NRNP 6670 Week 6 Mid-term Exam: 100% Correct Answers & Complete Study Solutions
–
Guaranteed
A+!
• Question 1
From a biological perspective, all of the following neurotransmitters are implicit in
the anxiety except:
Answer:
Gamma-
aminobutyric
acid
Answers: Gamma-
aminobutyric
acid
Selected
Norepinephrine
Serotonin
Dopamine
(d)ANS: While dopamine is clearly implicit in other mental health disorders, such
as schizophrenia, it is not among : the neurotransmitters linked to the anxiety
response.
• Question 2
Mr. Kendall is a 47-year old male who is presented to care by his younger sister,
Megan. Mr. Kendall has spent his entire adult life living in an apartment that was
attached to his parents’ home. His mother died a few weeks ago, and the property
is listed for sale. Mr. Kendall will have to move, and while discussing this with
him, Megan became very concerned. He has apparently been considered odd all
his life, has never married or even dated as far as Megan knows, but she had no
, idea how odd he was. When his mother died, he seemed disconnected from
reality and had episodes of talking to people who weren’t present. Megan says
that sometimes she does not even understand what he is talking about. He seems
to think he has psychic powers, and that he doesn’t need to move because he
knows the house will not be sold. When considering a diagnosis of schizotypal
disorder, the PMHNP expects which of the following to be present in the history?
Selected
Answer: A history of
schizophrenia of a
Answers:
first- degree relative
A history of
schizophrenia of a first-
degree relative
Sustained psychosis
predating his mother’s
death
Comorbid Asperger’s syndrome
: Apparent frank thought disorder
(a) ANS:. A strong family history of schizophrenia supports a
diagnosis of schizotypal personality disorder. Sustained psychosis
and frank thought disorder are consistent with schizophrenia and help
differentiate it from schizotypal personality. Comorbid Asperger’s
syndrome is not associated with this disorder but is sometimes a
differential diagnosis in patients with schizoid personality disorder.
• Question 3
Becci is a 31-year-old female who presents to the PMHNP for evaluation after
being referred by her friend who is a patient of the practice. She describes a
relatively acute, recent onset of panic attacks. Becci says that ―out of the blue‖
her heart starts to race, her mouth gets dry, she gets shaky, and feels like she
cannot get her breath. She is afraid because her friend has panic disorder and
Becci knows that before her friend got treatment, she basically would not leave
the house in case an attack happened. The PMHNP recognizes that the
immediate priority in assessment for Becci is:
, Selected
Answer: A thorough physical
Answers: examination
A thorough physical examination
A family history of mental
health disease
A urine drug screen
An assessment for
phobic disorder
(a) ANS:. While these are elements of a panic attack, there are a variety of
organic conditions that can
: cause these symptoms. Becci needs a physical examination and appropriate
laboratory assessment to rule out physiologic causes of her symptoms,
such as thyroid disease. The remaining elements above will all be part
of the mental health assessment once physical health is determined.
• Question 4
The PMHNP is working on a graduate program in which he is hoping to develop
a new personality assessment tool. After an exhaustive review of the literature
and many months of work, he developed a tool to use in a research study and
needs to establish its psychometric properties. He distributes the tool to four
different professionals in the field and asks that they assess whether the
questions appear to measure what they are purported to measure. This is an
assessment of:
Selected
Answer:
Face validity
Answers: Internal consistency
reliability
Parallel form reliability
Construct validity
Face validity
(d) ANS:. Assessing whether the items measure what they appear to
measure is face validity. : Construct validity uses data outside of the test to
, measure validity. Reliability evaluates whether the tests measure what it is
supposed to measure consistently.
• Question 5
Among the various psychotherapeutic techniques available for treating post-
traumatic stress disorder, which mechanism achieves its effect by having patients
work through the traumatic event while in a deep state of relaxation?
Selected
Answer:
Eye movement
desensitization and
reprocessing therapy
Answers:
Eye movement desensitization and
reprocessing therapy
Implosive therapy
Systematic desensitization
Relaxation and cognitive techniques
(a) ANS:. EMDR is a technique in which the patient focuses on the lateral
movement of the clinician’s : finger while maintaining a mental image of the
trauma. Implosive therapy is an intense desensitization program, while
systematic desensitization is graded exposure via video or other methods of
simulation. Relaxation and cognitive techniques teach coping mechanisms as
well as thought-altering approaches.
• Question 6
Alexa is a 27-year-old female who has come to group therapy while she is in the
city jail. She was arrested for vagrancy because she was sleeping in her car in a
parking lot at a local shopping center. She could not post bail, so she is
sentenced to 14 days in jail. During group, she contributes that none of this is her
fault. Her mother is totally evil because she would not let Alexa stay in the family
home. She has some other family. but they are all jerks because they won’t help
–
Guaranteed
A+!
