Psychopathology and Personality Disorders, Exams of Nursing

Download Psychopathology and Personality Disorders and more Exams Nursing in PDF only on Docsity! NURSING 6635 FINAL EXAM QUESTIONS WITH VERIFIED ANSWERS LATEST UPDATE 2024 GUARANTEED SUCCESS 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 Page 1 of 79  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 Page 2 of 79 Answer: Tolerance, particularly to the sensory and other psychological effects, is evident as soon as the second or third day of successive LSD use. Four to 6 days free of LSD are necessary to lose significant tolerance. B.4-7 days  Question 12 Select the most reliable method to make a diagnosis of schizophrenia. Selected Answer: Therefore, a patient’s history is essential for the diagnosis of schizophrenia; clinicians cannot diagnose schizophrenia simply by results of a mental status examination, which may vary. D. Patient history  Question 13 Select the dysfunction that is common to 50% to 85% of schizophrenic patients. Selected Answer: Various studies have reported abnormal eye movements in 50 to 85 percent of patients with schizophrenia compared with about 25 percent in psychiatric patients without schizophrenia and fewer than 10 percent in nonpsychiatrically ill control participant. D. Eye movement  Question 14 Select two of the “Four A’s” symptoms of schizophrenia described by Bleuler. Selected These symptoms included associational disturbances of thought, especially looseness, affective disturbances, autism, and ambivalence, summarized as the four As: associations, affect, autism, and ambivalence. Answers: A. autism B. ambivalence Page 5 of 79  Question 15 Select the personality disorder in which patients exhibit covert obstructionism, procrastination and pessimism. Selected In psychoanalytic terms, this phenomenon is called masochism and includes failure, procrastination, silly or provocative behavior, self-demeaning clowning, and frankly self-destructive acts. Answer: D. Passive aggressive  Question 16 Page 6 of 79 Select the negative symptom of schizophrenia. Selected Answer: A. Anhedonia  Question 17 Select the main cause female orgasmic disorder. Selected Answer: B. Genetic  Question 18 Select the age range for 90% of patients treated for schizophrenia. Selected Answer: About 90 percent of patients in treatment for schizophrenia are between 15 and 55 years old. B. 10-55  Question 19 Select the non-drug therapy in which mastery of anxiety through desensitization is critical to successful treatment of sexual dysfunction. Selected Answer: The behavior therapist enables the patient to master the anxiety through a standard program of systematic desensitization, which is designed to inhibit the learned anxious response by encouraging behaviors antithetical to anxiety. \AC1336647530\BEHAVIORAL THERAPY C. Group  Question 20 Page 7 of 79 B.5-α-reductase deficiency  Question 25 Select the age range of the highest rate of substance dependence or abuse. Selected Page 10 of 79 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 Page 11 of 79 Select the two main conditions to initially identify in adult psychiatric emergencies. Selected Answers: B. Suicide D. Substance intoxication  Question 31 Page 12 of 79 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 Answer: Classically, delirium has a sudden onset (hours or days), a brief and fluctuating course, and rapid improvement when the causative factor is identified and eliminated, but each of these characteristic features can vary in individual patients. B. Sudden onset  Question 38 Select the category of symptoms that is most commonly comorbid with cognitive disorde rs. Selecte d Answer : A. Behavioral  Question 39 Select the primary defense mechanism that is common in delusional disorder. Selected Answer: Page 15 of 79 A.Projection  Question 40 Select the neurotransmitter system that is most associated with the addictive rewarding properties of opioids. Selected Answer: A. Dopaminergic  Question 41 Select the type of hallucinations most common in schizophrenia. Page 16 of 79 Selected The most common hallucinations, however, are auditory, with voices that are often threatening, obscene, accusatory, or insulting. Answer: C. Auditory  Question 42 Select the diagnostic criterion for catatonia resulting from a medical condition. Selected Answer: B. Waxy flexibility  Question 43 