NRNP6635 Midterm Exam June Latest 2023

Question 11 pts

Select the two most important elements of the psychiatric interview to establish a mental illness diagnosis.

Psychiatric history

 Family history

 Mental status examination

Review of systems

Which imaging test of the central nervous system is most helpful with examinging the brain for differentiating between normal aging, mild cognitive impairment, and Alzheimer’s disease?

MRI

CT

PET

MRA

Select the age stage of life in which identity crisis typically emerges.

Childhood

Adolescence

Middle adult

Elderly adult

Select the two most commonly co-occurring anxiety disorders that may present with generalized anxiety disorder.

Posttraumatic Stress Disorder

Dissociative disorder Obsessive

Compulsive Disorder

Delusional disorder

The two most commonly co-occurring anxiety disorders that may present with generalized anxiety disorder are:

The functional imaging of the central nervous system to examine specific biochemical processes that excludes one of the options listed is:

Select the age group in which adjustment disorders occur most frequently.

Childhood

Middle adult

Young adult

Adolescent

Select the life stage at which a child engages in more interactive play, masters aggression, and learns cooperation and sharing skills.

Toddler

Infancy

Middle years

Preschool

What is the name for hair pulling disorder?

Wernicke-Korsakoff

Excoriation Disorder

Trichotillomania

Turner Syndrome

Select the two symptoms that result from prolonged sleep deprivation.

Ambition

Hallucinations

Contentedness

Irritability

The key feature that separates social anxiety disorder from someone with mild speaking engagement anxiety is:

A. the level of anxiety is disabling

B. occurs while one is scrutinized and includes fear of negative judgment

C. Neither A and B are true

D. Both A and B are true

The key feature that separates social anxiety disorder from someone with mild speaking engagement anxiety is that social anxiety disorder involves both the level of anxiety being disabling and the fear of negative judgment while being scrutinized.

 Select the feature most indicative of rapid eye movement (REM) sleep.

Bradycardia

Relaxation of skeletal muscles

Dreaming

Tachypnea

A common physical finding for patients with eating disorders who binge and purge is:

bulging eyes damaged

teeth enamel low

set ears

enlarged pupils

Select the comorbidity most commonly occurring with intermittent explosive disorder.

Narcissism

Pyromania

Depersonalization

Kleptomania

 

 

The “creepy-crawly” feeling and subjective uncomfortable sensation of limbs with urge to move legs while resting or falling asleep is known as:

Periodic Limb Movement

Disorder Sleep-Related

Cramps REM Sleep Behavior

Disorder Restless Leg Syndrome

Which rating scale is recommended for measuring health and disability?

WHODAS 2.0

BDI CAPS

Conners

Rating Scale

Select the sleep disorder in which cataplexy is a common symptom.

Central apnea

Somnambulence

Insomnia

Narcolepsy

Select the neurotransmitter dysregulation that is most directly involved with Obsessive Compulsive Disorder.

Dopamine

Norepinephrine

Serotonin

GABA

Select the medical condition that must be excluded as a cause of somatic symptom disorder or hypochondriasis.

Angina pectoris Asthma Diabetes Multiple sclerosis

 

 

Select the anxiety disorder that is most associated with selective mutism in children,

Social

Generalized

Separation

Phobic

At what age do the emotional skills of shame, pride, envy, and embarrassment appear in healthy emotional develop5ment?

5-10 years old

3-5 years old

1-2 years old

6 months old

Neurovegetative symptoms of depression include all of the following EXCEPT:

Inattention

 Insomnia

Anergia

Racing Thoughts

Select the scientist who is most associated with the development of the concept of the conditioned reflex learning theory.

Piaget

Ainsworth

Bowlby

Pavlov

What psychiatric disorder is most common among patients with night-eating syndrome?

Anxiety Disorder

Depressive Disorder

Mania Disorder

Obsessive Disorder

Select the motivation in pyromania that is absent in patients who commit arson.

Financial gain

Revenge Affective arousal

Power

Gender identity begins to manifest at 18 months of age and is often fixed by 24-30 months.

