Walden University - NRNP 6635 Final Exam 2021, Latest Questions and Answers with Explanations, All Correct Study Guide, Download to Score A

Walden University - NRNP 6635 Final Exam 2021, Latest Questions and Answers with Explanations, All Correct Study Guide, Download to Score A

Walden University - NRNP6635 Final Exam 2021, Latest Questions and Answers with Explanations, All Correct Study Guide, Download to Score A

Question 1

Select the mental function that is most affected in mild cognitive impairment.


Answer: D. Recent memory

 Question 2

Select the most frequent cause of infant and childhood intellectual disability that is

attributed to a specific gene.


Answer: C. Down syndrome

 Question 3

Select the neurotransmitter that is most associated with the occurrence of ADHD.


Answer: B. Dopamine

 Question 4

Select the drug of choice to treat psychosis in delirious patients.



D. Haloperidol

 Question 5

Select the characteristic that is greater in childhood than adult onset schizophrenia.


Answer: B. Social withdrawal

 Question 6

Select the personality disorder in which patients are continually in crisis and exhibit

unpredictable behavior.


Answer: C. Borderline

 Question 7

Select the factor that best correlates with attempted and completed suicide.


Answer: A. Mental illness

 Question 8

Select the brain region that shows the greatest anatomical abnormalities in schizophrenic


Selected By the end of the 20th century, however, researchers had made significant strides in revealing

a potential neuropathological basis for schizophrenia, primarily in the limbic system and the basal

ganglia, including neuropathological or neurochemical abnormalities in the cerebral cortex, the

thalamus, and the brainstem. Because the basal ganglia and cerebellum are involved in the control of

movement, disease in these areas is implicated in the pathophysiology of schizophrenia.

Answer: D. Basal ganglia

 Question 9

Select the gender dysphoria in which genital surgery is usually not chosen.


Answer: but who maintain a gender identity that is the same as their birth-assigned gender known as


C. Crossdresser

 Question 10

Select the antipsychotic drug for which the labeling carries a black box warning for




A. Clozapine

 Question 11

Select the time of onset for tolerance to develop from continuous use of hallucinogens

such as LSD.


Answer: Tolerance, particularly to the sensory and other psychological effects, is evident as soon as

the second or third day of successive LSD use. Four to 6 days free of LSD are necessary to lose

significant tolerance.

B.4-7 days

 Question 12

Select the most reliable method to make a diagnosis of schizophrenia.


Answer: Therefore, 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.

D. Patient history

 Question 13

Select the dysfunction that is common to 50% to 85% of schizophrenic patients.


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 schizophrenia and

fewer than 10 percent in nonpsychiatrically ill control participant.

D. Eye movement

 Question 14

Select 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.


A. autism B. ambivalence

 Question 15

Select 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

Select the negative symptom of schizophrenia.


Answer: A. Anhedonia

 Question 17

Select the main cause female orgasmic disorder.



B. Genetic

 Question 18

Select the age range for 90% of patients treated for schizophrenia.


Answer: About 90 percent of patients in treatment for schizophrenia are

between 15 and 55 years old.

B. 10-55

 Question 19

Select the non-drug therapy in which mastery of anxiety through desensitization is

critical to successful treatment of sexual dysfunction.


Answer: The behavior therapist enables the patient to master the anxiety through a standard program

of systematic desensitization, which is designed to inhibit the learned anxious response by

encouraging behaviors antithetical to anxiety. \AC1336647530\BEHAVIORAL THERAPY

C. Group

 Question 20

Select the disorder that is often comorbid with brief psychotic disorder.


Answer: Personality disorder is also a predisposing factor for other psychiatric


D. Personality

 Question 21

Select the psychoactive substance that is most frequently consumed worldwide.


Answer: Caffeine is the most widely consumed psychoactive substance in the world.

B. Caffeine

 Question 22

Select the age range at which most children with gender dysphoria begin to show

increased anxiety over anticipated changes to their bodies.


Answer: 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 of


Children typically begin to develop a sense of their gender identity around age 3.

D. 3 to 4

 Question 23

Select the theorist who first studied social and cultural influences on suicide.


Answer: The first major contribution to the study of the social and cultural influences on suicide was

made at the end of the 19th century by the French sociologist Emile Durkheim.

B. Durkheim

 Question 24

Select the disorder in which is characterized by lack breast development.


Answer: Turner’s syndrome in a patient aged 23. Note webbed neck, increased carrying angle, failure

of breast development, and lack of pubic hair.

B.5-α-reductase deficiency

 Question 25

Select the age range of the highest rate of substance dependence or abuse.


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, a

general decline occurred with age.

B. 18-25

 Question 26

Select two terms preferred to describe sexual orientation.


Answers: Hemosexual and Hecterosexual

A.Gay D. Lesbian

 Question 27

Select the two patient populations in which delirium occurs most frequently.



B. Terminally ill C. Long-term care

 Question 28

Select the drug used to treat neuroleptic malignant syndrome.



C. Dantrolene

 Question 29

Select the drug that is most likely to cause parkinsonian movement symptoms.


Answer: D. Haloperidol

 Question 30

Select the two main conditions to initially identify in adult psychiatric emergencies.


Answers: B. Suicide D. Substance intoxication

 Question 31

Select the psychiatric emergency that is indicated by mothers who express inadequate

distress over their children’s medical symptoms.


Answer: Careful observation may reveal that the mothers often do not exhibit appropriate signs of

distress on hearing the details of the child’s medical symptoms.

D. Munchausen’s syndrome

 Question 32

Select the drug that is least life-threatening when consumed in an overdose.



B. Zolpidem

 Question 33

Select the drug that is most safe and effective in treating mild to moderate memory loss

in early Alzheimer’s disease.



A. Donepezil

 Question 34

Select the substance that is most commonly abused by adolescents.



B. Marijuana

 Question 35

Select the development time of symptoms in neuroleptic malignant syndrome.


Answer: The symptoms usually evolve over 24 to 72 hours, and the untreated syndrome lasts 10 to 14


D. 10-14 days

 Question 36

Select the patient population at most risk of mortality from delirium.

Selected C.

Answer: Alcohol withdrawal

 Question 37

Select the most distinguishing characteristic of delirium.


Answer: Classically, delirium has a sudden onset (hours or days), a brief and fluctuating course, and

rapid improvement when the causative factor is identified and eliminated, but each of these

characteristic features can vary in individual patients.

B. Sudden onset

 Question 38

Select the category of symptoms that is most commonly comorbid with cognitive




A. Behavioral

 Question 39

Select the primary defense mechanism that is common in delusional disorder.




 Question 40

Select the neurotransmitter system that is most associated with the addictive rewarding

properties of opioids.



A. Dopaminergic

 Question 41

Select the type of hallucinations most common in schizophrenia.

Selected The most common hallucinations, however, are auditory, with voices that are often

threatening, obscene, accusatory, or insulting.

Answer: C. Auditory

 Question 42

Select the diagnostic criterion for catatonia resulting from a medical condition.



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