NRNP 6665 Final Exam Question and
Answers - WALDEN UNIVERSITY 2026
Section 1: Somatic, Dissociative, and Related Disorders
1. 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 is known as which of the following?
A. Conversion Disorder
B. Functional Neurological Symptom Disorder
C. Somatic Symptom Disorder
D. Factitious Disorder
Answer: B. Functional Neurological Symptom Disorder
,Rationale: Functional Neurological Symptom Disorder (formerly Conversion Disorder)
involves neurological symptoms (weakness, movement, sensory symptoms) that cannot
be explained by a medical condition. They are associated with psychological factors.
Option A is an outdated term, while C and D refer to other somatic symptom-related
disorders.
2. 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 known as which of the
following?
A. Ganser Syndrome
B. Dissociative Identity Disorder
C. Schizophrenia
D. Delirium
Answer: A. Ganser Syndrome
Rationale: Ganser Syndrome is characterized by giving approximate answers
(vorbeireden), clouded consciousness, and may include hallucinations or other
dissociative symptoms. It is often associated with severe psychological stress.
3. Which of the following can cause delirium?
A. Infection
B. Medication toxicity
C. Metabolic disturbances
D. All of the above
Answer: D. All of the above
Rationale: Delirium is an acute, fluctuating disturbance in attention and awareness
caused by a physiological condition. Common causes include infections (e.g., UTI in
elderly), medications (e.g., anticholinergics, opioids), and metabolic disturbances (e.g.,
electrolyte imbalances, hypoglycemia).
4. 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
C. Co-occurring medical and psychiatric conditions
D. Psychological factors precipitating medical symptoms
Answer: A. Medical complications of psychiatric conditions or treatments
Rationale: Alcohol withdrawal is a direct medical complication resulting from a
psychiatric condition (alcohol use disorder). It represents the physiological
consequences of substance use cessation.
5. The principal theoretician to bring psyche and soma together was which of the
following?
A. Sigmund Freud
B. Carl Jung
C. Wilhelm Reich
D. Eric Kandel
Answer: A. Sigmund Freud
Rationale: Freud's work on conversion hysteria laid the foundation for psychosomatic
medicine. He proposed that psychological conflicts could be converted into physical
symptoms.
6. Which of the following would not be included in the treatment plan for a
patient with illness anxiety disorder?
A. Cognitive Behavioral Therapy
B. Exploratory Invasive Procedures to Obtain Diagnosis
C. Mindfulness-Based Stress Reduction
D. Selective Serotonin Reuptake Inhibitors (SSRIs)
Answer: B. Exploratory Invasive Procedures to Obtain Diagnosis
Rationale: In treating Illness Anxiety Disorder, the focus is on psychological
interventions (CBT) and possibly pharmacotherapy (SSRIs). Invasive diagnostic
procedures are generally avoided unless there's a strong clinical indication, as they can
exacerbate anxiety.
, 7. Which of the following is consistent with current literature about the
relationship between obstetrical complications and autism spectrum disorders
(ASD)?
A. Research proves there is a positive correlation between obstetrical complications and
ASD
B. There is no relationship between obstetrical complications and ASD
C. Obstetrical complications are the primary cause of ASD
D. Only genetic factors contribute to ASD
Answer: A. Research proves there is a positive correlation between obstetrical
complications and ASD
Rationale: Current literature suggests a positive correlation between obstetrical
complications (premature birth, low birth weight, birth asphyxia) and the risk of
developing ASD. However, correlation does not imply causation; ASD results from a
complex interplay of genetic and environmental factors.
8. The epidemiology related to kleptomania includes which of the following?
A. Kleptomania is reported to occur in fewer than 5 percent of identified shoplifters
B. Kleptomania accounts for approximately 50 percent of all shoplifting cases
C. Kleptomania is more common in women than in men
D. Predominantly affects females
Answer: A. Kleptomania is reported to occur in fewer than 5 percent of identified
shoplifters
Rationale: Kleptomania is a rare disorder, reported in fewer than 5% of identified
shoplifters. It is more common in females, but the core feature is the impulsive, ego-
dystonic nature of the theft.
9. A 76-year-old patient presents with a wound on her leg from a fall a month ago.
The wound is clean, with no signs of infection, and the edges are approximated,
but the surrounding skin is red and tender. What is the best response to her
concern about slow healing?