True

False

The following neurocognitive disorder is caused by thiamine deficiency likely related to chronic alcohol use:

Alcoholic blackouts

Multiple Sclerosis

Korsakoff Syndrome

Transient Global Amnesia

When documenting thought processes during assessment, flight of ideas means:

Group of answer choices

over verbalizes details and material not relevant to the subject or question asked but does eventually return to the subject or question ask difficult and impossible to see any connection in content rapidly moving from one thought to another at pace difficult for others to keep up with but thoughts are connected repetitively returning to same topic even with attempts of redirection to another topic

Select the treatment of choice for identity crisis.

Antidepressant drugs

Behavioral modification

Antianxiety drugs

Individual psychotherapy

 

Children with a first-degree relative diagnosed with major depression are three times more likely to develop the disorder than those children without a family history of depression.

True

 False

Which of the following is the major inhibitory neurotransmitter in the brain?

Histamine

Dopamine

Serotonin

GABA

School phobia and excessive clinging to parents may be symptoms of depression in teenagers.

True

False

Select the most common stressor of Posttraumatic Stress Disorder diagnosis in women.

Accidental fall

Childbirth

Sexual assault

Marital Separation

Select the neurotransmitter that is most genetically involved in childhood and adolescent depression.

Norepinephrine

Serotonin

Dopamine

Gamma amino butyric acid (GABA)

Select the most common sleep disorder reported by patients.

Parasomnia

Hypersomnia

Insomnia

Apnea

What is the name for the disorder of repeated passage of feces into inappropriate places?

Euresis

Encopresis

Edwards’ syndrome

Epilepsy

Select the type of amnesia in which patients are aware of their memory loss with repeated questioning.

Substance related

Posttraumatic

Transient global

Dissociative

Select the disorder in which children are irritable and display temper outbursts, but are not likely to cause physical harm to themselves and others.

Oppositional Defiant Disorder

Conduct Disorder

Anxiety Disorder

Obsessive Compulsive Disorder

Select the symptom that is least associated with manic and hypomanic episodes.

Suicidal ideation

Inflated self-esteem

Distractibility

Pressured speech

Select the two diverse symptoms of Obsessive Compulsive Disorder.

Rituals

Flashbacks

Loose associations

Intrusive thoughts

The two diverse symptoms of Obsessive-Compulsive Disorder (OCD) are:

Select the patient evaluation scale to be used before and during prescribing antipsychotic drugs.

MMSE

AIMS

CAGE

HAM-D

The following is NOT an endocrine change noted with anorexia nervosa:

Increased

Glucose

Hypothyroidism

Hypersecretion of corticotrophin-releasing hormone

Amenorrhea

Panic disorder is diagnosed if the patient worries for 14 days after 1 panic attack episode.

True

False

Select the most important component of the patient-provider rapport.

Empathy

Confidentiality

Respect

Privacy

Select the function that is most affected by conversion disorder.

Voluntary motor

Hearing

Involuntary motor

Smelling

According to Bowlby’s theory of anxiety, what is fundamental to the growth of attachment in an infant?

Loud noises

Exposure to strangers

Mother’s ability to relieve infant anxiety

Placing the infant in isolated areas

Esther is a 48-year-old female who was recently diagnosed with cancer and underwent a double mastectomy. Select the psychiatric disorder that occurs most commonly in patients hospitalized for medical problems and surgery.

Group of answer choices

Obsessive-Compulsive Disorder

Adjustment Disorder

ADHD Bipolar

I Disorder

The psychiatric disorder that occurs most commonly in patients hospitalized for medical problems and surgery is adjustment disorder. Adjustment disorder is characterized by the development of emotional or behavioral symptoms in response to a significant stressor, such as a serious illness, major surgery, or other life-changing events. The diagnosis of adjustment disorder is particularly relevant in the context of acute medical conditions or hospitalization. Obsessive-Compulsive Disorder, ADHD, and Bipolar I Disorder are less commonly associated with hospitalization for medical problems and surgery.

The two clinical subtypes for anorexia nervosa diagnosis are:

food restricting

binging

purging

hoarding

The two clinical subtypes for anorexia nervosa diagnosis are:

Select the age in which rumination disorder (food swallowed but not digested, is regurgitated) occurs most frequently.

Male infants aged 3 to 12 months

Female infants 6 to 18 months

Children aged 2 to 5 years

Adolescents aged 13 to 15 years

Select the type of dissociative amnesia described by patient’s inability to recall any information about her or his family.

