NRNP6635 Psychopathology Final Exam With Answers (231 Solved Questions)

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NRNP6635 Psychopathology Final Exam With Answers (231 Solved Questions) - Page 1 preview image

Question 1Select the mental function that is most affected in mild cognitive impairment.SelectedAnswer: D. Recent memory Question 2Select the most frequent cause of infant and childhood intellectual disability that isattributed to a specific gene.SelectedAnswer: C. Down syndrome Question 3Select the neurotransmitter that is most associated with the occurrence of ADHD.SelectedAnswer: B. Dopamine Question 4Select the drug of choice to treat psychosis in delirious patients.SelectedAnswer:D. Haloperidol Question 5Select the characteristic that is greater in childhood than adult onset schizophrenia.SelectedAnswer: B. Social withdrawal Question 6Select the personality disorder in which patients are continually in crisis and exhibitunpredictable behavior.SelectedAnswer: C. Borderline Question 7NRNP 6635 FINAL EXAM - QUESTIONS AND ANSWERS (GRADED A+)

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Select the factor that best correlates with attempted and completed suicide.SelectedAnswer: A. Mental illness Question 8Select the brain region that shows the greatest anatomical abnormalities in schizophrenicpatients.Selected By the end of the 20th century, however, researchers had made significant strides in revealinga potential neuropathological basis for schizophrenia, primarily in the limbic system and the basalganglia, including neuropathological or neurochemical abnormalities in the cerebral cortex, thethalamus, and the brainstem. Because the basal ganglia and cerebellum are involved in the control ofmovement, disease in these areas is implicated in the pathophysiology of schizophrenia.Answer: D. Basal ganglia Question 9Select the gender dysphoria in which genital surgery is usually not chosen.SelectedAnswer: but who maintain a gender identity that is the same as their birth-assigned gender known ascrossdressers.C. Crossdresser Question 10Select the antipsychotic drug for which the labeling carries a black box warning foragranulocytosis.SelectedAnswer:A. Clozapine Question 11Select the time of onset for tolerance to develop from continuous use of hallucinogenssuch as LSD.Selected

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Answer: Tolerance, particularly to the sensory and other psychological effects, is evident as soon asthe second or third day of successive LSD use. Four to 6 days free of LSD are necessary to losesignificant tolerance.B.4-7 days Question 12Select the most reliable method to make a diagnosis of schizophrenia.SelectedAnswer: Therefore, a patient’s history is essential for the diagnosis of schizophrenia; clinicians cannotdiagnose schizophrenia simply by results of a mental status examination, which may vary.D. Patient history Question 13Select the dysfunction that is common to 50% to 85% of schizophrenic patients.SelectedAnswer: Various studies have reported abnormal eye movements in 50 to 85 percent of patients withschizophrenia compared with about 25 percent in psychiatric patients without schizophrenia andfewer than 10 percent in nonpsychiatrically ill control participant.D. Eye movement Question 14Select two of the “Four A’s” symptoms of schizophrenia described by Bleuler.Selected These symptoms included associational disturbances of thought, especially looseness,affective disturbances, autism, and ambivalence, summarized as the four As: associations, affect,autism, and ambivalence.Answers:A. autism B. ambivalence Question 15Select the personality disorder in which patients exhibit covert obstructionism,procrastination and pessimism.Selected In psychoanalytic terms, this phenomenon is called masochism and includes failure,procrastination, silly or provocative behavior, self-demeaning clowning, and frankly self-destructive acts.Answer: D. Passive aggressive Question 16

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Select the negative symptom of schizophrenia.SelectedAnswer: A. Anhedonia Question 17Select the main cause female orgasmic disorder.SelectedAnswer:B. Genetic Question 18Select the age range for 90% of patients treated for schizophrenia.SelectedAnswer: About 90 percent of patients in treatment for schizophrenia arebetween 15 and 55 years old.B. 10-55 Question 19Select the non-drug therapy in which mastery of anxiety through desensitization iscritical to successful treatment of sexual dysfunction.SelectedAnswer: The behavior therapist enables the patient to master the anxiety through a standard programof systematic desensitization, which is designed to inhibit the learned anxious response byencouraging behaviors antithetical to anxiety. \AC1336647530\BEHAVIORAL THERAPYC. Group Question 20Select the disorder that is often comorbid with brief psychotic disorder.SelectedAnswer: Personality disorder is also a predisposing factor for other psychiatricdisordersD. Personality Question 21

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Select the psychoactive substance that is most frequently consumed worldwide.SelectedAnswer: Caffeine is the most widely consumed psychoactive substance in the world.B. Caffeine Question 22Select the age range at which most children with gender dysphoria begin to showincreased anxiety over anticipated changes to their bodies.SelectedAnswer: Gender identity crystallizes in most persons by age 2 or 3 years.Parents, however, typically report that the cross-gender behaviors were apparent before 3 years ofage.Children typically begin to develop a sense of their gender identity around age 3.D. 3 to 4 Question 23Select the theorist who first studied social and cultural influences on suicide.SelectedAnswer: The first major contribution to the study of the social and cultural influences on suicide wasmade at the end of the 19th century by the French sociologist Emile Durkheim.B. Durkheim Question 24Select the disorder in which is characterized by lack breast development.SelectedAnswer: Turner’s syndrome in a patient aged 23. Note webbed neck, increased carrying angle, failureof breast development, and lack of pubic hair.B.5-α-reductase deficiency Question 25Select the age range of the highest rate of substance dependence or abuse.Selected

