1Question 1 The Confusion Assessment Methods Instrument (CAMI) is a standardized assessment tool for which of the following disorders? A. Dementia B. Delirium C. Pick’s disease D. A and CThe answer is B-Delirium Question 2 Which of the following is a common sensory deficit of conversion disorder? Check all that apply. A. Blindness B. Tunnel vision C. Blindness D. DeafnessThe answer is A-Blindness and D-Deafness Question 3 Delirium is an example of which type of clinical problem in psychosomatic medicine? A. Psychiatric symptoms secondary to a medical condition B. Psychiatric symptoms as a reaction to a medical condition of treatment C. Psychiatric complications of medical conditions and treatment D. Medical complications of psychiatric conditions or treatment The answer is A- Psychiatric symptoms secondary to a medical condition Question 4 All the following medications are used in the treatment of Parkinson’s disease dementia/psychosis EXCEPT for A . NuLaid B . Rivastigmine C. Pimavanserin D. Memantine The answer is D-Memantine Question 5Indicators of imitative dissociative identity disorder include which of the following symptoms? A. Symptom exaggeration B. Confusion and shame related to symptoms C. Use of symptoms to excuse antisocial behaviors D. A and C onlyThe answer is B- confusion and shame related to symptoms Question 6 Which of the following can lower a person’s resistance to control impulses? A. Fatigue NRNP 6665 Final Exam-with 100% verified solutions-2023-2024
2B. Incessant stimulation C. Psychic trauma D. All of the above The answer is D-All of the above Question 7 Schizophrenia in a patient with end-stage renal disease is an example of which type of clinical problem in psychosomatic medicine? A. Co-occurring medical and psychiatric conditions B. Psychiatric symptoms secondary to a medical condition C. Psychiatric symptoms as a reaction to a medical condition D. Psychiatric complications of medical conditions and treatments the answer is A-Co-occurring medical and psychiatric conditions Question 8 An acute onset, short-term confusion, with changes in cognition and level of awareness due to a physiological cause is known as which of the following? A. Delirium B. Dementia C. Psychosis D. Traumatic brain injury The answer is A -Delirium Question 9 A patient expresses feelings of unreality or of being detached from their environment, describing the perception of the outside world as unreal, dreamlike, and visually distorted. The ARNP recognizes this as which of the following? A. Derealization B. Depersonalization C. Generalized amnesia D. Dissociative identity disorder The answer is A-derealization Question 10 A patient present with persistent feelings of detachment from one’s self, like watching one’s self in a movie. The ARNP recognizes this as which of the following? A. Derealization B. Depersonalization C. Generalized amnesia D Dissociative identity disorderThe answer is B-Depersonalization Question 11 Which of the following is recommended in the treatment of pyromania? A. Psychoanalysis B. Cognitive therapy
3C. Supervision of patient to prevent a repeated episode of fire setting D. All the above The answer is B- Cognitive therapy Question 12 Which of the following biological factors have been associated with kleptomania? Check all that apply. A. Brain diseases B. Cortical atrophy C. Mental retardation D. Enlarged lateral ventricles The answers are: A-brain diseases, B-Cortical atrophy, and D-enlarged lateral ventricles Question 13 A neurodevelopmental disorder characterized by impairment confined to a specific area of academic achievement (i.e., reading, writing, arithmetic, spelling) without deficits in intellectual and adaptive behaviors is A. Intellectual disability B. Communication disorder C. Specific learning disorder D. Autism spectrum disorder The answer is A-Intellectual disabilityQuestion 14 Which of the following approaches/treatments are recommended in working with patients with a conversion disorder? A. After a very thorough evaluation to r/o any medical cause, tell the patient that the symptoms are imaginary. B. Recommend psychotherapy to focus on issues of stress and coping. C. Recommend