NRNP 6635 Midterm Exam Questions With Correct Answers Latest (Score 100%)

Select the mental function that is most affected in mild cognitive impairment. Selected Answer: D. Recent memory  Question 2 Select the most frequent cause of infant and childhood intellectual disability that is attributed to a specific gene. Selected Answer: C. Down syndrome  Question 3 Select the neurotransmitter that is most associated with the occurrence of ADHD. Selected Answer: B. Dopamine  Question 4 Select the drug of choice to treat psychosis in delirious patients. Selected Answer: D. Haloperidol  Question 5 Select the characteristic that is greater in childhood than adult onset schizophrenia. Selected Answer: B. Social withdrawal  Question 6 Select the personality disorder in which patients are continually in crisis and exhibit unpredictable behavior. Selected Answer: C. Borderline  Question 7 Select the factor that best correlates with attempted and completed suicide. Selected Answer: A. Mental illness  Question 8 Select the brain region that shows the greatest anatomical abnormalities in schizophrenic patients. Selected By the end of the 20th century, however, researchers had made significant strides in revealing a potential neuropathological basis for schizophrenia, primarily in the limbic system and the basal ganglia, including neuropathological or neurochemical abnormalities in the cerebral cortex, the thalamus, and the brainstem. Because the basal ganglia and cerebellum are involved in the control of movement, disease in these areas is implicated in the pathophysiology of schizophrenia. Answer: D. Basal ganglia  Question 9 Select the gender dysphoria in which genital surgery is usually not chosen. Selected Answer: but who maintain a gender identity that is the same as their birth-assigned gender known as crossdressers. C. Crossdresser  Question 10 Select the antipsychotic drug for which the labeling carries a black box warning for agranulocytosis. Selected Answer: A. Clozapine  Question 11 Select the time of onset for tolerance to develop from continuous use of hallucinogens such as LSD. Selected Answer: Tolerance, particularly to the sensory and other psychological effects, is evident as soon as the second or third day of successive LSD use. Four to 6 days free of LSD are necessary to lose significant tolerance. B.4-7 days  Question 12 Select the most reliable method to make a diagnosis of schizophrenia. Selected Answer: Therefore, a patient’s history is essential for the diagnosis of schizophrenia; clinicians cannot diagnose schizophrenia simply by results of a mental status examination, which may vary. D. Patient history  Question 13 Select the dysfunction that is common to 50% to 85% of schizophrenic patients. Selected Answer: Various studies have reported abnormal eye movements in 50 to 85 percent of patients with schizophrenia compared with about 25 percent in psychiatric patients without schizophrenia and fewer than 10 percent in nonpsychiatrically ill control participant. D. Eye movement  Question 14 Select two of the “Four A’s” symptoms of schizophrenia described by Bleuler. Selected These symptoms included associational disturbances of thought, especially looseness, affective disturbances, autism, and ambivalence, summarized as the four As: associations, affect, autism, and ambivalence. Answers: A. autism B. ambivalence  Question 15 Select the personality disorder in which patients exhibit covert obstructionism, procrastination and pessimism. Selected In psychoanalytic terms, this phenomenon is called masochism and includes failure, procrastination, silly or provocative behavior, self-demeaning clowning, and frankly self-destructive acts. Answer: D. Passive aggressive  Question 16 Select the negative symptom of schizophrenia. Selected Answer: A. Anhedonia  Question 17 Select the main cause female orgasmic disorder. Selected Answer: B. Genetic  Question 18 Select the age range for 90% of patients treated for schizophrenia. Selected Answer: About 90 percent of patients in treatment for schizophrenia are between 15 and 55 years old. B. 10-55  Question 19 Select the non-drug therapy in which mastery of anxiety through desensitization is critical to successful treatment of sexual dysfunction. Selected Answer: The behavior therapist enables the patient to master the anxiety through a standard program of systematic desensitization, which is designed to inhibit the learned anxious response by encouraging behaviors antithetical to anxiety. ACBEHAVIORAL THERAPY C. Group  Question 20 Select the disorder that is often comorbid with brief psychotic disorder. Selected Answer: Personality disorder is also a predisposing factor for other psychiatric disorders D. Personality  Question 21 Select the psychoactive substance that is most frequently consumed worldwide. Selected Answer: Caffeine is the most widely consumed psychoactive substance in the world. B. Caffeine  Question 22 Select the age range at which most children with gender dysphoria begin to show increased anxiety over anticipated changes to their bodies. Selected Answer: Gender identity crystallizes in most persons by age 2 or 3 years. Parents, however, typically