NRNP 6665 Final Exam Questions and Answers Latest Update 2023/2024 | Score A+

NRNP 6665 Final Exam Questions and Answers Latest Update 2023/2024 | Score A+. The ARNP is doing a physical exam on a patient that has a paralyzed hand of unknown etiology in which the patient’s hand is raised and dropped into the patient’s face. Which of the following patient response support the finding of a conversion disorder? a. The patient’s hand drops onto the patient’s face. b. The patient’s hand falls next to the patient’s face. c. The patient’s hand stays in the air when dropped d. This would not be an appropriate test for conversion disorder. 6. Which of the following questions would be important when differentiating pyromania from conduct disorder or antisocial personality disorder? Check all that apply. a. Was the fire set in response to a delusion or hallucination? b. Was the fire set deliberately, not a failure to resist an impulse? c. Was the fire set as an act of sabotage? d. Was the fire set with a failure to appreciate the consequences of the act? 7. A tension state that can exist without an action is known as which of the following ? a. An obsession b. A compulsion c. An impulse d. Ego dystonic 8. The term psychosomatic literary refers to which of the following? a. Imaginary illness b. Psychiatric illness c. How the mind effects the body d. How the body effects the mind 9. Which of the following is consistent with what is known about treating individuals with kleptomania? a. Insight-oriented psychotherapy has been shown to be effective regardless of motivation level of the individual. b. Psychoanalysis is the treatment of choice. c. Behavior therapy including aversion therapy has been reported to be successful with highly motivated individuals. d. A combination of aversive conditioning and alter social contingence has been reported successful even when self-motivation was lacking. 10. Which of the following is an example of a medical complication of psychiatric conditions or treatment? a. Dementia b. Neuroleptic Malignant syndrome c. Depression related to limb amputation d. Recurrence of depressive disorder in setting of cancer treatment. 11. A process by which repressed material is brought back to consciousness and the person relives the repressed material accompanied by a. Abulia b. Abreaction c. Adynamia d. Alexithymia 12. The diagnosis formerly known as multiple personality disorder is now known as which of the following? a. Dissociative fugue b. Dissociative identity disorder c. Factitious dissociative identity disorder d. None of the above 13. A frontotemporal dementia with onset in the fifth to sixth decade of life, more common in men, marked by personality change and cognitive decline, is known as which of the following? a. Pick’s disease b. Lewy body dementia c. Huntington’s disease d. Creutzfeldt-Jakob disease 14. Which of the following is not consistent with what is known about depersonalization and derealization? a. They are the third most commonly reported psychiatric symptom. b. Derealization is two to four times more often in men than in women. c. One survey found a one-year prevalence of 19 percent in the general population. d. Transient experience of depersonalization and derealization are extremely common in normal and clinical populations. 15. Which of the following is consistent dementia in HIV? a. The individual’s decline is very slow and may take years to progress. b. The individual’s decline is progressive in nature with motoric and behavioral abnormalities. c. The individual’s decline is in a stepwise fashion with motoric and behavioral abnormalities. d. The individual’s decline has marked variability and fluctuating motoric and behavioral abnormalities. 16. Precipitating factors for delirium do NOT include which of the following? a. Pain b. Surgery c. Age 65 and older d. Use of physical restraints 17. An unconscious defense mechanism involving the segregation of any group of mental or behavioral processes from the rest of the person’s psychic activity is known as which of the following? a. Repression b. Dissociation c. Displacement d. Reaction formation 18. Which of the following medications is used to treat irritability in autism? a. fluoxetine b. aripiprazole c. alprazolam d. guanfacine 19. The ARNP is meeting with a person who reports a fascination with fire, along with recurrent deliberate and purposeful setting of fires. The ARNP realizes that these behaviors are consistent with which of the following disorders? a. Pyromania b. Obsessive-compulsive disorder c. Intermittent explosive disorder d. Pyrophobia 20. Which of the following are common disorders that must be differentiated from dissociative identity disorder? Check all that apply. a. Perimenstrual disorders b. Posttraumatic stress disorder c. Obsessive-compulsive disorder d. B and C only 21. There is a significant overlap in symptoms of dementia and delirium, however the distinguishing feature is which of the following? a. Memory b. Orientation c. Appearance d. Duration of onset of symptoms 22. Which of the following is true about impulses? Check all that apply. a. Impulses are acted upon with the expectation of receiving pleasure. b. Impulses are usually ego-dystonic. c. Impulsive behaviors are characterized by their repetitive nature d. The repeated acting out of impulses leads to psychological impairment. 