Characteristics of Schizophrenia and Related Disorders, Exams of Health, psychology

Download Characteristics of Schizophrenia and Related Disorders and more Exams Health, psychology in PDF only on Docsity! NRNP 6635 FINAL EXAM QUESTIONS WITH ANSWERS CORRECTLY TESTED AND VERIFIED UPDATE Question 1 Select the mental function that is most affected in mild cognitive impairment. Selected Answer: D. Recent memory  Question 2 Select the most frequent cause of infant and childhood intellectual disability that is attributed to a specific gene. Selected Answer: C. Down syndrome  Question 3 Select the neurotransmitter that is most associated with the occurrence of ADHD. Selected Answer: B. Dopamine  Question 4 Select the drug of choice to treat psychosis in delirious patients. Selected Answer: D. Haloperidol  Question 5 Select the characteristic that is greater in childhood than adult onset schizophrenia. Selected Answer: B. Social withdrawal  Question 6 Select the personality disorder in which patients are continually in crisis and exhibit unpredictable behavior. Selected Answer: C. Borderline  Question 7 Select the factor that best correlates with attempted and completed suicide. Selected Answer: A. Mental illness  Question 8 Select the brain region that shows the greatest anatomical abnormalities in schizophrenic patients. Selected By the end of the 20th century, however, researchers had made significant strides in revealing a potential neuropathological basis for schizophrenia, primarily in the limbic system and the basal ganglia, including neuropathological or neurochemical abnormalities in the cerebral cortex, the thalamus, and the brainstem. Because the basal ganglia and cerebellum are involved in the control of movement, disease in these areas is implicated in the pathophysiology of schizophrenia. Answer: D. Basal ganglia  Question 9 Select the gender dysphoria in which genital surgery is usually not chosen. Selected Answer: but who maintain a gender identity that is the same as their birth-assigned gender known as crossdressers. C. Crossdresser  Question 10 Select the antipsychotic drug for which the labeling carries a black box warning for agranulocytosis. Selected Answer: A. Clozapine  Question 11 Select the time of onset for tolerance to develop from continuous use of hallucinogens such as LSD. Selected Select the psychoactive substance that is most frequently consumed worldwide. Selected Answer: Caffeine is the most widely consumed psychoactive substance in the world. B. Caffeine  Question 22 Select the age range at which most children with gender dysphoria begin to show increased anxiety over anticipated changes to their bodies. Selected Answer: Gender identity crystallizes in most persons by age 2 or 3 years. Parents, however, typically report that the cross-gender behaviors were apparent before 3 years of age. Children typically begin to develop a sense of their gender identity around age 3. D. 3 to 4  Question 23 Select the theorist who first studied social and cultural influences on suicide. Selected Answer: The first major contribution to the study of the social and cultural influences on suicide was made at the end of the 19th century by the French sociologist Emile Durkheim. B. Durkheim  Question 24 Select the disorder in which is characterized by lack breast development. Selected Answer: Turner’s syndrome in a patient aged 23. Note webbed neck, increased carrying angle, failure of breast development, and lack of pubic hair. B.5-α-reductase deficiency  Question 25 Select the age range of the highest rate of substance dependence or abuse. Selected Answer: In 2012, the rate for dependence or abuse is highest among adults age 18 to 25 (19 percent) compared to youths age 12 to 17 (6 percent) and adults age 26 or older (7 percent). After age 21, a general decline occurred with age. B. 18-25  Question 26 Select two terms preferred to describe sexual orientation. Selected Answers: Hemosexual and Hecterosexual A.Gay D. Lesbian  Question 27 Select the two patient populations in which delirium occurs most frequently. Selected Answers: B. Terminally ill C. Long-term care  Question 28 Select the drug used to treat neuroleptic malignant syndrome. Selected Answer: C. Dantrolene  Question 29 Select the drug that is most likely to cause parkinsonian movement symptoms. Selected Answer: D. Haloperidol  Question 30 Select the two main conditions to initially identify in adult psychiatric emergencies. Selected Answers: B. 