NRNP 6635 Midterm UPDATED ACTUAL
Questions and CORRECT Answers
Select the function that is most affected by conversion disorder:
A. Voluntary motor
B. Hearing
C. Involuntary motor
D. Smelling - CORRECT ANSWER - A. Voluntary motor
Conversion Disorder = Pt has neurological symptoms (paralysis, blindness, seizures) that CAN'T
be explained by medical conditions
Symptoms Involve:
- Voluntary motor function (ex. sudden paralysis, limb weakness, abnormal gait, tremors)
- Sensory function (ex. vision loss, numbness)
TIP:
"Conversion = Voluntary Gone Version"
Helps you remember that voluntary motor s/s are what goes "wrong" in conversion disorder.
In normal language development, at what age would you see the beginning of grammar
formation?
A. 12-18 months
B. 12-24 months
C. 24-36 months
D. 36-54 months - CORRECT ANSWER - C. 24-36 months (2-3 years)
,At what age do the emotional skills of shame, pride, envy, and embarrassment appear in healthy
emotional development?
A. 5-10 years
B. 3-5 years
C. 1-2 years
D. 6 months - CORRECT ANSWER - B. 3-5 years
Characteristics of OSA include:
A. Excessive sleepiness & restless sleep
B. Waking with choking/gasping for breath
C. Snoring and obesity
D. All of the above - CORRECT ANSWER - D. All of the above
What section of the brain regulates human emotional drive?
A. Brain stem
B. Frontal cortex
C. Amygdala
D. Hippocampus - CORRECT ANSWER - C. Amygdala
Brain stem = Basic life functions (breathing, heart rate, arousal)
Frontal cortex = Decision making, planning, social behavior
Amygdala = Regulates emotions (fear, anger, pleasure)
Hippocampus = Memory formation, spatial navigation
Select the 2 complications in diagnosing patients with anorexia nervosa:
,A. Determining occurrence of substance abuse
B. Denial of symptoms
C. Insisting weight loss has a medical cause
D. Secrecy regarding eating ritual - CORRECT ANSWER - B. Denial of symptoms & D.
Secrecy regarding eating ritual
Select the age in which rumination disorder (food swallowed but not digested, is regurgiated)
occurs most frequently.
A. Male infants 3 - 12 months
B. Female infants 6 - 18 months
C. Children 2 - 5 years
D. Adolescents 13 - 15 years - CORRECT ANSWER - A. Male infants 3 - 12 months
Rumination disorder = Not limited by gender
6 - 18 months, this can still occur, but more common in 3 - 12 months
Select the type of amnesia in which patients are aware of their memory loss with repeated
questioning.
A. Substance related
B. Posttraumatic
C. Transient global
D. Dissociative - CORRECT ANSWER - C. Transient global
Substance related = Confused/unaware during intoxication
, Posttraumatic = Followed by head injury. Pt may be confused/unconscious and often doesn't
realize they've lost memory until after recovery.
Transient global = Awareness of memory loss and repeated questioning. Can't form new
memories. Lasts for less than 24 hours, and memory returns fully after.
Dissociative = Retrograde amnesia due to stress/trauma. Patients may not be aware of the
memory loss, and there is often emotional detachment.
Select the 2 characteristics of impulses that are usually absent from compulsions.
A. Pleasure seeking
B. Psychological impairment
C. Commiting actions
D. Repetitive performance - CORRECT ANSWER - A. Pleasure seeking & B.
Psychological impairment
Pleasure Seeking
- Impulses are usually pleasurable
- Compulsions are NOT pleasurable, they relieve anxiety but feel distressing/forced
Psychological Impairment
- Impulses don't always cause immediate psychological impairment during the act.
- Usually causes psychological distress
Committing Actions
- Impulses AND compulsions involve taking action (stealing vs. handwashing). This is NOT a
distinguishing factor.
Repetitive Performance
Questions and CORRECT Answers
Select the function that is most affected by conversion disorder:
A. Voluntary motor
B. Hearing
C. Involuntary motor
D. Smelling - CORRECT ANSWER - A. Voluntary motor
Conversion Disorder = Pt has neurological symptoms (paralysis, blindness, seizures) that CAN'T
be explained by medical conditions
Symptoms Involve:
- Voluntary motor function (ex. sudden paralysis, limb weakness, abnormal gait, tremors)
- Sensory function (ex. vision loss, numbness)
TIP:
"Conversion = Voluntary Gone Version"
Helps you remember that voluntary motor s/s are what goes "wrong" in conversion disorder.
In normal language development, at what age would you see the beginning of grammar
formation?
A. 12-18 months
B. 12-24 months
C. 24-36 months
D. 36-54 months - CORRECT ANSWER - C. 24-36 months (2-3 years)
,At what age do the emotional skills of shame, pride, envy, and embarrassment appear in healthy
emotional development?
A. 5-10 years
B. 3-5 years
C. 1-2 years
D. 6 months - CORRECT ANSWER - B. 3-5 years
Characteristics of OSA include:
A. Excessive sleepiness & restless sleep
B. Waking with choking/gasping for breath
C. Snoring and obesity
D. All of the above - CORRECT ANSWER - D. All of the above
What section of the brain regulates human emotional drive?
A. Brain stem
B. Frontal cortex
C. Amygdala
D. Hippocampus - CORRECT ANSWER - C. Amygdala
Brain stem = Basic life functions (breathing, heart rate, arousal)
Frontal cortex = Decision making, planning, social behavior
Amygdala = Regulates emotions (fear, anger, pleasure)
Hippocampus = Memory formation, spatial navigation
Select the 2 complications in diagnosing patients with anorexia nervosa:
,A. Determining occurrence of substance abuse
B. Denial of symptoms
C. Insisting weight loss has a medical cause
D. Secrecy regarding eating ritual - CORRECT ANSWER - B. Denial of symptoms & D.
Secrecy regarding eating ritual
Select the age in which rumination disorder (food swallowed but not digested, is regurgiated)
occurs most frequently.
A. Male infants 3 - 12 months
B. Female infants 6 - 18 months
C. Children 2 - 5 years
D. Adolescents 13 - 15 years - CORRECT ANSWER - A. Male infants 3 - 12 months
Rumination disorder = Not limited by gender
6 - 18 months, this can still occur, but more common in 3 - 12 months
Select the type of amnesia in which patients are aware of their memory loss with repeated
questioning.
A. Substance related
B. Posttraumatic
C. Transient global
D. Dissociative - CORRECT ANSWER - C. Transient global
Substance related = Confused/unaware during intoxication
, Posttraumatic = Followed by head injury. Pt may be confused/unconscious and often doesn't
realize they've lost memory until after recovery.
Transient global = Awareness of memory loss and repeated questioning. Can't form new
memories. Lasts for less than 24 hours, and memory returns fully after.
Dissociative = Retrograde amnesia due to stress/trauma. Patients may not be aware of the
memory loss, and there is often emotional detachment.
Select the 2 characteristics of impulses that are usually absent from compulsions.
A. Pleasure seeking
B. Psychological impairment
C. Commiting actions
D. Repetitive performance - CORRECT ANSWER - A. Pleasure seeking & B.
Psychological impairment
Pleasure Seeking
- Impulses are usually pleasurable
- Compulsions are NOT pleasurable, they relieve anxiety but feel distressing/forced
Psychological Impairment
- Impulses don't always cause immediate psychological impairment during the act.
- Usually causes psychological distress
Committing Actions
- Impulses AND compulsions involve taking action (stealing vs. handwashing). This is NOT a
distinguishing factor.
Repetitive Performance
