NRNP 6665 Final Exam (2 Versions, 200 Q & A, Latest-
2022/2023) / NRNP 6665N Final Exam / NRNP6665 Final
Exam / NRNP-6665N Final Exam: Walden University | 100%
Verified Q & 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. Factitious disorder
B. Illness anxiety disorder
C. Somatic symptom disorder
D. Functional neurological symptom
D. Functional neurological symptom:
Conversion disorder, also called functional neurological symptom disorder,is
defined as a psychiatric illness in which a neurological or general medical condition
cannot explain symptoms and signs affecting voluntary motor or sensory function.
Psychological factors, such as conflicts or stress, are judged to be associated with
the deficits.The term conversion disorder was coined by Sigmund Freud, who
hypothesized that the occurrence of specific symptoms not explained by organic
diseases reflects unconscious conflict.3 The word conversion refers to substituting
a somatic symptom for a repressed idea.
Common examples of conversion symptoms include blindness, paralysis, dystonia,
psychogenic nonepileptic seizures (PNES), anesthesia, swallowing difficulties,
motor tics, difficulty walking, hallucinations, anesthesia, and dementia.5 In patients
with conversion disorder, these symptoms are not caused directly by a
physiological effect; rather these symptoms are caused by a psychological conflict.
Patients diagnosed with conversion disorder are not feigning the signs and
symptoms. Despite the lack of a definitive organic diagnosis, the patient’s distress
, NRNP 6665 Final Exam (2 Versions, 200 Q & A, Latest-
2022/2023) / NRNP 6665N Final Exam / NRNP6665 Final
Exam / NRNP-6665N Final Exam: Walden University | 100%
Verified Q & A |
is very real and the physical symptoms the patient is experiencing cannot be
controlled at will
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
B. Schizophrenia
C. Dissociative trance disorder
D. Dissociative identity disorder
A. Ganser Syndrome:
a rare dissociative disorder. It has been reported in association with various
functional psychiatric disorders and organic states, most often in patients with
head injury and stroke, especially those involving the frontal lobes.The core clinical
features of this syndrome are approximate answers, clouding of consciousness,
somatic conversion symptoms and hallucinations. However, all the core symptoms
are not needed for diagnosis.2 Ganser himself had noted impairment of grasp,
attention, concentration, anxiety and perplexity as additional features.2 There is a
report of this syndrome with the symptom of prosopagnosia as a hysterical
feature. Based on the clinical features it has been variously named as nonsense
syndrome, approximate answer syndrome , pseudodementia and balderdash
syndrome
, NRNP 6665 Final Exam (2 Versions, 200 Q & A, Latest-
2022/2023) / NRNP 6665N Final Exam / NRNP6665 Final
Exam / NRNP-6665N Final Exam: Walden University | 100%
Verified Q & A |
Which of the following can cause delirium? Check all that apply.
A. Polypharmacy
B. Sleep deprivation
C. Admission/transfer/discharge from a healthcare facility
D. None of the above
A,B,C
Delirium is a clinical syndrome that usually develops in the elderly. It is
characterized by an alteration of attention, consciousness, and cognition, with a
reduced ability to focus, sustain or shift attention. It develops over a short period
of time and fluctuates during the day. The clinical presentation can vary, usually
with psychomotor behavioral disturbances such as hyperactivity or hypoactivity
and with impairment in sleep duration and architecture.
By definition, delirium is caused by an underlying medical condition and is not
better explained by another preexisting, evolving, or established neurocognitive
disorder. The underlying cause of delirium can vary widely and involve anything
that stresses the baseline homeostasis of a vulnerable patient. Examples include
substance intoxication or withdrawal, medication side effects, infection, surgery,
metabolic derangements, pain, or even simple conditions such as constipation or
urinary retention. The diagnosis is often missed due to its subtle clinical
manifestation, especially in the hypoactive type
, NRNP 6665 Final Exam (2 Versions, 200 Q & A, Latest-
2022/2023) / NRNP 6665N Final Exam / NRNP6665 Final
Exam / NRNP-6665N Final Exam: Walden University | 100%
Verified Q & A |
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 and treatments C.Psychiatric
symptoms as a reaction to medical treatments.
D. Co-occurring medical and psychiatric conditions.
A. Medical complications of psychiatric conditions or treatments
Which of the following was the principal theoretician to bring psyche and soma
together?
A. Sigmund Freud
B. Anna Freud
C. Karl Abraham
D. Georg Groddeck
Sigmund Freud was the first theorist to bring together the concepts of psyche and
soma. Freud believed the two were interconnected and that the mind and body
worked together to produce human behavior.
