NRNP 6635 Midterm Exam 2022/2023 [100% correct answers & explanations]

Potassium
Select the serum assessment that is used when prescribing drugs to treat psychiatric disorders in psychosomatic patients

Erickson
Select the theorist who developed the eight stages of the psychosocial life cycle

Sexual abuse and Partner Betrayal
Select two causes of dissociative amnesia

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

Autism and Intellectual disability
Select the two comorbid disorders with which Pica occurs most commonly

20% recover, 10% mild symptoms, 40% moderate symptoms, 30% no change or worse
Select the prognosis range of untreated PTSD patients

Sequential events
Select the memory category retained in transient global amnesia that is absent in dissociative amnesia

Eating with friends but not Family
The following is NOT an endocrine change noted with anorexia nervosa

Psychiatrist History and mental status examination
Select the two most important elements of the psychiatric interview to establish a mental illness diagnosis.

Patient Resistance
Select the greatest impediment to treat anorexia nervosa patients.

Central Apnea
Select the sleep disorder in which cataplexy is a common symptom

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

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

4
Select age after which encopresis may be correctly diagnosed

Dysthymia
Select the mood disorder that is worsened by chronic exposure to observing violence in television, movies, and video games

Medical history
Select a provider’s most important knowledge area essential to a successful mental health interview of a child

6-8 weeks
Select the minimum treatment time to assess the effectiveness of antidepressant drug therapy

PTSD has recurrent, distressing dreams
What is one main difference between acute stress disorder and PTSD?

Short duration of symptoms
Factors that indicate a good prognosis for PTSD disorders include all the following EXCEPT:

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

Appetite
What is the most IMMEDIATE consideration in assessing depression in adolescents?

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

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

Cognitive-behaviour therapy CBT and SSRI antidepressants
Select the most effective treatment for social anxiety disorder in children

Echolalia
All the following are key psychiatric findings when assessing speech and language in children EXCEPT:

Concurrent substance abuse
Select the factor that is required to cause PTSD from a stressor

Generativity versus
All the following are classes of coping mechanisms in the Model of Mental Health as Resilience where humans overcome stressful situations EXCEPT:

Caudate
Anatomical and functional neuroimaging studies have associated a decreased activation in what part of the brain with obsessive-compulsive behaviors?

Secracy of eating rituals and Insisting weight loss has a medical cause
Select the two complications in diagnosing patients with anorexia nervosa

separation
Select the anxiety disorder that emerges in ages 9 to 18 months.

Dizziness and Constipation
Select the two most common peripheral symptoms of anxiety

Melatonin
Select the hormone or neurotransmitter that is involved in regulating the 24-hour circadian sleep-wake cycle.

unplanned travel
Select the event most associated with the occurrence of dissociative fugue

Intellect
Select the neurodevelopmental disorder typically diagnosed in childhood

negligent parenting
Select the primary cause of reactive attachment disorder in children

Depersonalisation disorder
Select the psychiatric disorder for which drug and non-drug treatments are least effective

Experienced Violence and natural disaster
Select two events that are causes of dissociative trance disorder

6 months
Select the time from occurrence of the stressor in which symptoms must appear to diagnose an adjustment disorder

Magnesium
Select the serum substance that should be measured to aid the diagnosis of restless leg syndrome.

Dissociative disorder
Select the DSM-5 disorder formerly called multiple personality disorder

Seizures, Substance abuse, Narcissistic Personality Disorder
Differential diagnosis for consideration when suspecting a cyclothymic disorder include:

Chelation Therapy
The following psychotherapy interventions is NOT a recommended in the treatment of PTSD:

2% placebo 4% drugs
Select the difference in rates of suicidal thoughts and behaviors between placebo and drug in children and adolescents observed from random controlled trials of nine antidepressant drugs that resulted in the 2004 FDA “black box” warning in labeling of antidepressant drugs.

Fluoxetine
Select the drug that has been effective in treating social anxiety in children.

6 to 7
Select the youngest age range at which alarm therapy is effective to treat enuresis

Prefrontal Cortex
Which part of the brain is essential to the maintenance of attention?