A. "Had you come in earlier, I could have ordered medicine to heal this quickly."
Answers - WALDEN UNIVERSITY 2026
Section 1: Somatic, Dissociative, and Related Disorders
1. 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 is known as which of the following?
A. Conversion Disorder
B. Functional Neurological Symptom Disorder
C. Somatic Symptom Disorder
D. Factitious Disorder
Answer: B. Functional Neurological Symptom Disorder
,Rationale: Functional Neurological Symptom Disorder (formerly Conversion Disorder)
involves neurological symptoms (weakness, movement, sensory symptoms) that cannot
be explained by a medical condition. They are associated with psychological factors.
Option A is an outdated term, while C and D refer to other somatic symptom-related
disorders.
2. 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 known as which of the
following?
A. Ganser Syndrome
B. Dissociative Identity Disorder
C. Schizophrenia
D. Delirium
Answer: A. Ganser Syndrome
Rationale: Ganser Syndrome is characterized by giving approximate answers
(vorbeireden), clouded consciousness, and may include hallucinations or other
dissociative symptoms. It is often associated with severe psychological stress.
3. Which of the following can cause delirium?
A. Infection
B. Medication toxicity
C. Metabolic disturbances
D. All of the above
Answer: D. All of the above
Rationale: Delirium is an acute, fluctuating disturbance in attention and awareness
caused by a physiological condition. Common causes include infections (e.g., UTI in
elderly), medications (e.g., anticholinergics, opioids), and metabolic disturbances (e.g.,
electrolyte imbalances, hypoglycemia).
4. 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
C. Co-occurring medical and psychiatric conditions
D. Psychological factors precipitating medical symptoms
Answer: A. Medical complications of psychiatric conditions or treatments
Rationale: Alcohol withdrawal is a direct medical complication resulting from a
psychiatric condition (alcohol use disorder). It represents the physiological
consequences of substance use cessation.
5. The principal theoretician to bring psyche and soma together was which of the
following?
A. Sigmund Freud
B. Carl Jung
C. Wilhelm Reich
D. Eric Kandel
Answer: A. Sigmund Freud
Rationale: Freud's work on conversion hysteria laid the foundation for psychosomatic
medicine. He proposed that psychological conflicts could be converted into physical
symptoms.
6. Which of the following would not be included in the treatment plan for a
patient with illness anxiety disorder?
A. Cognitive Behavioral Therapy
B. Exploratory Invasive Procedures to Obtain Diagnosis
C. Mindfulness-Based Stress Reduction
D. Selective Serotonin Reuptake Inhibitors (SSRIs)
Answer: B. Exploratory Invasive Procedures to Obtain Diagnosis
Rationale: In treating Illness Anxiety Disorder, the focus is on psychological
interventions (CBT) and possibly pharmacotherapy (SSRIs). Invasive diagnostic
procedures are generally avoided unless there's a strong clinical indication, as they can
exacerbate anxiety.
, 7. Which of the following is consistent with current literature about the
relationship between obstetrical complications and autism spectrum disorders
(ASD)?
A. Research proves there is a positive correlation between obstetrical complications and
ASD
B. There is no relationship between obstetrical complications and ASD
C. Obstetrical complications are the primary cause of ASD
D. Only genetic factors contribute to ASD
Answer: A. Research proves there is a positive correlation between obstetrical
complications and ASD
Rationale: Current literature suggests a positive correlation between obstetrical
complications (premature birth, low birth weight, birth asphyxia) and the risk of
developing ASD. However, correlation does not imply causation; ASD results from a
complex interplay of genetic and environmental factors.
8. The epidemiology related to kleptomania includes which of the following?
A. Kleptomania is reported to occur in fewer than 5 percent of identified shoplifters
B. Kleptomania accounts for approximately 50 percent of all shoplifting cases
C. Kleptomania is more common in women than in men
D. Predominantly affects females
Answer: A. Kleptomania is reported to occur in fewer than 5 percent of identified
shoplifters
Rationale: Kleptomania is a rare disorder, reported in fewer than 5% of identified
shoplifters. It is more common in females, but the core feature is the impulsive, ego-
dystonic nature of the theft.
9. A 76-year-old patient presents with a wound on her leg from a fall a month ago.
The wound is clean, with no signs of infection, and the edges are approximated,
but the surrounding skin is red and tender. What is the best response to her
concern about slow healing?
A. "Had you come in earlier, I could have ordered medicine to heal this quickly."