Debi is a 15-year-old girl who is currently being treated for depression. Her parents
have been very proactive and involved in her care, and Debi has achieved
remission 2 months after beginning treatment with a combination of
pharmacotherapy and cognitive behavioral therapy. While counseling Debi's
parents about important issues in management, the PMHNP advises that:
2022/2023) / NRNP 6665N Final Exam / NRNP6665 Final
Exam / NRNP-6665N Final Exam: Walden University | 100%
Verified Q & 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. Factitious disorder
B. Illness anxiety disorder
C. Somatic symptom disorder
D. Functional neurological symptom
D. Functional neurological symptom:
Conversion disorder, also called functional neurological symptom disorder,is
defined as a psychiatric illness in which a neurological or general medical condition
cannot explain symptoms and signs affecting voluntary motor or sensory function.
Psychological factors, such as conflicts or stress, are judged to be associated with
the deficits.The term conversion disorder was coined by Sigmund Freud, who
hypothesized that the occurrence of specific symptoms not explained by organic
diseases reflects unconscious conflict.3 The word conversion refers to substituting
a somatic symptom for a repressed idea.
Common examples of conversion symptoms include blindness, paralysis, dystonia,
psychogenic nonepileptic seizures (PNES), anesthesia, swallowing difficulties,
motor tics, difficulty walking, hallucinations, anesthesia, and dementia.5 In patients
with conversion disorder, these symptoms are not caused directly by a
physiological effect; rather these symptoms are caused by a psychological conflict.
Patients diagnosed with conversion disorder are not feigning the signs and
symptoms. Despite the lack of a definitive organic diagnosis, the patient’s distress
, NRNP 6665 Final Exam (2 Versions, 200 Q & A, Latest-
2022/2023) / NRNP 6665N Final Exam / NRNP6665 Final
Exam / NRNP-6665N Final Exam: Walden University | 100%
Verified Q & A |
is very real and the physical symptoms the patient is experiencing cannot be
controlled at will
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
B. Schizophrenia
C. Dissociative trance disorder
D. Dissociative identity disorder
A. Ganser Syndrome:
a rare dissociative disorder. It has been reported in association with various
functional psychiatric disorders and organic states, most often in patients with
head injury and stroke, especially those involving the frontal lobes.The core clinical
features of this syndrome are approximate answers, clouding of consciousness,
somatic conversion symptoms and hallucinations. However, all the core symptoms
are not needed for diagnosis.2 Ganser himself had noted impairment of grasp,
attention, concentration, anxiety and perplexity as additional features.2 There is a
report of this syndrome with the symptom of prosopagnosia as a hysterical
feature. Based on the clinical features it has been variously named as nonsense
syndrome, approximate answer syndrome , pseudodementia and balderdash
syndrome
, NRNP 6665 Final Exam (2 Versions, 200 Q & A, Latest-
2022/2023) / NRNP 6665N Final Exam / NRNP6665 Final
Exam / NRNP-6665N Final Exam: Walden University | 100%
Verified Q & A |
Which of the following can cause delirium? Check all that apply.
A. Polypharmacy
B. Sleep deprivation
C. Admission/transfer/discharge from a healthcare facility
D. None of the above
A,B,C
Delirium is a clinical syndrome that usually develops in the elderly. It is
characterized by an alteration of attention, consciousness, and cognition, with a
reduced ability to focus, sustain or shift attention. It develops over a short period
of time and fluctuates during the day. The clinical presentation can vary, usually
with psychomotor behavioral disturbances such as hyperactivity or hypoactivity
and with impairment in sleep duration and architecture.
By definition, delirium is caused by an underlying medical condition and is not
better explained by another preexisting, evolving, or established neurocognitive
disorder. The underlying cause of delirium can vary widely and involve anything
that stresses the baseline homeostasis of a vulnerable patient. Examples include
substance intoxication or withdrawal, medication side effects, infection, surgery,
metabolic derangements, pain, or even simple conditions such as constipation or
urinary retention. The diagnosis is often missed due to its subtle clinical
manifestation, especially in the hypoactive type
, NRNP 6665 Final Exam (2 Versions, 200 Q & A, Latest-
2022/2023) / NRNP 6665N Final Exam / NRNP6665 Final
Exam / NRNP-6665N Final Exam: Walden University | 100%
Verified Q & A |
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 and treatments C.Psychiatric
symptoms as a reaction to medical treatments.
D. Co-occurring medical and psychiatric conditions.
A. Medical complications of psychiatric conditions or treatments
Which of the following was the principal theoretician to bring psyche and soma
together?
A. Sigmund Freud
B. Anna Freud
C. Karl Abraham
D. Georg Groddeck
Sigmund Freud was the first theorist to bring together the concepts of psyche and
soma. Freud believed the two were interconnected and that the mind and body
worked together to produce human behavior.
Debi is a 15-year-old girl who is currently being treated for depression. Her parents
have been very proactive and involved in her care, and Debi has achieved
remission 2 months after beginning treatment with a combination of
pharmacotherapy and cognitive behavioral therapy. While counseling Debi's
parents about important issues in management, the PMHNP advises that:
