Advanced Practice
Psychiatric Nursing Exam
Review - Quiz 5
Practicum Capstone
Intensive (Chamberlain
University)
, lOMoAR cPSD| 64639315
quiz 5 Common adult geriatric disorders
1. A 15-year-old boy has refused to go to school for the past month. Every morning
he has a new symptom or develops one and has to be picked up from school.
When he is home, the symptoms disappear. On weekends the symptoms never
present. What is the most likely diagnosis?
Separation anxiety
Social anxiety
Agoraphobia
Panic disorder
2. Delirium characterized by apathy, psychomotor retardation, and inattentiveness
is known as:
Hypoactive delirium
Mixed delirium
Hyperactive delirium
Mania
3. Which of the following are true regarding dissociative amnesia?
The amnesia is selective for specific events which should be successfully recalled in
stored memory and readily remembered.
Personal identity is completely forgotten as well as previously learned skills.
Dissociative amnesia is related to neurobiological damage which prevents memory
storage.
All of these statements are true.
Dissociative amnesia involves the inability to recall important
autobiographical information, usually of a traumatic or stressful nature, that is inconsistent
with ordinary forgetting. It is potentially reversible and not associated with neurobiological
damage. Loss of one's personality identity and procedural knowledge is associated with
generalized amnesia.
Downloaded by Skyler Sammuel's
, lOMoAR cPSD| 64639315
4. A 17-year-old girl with major depressive disorder single episode and bulimia
nervosa is unable to actively participate in psychotherapy because she says she
feels too sleepy during the day because she is unable to sleep at night. In
addition, she is inattentive, irritable, finds it difficult to concentrate, and has no
desire to do anything. Which pharmacological agent is preferred for
monotherapy?
Atypical antipsychotic
Tricyclic antidepressant
Selective serotonin reuptake inhibitor Mood
stabilizer
5. John is a 39 year old business executive who works 60 plus hours a week. He has
no financial challenges but insists on staying in the office in order to perfect the
projects he is working on. His manager notes that John is stubborn and asked
John to delegate part of his upcoming presentation to junior staff members, but
John always refuses to delegate. John is also saving his money "in case of the next
pandemic" and rarely spends money on anything fun. John is preoccupied with
perfectionism, rules, morality and ethics and is reluctant to work with others,
unless they adopt his exact method of doing things. John's behavior best
describes what?
Obsessive Compulsive Personality Disorder
Obsessive compulsive disorder
Hoarding disorder
General anxiety disorder
6. Leo is a 32-year-old male with MDD who has been treated with Citalopram for
the last 5 years. Which of the following is associated with and increased risk of
serotonin syndrome? All of these are associated with increased risk. Triptans,
Oxycodone and Tramadol 5-HTP, Valproate and Trypophan
Yohimbe, Panax ginseng and St. John's wart
All of these drugs and herbs may contribute to serotonin syndrome.
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, lOMoAR cPSD| 64639315
7. Soledad is a 32 year old female who for the last 8 months has been overly
concerned that she has been infected with the Covid-19 virus. Her mother had
the virus 6 months ago. Soledad is anxious that she is now ill. She checks her
temperature 4 times a day. She has tested negative for Covid -19 10 times in the
last 3 months. Soledad has no overt symptoms of the virus. She frequently visits
her PCP and drug store clinic asking for repeated testing. Two years ago, she
had fears of the Zika virus and displayed similar behavior and repeated medical
care visits. What is the most likely diagnosis here?
iIlness anxiety disorder
Factitious disorder by proxy
Panic disorder
Somatic symptom disorder
Soledad meets the DSM-5 criteria for illness anxiety disorder. No somatic symptoms are present.
Repeated and excessive reassurance and medical care visits are present. The preoccupation with
having a serious illness has been present for at least 6 months. There is a high level of anxiety
about personal health status.
8. A 40-year-old man who has been on olanzapine for schizophrenia has a lipid
profile indicating total cholesterol 240 mg/dL, and low-density lipoprotein (LDL)
200 mg/dL. Which of the following is recommended?
Statin therapy
Transthoracic echocardiogram
Lifestyle modification Serial
EKGs
9. Upon awakening, a period of reduced alertness, impaired performance and
reduced vigilance associated with Hypersomnolence disorder is better known as
what?