report that the cross-gender behaviors were apparent before 3 years of age. Children typically begin to develop a sense of their gender identity around age 3. D. 3 to 4  Question 23 Select the theorist who first studied social and cultural influences on suicide. Selected Answer: The first major contribution to the study of the social and cultural influences on suicide was made at the end of the 19th century by the French sociologist Emile Durkheim. B. Durkheim  Question 24 Select the disorder in which is characterized by lack breast development. Selected Answer: Turner’s syndrome in a patient aged 23. Note webbed neck, increased carrying angle, failure of breast development, and lack of pubic hair. B.5-α-reductase deficiency  Question 25 Select the age range of the highest rate of substance dependence or abuse. Selected Answer: In 2012, the rate for dependence or abuse is highest among adults age 18 to 25 (19 percent) compared to youths age 12 to 17 (6 percent) and adults age 26 or older (7 percent). After age 21, a general decline occurred with age. B. 18-25  Question 26 Select two terms preferred to describe sexual orientation. Selected Answers: Hemosexual and Hecterosexual A.Gay D. Lesbian  Question 27 Select the two patient populations in which delirium occurs most frequently. Selected Answers: B. Terminally ill C. Long-term care  Question 28 Select the drug used to treat neuroleptic malignant syndrome. Selected Answer: C. Dantrolene  Question 29 Select the drug that is most likely to cause parkinsonian movement symptoms. Selected Answer: D. Haloperidol  Question 30 Select the two main conditions to initially identify in adult psychiatric emergencies. Selected Answers: B. Suicide D. Substance intoxication  Question 31 Select the psychiatric emergency that is indicated by mothers who express inadequate distress over their children’s medical symptoms. Selected Answer: Careful observation may reveal that the mothers often do not exhibit appropriate signs of distress on hearing the details of the child’s medical symptoms. D. Munchausen’s syndrome  Question 32 Select the drug that is least life-threatening when consumed in an overdose. Selected Answer: B. Zolpidem  Question 33 Select the drug that is most safe and effective in treating mild to moderate memory loss in early Alzheimer’s disease. Selected Answer: A. Donepezil  Question 34 Select the substance that is most commonly abused by adolescents. Selected Answer: B. Marijuana  Question 35 Select the development time of symptoms in neuroleptic malignant syndrome. Selected Answer: The symptoms usually evolve over 24 to 72 hours, and the untreated syndrome lasts 10 to 14 days. D. 10-14 days  Question 36 Select the patient population at most risk of mortality from delirium. Selected C. Answer: Alcohol withdrawal  Question 37 Select the most distinguishing characteristic of delirium. Selected Answer: Classically, delirium has a sudden onset (hours or days), a brief and fluctuating course, and rapid improvement when the causative factor is identified and eliminated, but each of these characteristic features can vary in individual patients. B. Sudden onset  Question 38 Select the category of symptoms that is most commonly comorbid with cognitive disorders. Selected Answer: A. Behavioral  Question 39 Select the primary defense mechanism that is common in delusional disorder. Selected Answer: A.Projection  Question 40 Select the neurotransmitter system that is most associated with the addictive rewarding properties of opioids. Selected Answer: A. Dopaminergic  Question 41 Select the type of hallucinations most common in schizophrenia. Selected The most common hallucinations, however, are auditory, with voices that are often threatening, obscene, accusatory, or insulting. Answer: C. Auditory  Question 42 Select the diagnostic criterion for catatonia resulting from a medical condition. Selected Answer: B. Waxy flexibility  Question 43 Select the two factors that are not applicable to diagnosing schizoaffective disorder. Selected Answers: As with most psychiatric diagnoses, schizoaffective disorder should not be used if the symptoms are caused by substance abuse or a secondary medical condition. C. Medical condition D. Substance abuse  Question 44 Select the percentage of substance-addicted persons with a concurrent psychiatric disorder. Selected Answer: B. 50  Question 45 Select the hepatic enzyme that performs the initial metabolism of alcohol. Selected Answer: A.ADH  Question 46 Select the epidemiologic characteristic of tardive dyskinesia symptoms. Selected Answer: B. Absence in age less than 50  Question 47 Select the neurotransmitter that inhibits sexual orgasm. Selected Answer: A. Serotonin  Question 48 Select the drug that is least likely to cause male sexual dysfunction. Selected Answer: B. Sertraline  Question 49 Select the youngest age at which childhood-onset schizophrenia can be distinguished from autism spectrum. Selected Answer: A. 3  Question 50 Select the most effective form of questioning when taking a sex history. Selected Answer: B. Open ended  Question 51 Select the initial intervention to treat children experiencing acute school refusal.