NURS 6635 EXAM FINAL WINTER 2021 Exam Elaborations Questions With Answers and Explanations Provided Newly Updated Exam Review Guide

. Select the diagnostic criterion for catatonia resulting from a medical condition. A Loose association . B Pressured speech . C Waxy flexibility . D Involuntary . movement Answer: C . Step-by-Step explanation Catatonia is a type of schizophrenia that have symptoms usually involve lack of movement or immobility. One of the behaviors that the catatonic patient have is waxy flexibility where his or her limbs stay in the position or unable to move. He or she needs another person to reposition his or her limbs. Therefore, the answer is waxy flexibility. 1 points QUESTION 2 1. Select the negative symptom of schizophrenia. Answer: A . A Anhedonia . B Delusions . C Catatonia . D Hallucinatio . ns Step-by-Step explanation Schizophrenia is a serious mental illness that affects a person's ability to think, behave, express feelings, interpret reality, and interact with others. Schizophrenia is the most chronic and debilitating of the main psychiatric disorders, despite its rarity. There are symptoms of Schizophrenia - negative and positive ones. We will talk about the positive symptoms first. 1.) Hallucinations - the patient can hear, smell, see and feel something that nobody does.2.) Delusion - the patient have mistaken or faulty beliefs. 3) Disorganized thoughts - patient is having a hard time to sort out or to arrange his thoughts.4) Hard to concentrate - lose focus on something or what he does. 5) Movement disorders. So, we can eliminate "Delusions" (letter B) and "Hallucinations" (Letter D) as choices for negative symptoms of Schizophrenia. Now, we will talk about the negative symptoms of Schizophrenia. 1.) Lack of pleasure - the patient does not have joy or being happy whatever he does. Also called anhedonia. 2.) Trouble of speech - don't show or being open on his thoughts and feelings. Also called alogia. 3.) Flattening - no emotions in talking like monotonal talk. 4.) Withdrawal - no social life or having no plans with friends. Also called apathy. 5) Struggling with the basic chores in daily life - hard to do some basic stuff or stopping taking care of themselves. 6.) No - follow through - also called avolition. So, we can say that Anhedonia (letter A) is the answer, but what is Catatonia? Catatonia is a psychomotor disorder. It involves the connection between the mental and movement function. Recently, it was thought of as a type of Schizophrenia. Thus, Catatonia is not a negative symptoms of Schizophrenia. Thus, ANHEDONIA (Letter A) is the only negative symptoms of Schizophrenia in the given choices. To support my explanation, I will attach some articles / links for references. 1 points QUESTION 3 1. Select the most defining characteristic of inevitable suicide. A Lack of family history . B Unexpected adverse drug . effect C Provider loses hope in . patient D Failure of best therapy . Answer: C . Step-by-Step explanation The lack of hope is the inevitable cause of suicide. If the provider loses hope in the patient then there is no way for the patient to recover. Option C is correct. 1 points QUESTION 4 1. Select the type of neurochemical receptor that is blocked by caffeine. A GABA . B Glutamate . C Adenosine . D Norepinephri . ne Caffeine is the most widely consumed psychoactive drug. The only molecular targets for caffeine at nontoxic doses are the main adenosine receptors in the brain, namely the inhibitory A1 receptors (A1R) and the facilitatory A2A receptors (A2AR) (9) 1 points QUESTION 5 1. Select the main cause female orgasmic disorder. A Cultural . B Genetic . C Hormonal . D Psychologi . cal Answer: D . Step-by-Step explanation The right answer is Option D. Physical, Situational & Psychological factors can contribute to female orgasmic disorder such as: 1. Physical 1. Medical conditions 2. Medications 2. Situational 1. Sexual inexperience 2. Insufficient foreplay 3. Lack of understanding about how genital organs function4. Poor communication about sex 3. Psychological 1. Guilty feeling about sex2. Anxiety & depression 3. Relationship issues 4. Past abuse ................................................continued