psychoanalysis to explore intrapsychic conflicts. D. B and C only The answer is B -Recommend psychotherapy to focus on issues of stress and coping Question 15 Experiences of depersonalization and decreolization are common in which of the following patients? A. Patients with seizures B. Patients with migraines C. Patients who use marijuana D. All of the above The answer is C- Patients who use marijuana Question 16 Under hypnosis or during psychotherapy, a patient may recover a memory of a painful experience that is etiologically significant. This is known as which of the following? A. False memory syndrome B. Recalled memory syndrome
4 C. Dissociative trance disorder D. Recovered identity disorder The answer is C- Dissociative trance disorder Question 17 Which of the following is recommended as a first line therapy for a patient with dementia and behavioral disturbance? A Valproic acid (Depakote) B. Risperdal C. Haloperidol D. None of the above The answer is D-none of the above Question 18 According to the DSM-5, delirium is specified as acute or persistent. Which of the following time frames is consistent with acute delirium specification? A. A few hours or days B. Three weeks or less C. One month or less D. Less than 3 months The answer is A- A few hours or days Question 19 Which of the following is true about impulses? Check all that apply. A. Impulses are acted upon with the expectation of receiving pleasure B. Impulses are usually ego-dystonic. C. Impulsive behaviors are characterized by their repetitive nature. D. The repeated acting out of impulses leads to psychological impairment. The answers are B-, Impulses are usually ego-dystonic, C- Impulsive behaviors are characterized by their repetitive nature, and D-. The repeated acting out of impulses leads to psychological impairment Question 20 MRI findings in patients with intermittent explosive disorder may reveal changes to which area of the brain that is associated with loss of impulse control? A. Cerebellum B. Prefrontal cortex C Temporal lobeD. Parietal lobeThe answer is B-Prefrontal cortex Question 21 Patients with kleptomania have a high lifetime comorbidity of which of the following disorders? A. Mood disorders B. Schizophrenia C. Dissociative disorders
5D. All of the above The answer is A-Mood disorders Question 22 The epidemiology related to kleptomania includes which of the following? A. Kleptomania is more prevalent in males than females. B. Kleptomania is estimated to be about 10 percent in the general population. C. Kleptomania is reported to occur in fewer than 5 percent of identified shoplifters. D. All of the above The answer is A- Kleptomania is more prevalent in males than females Question 23 An increase in depersonalization is seen with the depletion of which of the following? A. GABA B. Serotonin C. L-tryptophan D. Norepinephrine The answer is B- Serotonin Question 24 Depression secondary to interferon treatments represents which of the following clinical problems in psychosomatic medicine? A. Psychiatric complications of medical conditions and treatments. B. Psychiatric symptoms secondary to a medical condition. C. Psychological factors precipitating medical symptoms. D. Psychiatric symptoms as a reaction to medical conditions or treatments.The answer is D- Psychiatric symptoms as a reaction to medical condition or treatments Question 25 The ARNP is meeting with a person who reports a fascination with fire, along with recurrent deliberate and purposeful setting of fires. The ARNP realizes that these behaviors are consistent with which of the following disorders? A. Pyromania B. Obsessive-compulsive disorder C. Intermittent explosive disorder D. Pyro phobia The answer is B- Obsessive-compulsive disorder Question 26 Which of the following is not consistent with what is known about depersonalization and derealization? A. They are the third most commonly reported psychiatric symptom. B. Derealization is two to four times more often in men than in women. C. One survey found a one-year prevalence of 19 percent in the general population. D. Transient experiences of depersonalization and derealization are extremely common in normal and clinical populations.