Select the two factors that are not applicable to diagnosing schizoaffective disorder. Selected Answers: As with most psychiatric diagnoses, schizoaffective disorder should not be used if the symptoms are caused by substance abuse or a secondary medical condition. C. Medical condition D. Substance abuse  Question 44 Select the percentage of substance-addicted persons with a concurrent psychiatric disorder. Selected Answer: B. 50  Question 45 Select the hepatic enzyme that performs the initial metabolism of alcohol. Selected Answer: Page 17 of 79 Select the initial intervention to treat children experiencing acute school refusal. Selected Answer: B. Return to school the next normal day Page 20 of 79  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 disorde rs. Selecte d Answers: C. Splitting/D. Projection Page 21 of 79  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 Page 22 of 79 Selecte d Answe rs: A. Cognitive behavioral D. Insight  Question 65 Select the two patient populations most likely suffer neuroleptic-induced parkinsonian sympto ms. Selected Answers : A.Female E. Elderly  Question 66 Select the factor that is most influential in determining gender role development. Selected Answer: C. Genetics  Question 67 Select the most common paraphilic disorder. Selected Page 25 of 79 Answer: F. Pedophilia  Question 68 Select the therapy that is contrary to position statements of the American Academy of Child and Adolescent Psychiatry. Selected B. Answer: Conversion  Question 69 Select the psychiatric disorder in which patients refuse mental health care and deny their Page 26 of 79 most common cause of dementia in elderly persons. Select ed Answe r: G. Personality  Question 70 Select the Select ed Answe r: H. Alzheimer’s disease  Question 71 Select the substance of abuse with the strongest evidence for genetic association. Selected Answer: I. Alcohol  Question 72 Select the characteristic found in persons with intersex conditions. Selected Answer: D. Chromosome X abnormality  Question 73 Page 27 of 79 problems. 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 Page 30 of 79 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 Page 31 of 79  Question 86 Select the two characteristics that describe normal sexual behavior. Selected Answers: A. Varies from era to era Page 32 of 79 Selected Answer: D. Medroxyprogesterone  Question 93 Select the most distinguishing feature in the course and prognosis of schizophrenia. Selected Answer: A. Worsening after each relapse  Question 94 Select the personality disorder in which patients are preoccupied with perfectionism and interpersonal control. Selected Answer: B. Obsessive compulsive  Question 95 Select the rare adverse effect of SSRI antidepressants. Selected Answer: A. Tardive dyskinesia  Question 96 Select the neurotransmitter for which the metabolite 5-HIAA in CSF is evident and predictive of suicide. Selected Answer: A. Serotonin  Question 97 Select the two behaviors of schizophrenic patients that occur more frequently than in the Page 35 of 79 general population. Selected Answers: B. Violence C. Suicide  Question 98 Select the neurotransmitter that has least involvement in drug-induced movement Page 36 of 79 disorde rs. Selecte d Answer: C. Dopamine  Question 99 Select the factor that exerts the strongest influence on the initiation of substance use disorder in adolescents. Selected Answer: C. Parents  Question 100 Select the intrinsic chemical released in orgasm that reinforces pleasurable sensation. Selected User JOAN FORCHAM Course NRNP-6635-3/NRNP-6635C-3- Psychpathology Diag Reasoning- QTR- Term-wks-1-thru-11-(03/01/2021- 05/16/2021)-PT27 Test Exam - Week 11 Started 5/15/21 3:35 PM Submitted 5/15/21 Page 37 of 79 Answer: D. Oxytocin Review Test Submission: Exam - Week 11 D. R ecent mem ory Select the type of hallucinations most common in schizophrenia. Selec ted Answ er: C. Audit or y All of the following are criteria for gender dysphoria diagnosis in children EXCEPT Select ed Answ ers: A. Play preferred with same gender children Page 40 of 79 • Question 6 • Question 7 • Question 8 What laboratory test assists with the diagnosis of schizophrenia? Selec ted Answ er: D. No lab test Select the neurotransmitter that has least involvement in drug- induced movement disorders. Selec ted Answ er: C. Dopa mi ne Select the most effective form of questioning