22. Persons who continually use the internet to play games to the extent that it interferes with social relations and work performance are exhibiting symptoms most specifically consistent with which of the following conditions? a. Obsessive gaming disorder b. Internet gaming disorder c. Internet use d. Internet abuse 23. Which of the following supports a good prognosis for a person with a conversion disorder? a. Insidious onset b. Clearly identifiable stressors at time of onset c. Average intelligence d. B and C 24. Which of the following speech and language skills are consistent with normal developmental milestones of a 3-year-old? a. Uses three-word sentences; names body parts. b. Uses two-word sentences; understands me and you c. Follows three-step request; tells stories d. Responds to “why”; likes rhyming words 25. A disorder characterized by 6 or more months of general and no delusional preoccupations with fears of having a serious disease based on a person’s misinterpretation of bodily symptoms that cause significant distress and impairment in one’s life is a. Factitious disorder b. Conversion disorder c. Illness anxiety disorder d. Somatic symptom disorder 26. An acute onset, short-term confusion, with changes in cognition and level of awareness due to physiological cause is known as which of the following? a. Delirium b. Dementia c. Psychosis d. Traumatic brain injury 27. The therapeutic approach that has the best chance of success for the person with intermittent explosive disorder is which of the following? a. Psychotherapy b. Psychopharmacology only c. Combined psychotherapy/psychopharmacology approach d. Family therapy only 28. Which is NOT consistent with what is known about Ganser Syndrome? a. Three of Ganser’s first four cases were convicts. b. Cases have been reported in a variety of cultures. c. Women outnumber men by approximately 2 to 1. d. It is considered by some to be an indicator of potential malingering. 29. Which of the following biological factors have been associated with kleptomania? Check all that apply. a. Brain diseases b. Cortical atrophy c. Mental retardation d. Enlarged lateral ventricles. 30. Which of the following medications are FDA-approved medications for the treatment of delirium? a. Donepezil b. Galantamine c. Rivastigmine d. None of the above 31. A child 0-3 months would be expected to be able to do which of the following? a. Develop social smile b. React and turn toward sounds c. Watch faces, follows objects d. All the above 32. The ARNP evaluates a 4-year-old who cannot balance on one foot for 3 seconds, cannot copy a circle and realizes which of the following? a. This is normal for a 4-year-old. b. This is a developmental red flag for a 4-year-old that should trigger a specialized assessment. c. This a developmental red flag for a 5-year-old so do nothing at this point. d. This is a minor concern, the ARNP advises to enroll the child in gymnastics for balance and an art class to learn to draw better. 33. A child who demonstrates repetitive significant violations of social rules and the rights of others over the course of a year would likely be diagnosed with which of the following diagnosis? a. Attention-deficit/hyperactive disorder b. Autism spectrum disorder c. Conduct disorder d. Oppositional defiant disorder 34. A tension state that always has an action component is known as which of the following ? a. An impulse b. An obsession c. A compulsion d. Acting out 35. An increase in depersonalization is seen with the depletion of which of the following? a. GABA b. Serotonin c. L-tryptophan d. Norepinephrine 36. Which of the following can lower a person’s resistance to control impulse? a. Fatigue b. Incessant stimulation c. Psychic trauma d. All the above 37. The ARNP notices that a patient with a conversion disorder unable to walk has an inappropriate cavalier attitude toward what seems to be a major impairment and recognizes this an associated psychological symptom known as which of the following? a. Identification b. primary gain c. Secondary gain d. La belle indifference 38. Which of the following adoptive skills are consistent with normal range developmental milestone of an 18-month-old? a. Bites, chews cookie; looks for fallen item. b. Finger feeds items; takes off a hat c. Gets onto a chair; removes garment d. Opens doorknobs; pulls off pants 39. Most patients with dissociative identity disorder meet criteria for which of the following? a. Schizophrenia b. Cyclic mood disorder c. Schizoaffective disorder d. Unspecified mood disorder with depressive symptoms 40. Patients who simulate, induce or aggravate illness to receive medical attention, regardless of whether or not they are ill, would be diagnosed with which of the following disorder? a. Factitious disorder b. Conversion disorder c. Somatization disorder d. Illness anxiety disorder 41. The primary causative factor of disruptive, impulse-control , and conduct disorder is which of the following? a. Biological b. Psychosocial c. Psychodynamic d. Unknown 42. Anxiety related to chemotherapy is an example of which type of clinical problem in psychosomatic medicine? a. Psychological factors precipitating medical symptoms. b. Psychiatric symptoms as a reaction to a medical condition or treatment c. Co-occurring medical and psychiatric conditions d. Psychiatric complications of medical conditions and treatments. 43. Interest in fires and deliberate setting of fires for financial gain is known as which of the following? a. Arson b. Pyromania c. Intermittent explosive disorder d. Impulse control disorder 44. A subcortical dementia characterized by motor abnormalities including psychomotor slowing, choreoathetoid movements, executive dysfunction complicated by impaired language, memory, and insight later in the disease process is a. Vascular dementia b. Huntington’s disease c. Creutzfeldt-Jakob disease d. Alzheimer’s type dementia 45. Depression secondary to interferon treatments represent which of the following clinical problems in psychosomatic medicine? a. Psychiatric complications of medical conditions and treatments. b. Psychiatric symptoms secondary to a medical condition. c. Psychological factors precipitating medical symptoms. d. Psychiatric symptoms as a reaction to medical condition or treatment. 46. Indicators of imitative dissociative identity disorder include which of the following symptoms? a. Symptom exaggeration b. Confusion and shame related to symptoms c. Use of symptoms to excuse antisocial behaviors. d. A and C only 47. The principal theoretician to bring psyche and soma together was which of the following? a. Sigmund Freud b. Anna Freud c. Karl Abraham d. George Groddeck 48. The epidemiology related to kleptomania includes which of the following? a. Kleptomania is more prevalent in males than females. b. Kleptomania is estimated to be about 10 percent in the general population c. Kleptomania is reported to occur in fewer than 5 percent of identified shoplifters. d. All of the above