NUR 668 INTENSIVE REVIEW QUESTIONS AND
ANSWERS
Conduct Disorder vs Oppositional Defiant Disorder - Answers --Conduct Disorder
• violates others
• destruction
• robbery
• bullying
• truant before age 13
• tx: early intervention, screening, school based programs, CBT, SSRI's, Risperdal &
other antipsychotics
-Oppositional Defiant Disorder
• upsets those around the child
• vindictive, angry, hostile
• argue with authority, rules, adults
• blames others
• tx: family interventions, eliminate punitive parenting, use praise, ignore bad behavior,
role play
Conduct disorder is thought to be of what degree of hereditability? - Answers -
moderate
Hereditability: - Answers --High
• autism
• Tourette's syndrome
• bipolar disoder
• schizophrenia
-Medium
• ADHD
• ODD
• Alzheimer's dementia
• OCD
• Conduct Disorder
• BPD
• Narcissistic
• Antisocial
• Histrionic
-Low
• ETOH abuse
• MDD (low-medium)
, • GAD
• Panic disorder
• Cluster A (paranoid, schizoid, schizotypal)
during the patient exam, the PMHNP notes tongue deviating towards the left. this is an
example of damage to which cranial nerve? - Answers -XII
During the patient exam, the PMHNP whispers into the patients ear while covering the
other, this is an example of testing which cranial nerve? - Answers -VIII
Cranial Nerves - Answers -I. Olfactory ➣ sniff test
II. Optic ➣ visual acuity
III. Oculomotor ➣ penlight, raises eyelid
IV. Trochlear ➣ eye movement down & lateral
V. Trigeminal ➣ chewing & facial sensation, corneal reflex
VI. Abducens ➣ eye movement laterally, outward gaze
VII. Facial ➣ facial expressions, smile symmetrically, sour vs sweet
VIII. Vestibulocochlear (acoustic) ➣hearing & balance
IX. Glossopharyngeal ➣ gag reflex, swallow
X. Vagus ➣ gag reflex, vocal quality, guttural sound (back of the throat sound)
XI. Accessory (spinal) ➣ shrug shoulders, head side to side
XII. Hypoglossal ➣ tongue position
chewing & facial sensation, corneal reflex; these both test the ___________ cranial
nerve - Answers -V. trigeminal
what is the most common eating disorder in the US? - Answers -binge eating disorder
(BED)
*tx: CBT (first line), psychotherapy, self help groups, SSRI, other meds if warranted
____________ is ego syntonic
____________ is ego dystonic - Answers -anorexia nervosa is ego syntonic
bulimia nervosa is ego dystonic
Pupil assessment: miosis - Answers --constriction
-causes:
• OPIOIDS
• antipsychotics
• acetylcholine
• clonidine
• trauma
Pupil assessment: mydriasis - Answers --dilation
-causes:
ANSWERS
Conduct Disorder vs Oppositional Defiant Disorder - Answers --Conduct Disorder
• violates others
• destruction
• robbery
• bullying
• truant before age 13
• tx: early intervention, screening, school based programs, CBT, SSRI's, Risperdal &
other antipsychotics
-Oppositional Defiant Disorder
• upsets those around the child
• vindictive, angry, hostile
• argue with authority, rules, adults
• blames others
• tx: family interventions, eliminate punitive parenting, use praise, ignore bad behavior,
role play
Conduct disorder is thought to be of what degree of hereditability? - Answers -
moderate
Hereditability: - Answers --High
• autism
• Tourette's syndrome
• bipolar disoder
• schizophrenia
-Medium
• ADHD
• ODD
• Alzheimer's dementia
• OCD
• Conduct Disorder
• BPD
• Narcissistic
• Antisocial
• Histrionic
-Low
• ETOH abuse
• MDD (low-medium)
, • GAD
• Panic disorder
• Cluster A (paranoid, schizoid, schizotypal)
during the patient exam, the PMHNP notes tongue deviating towards the left. this is an
example of damage to which cranial nerve? - Answers -XII
During the patient exam, the PMHNP whispers into the patients ear while covering the
other, this is an example of testing which cranial nerve? - Answers -VIII
Cranial Nerves - Answers -I. Olfactory ➣ sniff test
II. Optic ➣ visual acuity
III. Oculomotor ➣ penlight, raises eyelid
IV. Trochlear ➣ eye movement down & lateral
V. Trigeminal ➣ chewing & facial sensation, corneal reflex
VI. Abducens ➣ eye movement laterally, outward gaze
VII. Facial ➣ facial expressions, smile symmetrically, sour vs sweet
VIII. Vestibulocochlear (acoustic) ➣hearing & balance
IX. Glossopharyngeal ➣ gag reflex, swallow
X. Vagus ➣ gag reflex, vocal quality, guttural sound (back of the throat sound)
XI. Accessory (spinal) ➣ shrug shoulders, head side to side
XII. Hypoglossal ➣ tongue position
chewing & facial sensation, corneal reflex; these both test the ___________ cranial
nerve - Answers -V. trigeminal
what is the most common eating disorder in the US? - Answers -binge eating disorder
(BED)
*tx: CBT (first line), psychotherapy, self help groups, SSRI, other meds if warranted
____________ is ego syntonic
____________ is ego dystonic - Answers -anorexia nervosa is ego syntonic
bulimia nervosa is ego dystonic
Pupil assessment: miosis - Answers --constriction
-causes:
• OPIOIDS
• antipsychotics
• acetylcholine
• clonidine
• trauma
Pupil assessment: mydriasis - Answers --dilation
-causes:
