NRNP 6665 Final Exam Questions and Answers Latest Updated 2024 (Graded A+)

NRNP 6665 Final Exam Questions and Answers Latest Updated 2024 (Graded A+). 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 in known as which of the following? A. functional neurological symptom disorder 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 A. Ganser Syndrome Question: Which of the following can cause delirium? Check all that apply. A. Polypharmacy B. Sleep deprivation Acute withdrawal from alcohol represents which type of clinical problem in psychosomatic medicine? Psychological factor precipitating medical condition Question: The principal theoretician to bring psyche and soma together was which of the following? A. Sigmund Freud Question: Which of the following would not be included in the treatment plan for a patient with illness anxiety disorder? A. Exploratory invasive procedures to obtain diagnosis Question: Which of the following is consistent with current literature about the relationship between obstetrical complications and autism spectrum disorders (ASD)? Research proves there is a positive correlation between obstetrical complications and ASD Question: The epidemiology related to kleptomania includes which of the following? Kleptomania is reported to occur in fewer than 5 percent of identified shoplifters. The prevalence of kleptomania is not known, but it is estimated to be about 0.6 percent. The range varies from 3.8 to 24 percent of those arrested for shoplifting. There are reports that it occurs in fewer than 5 percent of identified shoplifters. The male-to-female ratio is 1:3 in clinical samples. Question: A frontotemporal dementia with onset in the fifth to sixth decade of life, more common in men, marked by personality change. Question: Which of the following demographics are consistent with autism spectrum disorder (ASD) A. Four times more common in boys than girls. Question: The ARNP is working with the family of a patient with Alzheimer's Disease who keeps stating the family is plotting against her, trying to have her "snuffed out." The family is distraught because they state they are doing their best to make sure their family member is safe. The ARNP explains which of the following in educating the patient about the patient's A. The patient is delusional. An estimated 30 to 40 percent of patients with dementia have delusions Question: Which of the following persons hypothesized that the symptoms of conversion disorder reflect unconscious conflict? A. Sigmund Freud Question: Which of the following is consistent within normal range developmental milestones in adaptive skills for a 4-year-old? A. Toilets self alone; uses fork Question: A temporary marked alteration in the state of consciousness or by the customary sense of personal identity without the replacement by an alternate sense of identity is known as which of the following? A. Dissociative trance disorder Question: Differential diagnoses to be considered when diagnosing Ganser syndrome include which of the following? A. All the above (organic dementia, depressive pseudodementia, Korsakoff'ssyndrome) Question: A patient who has been raped, presents with the inability to recall important personal information and any information about the rape, does recall events prior and since. There does not appear to be any physiological reason for this. This presentation is consistent with which of the following diagnoses? A. Dissociative amnesia Question: 17. Depersonalization can result from which of the following conditions? Check all that apply. A. Seizure patients and migraine sufferers ; they can also occur with use of psychedelic drugs, especially marijuana, lysergic acid diethylamide (LSD), and mescaline, Question: 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 diagnoses? A. Conduct Disorder Question: A sudden unexpected purposeful travel away from home with inability to recall all of one's past accompanied by confusion about personal identity not due to direct effects of a substance or a general medical condition which causes clinically significant distress or impairment in social, occupational, or other important areas of functioning is most specifically known as which of the following? A. Dissociative fugue Question: Which of the following is NOT considered a nonpathological form of amnesia? A. Generalized Amnesia, Selective Amnesia, Localized amnesia, continuous amnesia Question: The diagnosis formerly known as multiple personality disorder is now known as which of the following? A. Dissociative Identity Disorder Which of the following is not consistent with what is known about the epidemiology of dissociative fugue? A. It is usually described in adults. B. It is commonly described in men C. It is more common in women than women D. It is more common during natural disasters, war time, or times of major social dislocations and violence. A cognitive assessment should include which of the following? A.. Baseline cognitive functioning B.Changes from baseline Functioning C Speed of onset of cognitive changes D. All of the above The ARNP notices that a patient with a conversion disorder unable to walk has an inappropriately 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 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 (3 years) B. Uses two-word sentences; understands me and you (2 years) C. Follows three-step request; tells stories (4 years) D. Responds to "why?"; likes rhyming words (5 years) A patient presents with persistent feelings of detachment from oneself, like watching oneself in a movie. The ARNP recognizes this as which of the following? A. Derealization B. Depersonalization C. Generalized amnesia D. Dissociative identity disorder Schizophrenia in a patient with end-stage renal disease is an example of which type of clinical problem in psychosomatic medicine? A. Co-occurring medical and psychiatric conditions B. Psychiatric symptoms secondary to a medical condition C. Psychiatric symptoms as a reaction to a medical condition D. Psychiatric complications of medical conditions and treatments A person erroneously believes they sustained an emotional or physical trauma in early life is known as which of the following? A. Ganser syndrome B.False memory syndrome C. Factitious dissociative identity disorder D. Imitative dissociative identity disorder MRI findings in patients with intermittent explosive disorder may reveal changes to which area of the brain that is associated with loss of impulse control? A.. Cerebellum B. Prefrontal cortex C. Temporal lobe D. Parietal lobe 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 is a developmental red flag for a 5-year-old so do nothing at this point. D. This is a minor concern, the APRN advises to enroll the child in gymnastics for balance and an art class to learn to draw better. 