Psychiatry Study Guide: Q&A on Schizophrenia, Personality Disorders, Substance Use, Exams of Nursing

Download Psychiatry Study Guide: Q&A on Schizophrenia, Personality Disorders, Substance Use and more Exams Nursing in PDF only on Docsity! NRNP 6635 Final Exam 2021 Exam Elaborations Questions with Answers • • Question 1 Select the mental function that is most affected in mild cognitive impairment. Selected D. Answer: Recent memory • Question 2 Select the most frequent cause of infant and childhood intellectual disability that is attributed to a specific gene. Selected C. Answer: Down syndrome • Question 3 Select the neurotransmitter that is most associated with the occurrence of ADHD. Selected B. Answer: Dopamine • Question 4 Select the drug of choice to treat psychosis in delirious patients. D. Answer: Haloperidol • Question 5 Select the characteristic that is greater in childhood than adult onset schizophrenia. Selected B. Answer: Social withdrawal • Question 6 Select the personality disorder in which patients are continually in crisis and exhibit unpredictable behavior. Selected Selected C. Answer: Borderline • Question 7 Select the factor that best correlates with attempted and completed suicide. Selected A. Answer: Mental illness • Question 8 Select the brain region that shows the greatest anatomical abnormalities in schizophrenic patients. Selected D. Answer: Basal ganglia • Question 9 Select the gender dysphoria in which genital surgery is usually not chosen. Selected C. Answer: Crossdresser • Question 10 Select the antipsychotic drug for which the labeling carries a black box warning for agranulocytosis. Selected A. Answer: Clozapine • Question 11 Select the time of onset for tolerance to develop from continuous use of hallucinogens such as LSD. Selected C. Answer: 4-7 days • Question 12 Select the most reliable method to make a diagnosis of schizophrenia. Selected D. Answer: Patient history • Question 13 Select the dysfunction that is common to 50% to 85% of schizophrenic patients. 25 • Question 26 Select two terms preferred to describe sexual orientation. Selected A. Answers: Gay D. Lesbian • Question 27 Select the two patient populations in which delirium occurs most frequently. Selected B. Answers: Terminally ill C. Long-term care • Question 28 Select the drug used to treat neuroleptic malignant syndrome. Selected C. Answer: Dantrole ne • Question 29 Select the drug that is most likely to cause parkinsonian movement symptoms. Selected D. Answer: Haloperid ol • Question 30 Select the two main conditions to initially identify in adult psychiatric emergencies. B. Answers: Suicide D. Substance intoxication • Question 31 Select the psychiatric emergency that is indicated by mothers who express inadequate distress over their children’s medical symptoms. Selected Selected D. Answer: Munchausen’s syndrome • Question 32 Select the drug that is least life-threatening when consumed in an overdose. Selected B. Answer: Zolpide m • Question 33 Select the drug that is most safe and effective in treating mild to moderate memory loss in early Alzheimer’s disease. Selected A. Answer: Donepe zil • Question 34 Select the substance that is most commonly abused by adolescents. Selected B. Answer: Marijuan a • Question 35 Select the development time of symptoms in neuroleptic malignant syndrome. Selected D. Answer: 10-14 days • Question 36 Select the patient population at most risk of mortality from delirium. Selected C. Answer: Alcohol withdrawal • Question 37 Select the most distinguishing characteristic of delirium. Selected B. Answer: Sudden onset • Question 38 Select the category of symptoms that is most commonly comorbid with cognitive disorders. Selected A. Answer: Behavior al • Question 39 Select the primary defense mechanism that is common in delusional disorder. Selected A. Answer: Projectio n • Question 40 Select the neurotransmitter system that is most associated with the addictive rewarding properties of opioids. Selected A. Answer: Dopaminer gic • Question 41 Select the type of hallucinations most common in schizophrenia. Selected C. Answer: Auditor y • Question 42 Select the diagnostic criterion for catatonia resulting from a medical condition. Selected C. Answer: Waxy flexibility • Question 43 Answers: Splitting D. Projectio n • Question 57 Select the lifetime