6The answer is A- They are the third most commonly reported psychiatric symptom Question 27 Which of the following are included in the clinical features of anxiety illness disorder? Check all that apply. A. Persons maintain they have a particular disease or as time progresses their belief may transfer to another disease. B. Lab results, lack of progression of the disease, and appropriate reassurances from the provider are helpful treatments for the person with the disease. C. Preoccupation with illness may or may not interfere with their interaction with family, friends, and co-workers. D. They are often addicted to internet search about their feared illness, inferring the worst from the information. The answers area- Persons maintain they have a particular disease or as time progresses their belief may transfer to another disease and D- They are often addicted to internet search about their feared illness, inferring the worst from the information Question 28 The ARNP in working with a parent of a 6-month-old would offer which of the following in anticipatory guidance? A. Give baby much attention.B. Attune to baby’s needs for hunger, fatigue, diaper change. C. Provide supervised time for crawling, sitting, and rolling. D. All the above The answer is C- Provide supervised time for crawling, sitting, and rolling Question 29 The symptom of giving approximate answers is known as which of the following? A. Alogia B. Paralogia C. Analogia D. Symlogia The answer is A-Logia Question 30 Identifying developmental milestones is an important skill set for ARNPs for which of the following reasons? A. Often developmental milestones go unrecognized until a child is much older. B. Knowing when a significant variation in development has occurred improves diagnostic accuracy.C The sooner a significant developmental impairment is identified and addressed, the. better the long-term outcomes could be for patients. D. All of the aboveThe answer is C- The sooner a significant developmental impairment is identified andaddressed, the. better the long-term outcomes could be for patients
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7 Question 31 Which of the following can cause delirium? Check all that apply. A. Polypharmacy B. Sleep deprivation C. Admission/transfer/discharge from a healthcare facility D. None of the above The answers are A- Polypharmacy, and C- Admission/transfer/discharge from a healthcare facility Question 32 A patient who has been raped, presents with the inability to recall important personal information and any information about the rape, does recall events prior and since. There does not appear to be any physiological reason for this. This presentation is consistent with which of the following diagnoses? A. Dissociative amnesia B. Dissociative amnesia with dissociative fugue C. Localized dissociative amnesia D. Generalized dissociative amnesiaThe answer is C-Localized dissociative amnesia Question 33 A term use to describe a neurodevelopmental disorder characterized by impairments in reciprocal social communication and a tendency to engage in repetitive stereotyped patterns of behaviors, interests and activities is A. Intellectual disability B. Specific learning disorder C. Autism spectrum disorder (ASD) D. Attention deficit/hyperactivity disorder (ADHD) The answer is C- Autism spectrum disorder (ASD) Question 34 Acute withdrawal from alcohol represents which type of clinical problem in psychosomatic medicine? A. Medical complications of psychiatric conditions or treatments B. Psychiatric complications of medical conditions and treatments C. Psychiatric symptoms as a reaction to medical treatments. D. Co-occurring medical and psychiatric conditions. The answer is B- Psychiatric complications of medical conditions and treatments Question 35 A dissociative disorder described as an identity disturbance due to prolonged and intense coercive persuasion is known as which of the following?A. Brainwashing B. Ganser syndrome C. Imitative dissociative identity disorder D. Factitious dissociative identity disorder
8The answer is A-Brainwashing question 36 Discrete episodes of losing control of aggressive impulses grossly out of proportion to any stressors, which can result in serious assault tor destruction of property are symptoms consistent with which of the following disorders? A. Conduct disorder B. Antisocial personality disorder C. Borderline personality disorder D. Intermittent explosive disorderThe answer is D- Intermittent explosive disorder Question 37 Epidemiology data suggests which of the following with respect to illness anxiety disorder? A. Illness anxiety disorder is more common in men than in women. B. Illness anxiety disorder is seen more frequently in persons with higher education. C. Surveys indicate that up to 15 percent of the general population worry about becoming sick and incapacitated as a result. D. Illness anxiety disorder is more common among caucasians than among other races. The answer is C- Surveys indicate that up to 15 percent of the general population worry about becoming sick and incapacitated as a result, Question 38 Which of the following treatments is NOT recommended in treating Dissociative Identity Disorder? A. Cognitive TherapyB. Hypnosis C. Antidepressants D. Group Psychotherapy The answer is D- Group Psychotherapy Question 39 A person reveals to the ARNP that they steal to get the things they want and cannot afford. The person says they just can’t help themselves, because they have kleptomania. The ARNP realizes the following: A. This presentation is consistent with kleptomania. B. This presentation is not consistent with kleptomania because a person with kleptomania does not realize they have kleptomania. C. The person likely does not have kleptomania because a person with kleptomania is moreconcerned with the act of stealing rather than the obtaining the object which has been stolen. D. The presentation is consistent with kleptomania because the person is stealing things they need.The answer is A- This presentation is consistent with kleptomania
