solved

) 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)
D.
Never 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.
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.
) 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 type dementia
(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.
D.
The 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.
70) 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.
) 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 the above
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.
D.
Psychiatric 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’s face.
C.
The patient’s hand stays in the air when dropped.
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 the above
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
hich 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 off pants.
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 the above
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.
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.
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.
D.
It 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 the above
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.
Derealization
B.
Depersonalization
C.
Generalized amnesia
D.
Dissociative identity
disorder
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
A person erroneously believes they sustained an emotional or physical trauma in early life is
known as which of the following?
A.
Ganser syndrome
B.
False memory syndrome
C.
Factitious dissociative identity
disorder
D.
Imitative dissociative identity
disorder
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 lobe
D.
Parietal lobe
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?
A.
This is normal for a 4-year-old.
B.
This is a developmental red flag for a 4-year-old that should trigger a specialized
assessment.
C.
This is a developmental red flag for a 5-year-old so do nothing at this point.
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.
Which of the following is consistent with what is known about treating individuals with
kleptomania?
A.
Insight-oriented psychotherapy has been shown to be effective regardless of
motivation level of the individual.
B.
Psychoanalysis is the treatment of choice.
C.
Behavior therapy including aversion therapy has been reported to be successful with
highly motivated individuals.
D.
A combination of aversive conditioning and alter social contingencies has been
reported successful even when self-motivation was lacking

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