NRNP6665 PMHNP Across the Lifespan I Final Exam Latest 2021

An illness of symptoms or deficits that affect voluntary motor or sensory functions, which suggest another  medical condition but that is judged to be caused by psychological factors because the illness is preceded  by conflicts or other stressors in known as which of the following?

A Factitious disorder

B Illness anxiety disorder

C Somatic symptom disorder .

D Functional neurologicalsymptom .disorder

A condition characterized by the person giving approximate answers, with clouding of consciousness, frequently accompanied by hallucinations or other dissociative, somatoform or  conversion symptoms is

A Ganser Syndrome

B Schizophrenia

C Dissociative trance disorder

D Dissociativeidentity disorder

Which of the following can cause delirium? Check all that apply.

A Polypharmacy

B Sleep deprivation

C Admission/transfer/discharge from ahealthcare .facility

D None of theabove

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 psychiatricconditions. 

The principal theoretician to bring psyche and soma together was which of the following?

A Sigmund Freud

B Anna Freud

C Karl Abraham

D Georg Groddeck

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

DExploratory invasive procedures to obtaindiagnosis

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.

DResearch strongly supports a positive relationship between obstetric complications and ASD.

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 theabove

A frontotemporal dementia with onset in the fifth to sixth decade of life, more common in men, marked by  personality change and cognitive decline, is known as which of the following?

A Pick’s disease

B Lewy body dementia

C Huntington’s disease

D Creutzfeldt-Jakob disease

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 theabove

The ARNP is working with the family of a patient with Alzheimer’s Disease who keeps 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’s

A The patient is hallucinating. An estimated 20–30 percent of patient with dementia .have hallucinations.

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.

Which of the following persons hypothesized that the symptoms of conversion disorder reflect  unconscious conflict?

A Anna Freud

B Paul Briquet

C Sigmund Freud

D Jean-Martin Charcot

Which of the following is consistent within normal range developmental milestones in adaptive  skills for a 4-year-old?

A Toilets self alone; uses fork

B Writes part of name; copies a square

C Follows three-step request;tells stories

D Walks upstairs; catches ball

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

Differential diagnoses to be considered when diagnosing Ganser syndrome include which of the following?

A Organic dementia

B Depressive pseudodementia

C Korsakoff’s syndrome

D All the above

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 amnesia

Depersonalization can result from which of the following conditions? Check all that apply.

A Seizure .disorders

B Brain tumors

C Vertigo

D Meniere’s disease

A child who demonstrates repetitive significant violations of social rules and the rights of others over the  course of a year would likely be diagnosed with which of the following diagnoses?

A Attention-deficit/hyperactivity disorder

B Autism spectrum disorder

C Conduct disorder

D Oppositional defiantdisorder

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

B Dissociative amnesia

C Posttraumatic amnesia

DSystematized amnesia

Which of the following is NOT considered a nonpathological form of amnesia?

A Hypnotic amnesia

B Generalized amnesia

C Infantile and childhood amnesia

D Amnesia for sleepand dreaming

The diagnosis formerly known as multiple personality disorder is now known as which of the following?

A Dissociative fugue

B Dissociative identity disorder

C Factitious dissociative identity disorder

D None of theabove

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

DAmnesia

A patient presents reporting acute amnesia and fugue episodes in addition to recurrent blackouts,  unexplained possessions, and fluctuations in skills, habits, and knowledge. The ARNP recognizes this is  consistent with which of the following?

A Systematized Amnesia

B Post-traumatic Amnesia

C Transient Global Amnesia

D Dissociative Identify Disorder

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 Broca

B Wernicke

C Right parietal

D Left temporal

The patient with an illness anxiety disorder is requesting medication only from the ARNP. The ARNPs  response about pharmacotherapy in illness anxiety disorder would include which of the following?

A Pharmacotherapy is never recommended.

B Pharmacotherapy provides long term relief from anxiety

C Psychotherapy is the most effective treatment of anxiety illness disorder.