9Question 40 A subcortical dementia with parenchymal abnormalities which can be visualized on MRI is known as which of the following? A. HIV dementia B Kluver-Bucy syndrome. C. Alzheimer’s type dementia D. Creutzfeldt-Jakob disease The answer is C-Alzheimer’s type dementia. Question 41 Predisposing factors for delirium include which of the following? Check all that apply. A. Dementia B. History of falls C. Age 65 and older D. Sensory impairmentThe answers are: A-Dementia, C-Age 65 and older, D-sensory impairment. Step-by-step explanation Question 42 Which of the following diagnostic instruments for Autism Spectrum Disorder is recommended for universal clinical practice? A. Autism Diagnostic Interview -Revised (ADI – R) B. Diagnostic Interview for Social and Communication Disorder (DISCO) C. Development, Dimensional and Diagnostic Interview D. None of the above The answer is A- Autism Diagnostic Interview -Revised (ADI – R) Question 43 A capacity evaluation prior to an organ transplantation is an example of which of the following clinical problems in psychosomatic medicine? A. Psychiatric symptoms secondary to a medical condition B. Medical complications of psychiatric treatments C. Psychological factors precipitating medical conditions D Psychiatric/psychosocial assessment.The answer is D- Psychiatric/psychosocial assessment. Question 44 A temporary marked alteration in the state of consciousness or by the customary sense of personal identity without the replacement by an alternate sense of identity is known as which of the following? A. Ganser Syndrome B. Dissociative Trance Disorder C. Dissociative Identity Disorder D. Factitious Dissociative Identity Disorder The answer is B-Dissociative Trance Disorder
10 Question 45 Which of the following is consistent with current literature about the relationship between obstetrical complications and Autism Spectrum Disorders (ASD)? A. Research is unclear whether obstetric complications are a true risk factor for ASD. B. Research proves there is a negative correlation between obstetrical complications and ASD. C. Research proves there is a positive correlation between obstetrical complications and ASD. D. Research strongly supports a positive relationship between obstetric complications and ASD. The answer is C- Research proves there is a positive correlation between obstetrical complications and ASD Question 46 A major neurocognitive disorder with severe impairment in memory, judgment, orientation, and cognition is known as which of the following? A. Delirium B. Dementia C. Psychosis D. Amnesia The answer is C-Psychosis Question 47 Difficulty with immediate memory is attributed to impairment in which of the following regions of the brain? Select all that apply. A. Broca B. Wernicke C. Occipital D. Temporal The correct answer is D-Temporal lobe. Question 48 Which of the following would not be included in the treatment plan for a patient with illness anxiety disorder? A. Behavioral therapy B. Group psychotherapy C. Insight oriented psychotherapy D. Exploratory invasive procedures to obtain diagnosis The answer is C- Insight oriented psychotherapy Question 49 Which of the following would demonstrate the normal achievement of gross motor developmental milestone for a 6-month-old? A. Pulls to stand B. Transfers items hand to hand
11C. Briefly sits alone: pivots in prone D. Feeds self crackers; stares at new faces. The answer is C- Briefly sits alone: pivots in prone Question 50 A process by which repressed material is brought back to consciousness and the person relives the repressed material accompanied ty the appropriate affective response. A. Abulia. B. Abreaction C. Adynamia D. Alexithymia The answer is B-Abreaction. Question 51 The term psychosomatic literally refers to which of the following? A. Imaginary illness B. Psychiatric illness C. How the mind effects the body D. How the body effects the mindThe answer is A-Imaginary illness. Question 52 Which of the following is consistent with normal range gross motor developmental milestones for a 4-year-old? A. Walks down stairs, jumps backwards B. Balances on one foot for 4 seconds, can broad jump 1 foot C. Writes part of name; copies a square. D. Eats independently, unbuttons items The answer is B- Balances on one foot for 4 seconds, can broad jump 1 foot Question 53 Which of the following speech and language skills are consistent with normal developmental milestones of a 3-year-old? A. Uses three-word sentences; names body parts. B. Uses two-word sentences; understands me and you C. Follows three-step request; tells stories D. Responds to “why?”; likes rhyming words The answer is C- Follows three-step request; tells stories Question 54 Which the following medications is used to treat irritability in autism? A. fluoxetine B. aripiprazole C. alprazolam D. guanfacine The answer is B-aripiprazole
12 Question 55 A congenital neurodevelopmental disorder primarily occurring in females, characterized by specific deficits following a period of normal function growth and development is A. PANDAS B. Rett syndrome C. Reye’s syndrome D. Kluver-Bucy syndrome The answer is B-Ret syndrome Question 56 Which of the following are included in the five different milestone skill areas that should be evaluated? A. Social/emotional skills B. Gross/fine motor skills C. Speech and language skills D. All the above The answer is D-All the above Question 57 Recognizable skills or abilities that have an expected range and order of appearance such as a child taking his first step around the time of his first birthday is known as which of the following? A. Life skills B. Motor developmentC. Developmental history D. Developmental milestones The answer is B-Motor development Question 58 A condition characterized by the person giving approximate answers, with clouding of consciousness, frequently accompanied by hallucinations or other dissociative, somatoform or conversion symptoms isA. Ganser Syndrome B. Schizophrenia C. Dissociative trance disorder D. Dissociative identity disorder The answer is A- Gander Syndrome Question 59 Somatoform disorders represent which type of clinical problem in psychosomatic Medicine? A. Co-occurring medical and psychiatric conditions. B. Psychiatric complications of medical conditions and treatments. C. Psychiatric symptoms secondary to a medical condition. D. Psychological factors precipitating medical symptoms. The answer is D- Psychological factors precipitating medical symptoms.