prevalence of schizophrenia in the United States. Selected A. Answer: 0.1- 1.0% • Question 58 Select the subtype of schizophrenia in which auditory hallucinations are frequent. Selected D. Answer: Residu al • Question 59 Select the neurotransmitter deficiency that is most associated with delirium. Selected B. Answer: Acetylcholi ne • Question 60 Select the rating scale used to assess medication-induced movement disorders. Selected C. Answer: AIM S • Question 61 Select the symptom not present in paranoid personality disorder. Selected B. Answer: Fixed delusions • Question 62 Select the percentage range of schizophrenic patients that remain significantly impaired throughout their lives. Selected C. Answer: 40 to 60 • Question 63 Select the drug most likely to inhibit female orgasm. Selected Paroxetin Answer: e • Question 64 Select the two non-drug therapies most likely to be effective in treating paraphilic disorders. Selected Answers: A. Cognitive- behavioral C. Insight • Question 65 Select the two patient populations most likely suffer neuroleptic-induced parkinsonian symptoms. Selected Answers: A. Femal e C. Elderl y • Question 66 Select the factor that is most influential in determining gender role development. Selected B. Answer: Geneti cs • Question 67 Select the most common paraphilic disorder. Selected C. Answer: Pedophili a • Question 68 Select the therapy that is contrary to position statements of the American Academy of Child and Adolescent Psychiatry. Selected B. Answer: Conversi on • Question 69 Select the psychiatric disorder in which patients refuse mental health care and deny their problems. Selected C. Answer: Personali ty • Question 70 Select the most common cause of dementia in elderly persons. Selected C. Answer: Alzheimer’s disease • Question 71 Select the substance of abuse with the strongest evidence for genetic association. Selected C. Answer: Alcoh ol • Question 72 Select the characteristic found in persons with intersex conditions. Selected D. Answer: Chromosome X abnormality • Question 73 Select the medical condition in which erectile dysfunction drugs (e.g., sildenafil) are likely to be ineffective. Selected D. Answer: Ischemic heart disease • Question 74 Select the neurotransmitter that increases sexual desire. Selected B. Answer: Dopami ne • Question 75 Select the medical condition that occurs less frequently in schizophrenic patients than in the general population. Selected D. Answer: Rheumatoid arthritis • Question 88 Select the most frequently abused illicit drug. Selected A. Answer: Marijuan a • Question 89 Select the two drugs used to treat alcohol dependence. Selected A. Answers: Naltrexo ne C. Lorazepa m • Question 90 Select the percentage of remission that results from correct antipsychotic drug therapy of schizophrenic patients. Selected C. Answer: 4 5 • Question 91 Select the percent blood alcohol level at which voluntary motor activity becomes impaired. Selected C. Answer: 0. 2 • Question 92 Select the drug most likely to be effective treating paraphilic disorders. Selected D. Answer: Medroxyprogester one • Question 93 Select the most distinguishing feature in the course and prognosis of schizophrenia. Selected A. Answer: Worsening after each relapse • Question 94 Select the personality disorder in which patients are preoccupied with perfectionism and interpersonal control. Selected B. Answer: Obsessive- compulsive • Question 95 Select the rare adverse effect of SSRI antidepressants. Selected A. Answer: Tardive dyskinesia • Question 96 Select the neurotransmitter for which the metabolite 5-HIAA in CSF is evident and predictive of suicide. Selected A. Answer: Serotoni n • Question 97 Select the two behaviors of schizophrenic patients that occur more frequently than in the general population. Selected B. Answers: Violenc e C. Suicide • Question 98 Select the neurotransmitter that has least involvement in drug-induced movement disorders. Selected C. Answer: Dopami ne • Question 99 Select the factor that exerts the strongest influence on the initiation of substance use disorder in adolescents. Selected C. Answer: Parent s • Question 100 Select the intrinsic chemical released in orgasm that reinforces pleasurable sensation. Selected D. Answer: Oxytoci n • Question 101 When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Ye Answer: s