Selective

Localized

Continuous

Systematized

When does fear become a phobia diagnosis?

when the fear is irrational the fear last at least 6 months All of the above are true None of the above are true

Differential diagnosis for consideration when suspecting a cyclothymic disorder include:

Seizures Substance abuse

Narcissistic

Personality Disorder

All of the above

Select the two comorbid disorders with which PICA occurs most commonly.

Enuresis

Encopresis

Autism

Intellectual disability

The two comorbid disorders with which PICA occurs most commonly are:

Select the most likely stressor to cause an adjustment disorder.

Medical illness

Natural disaster

Vehicle accident

Substance abuse

Select the rating scale used to assess significant alcohol problem.

BPRS

CAGE

YBOCS

CAPS

Select the factor that is included in DSM-5-TR diagnostic criteria for a Posttraumatic Stress Disorder diagnosis from a stressor.

Intense horror

Isolated experience

Survivor’s guilt

Concurrent substance abuse

Encopresis is a specific indicator of sexual abuse.

True

False

Diagnosis for enuresis should NOT be made until after age 5 years old for children.

True

False

What is the primary goal of data collection during the psychiatric interview?

To obtain the family’s perception of the patient’s health and illness

To explain the provider’s perception of the patient’s health and illness

To obtain the patient’s perception of their health and illness

To obtain statistics regarding the patient’s health and illness

 

 

The DSM-5-TR symptom specifier for Central Sleep Apnea includes:

Group of answer choices

Cheyne-Stokes breathing Idiopathic Central Sleep Apnea Central Sleep Apnea comorbid with opioid use All of the above

The clinician must realize a complete and accurate patient history is never truly obtained and assessment is always ongoing, treatment evolving, and outcomes reassessed.

True

 False

Select the obsessive-compulsive disorder for which a patient is likely to initially seek help from a Primary Care Provider.

Group of answer choices

Hoarding Excoriation Hair-pulling Body dysmorphia

Select the disorder in which substance abuse comorbidity occurs at a rate of 5% to 10% of patients.

Panic Disorder

Agoraphobia

Obsessive-Compulsive Disorder

Cyclothymia

Characteristics of Fetal Alcohol Syndrome in newborns include all EXCEPT:

Group of answer choices

Thick lower lip Inner epicanthal folds Microphthalmia Hypertelorism

Select the youngest age range at which alarm therapy is effective to treat enuresis.

11 to 12 years

9 to 10 years

6 to 7 years

5 to 6 months

 

 

What is the name of the DSM-5-TR diagnosis where patients impulsively steal objects even though they do not need or have any value to the objects which they could easily afford?

Pyromania

Hypomania

Kleptomania

Hypermania

What section of the brain regulates human emotional drives?

Brain Stem

 Frontal Cortex

Amygdala

Hippocampus

Select the most influential source of bias in a mental status examination.

Culture

Genetics

 Environment

Age

Select the neurotransmitter that is most involved in the pathophysiology of schizophrenia.

Norepinephrine

Dopamine

Serotonin

Acetylcholine

TRUE OR FALSE: A diagnosis of Social Pragmatic Communication Disorder requires the child never has symptoms of restricted interest and repetitive behaviors.

True

False

According to the DSM-5 diagnostic specifier, an individual with an estimated IQ of ________ would be diagnosed with Intellectual Disability, moderate:

89-69

69-50

49-35

under 35

Select the two common characteristics of illness anxiety disorder.

Avoidance of provider evaluation

increased somatic symptoms

Frequent provider visits

Presence of a fixed delusion

The two common characteristics of illness anxiety disorder are:

Select the least extent of sleep debt that can cause hypersomnolence.

4 hours per night for one month

3 hours per night for two weeks

2 hours per night for one week

1 hour per night for three days

According to diagnostic criteria of the DSM-5-TR, Generalized Anxiety Disorder symptoms of excessive anxiety and worry must persist for a minimum of 3 months.

True

False

Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcus (PANDAS) is a differential diagnosis for which DSM-5-TR disorder?

Major Depressive

Disorder Obsessive

Compulsive Disorder

Schizophrenia Cyclothymia

 

 

Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcus (PANDAS) is a differential diagnosis for which DSM-5-TR disorder?

Major Depressive

Disorder Obsessive

Compulsive Disorder

Schizophrenia Cyclothymia

Select the two characteristics of impulses that are usually absent from compulsions.