13 Question 60 Which is NOT consistent with what is known about Gander syndrome? A. Three of Ganser’s first four cases were convicts. B. Cases have been reported in a variety of cultures. C. Women outnumber men by approximately 2 to 1. D. It is considered by some to be an indicator of potential malingering. The answer is B-. Cases have been reported in a variety of cultures Question 61 The second-most common type of dementia caused by cardiovascular and cerebrovascular disease with progressive cognitive decline in stepwise fashion is known as which of the following? A. Pick’s disease B. HIV dementia C. Vascular dementiaD. Lewy-body dementia The answer is C-Vascular dementia. Question 62 Deficits in attention and the ability to complete multi-step commands are associated with impairment in which of the following regions of the brain? A. Frontal B. Prefrontal C. Cingulate gyrus D. All the aboveThe answer is B-Prefrontal cortical area.Question 63: A person erroneously believes they sustained an emotional or physical traumain early life is known as which of the following? A. Ganser syndromeB. False memory syndrome – is characterized by false recollections of a traumatic event, most commonly childhood sexual assault, that the person passionately believes. Adult psychotherapy frequently triggers these pseudo memories, which are frequently vivid and emotionally intense.C. Factitious dissociative identity disorder D. Imitative dissociative identity disorder Question 64: Persons who continually use the internet to play games to the extent that it interferes with social relations and work performance are exhibiting symptoms most specifically consistent with which of the following conditions? A. Obsessive gaming disorder B. Internet gaming disorder – is the excessive use of computers or other devices that allow a user to connect to the Internet, such as tablets and smartphones, for online activitiesto the point where it interferes with daily activities and duties.C. Internet use D. Internet abuse
14Question 65: A new diagnosis in the DSM-5 characterized by persons preoccupied with being sick or developing a disease of some kind is known as which of the following?A. Conversion disorder B. Illness anxiety disorder – The term hypochondriasis was once used to describe illness anxiety disorder. The person is fixated with having or getting sick, and they are continuously concerned about their health.C. Somatic symptom disorder D. Functional neurological symptom disorder Question 66: A subcortical dementia characterized by motor abnormalities including psychomotor slowing, choreo-athetoid movements, executive dysfunction complicated by impaired language, memory, and insight later in the disease process is A. Vascular dementiaB. Huntington’s disease – Huntington’s disease is a neurological disease that is inherited. A symptomatic triad of motor, behavioral, and cognitive changes characterizes it clinically. The majority of Huntington’s disease patients have a choreo-athetoid phenotype, with a lesser proportion having an akinetic/rigid phenotype. Choreic motions tend to lessen as the condition progresses, but akinesia and rigidity become more apparent.C. Creutzfeldt-Jakob diseaseD. Alzheimer’s type dementia Question 67: Which of the following is a common visceral symptom of conversion disorder? A. SeizuresB. DiarrheaC. Paralysis – Conversion disorder is a condition in which a person develops blindness, paralysis, or other nervous system symptoms that are not caused by a physical illness or injury. After a period of mental or physical distress or psychological conflict, symptoms usually appear suddenly.D. Mid-line anesthesia Question 68: The ARNP is working with the family of a patient with Alzheimer’s Disease whokeeps stating the family is plotting against her, trying to have her “snuffed out.” The family is distraught because they state they are doing their best to make sure their family member is safe. The ARNP explains which of the following in educating the patient about the patient’sA. The patient is hallucinating. An estimated 20-30 percent of patient with dementia have hallucinations. – Hallucinations affect 20 to 30 percent of dementia patients (mostly Alzheimer’s patients), and delusions affect 30 to 40 percent of dementia patients, primarily paranoid or persecutory and un systematized delusions, though complex, sustained, and well-systematized delusions are also reported by these patients. In demented people with psychotic symptoms, physical aggression and other forms of violence are widespread.B. The patient is delusional. An estimated 30-40 percent of patients with dementia have delusions. C. The patient likely has valid concerns and adult protective services needs to be called.D. Disturbance in perception is common in patients with Alzheimer’s Disease and patient needs to be hospitalized immediately.