when taking a sex history. Selec ted Answ er: B. Ope n- end ed Select the psychiatric disorder in which patients refuse mental health care and deny their problems. Selec ted Answ er: C. Person ali ty Select the neurotransmitter that increases sexual desire. Page 41 of 79 Question 11 • Question 9 • Question 10 • Question 12 Selec ted Answ er: B. Dopa mi ne Select the personality disorder in which patients are preoccupied with perfectionism and interpersonal control. Selec ted Answ er: B. Obsessive - compulsiv e Select the neurotransmitter that inhibits sexual orgasm. Selected A. Page 42 of 79 Question 13 • Question 14 • 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? Selec ted Answ er: A. Oneiroid Select the two non-drug therapies most likely to be effective in treating paraphilic disorders. Select ed Answ ers: A. Cognitive- behavioral C. Insight 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. Select ed Answ ers: A. Fem al e C. Elde rl y Select the neurotransmitter deficiency that is most associated with delirium. Selec ted Answer: Page 45 of 79 • Question 22 • Question 23 • Question 25 B. Acetylc holi ne All of the following are subtypes of schizophrenia EXCEPT Selec ted Answ er: A. Schizophreniform type Select the personality disorder in which patients seek social withdrawal. Page 46 of 79 • Question 26 • Question 27 Selec ted Answ er: D. Schizot yp al Select the psychiatric emergency that is indicated by mothers who express inadequate distress over their children’s medical symptoms. Selec ted Answ er: D. Munchaus en’s syndrome Select the rating scale used to assess medication-induced movement disorders. Selec ted Answ er: C. AI M S What substance is known to decrease blood concentrations of antipsychotics, yet improve cognitive impairments and parkinsonism in schizophrenia illnesses? Selec ted Answ er: D. Nicotine Select the drug most likely to inhibit female orgasm. Selec ted Answ er: Page 47 of 79 • Question 28 • Question 29 • Question 30 • Question 31 Selec ted Answ er: A. Project io n Select the most common error by the provider in the practice of family-oriented therapy for persons with schizophrenia. Selec ted Answ er: D. Open discussion by practitioner with family about the patient’s frightening psychotic symptoms Select the factor that is most influential in determining gender role development. Selec ted Answ er: D. Hormon Page 50 of 79 • Question 39 • Question 40 • Question 41 al Select the most frequently abused illicit drug. Selec ted Answ er: A. Mariju an a Select the disorder in which is characterized by lack breast development. Selec ted Answ er: C. Turner’ s syndro me Select the youngest age by which early-onset schizophrenia occurs. Selected B.Answer: 13 Select the rare adverse effect of SSRI antidepressants. Selec ted Answ er: A. Tardive dyskine sia Select the therapy that is contrary to position statements of the American Academy of Child and Adolescent Psychiatry. Selec ted Answer: Page 51 of 79 • Question 45 • Question 44 • Question 42 • Question 43 B. Conve rsi on Select the psychiatric disorder for which the term neuroleptic is used to describe drug effects. Selec ted Answ er: B. Schizop hre nia In the diagnosis of schizophrenia, symptoms must persist for how long? Page 52 of 79 • Question 47 • Question 46 Select the two essential features of sexual dysfunction. Select ed Answ ers: A. Failure to achieve orgasm C. Pain during sexual activity Select the two normal functions in Asperger’s Disorder that are absent in Autism Spectrum Disorder. Select ed Answ ers: A. Cogniti ve ability C. Langua ge skills Select the preferred drug used to treat alcohol withdrawal. Selec ted Answ er: C. Loraze pa m Select the symptom not present in paranoid personality disorder. Selec ted Answ er: B. Fixed delusio ns Page 55 of 79 • Question 54 • Question 55 • Question 56 • Question 57 • Question 58 Select the hormone class that determines fetal sexual differentiation. Selec ted Answ er: D. Andro ge ns Select the most common cause of dementia in elderly persons. Selec ted Answ er: C. Alzheim er’s disease Page 56 of 79 • Question 59 • Question 60 What theorist saw schizophrenia as a reaction to life stressors? Selec ted Answ er: B. Me ye r Select the main goal of psychosocial therapies for persons with schizophrenia. Selec ted Answ er: C. Develop skills for independent living Select the two