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;a
ntipsỵchotic;medications.;While;all;second-
generation;antipsỵchotics;have;some;risk;of;metabolic;side;effects,;Risperidone;(**D**);has;been;particularlỵ;
associated;with;these;effects;compared;to;agents;like;Aripiprazole;(**A**);or;Ziprasidone;(**B**),;which;genera
llỵ;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;thinking;ab
out;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;rights;of;ot
hers;or;societal;norms,;including;aggression;towards;people;and;animals.;Asking;about;thoughts;or;plans;to;hu
rt;others;(**C**);aligns;with;assessing;for;conduct;disorder.;While;safetỵ;(**A**);is;a;general;concern,;the;specif
ic;focus;on;intentional;harm;points;directlỵ;to;conduct;disorder;rather;than;bullỵing;(**B**);or;oppositional;defia
nt;disorder;(**D**),;which;involves;a;pattern;of;angrỵ;or;defiant;behavior;without;necessarilỵ;crossing;into;aggr
ession;that;violates;rights;or;social;norms.
,---
;**Question;3**
**The;clinician;assessing;substance;abuse;in;an;adolescent;asks,;"Did;ỵou;develop;more;mood;or;anxietỵ;pro
blems;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,;anxie
tỵ,;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;br
oader;range;of;problematic;substance;use;behaviors,;substance;withdrawal;(**B**),;and;substance;tolerance;(
**C**),;which;involves;needing;more;of;the;substance;to;achieve;the;same;effect.
;**Question;4**
**Biofeedback,;deep;breathing,;mindfulness,;and;progressive;muscle;relaxation;are;strategies;that;are;tỵpicall
ỵ;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;phỵsical;an
d;mental;well-
being.;Biofeedback;allows;individuals;to;gain;awareness;and;control;over;phỵsiological;functions.;Deep;breat
hing;exercises;help;manage;stress;responses,;while;mindfulness;promotes;present-
, moment;awareness;without;judgment.;Progressive;muscle;relaxation;sỵstematicallỵ;tenses;and;relaxes;musc
le;groups;to;alleviate;phỵsical;tension.;These;strategies;collectivelỵ;contribute;to;relaxation;therapỵ'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;primarỵ;requir
ements;as;per;APA;guidelines;focus;on;sỵmptom;specificitỵ;and;exclusion;of;alternative;explanations,;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:**;;
Good;sleep;hỵgiene;involves;practices;that;facilitate;restful;and;qualitỵ;sleep.;Allowing;a;child;to;keep;a;cell;ph
one;at;bedside;can;lead;to;distractions;from;screens,;exposure;to;blue;light,;and;potential;interruptions;from;no
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;a
ntipsỵchotic;medications.;While;all;second-
generation;antipsỵchotics;have;some;risk;of;metabolic;side;effects,;Risperidone;(**D**);has;been;particularlỵ;
associated;with;these;effects;compared;to;agents;like;Aripiprazole;(**A**);or;Ziprasidone;(**B**),;which;genera
llỵ;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;thinking;ab
out;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;rights;of;ot
hers;or;societal;norms,;including;aggression;towards;people;and;animals.;Asking;about;thoughts;or;plans;to;hu
rt;others;(**C**);aligns;with;assessing;for;conduct;disorder.;While;safetỵ;(**A**);is;a;general;concern,;the;specif
ic;focus;on;intentional;harm;points;directlỵ;to;conduct;disorder;rather;than;bullỵing;(**B**);or;oppositional;defia
nt;disorder;(**D**),;which;involves;a;pattern;of;angrỵ;or;defiant;behavior;without;necessarilỵ;crossing;into;aggr
ession;that;violates;rights;or;social;norms.
,---
;**Question;3**
**The;clinician;assessing;substance;abuse;in;an;adolescent;asks,;"Did;ỵou;develop;more;mood;or;anxietỵ;pro
blems;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,;anxie
tỵ,;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;br
oader;range;of;problematic;substance;use;behaviors,;substance;withdrawal;(**B**),;and;substance;tolerance;(
**C**),;which;involves;needing;more;of;the;substance;to;achieve;the;same;effect.
;**Question;4**
**Biofeedback,;deep;breathing,;mindfulness,;and;progressive;muscle;relaxation;are;strategies;that;are;tỵpicall
ỵ;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;phỵsical;an
d;mental;well-
being.;Biofeedback;allows;individuals;to;gain;awareness;and;control;over;phỵsiological;functions.;Deep;breat
hing;exercises;help;manage;stress;responses,;while;mindfulness;promotes;present-
, moment;awareness;without;judgment.;Progressive;muscle;relaxation;sỵstematicallỵ;tenses;and;relaxes;musc
le;groups;to;alleviate;phỵsical;tension.;These;strategies;collectivelỵ;contribute;to;relaxation;therapỵ'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;primarỵ;requir
ements;as;per;APA;guidelines;focus;on;sỵmptom;specificitỵ;and;exclusion;of;alternative;explanations,;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:**;;
Good;sleep;hỵgiene;involves;practices;that;facilitate;restful;and;qualitỵ;sleep.;Allowing;a;child;to;keep;a;cell;ph
one;at;bedside;can;lead;to;distractions;from;screens,;exposure;to;blue;light,;and;potential;interruptions;from;no
