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NURS6635 Mental Health Final Exam With Answers (119 Solved Questions)

NURS6635 Mental Health Final Exam With Answers helps you prepare effectively by reviewing actual exam questions from previous years.

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    1 NURS 6635 FINAL EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ 1. Select the development time of symptoms in neuroleptic malignant syndrome. A. 12 - 24 hours B. 24 - 72 hours C. 4 - 7 days D.10 - 14 days Correct Answer: B. 24 - 72 hours If untreated syndrome lasts 10 to 14 days Treat with dantrolene or bromocriptine Select the brain region that shows the greatest anatomical abnormalities in schizophrenic patients. A. Hippocampus B. Amygdala

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    2 C. Prefrontal cortex D. Basal ganglia Correct Answer: C. Prefront al cortex has anatomical abnormalities hippocampus and amygdala have size decrease basal ganglia theoretical due to odd movements D. per some answers Select the mental function that is most affected in mild cognitive impairment. A. General cognition B. Activities of daily living C. Geographic orientation D. Recent memory Correct Answer: D. Recent memory Select the time frame for symptoms of schizophreniform disorder. A. 2 to 6 weeks B. 1 to 5 months C. 6 to 8 months D. 1 year C orrect Answer: Sy mptoms are short term lasting at least 1 month but less than 6 months. p. 342 Select two comorbid factors common in schizophrenic patients

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    3 Correct Answer: obesity, DM, substance use disorders, complex partial epilepsy, cardiovascular disease, HIV, COPD Select the medical condition that occurs less frequently in schizophrenic patients than in the general population Correct Answer: rheumatoid arthritis Select the percentage of remission that results from correct antipsychotic drug therapy of schizoph renic patients A. 15 B. 30 C. 45 D. 70 Correct Answer: p. 354 Approximately 60% will improve to the extent that they will achieve remission or only mild symptoms Select the most distinguishing feature in the course and prognosis of schizophrenia Correct Answer: worsening after each relapse Select the two behaviors of schizophrenic patients that occur more frequently than in the general population. Correct Answer: p.339 little impulse control, decreased social sensitivity, impulsive behavior , suicide, violent behavior

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    4 Select the characteristic that is greater in childhood than adult onset schizophrenia Correct Answer: Social withdrawal p. 349 typically quiet introverted, no close friends, may have sudden onset of ocd Select the most reli able method to make a diagnosis of schizophrenia Correct Answer: a patient's history is essential for the diagnosis of schizophrenia; clinicians cannot diagnose schizophrenia simply by results of a mental status examination, which may vary. Select the dysfunction that is common to 50% to 85% of schizophrenic patients. Correct Answer: Various studies have reported abnormal eye movements in 50 to 85 percent of patients with schizophrenia compared with about 25 percent in psychiatric patients without sc hizophrenia and fewer than 10 percent in nonpsychiatrically ill control participant. p. 359 Select two of the "Four A's" symptoms of schizophrenia described by Bleuler A. autism B. ambivalence C. anhedonia D. abstract

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    5 Correct Answer: the four As: assoc iations, affect, autism, and ambivalence Select the age range for 90% of patients treated for schizophrenia Correct Answer: p. 358 90% of patients in treatment for schizophrenia are between 15 and 55 years old. (peak age of onset women - 25 to 35, men 10 - 25). Late onset refers to over 45. cannabis raises risk by 40% The most common type of hallucination in schizophrenia Correct Answer: Auditory Cognition of patient's with schizophrenia Correct Answer: Usually oriented to person, time, and place. they do have cognitive deficiencies in attention, executive function, working memory, and episodic memory leading cause of pre mature death in schizphrenia? Correct Answer: Suicide Positive and negative syndrome scale (PANNS) Brief psychiatric rating scale (BPRS) EPS symptoms - Simpson angus scale (SAS), Abnormal involuntary movement scale (AIMS), Barnes akathisia rating scale (BARS) Correct Answer: diagnostic and rating scales for schizophrenia

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    6 What percentage of schizophrenia patients have substance use disorder throughout lifetime? Correct Answer: 74% neurotransmitters involved in schziophrenia Correct Answer: exc essive dopamine = positive symptoms increased glutamate = overexcites brain decreased gaba = reduces neuron excitability decreased muscarinic and nicotinic receptors = dec cognition Select the negative symptom of schizophrenia Co rrect Answer: Affective flattening or blunting Alogia (poverty of speech, blocking) avolition (apathy) anhedonia Attention (inattentiveness) Positive symptoms of schizophrenia Correct Answer: hallucinations and delusions, bizarre behavior, formal thought disorder Select the disorder that is often comorbid with brief psychotic disorder

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    7 Correct Answer: p. 344 Common in patients with personality disorders lasts one day and not more than one month By definition, patients with delusional disorders do not have what? Correct Answer: prominent or sustained hallucinations. Persecutory and jealous are most common delusional disorders Select the diagnostic criterion for catatonia resulting from a medical condition. Correct Answer: waxy flexibility Select the two fa ctors that are not applicable to diagnosing schizoaffective disorder Correct Answer: Medical condition, Substance abuse As with most psychiatric diagnoses, schizoaffective disorder should not be used if the symptoms are caused by substance abuse or a se condary medical condition Select the lifetime prevalence of schizophrenia in the United States Correct Answer: . 0.1 - 1.0% Select the subtype of schizophrenia in which auditory hallucinations are frequent Correct Answer: paranoid type Select the pe rcentage range of schizophrenic patients that remain significantly impaired throughout their lives. Correct Answer: p. 350 40 - 60% remain significantly impaired

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    8 20 - 30% percent are moderately impaired 20 - 30 percent somewhat normal Select the youngest age by which early - onset schizophrenia occurs. Correct Answer: p. 358 peak onset for males is 10 - 25 13? Select the neurotransmitter that is most implicated in schizophrenia based on the effectiveness of antipsychotic drug therapy. A. Norepinephrine B. Dopamine C. GABA D. Glutamate Correct Answer: B. Dopamine Select two psychiatric disorders that are often misdiagnosed as childhood - onset or early onset schizophrenia A. Autism spectrum B.

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