DPharmacotherapy helps alleviating symptoms but cannot provide la

Which of the following is consistent with what is known about kleptomania?

A The stealing is well planned.

B The stealing often involves others.

C Risk of consequences of being caught are typically carefully considered.

DThe goal for the person with kleptomania is the act of stealing.

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

D A andB

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

C Dissociative trance disorder

D Recovered identity disorder

Which of the following conversion disorder symptoms are associated with a good prognosis?

A Tremors and aphonia

B Tremors and seizures

C Paralysis and seizures

D Paralysisand blindness

According to the DSM-5 which of the following symptoms differentiates illness anxiety disorder from  somatic symptom disorder?

AIn somatic symptom disorder, persons are primarily concerned with the idea they are .ill, with few or no somatic symptoms.

BIn illness anxiety disorder, persons are primarily concerned with the idea they are ill .with few or no somatic symptoms.

CIn illness anxiety disorder, the patient may have a medical illness but their anxiety is .out of proportion to their diagnosis.

D B and C

A recurrent failure to resist impulses to steal objects not needed for personal use or monetary  value is an essential feature of which of the following disorders?

A Antisocial personality disorder

B Kleptomania

C Conduct disorder

D Oppositionaldefiant disorder

Which of the following would be a cause of concern for the ARNP working with parents of a 0–3 month  old?

A The parent talks with the baby as if there is a mutual understanding.

B The parent appears to spoil the baby, always holding, cuddling, comforting.

C The parent becomes upset whenever the baby cries. 

DThe parent responds promptly whenever the baby cries.

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 mucholder. .

BKnowing when a significant variation in development has occurred improves .diagnostic accuracy.

CThe sooner a significant developmental impairment is identified and addressed, the better the long-term outcomes could be for patients.

D All of theabove.

Which of the following is true about compulsions?

A The person feels compelled to act out their pathological behavior.

B Compulsions are usually ego-dystonic.

C Compulsions are acted upon with the expectation of receiving pleasure.

D A and Bonly

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.

C The 2-month-old is demonstrating a normal developmental visual motor skill.

DThe 2-month-old is demonstrating an advanced developmental gross motor skill. .

The ARNP notices the 6-month-old does not have a spontaneous smile response and realizes which of the  following?

A This is normal for most 6-month-old.

B This is a cognitive developmental red-flag delay and triggers further assessment. .

C This is a social/emotional developmental red-flag delay and triggers further assessment.

DThis represents a normal delay for a 6-month-old; will need to be assessed further at .the 9-month-old assessment.

Data supports which of the following demographics of persons with conversions disorder?

A Conversion disorder is most common among rural people.

B Conversion disorder is most common among persons in higher socioeconomic groups

C Conversion disorder is most common among persons with higher  .education

DConversion disorder is most common in civilian populations

Which of the following is consistent with what is known about electroconvulsive therapy (ECT) use in  patients with Dissociative Identity Disorder (DID)?

A ECT is helpful in joining various personality identities/altered states.

B ECT crosses all personality/altered states equally and typically leads to a full recovery. .

C ECT is helpful in ameliorating refractory mood disorders and does not worsen .dissociative memory problems.

DECT should not be used in patients with Dissociative Identity Disorder as it can cause .further confusion and refraction.

Which of the following conditions associated with childhood are part of the five conditions which comprise disruptive, impulse-control, and conduct disorders?

A Autism spectrum disorder

B Reactive attachment disorder

C Oppositional defiant disorder

DAttention-deficit/hyperactivity  disorder

A category of disorders characterized by the inability to resist an intense impulse, drive, or temptation to  perform a particular act that is obviously harmful to self or others or both is known as which of the  following?

A Dissociative disorders

B Psychosomatic disorders

C Trauma and stressor related disorders

D Disruptive, impulse-control and conduct disorders

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.

The person likely does not have kleptomania because a person with kleptomania is C more concerned with the act of stealing rather than the obtaining the object which . has been stolen.