15Question 69: Which of the following questions would be important when differentiating pyromania from schizophrenia?A. Was the fire set in response to a delusion or hallucination?B. Was the fire set deliberately, not a failure to resist an impulse? Pyromania is a condition in which a person’s drive to start fires is compulsive and causes harm to others or their possessions. Pyromania is a pattern of conduct that is deliberate, planned, and repeated.C. Was the fire set as an act of sabotage? D. Was the fire set with a failure to appreciate the consequences of the act? Question 70: The ARNP notices that a patient with a conversion disorder unable to walk hasan inappropriately cavalier attitude toward what seems to be a major impairment and recognizes this an associated psychological symptom known as which of the following?A. IdentificationB. Primary gain C. Secondary gain D. La belle indifference – The paradoxical absence of psychological discomfort despite having a major medical ailment or symptoms related to a health condition is known as la belle indifference, and it is most typically associated with conversion disorder. Question 71: The ARNP recognizes which of the following when the 2-month-old opens her mouth when she sees a bottle. A. The 2-month-old must be quite advanced as this is a visual motor skill normally seen in a 4 month old. B. The 2-month-old is demonstrating a normal developmental adaptive skill. – skills that assist children in becoming more self-reliant.C. The 2-month-old is demonstrating a normal developmental visual motor skill. D. The 2-month-old is demonstrating an advanced developmental gross motor skill. Question 72: Neuropsychiatric testing is defined as which of the following? A. A comprehensive mental status exam B. A neurological evaluation of brain function C. Standardized quantitative reproducible evaluation of a patient’s cognitive abilities. D. A non-invasive test of brain function which analyzes electrical rhythms in the brain – Neuropsychiatric testing is a procedure for determining how well a person’s brain functions. Reading, language use, attention, learning, processing speed, reasoning, memory, problem-solving, mood and personality are among the abilities assessed. Question 73: Deficits in language including naming, repetition, reading and comprehension, and writing is NOT associated with impairment in which of the following regions of the brain? A. BrocaB. Wernicke C. Right parietal – Sensory perception and integration, including taste, hearing, sight, touch, and smell, are all controlled by the parietal lobe. It houses the primary somatic sensory cortex of the brain, which interprets input from other parts of the body.
