NRNP 6665 Final EXAM with Questions and Answers

1) Question: An illness of symptoms or deficits that affect voluntary motor or sensory functions, which suggest another medical condition but that is judged tobe 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 2) Question: 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 3) Question: Which of the following can cause delirium? Check all that apply. A. Polypharmacy B. Sleep deprivation 4) Question: Acute withdrawal from alcohol represents which type of clinicalproblem in psychosomatic medicine? A. Medical complications of psychiatric conditions or treatments 5) Question: The principal theoretician to bring psyche and soma together waswhich of the following? A. Sigmund Freud 6) Question: Which of the following would not be included in the treatment planfor a patient with illness anxiety disorder? A. Exploratory invasive procedures to obtain diagnosis 7) Question: Which of the following is consistent with current literature about therelationship between obstetrical complications and autism spectrum disorders (ASD)? A. Research proves there is a positive correlation between obstetricalcomplications and ASD 8) Question: The epidemiology related to kleptomania includes which of thefollowing? A. Kleptomania is reported to occur in fewer than 5 percent ofidentified shoplifters. 9) Question: A frontotemporal dementia with onset in the fifth to sixth decade of life, more common in men, marked by personality change and cognitive decline,is known as which of the following? A. Pick’s Disease 10) Question: Which of the following demographics are consistent with autismspectrum disorder (ASD) A. Four times more common in boys than girls. 11) Question: The ARNP is working with the family of a patient with Alzheimer’sDisease 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 thefollowing in educating the patient about the patient’s A. The patient is delusional. An estimated 30 to 40 percent of patientswith dementia have delusions 12) Question: Which of the following persons hypothesized that the symptomsof conversion disorder reflect unconscious conflict? A. Sigmund Freud 13) Question: Which of the following is consistent within normal rangedevelopmental milestones in adaptive skills for a 4-year-old? A. Toilets self alone; uses fork 14) Question: A temporary marked alteration in the state of consciousness or bythe 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 15) Question: Differential diagnoses to be considered when diagnosing Gansersyndrome include which of the following? A. All the above (organic dementia, depressive pseudodementia,Korsakoff’s syndrome) 16) Question: A patient who has been raped, presents with the inability to recallimportant personal information and any information about the rape, does recall events prior and since. There does not appear to be any physiological reason forthis. This presentation is consistent with which of the following diagnoses? A. Dissociative amnesia 17) Question: Depersonalization can result from which of the followingconditions? Check all that apply. A. Seizure disorders 18) 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 diagnosedwith which of the following diagnoses? A. Conduct Disorder 19) 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 thefollowing? A. Dissociative fugue 20) Question: Which of the following is NOT considered a nonpathological form ofamnesia? A. Generalized Amnesia 21) Question: The diagnosis formerly known as multiple personality disorder isnow known as which of the following? A. Dissociative Identity Disorder 22) Question: A patient presents reporting acute amnesia and fugue episodes inaddition 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 23) Question: Deficits in language including naming, repetition, reading and comprehension, and writing is NOT associated with impairment in which of thefollowing regions of the brain? A. Right parietal 24) Question: A major neurocognitive disorder with severe impairment inmemory, judgment, orientation, and cognition is known as which of the following? A. Dementia 25) Question: The patient with an illness anxiety disorder is requesting medication only from the ARNP. The ARNPs response about pharmacotherapy inillness anxiety disorder would include which of the following? A. Pharmacotherapy helps alleviating symptoms but cannot providelasting relief 26) Question: Which of the following is consistent with what is known aboutkleptomania? A. The goal for the person with kleptomania is the act of stealing 27) Question: A type of delirium characterized by cycling through psychomotoragitation and retardation, from apathy to hypervigilance is known as which of the following? A. Mixed delirium 28) Question: Under hypnosis or during psychotherapy, a patient may recover amemory of a painful experience that is etiologically significant. This is known as which of the following? A. Recalled Memory Syndrome 29) Question: Which of the following conversion disorder symptoms areassociated with a good prognosis? A. Paralysis and blindness 30) Question: According to the DSM-5 which of the following symptomsdifferentiates illness anxiety disorder from somatic symptom disorder? A. In somatic symptom disorder, persons are primarily concerned withthe idea they are ill, with few or no somatic symptoms. 31) Question: A recurrent failure to resist impulses to steal objects not neededfor personal use or monetary value is an essential feature of which of the following disorders? A. KLEPTOMANIA