DThe presentation is consistent with kleptomania because the person is stealing things .they need.

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

C Briefly sits alone: pivots in prone

D Feeds self crackers; stares at new faces.

According to a psychodynamic perspective, depersonalization and derealization are understood as which  of the following?

A A traumatic stress response

B A selective serotonin response

C A NMDA (N-methyl D-aspartate) response

DAn affective response in defense of the ego

Which of the following is consistent with brain-imaging findings related to Autism Spectrum Disorder  (ASD)?

A Increased head size and brain volume

B Increased gray matter in the brain

CIncreased integration throughout especially frontal and posterior regions of the brain

D All of theabove

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 symptom of giving approximate answers is known as which of the following?

A Alogia

B Paralogia

C Analogia

DSymlogia

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

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 dissociation identity disorder

D Factitious dissociative identity disorder

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 theabove

Which of the following are behavioral red flags for a 6–12-year-old?

A Indecisive

B Sets unrealistic grandiose goals.

C Fails to plan or set future goals.

D None of theabove

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 apatient’s cognitive abilities.

DA non-invasive test of brain function which analyzes electrical rhythms in the brain.

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 mind

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

A tension state that can exist without an action is known as which of the following?

A An obsession

B A compulsion

C An impulse

D Ego dystonic

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

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

C Somatic symptom disorder

DFunctional neurological symptom disorder

A disorder characterized by 6 or more months of general and no delusional preoccupations with fears of  having a serious disease based on a person’s misinterpretation of bodily symptoms that causes significant  distress and impairment in one’s life is

A Factitious disorder

B Conversion disorder

C Illness anxiety disorder

D Somatic symptom disorder

A disorder characterized by 6 or more months of general and no delusional preoccupations with fears of  having a serious disease based on a person’s misinterpretation of bodily symptoms that causes significant  distress and impairment in one’s life is

A Factitious disorder

B Conversion disorder

C Illness anxiety disorder

D Somatic symptom disorder

A precipitous onset prion disease, with rapid decline, progressing to death within 6 months of onset is  known as which of the following?

A Pick’s disease

B Lewy body dementia

C Kluver-Bucy syndrome

DCreutzfeldt-Jakob disease

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/hyperactivitydisorder (ADHD)

Which of the following is an example of a medical complication of psychiatric conditions or treatment?

A Dementia

B Neuroleptic Malignant syndrome .

C Depression related to limb amputation .

D Recurrence of depressive disorder in setting of cancer treatment

Experiences of depersonalization and derealization are common in which of the following patients?

A Patients with seizures

B Patients with migraines

C Patients who use marijuana

D All of theabove

Which of the following shows normal developmental visual motor skill for an 18-month-old?

A Runs well: stands for ball throw.

B Points to self; uses 10 – 25 words.

C Scribbles on own; makes 3-cube tower

D Has fine pincer grasp; scribblesif shown

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

CCingulate gyrus

D All theabove

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. .

DTransient experiences of depersonalization and derealization are extremely common .in normal and clinical population

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 dementia

DLewy-body dementia

Which of the following would be a developmental red flag that would trigger further assessment for a 2- year-old?

A Cannot jump; cannot throw object overhand.

B Cannot use a three-word sentence; speech only 50% understandable

C Cannot use a meaningful two-word phrase; lack of empathy (looking sad if a child cries)

DNever imitates adult activities; cannot do parallel play.

Which of the following are included in the clinical features of anxiety illness disorder? Check all that apply. APersons maintain they have a particular disease or as time progresses their belief .may transfer to another disease.

BLab results, lack of progression of the disease, and appropriate reassurances from the .provider are helpful treatments for the person with the disease.

CPreoccupation with illness may or may not interfere with their interaction with family, .friends, and co-workers.

DThey are often addicted to internet search about their feared illness, inferring the .worst from the information.

A dementia which usually occurs in the sixth decade of life, characterized by gradual onset and  progressive decline without focal neurological deficits is known as which of the following?

