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NRNP 6665-01 Actual 2025 Week 6
Midterm Exam Questions and
Answers Verified
Question 1
Which of the following disorders is characterized by symptoms or deficits affecting voluntary
motor or sensory functions, suggesting another medical condition but caused by psychological
factors?
A. Factitious disorder
B. Illness anxiety disorder
C. Somatic symptom disorder
D. Functional neurological symptom disorder
Correct Answer: D. Functional neurological symptom disorder
Rationale: Functional neurological symptom disorder involves neurological symptoms (e.g.,
paralysis, seizures) not explained by a medical condition but linked to psychological stressors.
Factitious disorder involves intentional symptom fabrication, illness anxiety d isorder focuses on
excessive health concerns, and somatic symptom disorder involves distressing physical
symptoms with excessive thoughts or behaviors.
Question 2
A patient gives approximate answers to questions, accompanied by clouding of consciousness
and dissociative symptoms. This is characteristic of which condition?
A. Ganser syndrome
B. Schizophrenia
C. Dissociative trance disorder
D. Dissociative identity disorder
Correct Answer: A. Ganser syndrome
Rationale: Ganser syndrome is marked by approximate answers (e.g., answering “2+2=22”),
clouding of consciousness, and dissociative or conversion symptoms. Schizophrenia involves
psychotic symptoms, dissociative trance disorder involves trance states, and dissociative identity
disorder involves multiple personalities.
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Question 3
Which of the following is a common cause of delirium in a hospitalized patient?
A. Polypharmacy
B. Chronic depression
C. Personality disorder
D. Mild anxiety
Correct Answer: A. Polypharmacy
Rationale: Delirium is often caused by polypharmacy, especially in older adults, due to drug
interactions or side effects. Chronic depression, personality disorders, and mild anxiety are not
primary causes of delirium, which is typically acute and reversible.
Question 4
A patient believes they experienced early-life trauma that did not occur. This is known as:
A. Ganser syndrome
B. False memory syndrome
C. Factitious dissociative identity disorder
D. Imitative dissociative identity disorder
Correct Answer: B. False memory syndrome
Rationale: False memory syndrome involves erroneous beliefs about past trauma, often
influenced by suggestion or therapy. Ganser syndrome involves approximate answers, and
factitious or imitative dissociative identity disorders involve fabricated or mimicked personality
states.
Question 5
Which brain imaging finding is consistent with Autism Spectrum Disorder (ASD)?
A. Increased head size and brain volume
B. Decreased gray matter in the brain
C. Reduced connectivity in frontal regions
D. Normal brain volume and structure
Correct Answer: A. Increased head size and brain volume
Rationale: ASD is associated with increased head size and brain volume, particularly in early
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childhood. Decreased gray matter or reduced connectivity may occur in other disorders, and
normal findings are less typical in ASD.
Question 6
The epidemiology of kleptomania includes which of the following?
A. More prevalent in males than females
B. Occurs in about 10% of the general population
C. Reported in fewer than 5% of identified shoplifters
D. All of the above
Correct Answer: C. Reported in fewer than 5% of identified shoplifters
Rationale: Kleptomania is rare, occurring in fewer than 5% of shoplifters, and is more common
in females. The general population prevalence is estimated at 0.6%, not 10%.
Question 7
Which of the following is a key feature of schizophrenia?
A. Lifetime prevalence of about 50%
B. More prevalent in children than adolescents
C. Peak onset in males is 10–25 years
D. Onset before age 25 is extremely rare
Correct Answer: C. Peak onset in males is 10–25 years
Rationale: Schizophrenia typically has a peak onset in males between ages 10–25, with a
lifetime prevalence of about 1%. It is more common in adolescents and young adults than
children, and early onset is rare but possible.