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Answer: In 2012, the rate for dependence or abuse is highest among adults age 18 to 25 (19 percent)compared to youths age 12 to 17 (6 percent) and adults age 26 or older (7 percent). After age 21, ageneral decline occurred with age.B. 18-25 Question 26Select two terms preferred to describe sexual orientation.SelectedAnswers: Hemosexual and HecterosexualA.Gay D. Lesbian Question 27Select the two patient populations in which delirium occurs most frequently.SelectedAnswers:B. Terminally ill C. Long-term care Question 28Select the drug used to treat neuroleptic malignant syndrome.SelectedAnswer:C. Dantrolene Question 29Select the drug that is most likely to cause parkinsonian movement symptoms.SelectedAnswer: D. Haloperidol Question 30Select the two main conditions to initially identify in adult psychiatric emergencies.SelectedAnswers: B. Suicide D. Substance intoxication Question 31

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Select the psychiatric emergency that is indicated by mothers who express inadequatedistress over their children’s medical symptoms.SelectedAnswer: Careful observation may reveal that the mothers often do not exhibit appropriate signs ofdistress on hearing the details of the child’s medical symptoms.D. Munchausen’s syndrome Question 32Select the drug that is least life-threatening when consumed in an overdose.SelectedAnswer:B. Zolpidem Question 33Select the drug that is most safe and effective in treating mild to moderate memory lossin early Alzheimer’s disease.SelectedAnswer:A. Donepezil Question 34Select the substance that is most commonly abused by adolescents.SelectedAnswer:B. Marijuana Question 35Select the development time of symptoms in neuroleptic malignant syndrome.SelectedAnswer: The symptoms usually evolve over 24 to 72 hours, and the untreated syndrome lasts 10 to 14days.D. 10-14 days Question 36

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Select the patient population at most risk of mortality from delirium.Selected C.Answer: Alcohol withdrawal Question 37Select the most distinguishing characteristic of delirium.SelectedAnswer: Classically, delirium has a sudden onset (hours or days), a brief and fluctuating course, andrapid improvement when the causative factor is identified and eliminated, but each of thesecharacteristic features can vary in individual patients.B. Sudden onset Question 38Select the category of symptoms that is most commonly comorbid with cognitivedisorders.SelectedAnswer:A. Behavioral Question 39Select the primary defense mechanism that is common in delusional disorder.SelectedAnswer:A.Projection Question 40Select the neurotransmitter system that is most associated with the addictive rewardingproperties of opioids.SelectedAnswer:A. Dopaminergic Question 41Select the type of hallucinations most common in schizophrenia.

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Selected The most common hallucinations, however, are auditory, with voices that are oftenthreatening, obscene, accusatory, or insulting.Answer: C. Auditory Question 42Select the diagnostic criterion for catatonia resulting from a medical condition.SelectedAnswer:B. Waxy flexibility Question 43Select the two factors that are not applicable to diagnosing schizoaffective disorder.SelectedAnswers: As with most psychiatric diagnoses, schizoaffective disorder should not be used if thesymptoms are caused by substance abuse or a secondary medical condition.C. Medical condition D. Substance abuse Question 44Select the percentage of substance-addicted persons with a concurrent psychiatricdisorder.SelectedAnswer: B. 50 Question 45Select the hepatic enzyme that performs the initial metabolism of alcohol.SelectedAnswer:A.ADH Question 46Select the epidemiologic characteristic of tardive dyskinesia symptoms.SelectedAnswer:

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B. Absence in age less than 50 Question 47Select the neurotransmitter that inhibits sexual orgasm.SelectedAnswer:A. Serotonin Question 48Select the drug that is least likely to cause male sexual dysfunction.SelectedAnswer:B. Sertraline Question 49Select the youngest age at which childhood-onset schizophrenia can be distinguishedfrom autism spectrum.SelectedAnswer:A. 3 Question 50Select the most effective form of questioning when taking a sex history.SelectedAnswer:B. Open ended Question 51Select the initial intervention to treat children experiencing acute school refusal.SelectedAnswer:B. Return to school the nextnormal day

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 Question 52Select the primary method to assess cognition.SelectedAnswer:C. Mental status exam Question 53Select the preferred drug used to treat alcohol withdrawal.SelectedAnswer:D. Lorazepam Question 54Select the procedure most applicable to confirming a diagnosis of delirium.SelectedAnswer: C. EEG Question 55Select the brain region that is associated with substance addiction.SelectedAnswer: A. Prefrontal cortex Question 56Select the two defense mechanisms used commonly by patients with personalitydisorders.SelectedAnswers: C. Splitting/D. Projection Question 57Select the lifetime prevalence of schizophrenia in the United States.SelectedIn the United States, the lifetime prevalence of schizophrenia is about 1 percentAnswer: A. 0.1-1.0% Question 58

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Select the subtype of schizophrenia in which auditory hallucinations are frequent.SelectedAnswer: D. Residual Question 59Select the neurotransmitter deficiency that is most associated with delirium.SelectedAnswer: B. Acetylcholine Question 60Select the rating scale used to assess medication-induced movement disorders.SelectedAnswer:C. AIMS Question 61Select the symptom not present in paranoid personality disorder.SelectedAnswer: B. Fixed delusions Question 62Select the percentage range of schizophrenic patients that remain significantly impairedthroughout their lives.Selected C.Answer: 40 to 60 Question 63Select the drug most likely to inhibit female orgasm.SelectedAnswer: Paroxetine Question 64Select the two non-drug therapies most likely to be effective in treating paraphilicdisorders.

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