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 Answer: Careful observation may reveal that the mothers often do not exhibit appropriate signs of distress on hearing the details of the child’s medical symptoms. D. Munchausen’s syndrome  Question 32 Select the drug that is least life-threatening when consumed in an overdose. Selected Answer: B. Zolpidem  Question 33 Select the drug that is most safe and effective in treating mild to moderate memory loss in early Alzheimer’s disease. Selected Answer: A. Donepezil  Question 34 Select the substance that is most commonly abused by adolescents. Selected Answer: B. Marijuana  Question 35 Select the development time of symptoms in neuroleptic malignant syndrome. Selected Answer: The symptoms usually evolve over 24 to 72 hours, and the untreated syndrome lasts 10 to 14 days. D. 10-14 days  Question 36 B. Absence in age less than 50  Question 47 Select the neurotransmitter that inhibits sexual orgasm. Selected Answer: A. Serotonin  Question 48 Select the drug that is least likely to cause male sexual dysfunction. Selected Answer: B. Sertraline  Question 49 Select the youngest age at which childhood-onset schizophrenia can be distinguished from autism spectrum. Selected Answer: A. 3  Question 50 Select the most effective form of questioning when taking a sex history. Selected Answer: B. Open ended  Question 51 Select the initial intervention to treat children experiencing acute school refusal. Selected Answer: B. Return to school the next normal day  Question 52 Select the primary method to assess cognition. Selected Answer: C. Mental status exam  Question 53 Select the preferred drug used to treat alcohol withdrawal. Selected Answer: D. Lorazepam  Question 54 Select the procedure most applicable to confirming a diagnosis of delirium. Selected Answer: C. EEG  Question 55 Select the brain region that is associated with substance addiction. Selected Answer: A. Prefrontal cortex  Question 56 Select the two defense mechanisms used commonly by patients with personality disorders. Selected Answers: C. Splitting/D. Projection  Question 57 Select the lifetime prevalence of schizophrenia in the United States. Selected In the United States, the lifetime prevalence of schizophrenia is about 1 percent Answer: A. 0.1-1.0%  Question 58 Select the subtype of schizophrenia in which auditory hallucinations are frequent. Selected Answer: D. Residual  Question 59 Select the neurotransmitter deficiency that is most associated with delirium. Selected Answer: B. Acetylcholine  Question 60 Select the rating scale used to assess medication-induced movement disorders. Selected Answer: C. AIMS  Question 61 Select the symptom not present in paranoid personality disorder. Selected Answer: B. 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 Answer: Paroxetine  Question 64 Select the two non-drug therapies most likely to be effective in treating paraphilic disorders. Select the infectious disease that when untreated may lead to an incorrect diagnosis of depression. Selected Answer: B. Lyme  Question 76 Select the two essential features of sexual dysfunction. Selected Answers: A. Failure to achieve orgasm D. Pain during sexual activity  Question 77 Select the personality disorder in which patients seek social withdrawal. Selected Answer: D. Schizotypal  Question 78 Select the percentage of the U.S. population with a substance dependence problem as of year 2012. Selected Answer: B. 20%  Question 79 Select the youngest age by which early-onset schizophrenia occurs. Selected Childhood-onset schizophrenia is defined by an onset of psychotic symptoms before the age of 13 years, Answer: B. 13  Question 80 Select two psychiatric disorders that are often misdiagnosed as childhood-onset or early onset schizophrenia. Selected Answers: A. Autism spectrum Bipolar I  Question 81 Select the comorbid disorder that is more frequent in children with gender dysphoria. Selected Answer: A. Down syndrome  Question 82 Select two treatments for adults who identify as transgender. Selected Answers: A. Hormonal B. Surgical  