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NRNP/PRAC 6670 Psychiatric Mental Health Nurse Practitioner Role II: Adult And
Older Adult 2023
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NRNP 6670 Week 6 Mid-term Exam NEW 2023
(100% Correct Summer QTR) BEST GRADE
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• EXAM WITH SOLUTIONS
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• QUIZ# 1
0 out of 1 points
From a biological perspective, all of the following neurotransmitters are implicit in the anxiety MARKING
except:
Selected
Answer:
Gam
ma-
aminobutyric acid
Answers: Gamma-
aminobutyric
acid
Norepinephri
ne Serotonin
, Dopamine
MARKI (d)isthecorectanswer.Whiledopamineisclearlyimplicitinothermentalhealthdisorders,suchasschizophrenia,
NG itisnotamong theneurotransmiterslinkedtotheanxietyMARKING.
Feedba
ck:
• QUIZ# 2
1 out of 1
points
Mr. Kendall is a 47-year old male who is presented to care by his younger sister, Megan. Mr.
Kendall has spent his entire adult life living in an apartment that was attached to his parents’
home. His mother died a few weeks ago, and the property is listed for sale. Mr. Kendall will
have to move, and while discussing this with him, Megan became very concerned. He has
apparently been considered odd all his life, has never married or even dated as far as Megan
knows, but she had no idea how odd he was. When his mother died, he seemed disconnected
from reality and had episodes of talking to people who weren’t present. Megan says that
sometimes she does not even understand what he is talking about. He seems to think he has
psychic powers, and that he doesn’t need to move because he knows the house will not be
sold. When considering a diagnosis of schizotypal disorder, the PMHNP expects which of the
following to be present in the history?
Selected
Answer:
A history of schizophrenia of a first-
degree relative
Answer
s:
A history of schizophrenia
of a first- degree relative
Sustained psychosis
predating his mother’s
death
Comorbid Asperger’s
syndrome Apparent
frank thought disorder
MARKI
NG (a)is the correct answer. A strong family history of schizophrenia supports a
Feedba diagnosis of schizotypal personality disorder. Sustained psychosis and frank thought
ck: disorder are consistent with schizophrenia and help differentiate it from
schizotypal personality. Comorbid Asperger’s syndrome is not associated with this
disorder but is sometimes a differential diagnosis in patients with schizoid
personality disorder.
• QUIZ# 3
1 out of 1
points
Becci is a 31-year-old female who presents to the PMHNP for evaluation after being referred by
her friend who is a patient of the practice. She describes a relatively acute, recent onset of
panic attacks. Becci says that ―out of the blue‖ her heart starts to race, her mouth gets dry,
she gets shaky, and feels like she cannot get her breath. She is afraid because her friend has
panic disorder and Becci knows that before her friend got treatment, she basically would not
leave the house in case an attack happened. The PMHNP recognizes that the immediate priority
in assessment for Becci is:
Selected
Answer:
A thorough physical examination
Answers:
, A thorough physical examination
A family history of
mental health disease
A urine drug screen
An assessment for
phobic disorder
MARKING (a) is the correct answer. While these are elements of a panic attack, there are a variety of
organic conditions that can
, Feedback: cause these symptoms. Becci needs a physical examination and appropriate
laboratory assessment to rule out physiologic causes of her symptoms, such as
thyroid disease. The remaining elements above will all be part of the mental health
assessment once physical health is determined.
• QUIZ# 4
1 out of 1 points
The PMHNP is working on a graduate program in which he is hoping to develop a new
personality assessment tool. After an exhaustive review of the literature and many months of
work, he developed a tool to use in a research study and needs to establish its psychometric
properties. He distributes the tool to four different professionals in the field and asks that they
assess whether the QUIZ#s appear to measure what they are purported to measure. This is an
assessment of:
Selected
Answer:
Face validity
Answers: Internal consistency
reliability
Parallel form
reliability
Construct
validity
Face validity
MARKI (d) is the correct answer. Assessing whether the items measure what they appear
NG to measure is face validity. Construct validity uses data outside of the test to
Feedba measure validity. Reliability evaluates whether the tests measure what it is
ck: supposed to measure consistently.
• QUIZ# 5
1 out of 1
points
Among the various psychotherapeutic techniques available for treating post-traumatic stress
disorder, which mechanism achieves its effect by having patients work through the traumatic
event while in a deep state of relaxation?
Selected
Answer:
Eye movement desensitization and
reprocessing therapy
Answer
s:
Eye movement
desensitization and
reprocessing therapy
Implosive therapy
Systematic
desensitization
Relaxation and cognitive techniques
MARKI
NG (a)is the correct answer. EMDR is a technique in which the patient focuses on the
Feedba lateral movement of the clinician’s finger while maintaining a mental image of the
ck: trauma. Implosive therapy is an intense desensitization program, while systematic
desensitization is graded exposure via video or other methods of simulation.