Weekly binge eating for at least 3 months and abuse of emetic drugs and substances
Select two signs and symptoms of bulimia nervosa.

withdrawal
Select the behavior that best describes early onset bipolar disorder in children and adolescents

Sexual assault
Select the most common stressor of PTSD in women

Vehicle accident
Select the most likely stressor to cause an adjustment disorder

Dopamine
Select the neurotransmitter involved in obsessive-compulsive disorder (OCD) in children and adolescents based on the common comorbidity of tic disorder

Opioid Analgesics
Select the class of drugs most effective in treating pain disorder

anorexia nervosa
The most commonly occurring eating disorder

Pain
the disorder in which inflicting injury to self or others is common

TMS and MRI
Two imaging methods used to study anxiety disorders

20% incidence by age 18
Epidemiological fact about major depression in children and adolescents

Hippocampus
Brain region most implicated in the function of memory

Insomnia
Most common sleep disorder

Intense Horror
Factor that is required to cause PTSD from a stressor

Male infants from 3-12 months
The population in which rumination disorder occurs most frequently

Suicidal Ideation
the symptom least associated with manic and hypomanic episodes

Psychosis
Third most commonly reported psychiatric symptom

Mildly depressed
Characteristic in long sleepers (longer than 9 hours) that is absent in short sleepers (less than 6 hours)

Cognitive Therapy and Hypnosis
The two methods to treat dissociative amnesia

Franz Gabriel Alexander
Theorist who is credited with establishing the area of psychosomatic medicine

persistent depression
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

generalized dissociative amnesia
The type of dissociative amnesia is described by the inability to recall any events in a particular lifespan period

60%-90%
Frequency range for heritability of Bipolar disorder

Hallucinations and Irritability
The two symptoms that result from prolonged sleep deprivation

Voluntary Motor
The function that is most affected by conversion disorder

cognitive behavioral therapy
The therapy for Insomnia that can be effective up to three years after discontinuation

Well-Being
The mental health model that is most associated with human interpersonal connection

Anorexia and Seizures
two medical conditions in which derealization and depersonalization are common

adolescence
The age stage of life in which identity crisis emerges

History of substance abuse and duration of therapy
the two most important factors that guide the decision to prescribe benzodiazepines to treat general anxiety

50-100
The mg/dL blood alcohol level range that is associate with causing impaired judgement and coordination

Electronic Media
The exposure to violence that is excluded as a DSM-5 diagnostic criterion for PTSD in children and adolescents

Infancy
The life stage at which emotional and social behavior begin

Substance abuse and appropriate drug therapy
The two events that are excluded as causes of dissociative trance disorder

Cognitive therapy
The non-drug therapy with the greatest evidence of effectiveness in treating major depression disorder

few or lack of somatic symptoms and frequent provider visits
The two common characteristics of illness anxiety disorder

Dysthymia
The alternate name for persistent depressive disorder

Piaget
The scientist most associated with the development of learning theory

Paroxetine
The drug proven most effective in treating PTSD

40% – 50%
The percentage that most accurately represents the rate of heritability of major depression disorder

Dopamine and GABA
Two neurotransmitters associated with anxiety

Valproate
The drug with the most rapid onset of action to treat acute mania

Major depression
The mental health disorder that commonly coexists with generalized anxiety disorder

20% – 30%
The percentage range of correlation between obesity and psychiatric disorders

Psychoanalytical and Behavioral
Two types of theories that have contributed to causes of anxiety

Childhood
The age group in which adjustment disorder occur most frequently

Lithium
The drug used to treat bipolar disorder that may cause hypothyroidism

Anxiety
The psychiatric disorder that occurs most commonly in patients hospitalized for medical problems and surgery

Public Speaking
The public performance that is most associated with social anxiety in children

6 months
The maximum time period recommended for treatment of insomnia with hypnotic drugs

Serotonin
The neurotransmitter that is most genetically involved in childhood and adolescent depression

Impramine
The antidepressant drug most likely to cause death when taken in an overdose

Amitriptyline
The antidepressant most likely to cause sexual dysfunction

Concentration
The cognitive function category in a mental examination that is represented by the question, “starting at 3 A.M., count back the time 2 hours at a time.”

0.6 – 1.2
The therapeutic plasma concentration range for lithium in mEq/L

CBCL
The rating scale used to assess children and adolescents for ADHD

CAGE
The rating scale used to assess significant alcohol problem

Mania
the criterion that differentiates Bipolar II and Bipolar I disorder

33%
The largest percentage prevalance of psychiatric disorders in patients hospitalized for medical conditions

HAM-D
The rating scale used to assess response to antidepressant drug therapy

antianxiety drugs
The treatment of choice for Identity Crisis

Dreaming
The most exclusive feature rapid eye movement (REM) sleep

Reliability and Validity
The two primary psychometric properties of psychiatric rating scales

2/3
The percent of OCD patients who also have depressive symptoms

Weight Gain
The potential adverse effect of SSRI antidepressant drugs approved to treat children with major depressive disorder