16D. Left temporal Question 74: A sudden unexpected purposeful travel away from home with inability to recall all of one’s past accompanied by confusion about personal identity not due to direct effects of a substance or a general medical condition which causes clinically significant distress or impairment in social, occupational, or other important areas of functioning is most specifically known as which of the following? A. Dissociative fugue – Dissociative fugue shows that the person is not bewildered or dazed, but rather that he or she appears to be fleeing from something unknown to them. In that both entail the inability to remember key personal information and/or events, it is an element of the dissociative amnesia diagnosis.B. Dissociative amnesia C. Posttraumatic amnesiaD. Systematized amnesia Question 75: Visual hallucinations are associated with impairment in which of the following regions of the brain?A. Occipital B. Temporal C. Left parietal D. Frontal, prefrontal – The impairment of anterior and posterior regions (secondary visualareas, orbitofrontal cortex, and anterior cingulate cortex) involved in a top-down and bottom-up manner, respectively, appears to be linked to visual hallucinations. The most anterior (front) region of the brain is the frontal lobe. It stretches from the back of the skull to the precentral gyrus. Higher cognitive skills such as memory, emotions, impulse control, problem solving, social interaction, and motor function are all controlled by the frontal lobe. Question 76: The principal theoretician to bring psyche and soma together was which of the following? A. Sigmund Freud – According to Sigmund Freud, a famous psychotherapist, children go through a succession of psychosexual stages before developing an adult personality. His hypothesis explained how personality evolved during childhood.B. Anna Freud C. Karl Abraham D. Georg Grodecki Question 77: Which of the following medications are FDA-approved medications for the treatment of delirium? A. Donepezil B. GalantamineC. Rivastigmine D. None of the above – Antipsychotics are routinely utilized as a first-line pharmacologic method to control symptoms that risk safety or impede care when Nonpharmacological techniques are ineffective, despite the fact that there are no FDA-approved drugs for the treatment of delirium.
17Question 78: Anxiety related to chemotherapy is an example of which type of clinical problem in psychosomatic medicine? A. Psychological factors precipitating medical symptoms – Medical symptoms are exacerbated by psychological issues. Certain psychological issues, such as sadness or anxiety, stressful life experiences, differences in relationship styles, personality traits, and coping techniques, might have a negative impact on medical disorders. Psychological factors affecting other medical conditions is a disorder that occurs when psychological or behavioral factors have an adverse effect on a general medical condition, the factors may precipitate or exacerbate the medical condition, interfere with treatment, or contribute to morbidity and mortality.B. Psychiatric symptoms as a reaction to a medical condition or treatment C. Co-occurring medical and psychiatric conditions D. Psychiatric complications of medical conditions and treatments Question 79: A type of delirium characterized by cycling through psychomotor agitation and retardation, from apathy to hypervigilance is known as which of the following? A. Mixed delirium B. Bipolar delirium C. Hyperactive delirium – Increased motor activity, restlessness, agitation, hostility, wandering, hyper alertness, hallucinations and delusions, and inappropriate behavior are all symptoms of hyperactive delirium.D. A and B Question 80: A tension state that can exist without an action is known as which of the following? A. An obsession B. A compulsionC. An impulse – An impulse is a sudden force or desire, such as an electrical impulse or anurge. You’re following an impulse if you act on a sudden feeling or thinking. That’s similar to a whim, it’s not something you’ve given much consideration to.D. Ego dystonicQuestion 81 Which of the following is true regarding how intermittent explosive disorder is differentiated from antisocial or borderline personality disorder? D. In personality disorders, aggressiveness and impulsivity is part of the person’s character and is present between outbursts. Intermittent Explosive Disorder (IED) is an impulse control disorder characterized by aggressive outbursts that has a rapid onset and, typically, with little to no warning Question 82 A tension state that always has an action component is known as which of the following? C. A compulsion Compulsions are behaviors an individual engages in to attempt to get rid of the obsessions and/or decrease his or her distress.
18Question 83 A cognitive assessment should include which of the following?D. All of the above Question 84 The ARNP evaluates a 4-year-old who cannot balance on one foot for 3 seconds, cannot copy a circle and realizes which of the following? D. This is a minor concern, the APRN advises to enroll the child in gymnastics for balance and an art class to learn to draw better. Question 85 Which of the following adaptive skills are consist with normal range developmental milestone of an 18-month-old? B. Finger feeds items; takes off a hat. 18-month-old toddler at this age, children love to play and explore. They begin to show some independence and may play pretend and point at objects they want. They also begin to understand what things in the house are used for, such as a cup or spoon. Question 86 A disorder characterized by the presence of two or more distinct identities which differ from each other in that each presents as having its own pattern of perceiving, relating to, and thinking about the environment and self. A. Dissociative Identity Disorder Dissociative identity disorder is characterized by the presence of two or more distinct or split identities or personality states that continually have power over the person’s behavior. Question 87 Interest in fires and deliberate setting of fires for financial gain is known as which of the following?B. Pyromania Pyromania is a type of impulse control disorder that is characterized by being unable to resist starting fires. People with pyromania know that setting fires is harmful.But setting fires is the only way they can relieve their built-up tension, anxiety, or arousal Question 88 Which of the following conversion disorder symptoms are associated with a good prognosis? A. Tremors and aphonia Symptoms of conversion disorder usually last for days to weeks and may suddenly go away. Usually the symptom itself is not life-threatening, but complications of the symptoms or unnecessary medical tests can be debilitating. For most people, symptoms of conversion disorder get better with reassurance and time.