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 (depends on the 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. A combination of aversive conditioning and alter social D. contingencies has been reported successful even when selfmotivation was lacking Question: A patient presents reporting acute amnesia and fugue episodes in addition to recurrent blackouts, unexplained possessions,and fluctuations in skills, habits, and knowledge. The ARNP recognizes this is consistent with which of the following? A. Dissociative Identity Disorders Question: Deficits in language including naming, repetition, reading and comprehension, and writing is NOT associated with impairment in which of the following regions of the brain? A. Right parietal Question: A major neurocognitive disorder with severe impairment in memory, judgment, orientation, and cognition is known as which of the following? A. Dementia Question: The patient with an illness anxiety disorder is requesting medication only from the ARNP. The ARNPs response about pharmacotherapy in illness anxiety disorder would include which of the following? A. Pharmacotherapy helps alleviating symptoms but cannot provide lasting relief Question: Which of the following is consistent with what is known about kleptomania? The goal for the person with kleptomania is the act of A. stealing Question: A type of delirium characterized by cycling through psychomotor agitation and retardation, from apathy to hypervigilance is known as which of the following? A. Mixed delirium Question: Under hypnosis or during psychotherapy, a patient may recover a memory of a painful experience that is etiologically significant. This is known as which of the following? A. Recalled Memory Syndrome Which of the following conversion disorder symptoms are associated with a good prognosis? A. Paralysis and blindness Question: According to the DSM-5 which of the following symptoms differentiates illness anxiety disorder from somatic symptom disorder? A. In somatic symptom disorder, persons are primarily concerned. Question: Identifying developmental milestones is an important skill set for ARNPs for which of the following reasons? Often developmental milestones go unrecognized until a child is A. much older. B. Knowing when a significant variation in development has occurred improves diagnostic accuracy. The sooner a significant developmental impairment is C. identified and addressed, the better the long-term outcomes could be for patients. D. All of the above Question: Which of the following is true about compulsions? A. The person feels compelled to act out their pathological behavior. B. Compulsions are usually ego dystonic. C. A and B only Question: The ARNP recognizes which of the following when the 2-month-old opens her mouth when she sees a bottle. A. The 2-month-old is demonstrating a normal developmental visual motor skill. Question: The ARNP notices the 6-month-old does not have a spontaneous smile response and realizes which of the following? A. This is a social/emotional developmental red-flag delay and triggers further assessment. Question: Data supports which of the following demographics of persons with conversions disorder? A. Conversion disorder is most common among rural people Question: Which of the following is consistent with what is known about electroconvulsive therapy (ECT) use in patients with dissociative identity disorder (DID)? A. ECT is helpful in ameliorating refractory mood disorders and does not worsen dissociative memory problems Question: Which of the following conditions associated with childhood are part of the five conditions which comprise disruptive, impulse-control, and conduct disorders? A. ODD Question: A category of disorders characterized by the inability to resist an intense impulse, drive, or temptation to perform a particular act that is obviously harmful to self or others, or both is known as which of the following? A. Disruptive, impulse-control disorders Question: A person reveals to the ARNP that they steal to get the things they want and cannot afford. The person says they just can't help themselves because theyhave kleptomania. The ARNP realizes the following: A. The person likely does not have kleptomania because a person with kleptomania is more concerned with the act of stealing rather than the obtaining the object which has been stolen. Question: Which of the following would demonstrate the normal achievement of gross motor developmental milestone for a 6-month-old? Question: According to a psychodynamic perspective, depersonalization and derealization are understood as which of the following? A. Traumatic stress response Question: Which of the following is consistent with brain-imaging findings related to autism spectrum disorder (ASD)? A. Increased head size and brain volume Question: Which of the following biological factors have been associated with kleptomania? Check all that apply. Cortical atrophy, brain diseases, mental retardation and Focal neurological signs, and enlarged lateral ventricles Question: The symptom of giving approximate answers is known as which of the following? A. Paralogia Question: An acute onset, short-term confusion, with changes in cognition and level of awareness due to a physiological cause is known as which of the following? A. Delirium Question: A dissociative disorder described as an identity disturbance due to prolonged and intense coercive persuasion is known as which of the following? A. Brainwashing Question: The ARNP in working with a parent of a 6-month-old would offer which of the following in anticipatory guidance? A. All of the above (give baby much attention, attune baby's need for hunger, fatigue, diaper change and provide supervised time for cawing, sitting and rolling) Question: Which of the following are behavioral red flags for a 6-12-year- old? A. None of the above Question: Neuropsychiatric testing is defined as which of the following? A. Standardized quantitative reproducible evaluation of patient's cognitive abilities. Question: The term psychosomatic literally refers to which of the following? A. How the mind effects the body. Question: Which of the following questions are recommended to assess sexual identity in a male adolescent? A. Do you have, or have you had romantic feelings toward anyone? Question: A tension state that can exist without an action is known as which of the following? A. An inpulse. Question: Which of the following diagnostic instruments for autism spectrum disorder is recommended for universal clinical practice? A. None Autism Diagnostic Interview-revised (ADI-R The Autism Diagnostic Observation Schedule (ADOS-2) Question: A new diagnosis in the DSM-5 characterized by persons preoccupied with being sick or developing a disease of some kind is known as which of the following? A. Illness anxiety disorder Question: 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 causes significant distress and impairment in one's life is A. Somatic symptom disorder Question: A precipitous onset prion disease, with rapid decline, progressing to death within 6 months of onset is known as which of the following? A. Creutzfeldt-Jackob disease