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 

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.

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  

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

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.  

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. 

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 

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