Intrusive thoughts and contamination
The two types of symptom patterns common to OCD patients

BPRS
The rating scale used to screen for Alzheimer’s disease and other dementia’s

Persistent for at least 6 months and lack of medical evidence
The two diagnostic criteria of somatic symptom disorder or hypochondriasis

pleasure seeking and committing actions
Two Characteristics of impulses that are usually absent from compulsions

3 days
the period of time after most recent use that THC (marijuana) can be detected in urine specimens

6 months to 5 years
The delay of time between exposure to the stressor and onset of PTSD symptoms

transcranial magnetic stimulation (TMS)
The non-drug therapy approved use for patients who have failed to achieve satisfactory improvement with correctly prescribed antidepressant drugs

Corticotropin-releasing hormone (CRH)
The most important mediator of the stress response

Sleep Problems
The symptom most likely to improve early in the drug treatment of major depression

At least 5 symptoms including irritable mood for 2 weeks
The criteria in DSM-5 to diagnose a child with major depressive disorder

Question: Select the class of drugs most effective in treating pain disorder.
Question: Select the drug that has been effective in treating social anxiety in children.
Question: The following is NOT an endocrine change noted with anorexia nervosa:
Question: What does a black-box warning from the FDA indicate for prescribers?
Question: Select the most likely stressor to cause an adjustment disorder.
Question: Select the disorder in which children are irritable and display temper outbursts, but are not likely to cause physical harm to themselves and others.
Question: Select the antidepressant drug that is effective in treating OCD, because it is the most selective in preventing serotonin uptake.
Question: Select the two medical conditions in which derealization and depersonalization are common.
Question: Select the activity in which children are most likely to suffer selective mutism.
Question: Select the mood disorder that frequently coexists in children and adolescents with ADHD.
Question: Select the rating scale used to assess children and adolescents for ADHD.
Question: Select the minimum treatment time to assess the effectiveness of antidepressant drug therapy.
Question: Select the most common stressor of PTSD in women.
Question: Select two causes of dissociative amnesia.
Question: Select the symptom that is most likely improve early in the drug treatment of major depression.
Question: Select the nondrug therapy approved for use in patients who have failed to achieve satisfactory improvement with correctly prescribed antidepressant drugs.
Question: Select the comorbidity most commonly occurring with intermittent explosive disorder.
Question: Select the behavior that best describes early onset bipolar disorder in children and adolescents.
Question: Select the obsessive-compulsive disorder for which a patient is likely to initially seek help from a Primary Care Provider.
Question: All the following are classes of coping mechanisms in the Model of Mental Health as Resilience where humans overcome stressful situations EXCEPT:
Question: Select the theorist who is credited with establishing the area of psychosomatic medicine.
Question: Select the disorder that is most similar to cyclothymia.
Question: Select the most commonly occurring eating disorder.
Question: Select the antidepressant drug most likely to cause sexual dysfunction.
Question: Select the hormone or neurotransmitter that is involved in regulating the 24-hour circadian sleep-wake cycle.
Question: Select the drug in addition to a benzodiazepine used to treat generalized anxiety disorder.
Question: Anatomical and functional neuroimaging studies have associated a decreased activation in what part of the brain with obsessive-compulsive behaviors?
Question: What is the recommended duration of treatment with psychopharmacology of panic disorder once treatment becomes effective?
Question: Select the two most effective treatments for obsessive-compulsive disorder (OCD) in children and adolescents.
Question: Select the memory category retained in transient global amnesia that is absent in dissociative amnesia.
Question: Select the type of dissociative amnesia described by inability to recall any events in a particular lifespan period.
Question: The following psychopharmacology agent is NOT a recommended in the treatment of PTSD:
Question: Select the time after cessation of the stressor causing an adjustment disorder in which
Question: Select the percent rate of mortality in anorexia nervosa patients.
Question: Select the two complications in diagnosing patients with anorexia nervosa.
Question: Select the drug used to treat bipolar disorder that may cause hypothyroidism.
Question: Select two events that are causes of dissociative trance disorder.
Question: Select the self-report rating scale used to screen for major depression.
Question: Select the cognitive function category in a mental status examination that is represented by the question, “Starting at 3 A.M., count back the time 2 hours at a time.”
Question: Select the type of dissociative amnesia described by patient’s inability to recall any information about her or his family.
Question: Select two imaging methods used to study anxiety disorders.
Question: Select the nondrug therapy with the greatest evidence of effectiveness in treating major depressive disorder.
Question: Select the drug proven most effective in treating PTSD.