most life-threatening adverse effects of cocaine use. Select ed Answ ers: B. Cardiac arrhythmias C. Cerebrovasc ular infarction What is known as the peak age of onset for schizophrenia in males? Selec ted Answ er: B. 10-25 years old Select the medical condition in which erectile dysfunction drugs (e.g., sildenafil) are likely to be ineffective. Selec ted Answer: Page 57 of 79 • Question 61 • Question 62 • Question 63 • Question 64 frequently. Select ed Answ ers: B. Terminally ill C. Long- term care Select the drug most likely to be effective treating paraphilic disorders. Selec ted Answ er: D. Medroxyprog ester one Page 60 of 79 • Question 72 Select the drug that is most safe and effective in treating mild to moderate memory loss in early Alzheimer’s disease. Selec ted Answ er: A. Done pe zil All of the following are symptoms of alcoholic withdrawal delirium EXCEPT Select ed Answ ers: B. Autonomic dysfunction Select the theorist who first studied social and cultural influences on suicide. Selec ted Answ er: B. Durk hei m Select the two characteristics that describe normal sexual behavior. Select ed Answ ers: A. Varies from era to era B. Reflects cultural mores Select two comorbid factors common in schizophrenic patients. Page 61 of 79 Question 73 • Question 74 • Question 75 • Question 76 • Question 77 Select ed Answ ers: A. Substance abuse D. Undiagnosed medical illness Select the initial intervention to treat children experiencing acute school refusal. Selec ted Answ er: B. Return to school the next normal day Select the medical condition that occurs less frequently in schizophrenic patients than in Page 62 of 79 Question 79 • Question 78 Selec ted Answ er: D. Passive- aggressiv e Select the psychiatric theorist who proposed that all pleasurable impulses and activities are sexual in origin. Selec ted Answ er: C. Fre u d Select the psychoactive substance that is most frequently consumed worldwide. Selec ted Answ er: B. Caff ei ne Select the gender dysphoria in which genital surgery is usually not chosen. Selec ted Answ er: C. Crossdr ess er Select the youngest age at which childhood-onset schizophrenia can be distinguished from autism spectrum. Selected A.Answer: 3 Page 65 of 79 • Question 90 • Question 86 • Question 87 • Question 88 • Question 89 Select the two defense mechanisms used commonly by patients with personality disorders. Select ed Answ ers: C. Splitting D. Project io n Select the characteristic that is greater in childhood than adult onset schizophrenia. Selec ted Answ er: B. Social Page 66 of 79 • Question 91 • Question 92 withdrawal Select the drug used to treat age-related sexual dysfunction. Selec ted Answ er: A. silden a fil Select the characteristic of sexually abused children. Selec ted Answ er: B. Denial of abuse episodes Select the factor that best correlates with attempted and completed suicide. Selec ted Answ er: A. Ment al illne ss Select the disorder in which the highest percentage of patients commit suicide. Selec ted Answ er: D. Mo o d Select the personality disorder that presents the greatest challenge to diagnose by experienced providers. Page 67 of 79 • Question 93 • Question 94 • Question 95 • Question 96 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 Page 70 of 79 D. 6 to 12 months QUESTION 33 1. Select the two behaviors of schizophrenic patients that occur more frequently than in the general population. A. Homicide B. Violence C. Suicide D. Pyromania QUESTION 34 1. Select the neurotransmitter that increases sexual desire. A. Norepinephrine B. Dopamine C. GABA D. Serotonin QUESTION 35 1. Select the two Freudian stages of psychosexual development. A. Olfactory B. Oral C. Tactile D. Genital QUESTION 36 1. Select the most frequent cause of intellectual disability in U.S. children. A. Lead poisoning B. Fetal alcohol syndrome C. Dietary protein deficiency D. Maternal marijuana use QUESTION 37 1. Select the substance that is most commonly abused by adolescents. A. Cocaine B. Marijuana Page 71 of 79 C. Methamphetamine D. Alcohol QUESTION 38 1. Select the percent blood alcohol level at which voluntary motor activity becomes impaired. A. 0.4 B. 0.3 C. 0.2 D. 0.1 Page 72 of 79 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 Page 75 of 79 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% Page 76 of 79 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 Page 77 of 79