Pleasure seeking

Psychosocial impairment

Committing actions

Repetitive performance

The two characteristics of impulses that are usually absent from compulsions are:

Select two imaging methods used to study anxiety disorders.

CT

TMS

MRI

ECT

The two imaging methods used to study anxiety disorders are:

 Select the DSM-5-TR disorder formerly called multiple personality disorder.

Depersonalization

Dissociative fugue

Dissociative identity

Derealization

 

 

Select the most important mediator of the stress response:

Group of answer choices

Corticotrophin-releasing hormone Neuropeptide Y GABA Galanin

Select the most important mediator of the stress response:

Group of answer choices

Corticotrophin-releasing hormone Neuropeptide Y GABA Galanin

Select the two complications in diagnosing patients with anorexia nervosa.

Determining occurrence of substance abuse

Denial of symptoms

Insisting weight loss has a medical cause

Secrecy regarding eating rituals

The two complications in diagnosing patients with anorexia nervosa are:

Urine drug screening tests have high false-positive rates due to interactions with prescribed medications and foods; as well as, high false-negative rates due to problems with specimen collection and storage.

True

False

All of the following laboratory tests are helpful when assessing for potential alcohol abuse EXCEPT:

AST

GGT

EOS

ALT

On the other hand, AST (Aspartate Aminotransferase), GGT (Gamma-Glutamyl Transferase), and ALT (Alanine Aminotransferase) are commonly used liver function tests that can be helpful in assessing for potential alcohol abuse. These liver enzymes can be elevated in individuals who consume excessive amounts of alcohol, as alcohol can cause liver damage and inflammation. Elevated levels of AST, GGT, and ALT can indicate alcohol-related liver problems.

 

By what age should children developmentally be able to share and engage in cooperative play?

1

2

3

4

Select the mood disorder that frequently coexists in children and adolescents with Attention Deficit and Hyperactivity Disorder.

Group of answer choices

Disruptive mood dysregulation disorder Major depression Dysthymia Panic Disorder

Episodes of major depression and hypomania are the main characteristics of:

Group of answer choices

Dysthymia Bipolar I Disorder Major Depressive Disorder Bipolar II Disorder

Mothers with high anxiety are more likely to have irritable and hyperactive babies with feeding and sleeping difficulties than mothers with low anxiety levels.

True

False

Fetal alcohol syndrome is characterized by all the following EXCEPT:

Group of answer choices

 Microcephaly Midface hypoplasia Growth retardation with weight/height Scanty Lanugo

Select the rating scale used to assess obsessive-compulsive disorder.

HAM-A

CAGE

YBOCS

CAPS

 

 

Select the exposure to violence that is excluded as a DSM-5-TR diagnostic criterion for Posttraumatic Stress Disorder diagnosis in children and adolescents.

Listening to music

Directly witnessed traumatic events

Report of family member traumatic event

Repeated natural disaster experiences’

Select the disorder in children and adolescents that is described by depressed or irritable mood for most of the day for a majority of days in at least one year.

Major depression disorder

Cyclothymia

Bereavement

Persistent depressive disorder

A patient’s “insight” in the psychiatric evaluation refers to:

the patient’s ability to identify similarities between like objects or concepts

the capacity of the patient to make good decisions and act on them

the patient’s understanding of how they are feeling, presenting, and functioning as well as potential causes

All of the above are true

Select the most likely event to cause an adjustment disorder.

Natural disaster

Marital Separation

Vehicle accident

Sexual Abuse

Select two brain regions that are associated with anxiety disorders.

Substantia nigra

Locus ceruleus

Temporal lobe

Raphe nuclei

Select the two assessment tools used primarily for patients with a diagnosis of schizophrenia.

The two assessment tools primarily used for patients with a diagnosis of schizophrenia are:

 Select the environment in which children are most likely to display selective mutism.

Select the environment in which children are most likely to display selective mutism.

Church

Home

Playground

Classroom

In normal language development, at what age would you see the beginning of grammar formation?

12-18 months

12-24 months

24-36 months

36-54 months

Abuse of volatile solvents can create psychoactive effects for patients. Known volative solvents to be abused are all the following EXCEPT:

Dry Eye Tear Drops Gasoline Paint thinner Whipped cream aerosols

When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

Yes

No

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