1|Page
NRNP 6665 Midterm Exam - Walden University
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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 in known as which of the
following?
A. Factitious disorder
B. Illness anxiety disorder
C. Somatic symptom disorder
D. Functional neurological symptom - Answer-D.
Functional neurological symptom:
Conversion disorder, also called functional neurological
symptom disorder,is defined as a psychiatric illness in
which a neurological or general medical condition cannot
explain symptoms and signs affecting voluntary motor or
sensory function. Psychological factors, such as conflicts
or stress, are judged to be associated with the deficits.The
term conversion disorder was coined by Sigmund Freud,
,2|Page
who hypothesized that the occurrence of specific
symptoms not explained by organic diseases reflects
unconscious conflict.3 The word conversion refers to
substituting a somatic symptom for a repressed idea.
Common examples of conversion symptoms include
blindness, paralysis, dystonia, psychogenic nonepileptic
seizures (PNES), anesthesia, swallowing difficulties, motor
tics, difficulty walking, hallucinations, anesthesia, and
dementia.5 In patients with conversion disorder, these
symptoms are not caused directly by a physiological
effect; rather these symptoms are caused by a
psychological conflict. Patients diagnosed with conversion
disorder are not feigning the signs and symptoms. Despite
the lack of a definitive organic diagnosis, the patient's
distress is very real and the physical symptoms the patient
is experiencing cannot be controlled at will
A condition characterized by the person giving
approximate answers, with clouding of consciousness,
frequently accompanied by hallucinations or other
dissociative, somatoform or conversion symptoms is
A. Ganser Syndrome
B. Schizophrenia
C. Dissociative trance disorder
,3|Page
D. Dissociative identity disorder - Answer-A. Ganser
Syndrome:
a rare dissociative disorder. It has been reported in
association with various functional psychiatric disorders
and organic states, most often in patients with head injury
and stroke, especially those involving the frontal lobes.The
core clinical features of this syndrome are approximate
answers, clouding of consciousness, somatic conversion
symptoms and hallucinations. However, all the core
symptoms are not needed for diagnosis.2 Ganser himself
had noted impairment of grasp, attention, concentration,
anxiety and perplexity as additional features.2 There is a
report of this syndrome with the symptom of
prosopagnosia as a hysterical feature. Based on the
clinical features it has been variously named as nonsense
syndrome, approximate answer syndrome ,
pseudodementia and balderdash syndrome
Which of the following can cause delirium? Check all that
apply.
A. Polypharmacy
B. Sleep deprivation
C. Admission/transfer/discharge from a healthcare facility
D. None of the above - Answer-A,B,C
, 4|Page
Delirium is a clinical syndrome that usually develops in the
elderly. It is characterized by an alteration of attention,
consciousness, and cognition, with a reduced ability to
focus, sustain or shift attention. It develops over a short
period of time and fluctuates during the day. The clinical
presentation can vary, usually with psychomotor
behavioral disturbances such as hyperactivity or
hypoactivity and with impairment in sleep duration and
architecture.
By definition, delirium is caused by an underlying medical
condition and is not better explained by another
preexisting, evolving, or established neurocognitive
disorder. The underlying cause of delirium can vary widely
and involve anything that stresses the baseline
homeostasis of a vulnerable patient. Examples include
substance intoxication or withdrawal, medication side
effects, infection, surgery, metabolic derangements, pain,
or even simple conditions such as constipation or urinary
retention. The diagnosis is often missed due to its subtle
clinical manifestation, especially in the hypoactive type
Acute withdrawal from alcohol represents which type of
clinical problem in psychosomatic medicine?
A. Medical complications of psychiatric conditions or
treatments
NRNP 6665 Midterm Exam - Walden University
||Verified Exam!|| Most Recent Exam Actual Complete
Real Exam Questions And Correct Answers (Expertly
Verified Answers) Already Graded A+ | Guaranteed
Success!! Brand New Exam!!!
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 in known as which of the
following?
A. Factitious disorder
B. Illness anxiety disorder
C. Somatic symptom disorder
D. Functional neurological symptom - Answer-D.
Functional neurological symptom:
Conversion disorder, also called functional neurological
symptom disorder,is defined as a psychiatric illness in
which a neurological or general medical condition cannot
explain symptoms and signs affecting voluntary motor or
sensory function. Psychological factors, such as conflicts
or stress, are judged to be associated with the deficits.The
term conversion disorder was coined by Sigmund Freud,
,2|Page
who hypothesized that the occurrence of specific
symptoms not explained by organic diseases reflects
unconscious conflict.3 The word conversion refers to
substituting a somatic symptom for a repressed idea.
Common examples of conversion symptoms include
blindness, paralysis, dystonia, psychogenic nonepileptic
seizures (PNES), anesthesia, swallowing difficulties, motor
tics, difficulty walking, hallucinations, anesthesia, and
dementia.5 In patients with conversion disorder, these
symptoms are not caused directly by a physiological
effect; rather these symptoms are caused by a
psychological conflict. Patients diagnosed with conversion
disorder are not feigning the signs and symptoms. Despite
the lack of a definitive organic diagnosis, the patient's
distress is very real and the physical symptoms the patient
is experiencing cannot be controlled at will
A condition characterized by the person giving
approximate answers, with clouding of consciousness,
frequently accompanied by hallucinations or other
dissociative, somatoform or conversion symptoms is
A. Ganser Syndrome
B. Schizophrenia
C. Dissociative trance disorder
,3|Page
D. Dissociative identity disorder - Answer-A. Ganser
Syndrome:
a rare dissociative disorder. It has been reported in
association with various functional psychiatric disorders
and organic states, most often in patients with head injury
and stroke, especially those involving the frontal lobes.The
core clinical features of this syndrome are approximate
answers, clouding of consciousness, somatic conversion
symptoms and hallucinations. However, all the core
symptoms are not needed for diagnosis.2 Ganser himself
had noted impairment of grasp, attention, concentration,
anxiety and perplexity as additional features.2 There is a
report of this syndrome with the symptom of
prosopagnosia as a hysterical feature. Based on the
clinical features it has been variously named as nonsense
syndrome, approximate answer syndrome ,
pseudodementia and balderdash syndrome
Which of the following can cause delirium? Check all that
apply.
A. Polypharmacy
B. Sleep deprivation
C. Admission/transfer/discharge from a healthcare facility
D. None of the above - Answer-A,B,C
, 4|Page
Delirium is a clinical syndrome that usually develops in the
elderly. It is characterized by an alteration of attention,
consciousness, and cognition, with a reduced ability to
focus, sustain or shift attention. It develops over a short
period of time and fluctuates during the day. The clinical
presentation can vary, usually with psychomotor
behavioral disturbances such as hyperactivity or
hypoactivity and with impairment in sleep duration and
architecture.
By definition, delirium is caused by an underlying medical
condition and is not better explained by another
preexisting, evolving, or established neurocognitive
disorder. The underlying cause of delirium can vary widely
and involve anything that stresses the baseline
homeostasis of a vulnerable patient. Examples include
substance intoxication or withdrawal, medication side
effects, infection, surgery, metabolic derangements, pain,
or even simple conditions such as constipation or urinary
retention. The diagnosis is often missed due to its subtle
clinical manifestation, especially in the hypoactive type
Acute withdrawal from alcohol represents which type of
clinical problem in psychosomatic medicine?
A. Medical complications of psychiatric conditions or
treatments