Question 83 Select two comorbid factors common in schizophrenic patients. Selected Answers: A. Substance abuse C. Undiagnosed medical illness  Question 84 Select the age at which sexual identity is self-evident. Selected Answer: B. 2 to 3 years  Question 85 Select the pair of terms that represents the greatest conflict regarding sexual behavior. Selected Answer: C. medical and legal  Question 86 Select the two characteristics that describe normal sexual behavior. Selected Answers: A. Varies from era to era C. Reflects cultural mores  Question 87 Select the medical condition that occurs less frequently in schizophrenic patients than in the general population. Selected Answer: D. Rheumatoid arthritis  Question 88 Select the most frequently abused illicit drug. Selected Answer: A. Marijuana  Question 89 Select the two drugs used to treat alcohol dependence. Selected Answers: A. Naltrexone B. Lorazepam  Question 90 Select the percentage of remission that results from correct antipsychotic drug therapy of schizophrenic patients. Selected Answer: C. 45  Question 91 Select the percent blood alcohol level at which voluntary motor activity becomes impaired. Selected Answer: C. 0.2  Question 92 Select the drug most likely to be effective treating paraphilic disorders. Select two treatments for adults who identify as transgender. Question 4 Selecte d Answers : A. Hormo n al D. Surgical • Question 2 Select the drug used to treat neuroleptic malignant syndrome. Selecte d Answer : C. Dantrol e ne • Question 3 Select the most common paraphilic disorder. Selecte d Answer : C. Pedophi li a Heavy use of cannabis in individuals with no previous psychiatric illnesses can produce: Selecte d Answer : D. Psycho s is • Question 5 Select the mental function that is most affected in mild cognitive impairment. Selecte d Answer : D. Recent memor y • Question 6 Select the type of hallucinations most common in schizophrenia. Selecte d Answer : C. Audito r y • Question 7 All of the following are criteria for gender dysphoria diagnosis in children EXCEPT Selecte d Answers: A. Play preferred with same gender children • Question 8 • Question 15 Answer: Seroto ni n Select the substance that is most commonly abused by adolescents. Selecte d Answer : B. Marijua n a • Question 16 The presence of hallucinations or delusions IS needed for a diagnosis of schizophrenia. Selecte d Answers : A. Tr u e • Question 17 Select the main cause female orgasmic disorder. Selecte d Answer : B. Gene t ic • Question 18 Select the neurotransmitter for which the metabolite 5-HIAA in CSF is evident and predictive of suicide. Selecte d Answer : A. Seroto ni n • Question 19 Select the drug that is least likely to cause male sexual dysfunction. Selecte d Answer : D. coca i ne • Question 20 Select the personality disorder in which patients are most likely to tolerate spousal abuse to avoid losing sense of attachment. Selecte d Answer: A. Depend e nt • Question 21 • Question 24 What is the terminology term for the dream-like state of patients with schizophrenia who are engaged in their hallucinations and exclude involvement in the real world? Selecte d Answer : A. Oneiroid • Question 22 Select the two non-drug therapies most likely to be effective in treating paraphilic disorders. Selecte d Answers : A. Cognitive- behavioral C. Insight • Question 23 Select the percent blood alcohol level at which voluntary motor activity becomes impaired. Selected C. Answer: 0. 2 Select the two patient populations most likely suffer neuroleptic-induced parkinsonian symptoms. Selecte d Answers : A. Fema l e C. Elder l y • Question 25 Select the neurotransmitter deficiency that is most associated with delirium. Selecte d Answer : B. Acetylcho li ne • Question 26 All of the following are subtypes of schizophrenia EXCEPT Selecte d Answer : A. Schizophreniform type • Question 27 Select the brain region that shows the greatest anatomical abnormalities in schizophrenic • Question 37 patients. Selecte d Answer : D. Basal gangli a • Question 35 Select the characteristic of masturbation. Selecte d Answer : C. Is most universally practiced • Question 36 Select the hepatic enzyme that performs the initial metabolism of alcohol. Selected A. Answer: A D H Select the type of neurochemical receptor that is blocked by caffeine. Selecte d Answer : C. Adeno si ne • Question 38 Select the primary defense mechanism that is common in delusional disorder. Selecte d Answer : A. Projecti o n • Question 39 Select the most common error by the provider in the practice of family-oriented therapy for persons with schizophrenia. Selecte d Answer : D. Open discussion by practitioner with family about the patient’s frightening psychotic symptoms • Question 40 Select the factor that is most influential in determining gender role development. Selecte d Answer : D. Hormon Selecte d Answer : C. 6-8 months • Question 48 Select the patient population at most risk of mortality from delirium. Selecte d Answer : C. Alcohol withdraw al • Question 49 Select the negative symptom of schizophrenia. Selecte d Answer : A. Anhedo n ia • Question 50 Select the personality disorder in which patients are continually in crisis and exhibit unpredictable behavior. Selecte d Answer : C. Borderli n e • Question 51 Select the most frequent cause of infant and childhood intellectual disability that is attributed to a specific gene. Selecte d Answer : C. Down syndrom e • Question 52 Select the drug of choice to treat psychosis in delirious patients. Selecte d Answer : D. Haloperi d ol • Question 53 Select the pair of terms that represents the greatest conflict regarding sexual behavior. Selecte d Answer : C. medical and legal • Question 54 Select the two essential features of sexual dysfunction. Selecte d Answers : A. Failure to achieve orgasm C. Pain during sexual activity • Question 55 Select the two normal functions in Asperger’s Disorder that are absent in Autism Spectrum Disorder. Selecte d Answers : A. Cognitiv e ability C. Languag e skills • Question 56 Select the preferred drug used to treat alcohol withdrawal. Selecte d Answer : C. Lorazep a m • Question 57 Select the symptom not present in paranoid personality disorder. Selecte d Answer : B. Fixed delusions • Question 58 Select the hormone class that determines fetal sexual differentiation. Selecte d Answer : D. Androg e ns • Question 59 Select the most common cause of dementia in elderly persons. Selecte d Answer : C. Alzheimer’ s disease Selecte d Answers : A. Ambivalence D. • Question 67 Autism Select the drug that is most likely to cause parkinsonian movement symptoms. Selecte d Answer : D. Haloperi d ol • Question 68 Select the two Freudian stages of psychosexual development. Selecte d Answers : B. Oral D. Genit al • Question 69 Select the epidemiologic characteristic of tardive dyskinesia symptoms. Selecte d Answer : C. Absence in age less than 50 • Question 70 Select two psychiatric disorders that are often misdiagnosed as childhood-onset or early- onset schizophrenia. Selecte d Answers : A. Autism spectru m C. Bipolar II • Question 71 Select the two patient populations in which delirium occurs most frequently. Selecte d Answers : B. Terminally ill C. Long- term care • Question 72 Select the drug most likely to be effective treating paraphilic disorders. Selecte d Answer : D. M e d r o x y p r o g e s t e r o n e the general population. Selecte d Answer : D. Rheumatoid arthritis • Question 80 Schizophrenia is equally prevalent in men and women. Selecte d Answer : A. Tr u e • Question 81 Select the factor that exerts the strongest influence on the initiation of substance use disorder in adolescents. Selecte d Answer : A. Pee r s • Question 82 Select the neurotransmitter that is most associated with the occurrence of ADHD. Selecte d Answer : B. Dopa mi ne • Question 83 Select the non-drug therapy in which mastery of anxiety through desensitization is critical to successful treatment of sexual dysfunction. Selecte d Answer : C. Behavi or • Question 84 Select the neurotransmitter system that is most associated with the addictive rewarding properties of opioids. Selecte d Answer : A. Dopamin er gic • Question 85 Select the personality disorder in which patients exhibit covert obstructionism, procrastination and pessimism. Selecte d Answer : D. Passive- aggressive • Question 86 Select the psychiatric theorist who proposed that all pleasurable impulses and activities are sexual in origin. Selecte d Answer : C. Fre u d • Question 87 Select the psychoactive substance that is most frequently consumed worldwide. Selecte