Sleep inertia
Sleep ataxia
Nap disorder
Downloaded by Skyler Sammuel's
Psychiatric Nursing Exam
Review - Quiz 5
Practicum Capstone
Intensive (Chamberlain
University)
, lOMoAR cPSD| 64639315
quiz 5 Common adult geriatric disorders
1. A 15-year-old boy has refused to go to school for the past month. Every morning
he has a new symptom or develops one and has to be picked up from school.
When he is home, the symptoms disappear. On weekends the symptoms never
present. What is the most likely diagnosis?
Separation anxiety
Social anxiety
Agoraphobia
Panic disorder
2. Delirium characterized by apathy, psychomotor retardation, and inattentiveness
is known as:
Hypoactive delirium
Mixed delirium
Hyperactive delirium
Mania
3. Which of the following are true regarding dissociative amnesia?
The amnesia is selective for specific events which should be successfully recalled in
stored memory and readily remembered.
Personal identity is completely forgotten as well as previously learned skills.
Dissociative amnesia is related to neurobiological damage which prevents memory
storage.
All of these statements are true.
Dissociative amnesia involves the inability to recall important
autobiographical information, usually of a traumatic or stressful nature, that is inconsistent
with ordinary forgetting. It is potentially reversible and not associated with neurobiological
damage. Loss of one's personality identity and procedural knowledge is associated with
generalized amnesia.
Downloaded by Skyler Sammuel's
, lOMoAR cPSD| 64639315
4. A 17-year-old girl with major depressive disorder single episode and bulimia
nervosa is unable to actively participate in psychotherapy because she says she
feels too sleepy during the day because she is unable to sleep at night. In
addition, she is inattentive, irritable, finds it difficult to concentrate, and has no
desire to do anything. Which pharmacological agent is preferred for
monotherapy?
Atypical antipsychotic
Tricyclic antidepressant
Selective serotonin reuptake inhibitor Mood
stabilizer
5. John is a 39 year old business executive who works 60 plus hours a week. He has
no financial challenges but insists on staying in the office in order to perfect the
projects he is working on. His manager notes that John is stubborn and asked
John to delegate part of his upcoming presentation to junior staff members, but
John always refuses to delegate. John is also saving his money "in case of the next
pandemic" and rarely spends money on anything fun. John is preoccupied with
perfectionism, rules, morality and ethics and is reluctant to work with others,
unless they adopt his exact method of doing things. John's behavior best
describes what?
Obsessive Compulsive Personality Disorder
Obsessive compulsive disorder
Hoarding disorder
General anxiety disorder
6. Leo is a 32-year-old male with MDD who has been treated with Citalopram for
the last 5 years. Which of the following is associated with and increased risk of
serotonin syndrome? All of these are associated with increased risk. Triptans,
Oxycodone and Tramadol 5-HTP, Valproate and Trypophan
Yohimbe, Panax ginseng and St. John's wart
All of these drugs and herbs may contribute to serotonin syndrome.
Downloaded by Skyler Sammuel's ()
, lOMoAR cPSD| 64639315
7. Soledad is a 32 year old female who for the last 8 months has been overly
concerned that she has been infected with the Covid-19 virus. Her mother had
the virus 6 months ago. Soledad is anxious that she is now ill. She checks her
temperature 4 times a day. She has tested negative for Covid -19 10 times in the
last 3 months. Soledad has no overt symptoms of the virus. She frequently visits
her PCP and drug store clinic asking for repeated testing. Two years ago, she
had fears of the Zika virus and displayed similar behavior and repeated medical
care visits. What is the most likely diagnosis here?
iIlness anxiety disorder
Factitious disorder by proxy
Panic disorder
Somatic symptom disorder
Soledad meets the DSM-5 criteria for illness anxiety disorder. No somatic symptoms are present.
Repeated and excessive reassurance and medical care visits are present. The preoccupation with
having a serious illness has been present for at least 6 months. There is a high level of anxiety
about personal health status.
8. A 40-year-old man who has been on olanzapine for schizophrenia has a lipid
profile indicating total cholesterol 240 mg/dL, and low-density lipoprotein (LDL)
200 mg/dL. Which of the following is recommended?
Statin therapy
Transthoracic echocardiogram
Lifestyle modification Serial
EKGs
9. Upon awakening, a period of reduced alertness, impaired performance and
reduced vigilance associated with Hypersomnolence disorder is better known as
what?
Sleep inertia
Sleep ataxia
Nap disorder
Downloaded by Skyler Sammuel's
