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NRNP 6665 FINAL EXAM
Actual Questions and Answers Expert-Verified Explanation
This Exam contains:
❖ The Exam has passing score of 90% ❖ 100 Questions and Answers ❖ format set of multiple-choice ❖ Expert-Verified explanation ❖ Verified with trusted textbooks
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**Question 1:**
The Confusion Assessment Method instrument (CAMI) is a standardized assessment tool for which of the following disorders?
- Depression
- Anxiety
- Delirium
- Schizophrenia
**Answer:** C. Delirium
**Explanation:**
The Confusion Assessment Method (CAM) is a widely recognized tool used to identify delirium in patients. Delirium is an acute neuropsychiatric syndrome characterized by sudden changes in attention, awareness, and cognition. CAM assesses key features such as the acute onset and fluctuating course, inattention, disorganized thinking, and altered level of consciousness. Accurate identification of delirium is crucial as it is associated with increased morbidity and mortality, especially in hospitalized and elderly patients. Early diagnosis using CAM allows for timely intervention and management of the underlying causes, thereby improving patient outcomes.
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**Question 2:**
Which of the following is a common sensory deficit of conversion disorder? (Check all that apply)
- Blindness
- Deafness
- Loss of limb
- Paralysis
**Answer:**
- Blindness
- Deafness
**Explanation:**
Conversion disorder, now known as Functional Neurological Symptom Disorder in the DSM-5, involves neurological symptoms that are not explained by medical evaluation. Common sensory deficits include blindness and deafness, which occur without any organic cause. These deficits are psychological in origin and often 2 / 9
serve as a manifestation of underlying stress or trauma. While loss of a limb (anosognosia) and paralysis can also be present in conversion disorders, the primary sensory deficits typically involve the senses of sight and hearing.
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**Question 3:**
Delirium is an example of which type of clinical problem in psychosomatic medicine?
- Primary psychiatric disorder
- Psychiatric symptoms secondary to a medical condition
- Behavioral disorder
- Developmental disorder
**Answer:** B. Psychiatric symptoms secondary to a medical condition
**Explanation:**
Delirium is classified as psychiatric symptoms secondary to a medical condition within psychosomatic medicine. It arises as a result of an underlying physiological cause, such as infection, medication side effects, or metabolic disturbances. Unlike primary psychiatric disorders, which originate in the absence of another medical condition, delirium is directly attributable to an acute medical issue. Recognizing delirium as secondary to a medical condition is essential for appropriate treatment, which focuses on addressing the underlying medical cause rather than solely managing the psychiatric symptoms.
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**Question 4:**
All of the following medications are used in the treatment of Parkinson’s disease
dementia/psychosis except for:
- Rivastigmine
- Olanzapine
- Memantine
- Pimavanserin
**Answer:** C. Memantine
**Explanation:**
Memantine is primarily used to treat moderate to severe Alzheimer's disease and is not typically used for Parkinson’s disease dementia or psychosis. In contrast, 3 / 9
Rivastigmine, a cholinesterase inhibitor, is approved for managing dementia symptoms in Parkinson’s disease. Pimavanserin is specifically approved for treating psychosis associated with Parkinson’s disease, and Olanzapine, an atypical antipsychotic, may sometimes be used off-label with caution to manage psychosis without exacerbating motor symptoms. Thus, Memantine is the exception among the listed medications.
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**Question 5:**
Indicators of imitative dissociative identity disorder include which of the following symptoms?
- Persistent mood swings
- Confusion and symptoms related to stress
- Recurrent hearing voices
- Impaired memory for personal information
**Answer:** B. Confusion and symptoms related to stress
**Explanation:**
Dissociative Identity Disorder (DID) is characterized by the presence of two or more distinct personality states. Indicators include significant confusion, memory gaps, and symptoms that appear related to external stressors. Patients often experience alterations in identity and behavior that seem imitative or influenced by their environment or experiences. While impaired memory is also a feature of DID, the key indicators specifically relate to confusion and stress-related symptoms, distinguishing it from other disorders that might involve mood swings or auditory hallucinations.
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**Question 6:**
Which of the following can lower a person's resistance to control impulses?
- Fatigue
- Incessant stimulation
- Psychic trauma
- All of the above
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