A HIV dementia

B Vascular dementia

C Lewy-body dementia

D Alzheimer’s typedementia (DAT)

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.

DThe repeated acting out of impulses leads to psychological impairment.

Which of the following is consistent with dementia in HIV?

A The individual’s decline is very slow and may take years to progress.

B The individual’s decline is progressive in nature with motoric and behavioral . abnormalities.

C The individual’s decline is in a stepwise fashion with motoric and behavioral . abnormalities.

D The individual’s decline has marked variability and fluctuating motoric and behavioral . abnormalities.

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.

DPsychological factors precipitating medical symptoms.

A type of delirium characterized by psychomotor retardation and apathy is known as which of the following?

A Mixed delirium

B Medical delirium

C Hypoactive  delirium

D Hyperactive delirium

A child 0–3 months would be expected to be able to do which of the following?

A Develop social smile

B React and turn toward sounds

C Watch faces, follows objects

D All theabove

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 Pyrophobia

Which of the following supports a good prognosis for a person with a conversion disorder?

A Insidious onset

B Clearly identifiable stressors at time of onset

C Average intelligence

D B and C

Which of the following medications are FDA-approved medications for the treatment of delirium?

A Donepezil

B Galantamine

C Rivastigmine

D None of the above

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.

DPsychiatric symptoms as a reaction to medical condition or treatments.

Which of the following is a common visceral symptom of conversion disorder?

A Seizures

B Diarrhea

C Paralysis

D Mid-line anesthesia

Which 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

In treating a patient with dementia and a co-occurring depression, which of the following symptoms should  be treated first?

A Insomnia

B Irritability

C Loss of appetite

D Depressed mood

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

Which of the following social interactions indicates progression into the normal range, meeting  developmental milestones for a 5-year-old?

A Shares on own

B Engages in imaginative play

C Group play; has a preferred friend

D Has a group of friends,apologizes for errors

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 ARNP is doing a physical exam on a patient that has a paralyzed hand of unknown etiology in which  the patient’s hand is raised and dropped into the patient’s face. Which of the following patient responses  support the finding of a conversion disorder?

A The patient’s hand drops onto the patient’s face.

B The patient’s hand falls next to the patient’sface.

C The patient’s hand stays in the air whendropped.

D This would not be an appropriate test for conversion disorder.

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 theabove

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.

BRecommend psychotherapy to focus on issues of stress and coping.

C Recommend psychoanalysis to explore intrapsychic conflicts.

D B and C only

Which of the following adaptive skills are consist with normal range developmental milestone of an 18- month-old?

A Bite, chews cookie; looks for fallen item

B Finger feeds items; takes off a hat.

C Gets onto a chair; removes garment

D Opens doorknobs; pulls offpants.

N-Methyl D-aspartate glutamate receptor antagonists are used to treat dementia by doing which of the  following?

A Stall the neurodegenerative processes

B Promotes synaptic plasticity

C Prevent over excitation of glutamate receptors

D All of theabove

Which of the following is NOT consistent with what is known about intermittent explosive disorder across  the lifespan?

A Intermittent explosive disorder may appear at any stage of life.

B Intermittent explosive disorder usually appears between late adolescence and .early adulthood.

CIntermittent explosive disorder typically increases in severity with the onset of .middle age.

D The onset of intermittent explosive disorder may be acute or insidious.

Which of the following is not consistent with what is known about the epidemiology of dissociative fugue?

A It is usually described in adults.

B It is commonly described in men

C It is more common in women than in men.

DIt is more common during natural disasters, war time, or times of major social .dislocations and violence.

A cognitive assessment should include which of the following?

A Baseline cognitive functioning

B Changes from baseline functioning

C Speed of onset of cognitive changes

D All of theabove

The ARNP notices that a patient with a conversion disorder unable to walk has an 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 Identification

B Primary gain

C Secondary gain

D La belle indifference

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

A patient presents 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 Derealiza