d Answer : B. Caffe i ne • Question 88 Select the gender dysphoria in which genital surgery is usually not chosen. Selecte d Answer : C. Crossdre ss er • Question 89 Select the youngest age at which childhood-onset schizophrenia can be distinguished from autism spectrum. Selected A. Answer: 3 Select the two defense mechanisms used commonly by patients with personality disorders. Selecte d Answers : C. Splitting D. Projecti o n • Question 91 Select the characteristic that is greater in childhood than adult onset schizophrenia. Selecte d Answer: • Question 90 D. 3 to 4 • Question 98 Select the time of onset for tolerance to develop from continuous use of hallucinogens such as LSD. Selecte d Answer : B. 3-4 days • Question 99 Select the characteristic found in persons with intersex conditions. Selecte d Answer : D. Chromosome X abnormality • Question 100 The enzyme ADH that catalyzes the conversion of alcohol into acetaldehyde is inhibited by which medication? Selecte d Answer : A. Disulfiram • 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 Saturday, May Answer & Explanation Solved by verified expert Rated Helpful Correct answers are highlighted, please see explanation below for rationales. Thank you QUESTION 31 1. Select the theorist who first studied social and cultural influences on suicide. A. Freud B. Durkheim C. Menninger D. Beck QUESTION 32 1. Select the time of treatment of schizophrenic patients with correct antipsychotic drug therapy that represents an adequate medication trial. A. 2 to 4 weeks B. 4 to 6 weeks C. 3 to 6 months A. Naltrexone B. Clonidine C. Lorazepam D. Disulfiram QUESTION 46 1. Select two criteria to diagnose gender dysphoria in children. A. Play preferred with same gender children B. Urinating in body position of desired gender C. Play preferred with opposite gender children D. Dressing in clothing of assigned gender QUESTION 47 1. Select the time of onset for tolerance to develop from continuous use of hallucinogens such as LSD. A. 1-2 days B. 3-4 days C. 4-7 days D. 5-9 days QUESTION 48 1. Select the youngest age by which early-onset schizophrenia occurs. A. 10 B. 13 C. 15 D. 18 QUESTION 49 1. Select the category of symptoms that is most commonly comorbid with cognitive disorders. A. Behavioral B. Emotional C. Medical D. Physical QUESTION 50 1. Select the most reliable method to make a diagnosis of schizophrenia. A. Mental status exam B. Intermittent hallucinations C. Impaired abstract thinking D. Patient history QUESTION 51 1. Select the percentage of the U.S. population with a substance dependence problem as of year 2012. A. 25% B. 20% C. 10% D. 5% QUESTION 52 1. Select the disorder in which is characterized by lack breast development. A. Klinefelter's syndrome B. 5-α-reductase deficiency C. Turner's syndrome D. Transvestic disorder QUESTION 53 1. Select two terms preferred to describe sexual orientation. A. Gay B. Heterosexual C. Homosexual D. Lesbian QUESTION 54 1. Select the characteristic of masturbation. A. Can predispose to mental illness B. Decreases sexual potency C. Is most universally practiced D. Is a sin against religious doctrine QUESTION 55 1. Select the medical condition that occurs less frequently in schizophrenic patients than in the general population. A. Diabetes mellitus B. Obesity C. Cardiovascular disease D. Rheumatoid arthritis QUESTION 56 1. Select the factor that best correlates with attempted and completed suicide. A. Mental illness B. Socioeconomic status C. Religion D. Age QUESTION 57 1. Select the drug that is most likely to cause parkinsonian movement symptoms. A. Lorazepam B. Propranolol C. Benztropine D. Haloperidol QUESTION 58 1. Select the personality disorder in which patients are continually in crisis and exhibit unpredictable behavior. A. Antisocial B. Paranoid C. Borderline D. Histrionic QUESTION 59 1. Select the main goal of psychosocial therapies for persons with schizophrenia. A. Reduce frequency of auditory hallucinations B. Develop coping skills for adverse effects of antipsychotic drugs C. Develop skills for independent living D. Reduce exacerbations and re-hospitalizations QUESTION 60 1. Select the most common cause of dementia in elderly persons. A. Parkinson's disease B. Alcohol abuse C. Alzheimer's disease D. Subdural hematoma