NRNP 6665 Midterm Exam 2022 (100% Correct Answers) Step-by-step explanation

NRNP 6665 Midterm Exam 2022 (100%

Correct Answers) Step-by-step explanation

Question 1 Biofeedback, deep breathing,

mindfulness, and progressive muscle relaxation are

strategies that are typically used in which of the

following therapies?

ANSWER: A. Relaxation therapy

B . Social skills training

C . Motivational Interviewing

D . Applied behavioral analysis

Question 2 According to the APA which of the

following are required to support a child's DSM5

diagnosis?

A . The child's clinical presentation fulfills the

specific symptom based diagnostic criteria.

B . The child's symptoms are not caused by other

diagnoses or stressors.

ANSWER: C. The child's symptoms are

impairing a child's functioning in at least two

settings.

D . A and B

Question 3 Which of the following is NOT

consistent with good sleep hygiene?

ANSWER: A. Allow child to keep a cell phone

at bedside.

B . Establish bedtime routines and maintain

consistently.

C . Limit use of electronics in the evening i.e.,

television, computer, etc.

D . Set and maintain a bedtime that will allow for

adequate sleep.

Question 4 Which of the following antipsychotic

medications have the greatest tendency to increase

appetite and body weight?

A . Aripiprazole (Abilify)

B . Ziprasidone (Geodon)

C . Haloperidol (Haldol)

ANSWER: D. Risperidone (Risperdal)

Question 5 When assessing a child with disruptive

or aggressive behavior, the clinician asks "Have

you been thinking about or planning to hurt

anyone?" to screen for which of the following

diagnostic categories?

A . Safety

B . Bullying

ANSWER: C. Conduct disorder

D . Oppositional defiant disorder

Question 6 The clinician assessing substance

abuse in an adolescent asks, "Did you develop

more mood or anxiety problems after you started

using?" to screen for which of the following

diagnostic possibilities?

A . Substance use disorder

B . Substance withdrawal

C . Substance tolerance

ANSWER: D. Substance induced mental

disorder

Question 7 When the patient lacks capacity to

make a decision the nurse has the ethical

responsibility to do which of the following?

A . Become a surrogate decision maker for the

patient.

ANSWER: B. Consult a formally-designated

surrogate for patient choices

C . Make safe choices for the patient based on the

nurse's beliefs and values.

D . Continue to support all the patient's choices

until a surrogate can be found.

Question 8 When assessing a child who has

presented with concerns of being anxious and

worried, the provider asks the child "Do you get

sudden surges of fear that make your body feel

shaky or your heart race?" to screen for which of

the following common diagnostic possibilities?

A . Obsessive -compulsive disorder

B . Posttraumatic stress disorder

ANSWER: C. Panic disorder

D . Separation anxiety disorder

Question 9 Which of the following antipsychotic

medications has the greatest risk for weight gain

and lipid changes?

A . Ziprasidone (Geodon)

B . Aripiprazole (Abilify)

ANSWER: C. Olanzapine (Zyprexa)

D . Quetiapine (Seroquel)

Question 10 A period of at least one week in

which both a manic episode and a major

depressive episode occur almost daily is consistent

with which diagnosis?

A . Bipolar II Disorder

B . Cyclothymic Disorder

ANSWER: C. Bipolar I Disorder, mixed

episode

D . Bipolar I Disorder, cyclothymic type

Question 11 Which of the following is NOT true

about symptomatology of anorexia nervosa?

A . Most aberrant behaviors directed toward losing

weight occurs in secret.

B . All patients have an intense fear of gaining

weight and becoming obese.

ANSWER: C. Most patients with anorexia

nervosa will have no difficulty eating with their

family in public places.

D . Fear of gaining weight and becoming obese

frequently contributes to the individual's lack of

interest in and resistance to therapy/treatment.

Question 12 Sleep-related hallucinations

occurring at sleep onset are known as which of the

following?

ANSWER: A. Hypnagogic

B . Hypnopompic

C . Complex hallucinations

D . Paranormal hallucinations

Question 13 The theory that depression results

from specific thought distortions is consistent with

which of the following?

ANSWER: A. Cognitive theory

B . Psychosocial theory

C . Psychodynamic theory

D . Learned helplessness theory

Question 14 Reasons for the underuse of specific

mental health treatments during childhood include

which of the following?

A . Stigma associated with mental health

B . Poor problem recognition

C . Limited availability of mental health specialists

ANSWER: D. All of the above

Question 15 Which of the following is true

regarding the cultural formulation interview with a

child and caregiver?

ANSWER: A. Asking about a child and

caregiver's cultural understanding is an

efficient way to build a therapeutic alliance.

B . While cultural understanding is important, it is

important not to personalize the diagnosis.

C . While obtaining cultural information is

important, it may increase bias and thus decrease

accuracy of the assessment.

D . Engaging in a discussion about culture, while

interesting and engaging, is a distraction from the

problem that brought the child and caregiver to the

provider.

Question 16 According to the APA,

"Psychologists seek to promote accuracy, honesty,

and truthfulness in the practice of psychology,"

reflecting which of the following ethical

principles?

ANSWER: A. Integrity

B . Justice

C . Beneficence

D . Non-maleficence

Question 17 Which of the following

antidepressant medications have the greatest

tendency to increase appetite and body weight?

A . Fluoxetine (Prozac)

B . Trazodone (Desyrel)

ANSWER: C. Amitriptyline (Elavil)

D . Venlafaxine (Effexor)