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NRNP 6665 Final Exam| 3 Latest
Versions A, B & C | Each Version
Contains 100 Questions And
Correct Detailed Answers
Exam Structure:
Subject: Psychiatric-Mental Health (Psychosomatic & Dissociative Disorders)
Source: NRNP 6665 Final Exam Version A
Format: Multiple Choice and Select All That Apply
1. An illness of symptoms or deficits that affect voluntary motor or
sensory functions, which suggest another medical condition but that
is judged to be caused by psychological factors because the illness is
preceded by conflicts or other stressors, is known as which of the
following?
A. Functional neurological symptom disorder
B. Factitious disorder
C. Somatic symptom disorder
D. Illness anxiety disorder
Correct Answer: A. Functional neurological symptom disorder
Rationale:
1. Functional neurological symptom disorder (conversion disorder)
involves neurologic symptoms (motor, sensory) incompatible with
known medical conditions.
2. Symptoms are attributed to psychological factors such as stress or
conflict.
2. A condition characterized by the person giving approximate
answers, with clouding of consciousness, frequently accompanied by
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hallucinations or other dissociative, somatoform, or conversion
symptoms is:
A. Ganser Syndrome
B. Factitious disorder
C. Malingering
D. Dissociative fugue
Correct Answer: A. Ganser Syndrome
Rationale:
1. Ganser syndrome is a rare dissociative disorder characterized by
"approximate answers" (vorbeireden) and clouded consciousness.
2. It is often associated with other dissociative or conversion symptoms.
3. Which of the following can cause delirium? (Check all that apply)
A. Infection
B. Medication toxicity
C. Metabolic disturbances
D. All of the above
Correct Answer: D. All of the above
Rationale:
1. Delirium is an acute, fluctuating disturbance in attention and
awareness caused by a physiological condition.
2. Common causes include infections (e.g., UTI in elderly), medications
(e.g., anticholinergics, opioids), and metabolic disturbances (e.g.,
electrolyte imbalances, hypoglycemia).
4. Acute withdrawal from alcohol represents which type of clinical
problem in psychosomatic medicine?
A. Medical complications of psychiatric conditions or treatments
B. Psychiatric complications of medical conditions
C. Co-occurring medical and psychiatric conditions
D. Psychological factors precipitating medical symptoms
Correct Answer: A. Medical complications of psychiatric conditions or
treatments
Rationale:
1. Alcohol withdrawal is a direct medical complication resulting from a
psychiatric condition (alcohol use disorder).
2. It represents the physiological consequences of substance use cessation.
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5. The principal theoretician to bring psyche and soma together was
which of the following?
A. Sigmund Freud
B. Carl Jung
C. Alfred Adler
D. Wilhelm Wundt
Correct Answer: A. Sigmund Freud
Rationale:
1. Freud's work on conversion hysteria laid the foundation for
psychosomatic medicine.
2. He proposed that psychological conflicts could be converted into
physical symptoms.
6. Which of the following would not be included in the treatment plan
for a patient with illness anxiety disorder?
A. Exploratory invasive procedures to obtain diagnosis
B. Cognitive-behavioral therapy
C. Selective serotonin reuptake inhibitors (SSRIs)
D. Regular scheduled primary care visits
Correct Answer: A. Exploratory invasive procedures to obtain diagnosis
Rationale:
1. Illness anxiety disorder involves excessive worry about having a serious
illness despite minimal or no somatic symptoms.
2. Invasive diagnostic procedures are not indicated and may reinforce
illness beliefs.
3. Treatment focuses on CBT, SSRIs, and establishing a trusting
relationship with a primary care provider.
7. Which of the following is consistent with current literature about
the relationship between obstetrical complications and autism
spectrum disorders (ASD)?
A. Research proves there is a positive correlation between obstetrical
complications and ASD
B. There is no association between obstetrical complications and ASD
C. Obstetrical complications are the sole cause of ASD
D. Obstetrical complications are protective against ASD
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Correct Answer: A. Research proves there is a positive correlation between
obstetrical complications and ASD
Rationale:
1. Studies have shown that obstetrical complications (e.g., hypoxia,
preterm birth, preeclampsia) are associated with increased risk of ASD.
2. The relationship is correlational, not necessarily causal.
8. The epidemiology related to kleptomania includes which of the
following?
A. Kleptomania is reported to occur in fewer than 5 percent of identified
shoplifters
B. Kleptomania occurs in approximately 50% of shoplifters
C. Kleptomania is more common in men than women
D. Kleptomania is most common in adolescents
Correct Answer: A. Kleptomania is reported to occur in fewer than 5
percent of identified shoplifters
Rationale:
1. Kleptomania is a rare impulse-control disorder.
2. Although shoplifting is common, kleptomania accounts for a small
percentage (less than 5%) of identified shoplifters.
9. A frontotemporal dementia with onset in the fifth to sixth decade of
life, more common in men, marked by personality change and
cognitive decline, is known as which of the following?
A. Pick's Disease
B. Alzheimer's Disease
C. Lewy Body Dementia
D. Vascular Dementia
Correct Answer: A. Pick's Disease
Rationale:
1. Pick's disease is a type of frontotemporal dementia (FTD).
2. *It typically presents in midlife (50s-60s) with early personality
changes and behavioral symptoms before significant cognitive
decline.*
10. Which of the following demographics are consistent with autism
spectrum disorder (ASD)?