Question 8
A 4-year-old cannot balance on one foot for 3 seconds or copy a circle. This indicates:
A. Normal development for age
B. A developmental red flag requiring assessment
C. Typical motor delay
D. Expected cognitive limitation
NRNP 6665-01 Actual 2025 Week 6
Midterm Exam Questions and
Answers Verified
Question 1
Which of the following disorders is characterized by symptoms or deficits affecting voluntary
motor or sensory functions, suggesting another medical condition but caused by psychological
factors?
A. Factitious disorder
B. Illness anxiety disorder
C. Somatic symptom disorder
D. Functional neurological symptom disorder
Correct Answer: D. Functional neurological symptom disorder
Rationale: Functional neurological symptom disorder involves neurological symptoms (e.g.,
paralysis, seizures) not explained by a medical condition but linked to psychological stressors.
Factitious disorder involves intentional symptom fabrication, illness anxiety d isorder focuses on
excessive health concerns, and somatic symptom disorder involves distressing physical
symptoms with excessive thoughts or behaviors.
Question 2
A patient gives approximate answers to questions, accompanied by clouding of consciousness
and dissociative symptoms. This is characteristic of which condition?
A. Ganser syndrome
B. Schizophrenia
C. Dissociative trance disorder
D. Dissociative identity disorder
Correct Answer: A. Ganser syndrome
Rationale: Ganser syndrome is marked by approximate answers (e.g., answering “2+2=22”),
clouding of consciousness, and dissociative or conversion symptoms. Schizophrenia involves
psychotic symptoms, dissociative trance disorder involves trance states, and dissociative identity
disorder involves multiple personalities.
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Question 3
Which of the following is a common cause of delirium in a hospitalized patient?
A. Polypharmacy
B. Chronic depression
C. Personality disorder
D. Mild anxiety
Correct Answer: A. Polypharmacy
Rationale: Delirium is often caused by polypharmacy, especially in older adults, due to drug
interactions or side effects. Chronic depression, personality disorders, and mild anxiety are not
primary causes of delirium, which is typically acute and reversible.
Question 4
A patient believes they experienced early-life trauma that did not occur. This is known as:
A. Ganser syndrome
B. False memory syndrome
C. Factitious dissociative identity disorder
D. Imitative dissociative identity disorder
Correct Answer: B. False memory syndrome
Rationale: False memory syndrome involves erroneous beliefs about past trauma, often
influenced by suggestion or therapy. Ganser syndrome involves approximate answers, and
factitious or imitative dissociative identity disorders involve fabricated or mimicked personality
states.
Question 5
Which brain imaging finding is consistent with Autism Spectrum Disorder (ASD)?
A. Increased head size and brain volume
B. Decreased gray matter in the brain
C. Reduced connectivity in frontal regions
D. Normal brain volume and structure
Correct Answer: A. Increased head size and brain volume
Rationale: ASD is associated with increased head size and brain volume, particularly in early
, 3
childhood. Decreased gray matter or reduced connectivity may occur in other disorders, and
normal findings are less typical in ASD.
Question 6
The epidemiology of kleptomania includes which of the following?
A. More prevalent in males than females
B. Occurs in about 10% of the general population
C. Reported in fewer than 5% of identified shoplifters
D. All of the above
Correct Answer: C. Reported in fewer than 5% of identified shoplifters
Rationale: Kleptomania is rare, occurring in fewer than 5% of shoplifters, and is more common
in females. The general population prevalence is estimated at 0.6%, not 10%.
Question 7
Which of the following is a key feature of schizophrenia?
A. Lifetime prevalence of about 50%
B. More prevalent in children than adolescents
C. Peak onset in males is 10–25 years
D. Onset before age 25 is extremely rare
Correct Answer: C. Peak onset in males is 10–25 years
Rationale: Schizophrenia typically has a peak onset in males between ages 10–25, with a
lifetime prevalence of about 1%. It is more common in adolescents and young adults than
children, and early onset is rare but possible.
Question 8
A 4-year-old cannot balance on one foot for 3 seconds or copy a circle. This indicates:
A. Normal development for age
B. A developmental red flag requiring assessment
C. Typical motor delay
D. Expected cognitive limitation