•
•
•
•
•
NRNP/PRAC 6670 Psychiatric Mental Health Nurse Practitioner Role II: Adult And
Older Adult 2023
•
•
•
NRNP 6670 Week 6 Mid-term Exam NEW 2023
(100% Correct Summer QTR) BEST GRADE
•
•
• EXAM WITH SOLUTIONS
•
•
•
•
•
•
•
•
•
•
•
• QUIZ# 1
0 out of 1 points
From a biological perspective, all of the following neurotransmitters are implicit in the anxiety MARKING
except:
Selected
Answer:
Gam
ma-
aminobutyric acid
Answers: Gamma-
aminobutyric
acid
Norepinephri
ne Serotonin
, Dopamine
MARKI (d)isthecorectanswer.Whiledopamineisclearlyimplicitinothermentalhealthdisorders,suchasschizophrenia,
NG itisnotamong theneurotransmiterslinkedtotheanxietyMARKING.
Feedba
ck:
• QUIZ# 2
1 out of 1
points
Mr. Kendall is a 47-year old male who is presented to care by his younger sister, Megan. Mr.
Kendall has spent his entire adult life living in an apartment that was attached to his parents’
home. His mother died a few weeks ago, and the property is listed for sale. Mr. Kendall will
have to move, and while discussing this with him, Megan became very concerned. He has
apparently been considered odd all his life, has never married or even dated as far as Megan
knows, but she had no idea how odd he was. When his mother died, he seemed disconnected
from reality and had episodes of talking to people who weren’t present. Megan says that
sometimes she does not even understand what he is talking about. He seems to think he has
psychic powers, and that he doesn’t need to move because he knows the house will not be
sold. When considering a diagnosis of schizotypal disorder, the PMHNP expects which of the
following to be present in the history?
Selected
Answer:
A history of schizophrenia of a first-
degree relative
Answer
s:
A history of schizophrenia
of a first- degree relative
Sustained psychosis
predating his mother’s
death
Comorbid Asperger’s
syndrome Apparent
frank thought disorder
MARKI
NG (a)is the correct answer. A strong family history of schizophrenia supports a
Feedba diagnosis of schizotypal personality disorder. Sustained psychosis and frank thought
ck: disorder are consistent with schizophrenia and help differentiate it from
schizotypal personality. Comorbid Asperger’s syndrome is not associated with this
disorder but is sometimes a differential diagnosis in patients with schizoid
personality disorder.
• QUIZ# 3
1 out of 1
points
Becci is a 31-year-old female who presents to the PMHNP for evaluation after being referred by
her friend who is a patient of the practice. She describes a relatively acute, recent onset of
panic attacks. Becci says that ―out of the blue‖ her heart starts to race, her mouth gets dry,
she gets shaky, and feels like she cannot get her breath. She is afraid because her friend has
panic disorder and Becci knows that before her friend got treatment, she basically would not
leave the house in case an attack happened. The PMHNP recognizes that the immediate priority
in assessment for Becci is:
Selected
Answer:
A thorough physical examination
Answers:
, A thorough physical examination
A family history of
mental health disease
A urine drug screen
An assessment for
phobic disorder
MARKING (a) is the correct answer. While these are elements of a panic attack, there are a variety of
organic conditions that can
, Feedback: cause these symptoms. Becci needs a physical examination and appropriate
laboratory assessment to rule out physiologic causes of her symptoms, such as
thyroid disease. The remaining elements above will all be part of the mental health
assessment once physical health is determined.
• QUIZ# 4
1 out of 1 points
The PMHNP is working on a graduate program in which he is hoping to develop a new
personality assessment tool. After an exhaustive review of the literature and many months of
work, he developed a tool to use in a research study and needs to establish its psychometric
properties. He distributes the tool to four different professionals in the field and asks that they
assess whether the QUIZ#s appear to measure what they are purported to measure. This is an
assessment of:
Selected
Answer:
Face validity
Answers: Internal consistency
reliability
Parallel form
reliability
Construct
validity
Face validity
MARKI (d) is the correct answer. Assessing whether the items measure what they appear
NG to measure is face validity. Construct validity uses data outside of the test to
Feedba measure validity. Reliability evaluates whether the tests measure what it is
ck: supposed to measure consistently.
• QUIZ# 5
1 out of 1
points
Among the various psychotherapeutic techniques available for treating post-traumatic stress
disorder, which mechanism achieves its effect by having patients work through the traumatic
event while in a deep state of relaxation?
Selected
Answer:
Eye movement desensitization and
reprocessing therapy
Answer
s:
Eye movement
desensitization and
reprocessing therapy
Implosive therapy
Systematic
desensitization
Relaxation and cognitive techniques
MARKI
NG (a)is the correct answer. EMDR is a technique in which the patient focuses on the
Feedba lateral movement of the clinician’s finger while maintaining a mental image of the
ck: trauma. Implosive therapy is an intense desensitization program, while systematic
desensitization is graded exposure via video or other methods of simulation.