19 Question 89A type of delirium characterized by psychomotor retardation and apathy is known as which of the following? C. Hypoactive delirium Hypoactive delirium presents with lethargy, drowsiness, apathy, decreased responsiveness, or slowed motor skills. In mixed delirium, individuals display either relatively normal levels of psychomotor activity or rapidly fluctuating levels of activity. Question 90 Which of the following symptoms assist in differentiating a seizure from a pseudo seizure? A. Tongue biting is typically not present in a pseudoseizure B. Urinary incontinence is typically not present in a pseudoseizure C. Injuries from falling are typically not present in a pseudoseizure D. All the above Question 91 Which of the following questions are recommended to assess sexual identity in a male adolescent?A. Do you have or have you had a girlfriend? B. Do you have or have you had a boyfriend? C. Do you have, or have you had romantic feelings toward anyone? D. A and C only Question 92 Which of the following demographics are consistent with autism spectrum disorder (ASD)? A. Female to male ratio (4:1) B. Onset of symptoms by age 3 C. Affects 1 in 100 children D. All the above Question 93 The diagnosis formerly known as multiple personality disorder is now known as which of thefollowing? B. Dissociative identity disorder Dissociative identity disorder was previously referred toas multiple personality disorder. Symptoms of dissociative identity disorder (criteria for diagnosis) include: The existence of two or more distinct identities (or “personality states”). Question 94 Which of the following is NOT consistent with what is known about intermittent explosive disorder across the lifespan?
20A. Intermittent explosive disorder may appear at any stage of life. This diagnosis is not given prior to the age of 6 years and the symptoms typically first appear in late childhood or adolescenceB. Intermittent explosive disorder usually appears between late adolescence and early adulthood. C. Intermittent explosive disorder typically increases in severity with the onset of middle age. D. The onset of intermittent explosive disorder may be acute or insidious Question 95 Functional neurological symptoms disorder is also known as which of the following? A. Conversion disorder A conversion disorder, also called Disorder “Functional Neurological Symptom Disorder” is a relatively uncommon mental disorder. Typically, the person has physical symptoms that no medical condition, physical examination or testing can explain Question 96 Which of the following would be a developmental trigger for a 3-year-old? Check all that apply. A. Cannot balance on one foot for 3 seconds, cannot copy a circle B. Lack of imaginative plan; cannot hypothesize an other’s thought C. Cannot use a three-word sentence; speech only 50% understandable D. Speech less than 75% understandable; cannot identify self or details in pictures Question 97 Which of the following questions would be important when differentiating pyromania from conduct disorder or antisocial personality disorder? Check all that apply. A. Was the fire set in response to a delusion or hallucination? B. Was the fire set deliberately, not a failure to resist an impulse? C. Was the fire set as an act of sabotage? D. Was the fire set with a failure to appreciate the consequences of the act? Question 98 The therapeutic approach that has the best chance of success for the person with intermittent explosive disorder is which of the following? A. Psychotherapy only B. Psychopharmacology only C. A combined psychotherapy/psychopharmacology approach D. Family therapy only Question 99
21Which of the following are common disorders that must be differentiated from dissociative identity disorder? Check all that apply. A. Perimenstrual disorders B. Posttraumatic stress disorder C. Obsessive-compulsive disorder D B and C only. Question 100 Which of the following is an example of a medical complication of psychiatric conditions or treatment? A. Dementia B. Neuroleptic Malignant syndrome Neuroleptic malignant syndrome (NMS) is a life-threatening idiosyncratic reaction to antipsychotic drugs characterized by fever, altered mental status, muscle rigidity, and autonomic dysfunction.C. Depression related to limb amputationD. Recurrence of depressive disorder in setting of cancer treatment