NRNP 6665 Final Exam| 3 Latest
Versions A, B & C | Each Version
Contains 100 Questions And
Correct Detailed Answers
Exam Structure:
Subject: Psychiatric-Mental Health (Psychosomatic & Dissociative Disorders)
Source: NRNP 6665 Final Exam Version A
Format: Multiple Choice and Select All That Apply
1. An illness of symptoms or deficits that affect voluntary motor or
sensory functions, which suggest another medical condition but that
is judged to be caused by psychological factors because the illness is
preceded by conflicts or other stressors, is known as which of the
following?
A. Functional neurological symptom disorder
B. Factitious disorder
C. Somatic symptom disorder
D. Illness anxiety disorder
Correct Answer: A. Functional neurological symptom disorder
Rationale:
1. Functional neurological symptom disorder (conversion disorder)
involves neurologic symptoms (motor, sensory) incompatible with
known medical conditions.
2. Symptoms are attributed to psychological factors such as stress or
conflict.
2. A condition characterized by the person giving approximate
answers, with clouding of consciousness, frequently accompanied by
, 2|Page
hallucinations or other dissociative, somatoform, or conversion
symptoms is:
A. Ganser Syndrome
B. Factitious disorder
C. Malingering
D. Dissociative fugue
Correct Answer: A. Ganser Syndrome
Rationale:
1. Ganser syndrome is a rare dissociative disorder characterized by
"approximate answers" (vorbeireden) and clouded consciousness.
2. It is often associated with other dissociative or conversion symptoms.
3. Which of the following can cause delirium? (Check all that apply)
A. Infection
B. Medication toxicity
C. Metabolic disturbances
D. All of the above
Correct Answer: D. All of the above
Rationale:
1. Delirium is an acute, fluctuating disturbance in attention and
awareness caused by a physiological condition.
2. Common causes include infections (e.g., UTI in elderly), medications
(e.g., anticholinergics, opioids), and metabolic disturbances (e.g.,
electrolyte imbalances, hypoglycemia).
4. Acute withdrawal from alcohol represents which type of clinical
problem in psychosomatic medicine?
A. Medical complications of psychiatric conditions or treatments
B. Psychiatric complications of medical conditions
C. Co-occurring medical and psychiatric conditions
D. Psychological factors precipitating medical symptoms
Correct Answer: A. Medical complications of psychiatric conditions or
treatments
Rationale:
1. Alcohol withdrawal is a direct medical complication resulting from a
psychiatric condition (alcohol use disorder).
2. It represents the physiological consequences of substance use cessation.
, 3|Page
5. The principal theoretician to bring psyche and soma together was
which of the following?
A. Sigmund Freud
B. Carl Jung
C. Alfred Adler
D. Wilhelm Wundt
Correct Answer: A. Sigmund Freud
Rationale:
1. Freud's work on conversion hysteria laid the foundation for
psychosomatic medicine.
2. He proposed that psychological conflicts could be converted into
physical symptoms.
6. Which of the following would not be included in the treatment plan
for a patient with illness anxiety disorder?
A. Exploratory invasive procedures to obtain diagnosis
B. Cognitive-behavioral therapy
C. Selective serotonin reuptake inhibitors (SSRIs)
D. Regular scheduled primary care visits
Correct Answer: A. Exploratory invasive procedures to obtain diagnosis
Rationale:
1. Illness anxiety disorder involves excessive worry about having a serious
illness despite minimal or no somatic symptoms.
2. Invasive diagnostic procedures are not indicated and may reinforce
illness beliefs.
3. Treatment focuses on CBT, SSRIs, and establishing a trusting
relationship with a primary care provider.
7. Which of the following is consistent with current literature about
the relationship between obstetrical complications and autism
spectrum disorders (ASD)?
A. Research proves there is a positive correlation between obstetrical
complications and ASD
B. There is no association between obstetrical complications and ASD
C. Obstetrical complications are the sole cause of ASD
D. Obstetrical complications are protective against ASD
, 4|Page
Correct Answer: A. Research proves there is a positive correlation between
obstetrical complications and ASD
Rationale:
1. Studies have shown that obstetrical complications (e.g., hypoxia,
preterm birth, preeclampsia) are associated with increased risk of ASD.
2. The relationship is correlational, not necessarily causal.
8. The epidemiology related to kleptomania includes which of the
following?
A. Kleptomania is reported to occur in fewer than 5 percent of identified
shoplifters
B. Kleptomania occurs in approximately 50% of shoplifters
C. Kleptomania is more common in men than women
D. Kleptomania is most common in adolescents
Correct Answer: A. Kleptomania is reported to occur in fewer than 5
percent of identified shoplifters
Rationale:
1. Kleptomania is a rare impulse-control disorder.
2. Although shoplifting is common, kleptomania accounts for a small
percentage (less than 5%) of identified shoplifters.
9. A frontotemporal dementia with onset in the fifth to sixth decade of
life, more common in men, marked by personality change and
cognitive decline, is known as which of the following?
A. Pick's Disease
B. Alzheimer's Disease
C. Lewy Body Dementia
D. Vascular Dementia
Correct Answer: A. Pick's Disease
Rationale:
1. Pick's disease is a type of frontotemporal dementia (FTD).
2. *It typically presents in midlife (50s-60s) with early personality
changes and behavioral symptoms before significant cognitive
decline.*
10. Which of the following demographics are consistent with autism
spectrum disorder (ASD)?
