Reference no: EM133917490

Questions

1. Precipitating factors for delirium do NOT include which of the following?

A. Pain

B. Surgery

C. Age 65 and older

D. Use of physical restraints

2. 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

3. Which of the following biological factors have been associated with kleptomania? Check all that apply.

A. Brain diseases

B .Cortical atrophy

C. Mental retardation

D. Enlarged lateral ventricles

4.  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.

5. 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

6. 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.

7. 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.

8. 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)

9. A capacity evaluation prior to an organ transplantation is an example of which of the following clinical problems in psychosomatic medicine?

A. Psychiatric symptoms secondary to a medical condition

B. Medical complications of psychiatric treatments

C. Psychological factors precipitating medical conditions

D. Psychiatric/psychosocial assessment

10. Which of the following is a common visceral symptom of conversion disorder?

A. Seizures

B. Diarrhea

C. Paralysis

D. Mid-line anesthesia

11. Which of the following would be a cause of concern for the ARNP working with parents of a 0-3 month old?

A. The parent talks with the baby as if there is a mutual understanding.

B. The parent appears to spoil the baby, always holding, cuddling, comforting.

C. The parent becomes upset whenever the baby cries.

D. The parent responds promptly whenever the baby cries.

12. Which of the following diagnostic instruments for Autism Spectrum Disorder is recommended for universal clinical practice?

A. Autism Diagnostic Interview -Revised (ADI - R)

B. Diagnostic Interview for Social and Communication Disorder (DISCO)

C. Development, Dimensional and Diagnostic Interview

D. None of the above

13. 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

14. Deficits in language including naming, repetition, reading and comprehension, and writing is NOT associated with impairment in which of the following regions of the brain?

A. Broca

B. Wernicke

C. Right parietal

D. Left temporal

15. Anxiety related to chemotherapy is an example of which type of clinical problem in psychosomatic medicine?

A. Psychological factors precipitating medical symptoms

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

16. 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

17. Identifying developmental milestones is an important skill set for ARNPs for which of the following reasons?

A. Often developmental milestones go unrecognized until a child is much older.

B. Knowing when a significant variation in development has occurred improves diagnostic accuracy.

C. The sooner a significant developmental impairment is identified and addressed, the better the long-term outcomes could be for patients.

D. All of the above.

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

19. Which 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.

20. The ARNP is working with the family of a patient with Alzheimer's Disease who keeps 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's

A. The patient is hallucinating. An estimated 20-30 percent of patient with dementia have hallucinations.

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.

21. Which of the following medications have been reported to beneficial in Ganser syndrome?

A. Anxiolytic

B. Antidepressants; particularly SSRIs

C. Low doses of antipsychotic medications

D. Non-benzodiazepine anxiolytic medications.