Question: Factors that indicate a good prognosis for PTSD disorders include all the following EXCEPT:
Question: Select the maximum time period recommended for treatment of insomnia with hypnotic drugs.
Question: Select the neurotransmitter that is most genetically involved in childhood and adolescent depression.
Question: Select the neurotransmitter involved in obsessive-compulsive disorder (OCD) in children and adolescents based on the common comorbidity of tic disorders.
Question: Select the scientist who is most associated with the development of learning theory.
Question: Select the patient evaluation scale to be used before and during prescribing antipsychotic drugs.
Question: Select the exposure to violence that is excluded as a DSM-5 diagnostic criterion for PTSD in children and adolescents.
Question: Select the therapy that has been most effective in treating childhood PTSD.
Question: Select the antidepressant drug that is most likely to cause death when taken in an
Question: Select the age stage of life in which identity crisis typically emerges.
Question: Select the anxiety disorder that emerges in ages 9 to 18 months.
Question: Select the psychiatric disorder that occurs most commonly in patients hospitalized for medical problems and surgery.
Question: Select the most exclusive feature rapid eye movement (REM) sleep.
Question: The following psychotherapy interventions is NOT a recommended in the treatment of PTSD:
Question: Select the least effective method to treat dissociative amnesia.
Question: Select the medical condition that must be excluded as a cause of somatic symptom disorder or hypochondriasis.
Question: Select the criteria in DSM-5 to diagnose a child with major depressive disorder.
Question: Select two events that are excluded as causes of dissociative trance disorder.
Question: Select two signs and symptoms of bulimia nervosa.
Question: Select the most effective treatment found in the studies of adolescents with depression.
Question: Select the DSM-5 disorder formerly called multiple personality disorder.
Question: Differential diagnosis for consideration when suspecting a cyclothymic disorder include:
Question: Select the event most associated with the occurrence of dissociative fugue.
Question: Select the two criteria used to differentiate between diagnosing Bipolar I from Bipolar II Disorder.
Question: Select the preferred treatment for bulimia nervosa.
Question: Select the factor that is required to cause PTSD from a stressor.
Question: Select the two most common peripheral symptoms of anxiety.
Question: Select the prognosis range of untreated PTSD patients.
Question: Select the treatment of choice for identity crisis.
Question: Select the difference in rates of suicidal thoughts and behaviors between placebo and drug in children and adolescents observed from random controlled trials of nine antidepressant drugs that resulted in the 2004 FDA “black box” warning in labeling of antidepressant drugs.
Question: What is the most IMMEDIATE consideration in assessing depression in adolescents?
Question: Select the most important component of the patient-provider rapport.
Question: Select the type of amnesia in which patients are aware of their memory loss with repeated questioning.
Question: 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.
Question: Select the quantities of mental disorders categories and discrete illnesses in DSM-5.
Question: Select the serum substance that should be measured to aid the diagnosis of restless leg syndrome.
Question: Select the factor that is required to cause PTSD from a stressor.
Question: Select the two rating scales used specifically for schizophrenia.
Question: Differential diagnoses for consideration when suspecting a agoraphobia disorder include all the following EXCEPT:
Question: Select the greatest challenge in the long-term treatment of Bipolar I and II disorder.
Question: Select the rating scale used to assess obsessive-compulsive disorder.
Question: Select the neurodevelopmental disorder typically diagnosed in childhood.
Question: Select two brain regions that are associated with anxiety disorders.
Question: Behavioral theories hypothesize anxiety is:
Question: Select the two common characteristics of illness anxiety disorder.
Question: Select the drug with the most rapid onset of action to treat acute mania.
Question: Select the time from occurrence of the stressor in which symptoms must appear to diagnose an adjustment disorder.
Question: Select the mood disorder that is worsened by chronic exposure to observing violence in television, movies, and video games.
Question: Select the percent of OCD patients who also have depressive symptoms.
Question: Select the factor that best correlates with the occurrence of PTSD in children.
Question: Select the mental health disorder that commonly coexists with generalized anxiety disorder.
Question: 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.
Question: Select the least extent of sleep debt that can cause hypersomnolence.
Question: Select two common uses of items taken in kleptomania.
Question: Select the largest percentage prevalence of psychiatric disorders in patients hospitalized for medical conditions.
Question: Select the therapy for insomnia that can be effective at up to three years after discontinuation.
Question: Select the third most commonly reported psychiatric symptom.
Question: When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

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