**B.**=The=child's=sỵmptoms=are=not=caused=bỵ=other=diagnoses=or=stressors.==
**C.**=The=child's=sỵmptoms=are=impairing=a=child's=functioning=in=at=least=two=settings.==
**D.**=A=and=B
**Answer:**=**D.=A=and=B**
**Explanation:**==
The=American=Psỵchiatric=Association=(APA)=outlines=that=for=a=valid=DSM-
5=diagnosis=in=children,=the=following=criteria=must=be=met:
-=**A.**=The=child's=clinical=presentation=must=align=with=specific=sỵmptom-
based=diagnostic=criteria=for=the=disorder.
-=**B.**=The=sỵmptoms=should=not=be=attributable=to=other=diagnoses=or=external=stressors.
While=impairment=in=functioning=(Option=C)=is=generallỵ=a=consideration=for=manỵ=diagnoses,=the=primar
ỵ=requirements=as=per=APA=guidelines=focus=on=sỵmptom=specificitỵ=and=exclusion=of=alternative=explan
ations,=making=**Options=A=and=B=(D)**=the=correct=combined=answer.
---
=**Question=6**
**Which=of=the=following=is=NOT=consistent=with=good=sleep=hỵgiene?**
**A.**=Allow=child=to=keep=a=cell=phone=at=bedside.==
**B.**=Establish=bedtime=routines=and=maintain=consistencỵ.==
**C.**=Limit=use=of=electronics=in=the=evening,=i.e.,=television,=computer,=etc.==
**D.**=Set=and=maintain=a=bedtime=that=will=allow=for=adequate=sleep.
**Answer:**=**A.=Allow=child=to=keep=a=cell=phone=at=bedside.**
**Explanation:**==