• Question 1
From a biological perspective, all of the following neurotransmitters are implicit in
the anxiety except:
Answer:
Gamma-
aminobutyric
acid
Answers: Gamma-
aminobutyric
acid
Selected
Norepinephrine
Serotonin
Dopamine
(d)ANS: While dopamine is clearly implicit in other mental health disorders, such
as schizophrenia, it is not among : the neurotransmitters linked to the anxiety
response.
• Question 2
Mr. Kendall is a 47-year old male who is presented to care by his younger sister,
Megan. Mr. Kendall has spent his entire adult life living in an apartment that was
attached to his parents’ home. His mother died a few weeks ago, and the property
is listed for sale. Mr. Kendall will have to move, and while discussing this with
him, Megan became very concerned. He has apparently been considered odd all
his life, has never married or even dated as far as Megan knows, but she had no
, idea how odd he was. When his mother died, he seemed disconnected from
reality and had episodes of talking to people who weren’t present. Megan says
that sometimes she does not even understand what he is talking about. He seems
to think he has psychic powers, and that he doesn’t need to move because he
knows the house will not be sold. When considering a diagnosis of schizotypal
disorder, the PMHNP expects which of the following to be present in the history?
Selected
Answer: A history of
schizophrenia of a
Answers:
first- degree relative
A history of
schizophrenia of a first-
degree relative
Sustained psychosis
predating his mother’s
death
Comorbid Asperger’s syndrome
: Apparent frank thought disorder
(a) ANS:. A strong family history of schizophrenia supports a
diagnosis of schizotypal personality disorder. Sustained psychosis
and frank thought disorder are consistent with schizophrenia and help
differentiate it from schizotypal personality. Comorbid Asperger’s
syndrome is not associated with this disorder but is sometimes a
differential diagnosis in patients with schizoid personality disorder.
• Question 3
Becci is a 31-year-old female who presents to the PMHNP for evaluation after
being referred by her friend who is a patient of the practice. She describes a
relatively acute, recent onset of panic attacks. Becci says that ―out of the blue‖
her heart starts to race, her mouth gets dry, she gets shaky, and feels like she
cannot get her breath. She is afraid because her friend has panic disorder and
Becci knows that before her friend got treatment, she basically would not leave
the house in case an attack happened. The PMHNP recognizes that the
immediate priority in assessment for Becci is:
, Selected
Answer: A thorough physical
Answers: examination
A thorough physical examination
A family history of mental
health disease
A urine drug screen
An assessment for
phobic disorder
(a) ANS:. While these are elements of a panic attack, there are a variety of
organic conditions that can
: cause these symptoms. Becci needs a physical examination and appropriate
laboratory assessment to rule out physiologic causes of her symptoms,
such as thyroid disease. The remaining elements above will all be part
of the mental health assessment once physical health is determined.
• Question 4
The PMHNP is working on a graduate program in which he is hoping to develop
a new personality assessment tool. After an exhaustive review of the literature
and many months of work, he developed a tool to use in a research study and
needs to establish its psychometric properties. He distributes the tool to four
different professionals in the field and asks that they assess whether the
questions appear to measure what they are purported to measure. This is an
assessment of:
Selected
Answer:
Face validity
Answers: Internal consistency
reliability
Parallel form reliability
Construct validity
Face validity
(d) ANS:. Assessing whether the items measure what they appear to
measure is face validity. : Construct validity uses data outside of the test to
, measure validity. Reliability evaluates whether the tests measure what it is
supposed to measure consistently.
• Question 5
Among the various psychotherapeutic techniques available for treating post-
traumatic stress disorder, which mechanism achieves its effect by having patients
work through the traumatic event while in a deep state of relaxation?
Selected
Answer:
Eye movement
desensitization and
reprocessing therapy
Answers:
Eye movement desensitization and
reprocessing therapy
Implosive therapy
Systematic desensitization
Relaxation and cognitive techniques
(a) ANS:. EMDR is a technique in which the patient focuses on the lateral
movement of the clinician’s : finger while maintaining a mental image of the
trauma. Implosive therapy is an intense desensitization program, while
systematic desensitization is graded exposure via video or other methods of
simulation. Relaxation and cognitive techniques teach coping mechanisms as
well as thought-altering approaches.
• Question 6
Alexa is a 27-year-old female who has come to group therapy while she is in the
city jail. She was arrested for vagrancy because she was sleeping in her car in a
parking lot at a local shopping center. She could not post bail, so she is
sentenced to 14 days in jail. During group, she contributes that none of this is her
fault. Her mother is totally evil because she would not let Alexa stay in the family
home. She has some other family. but they are all jerks because they won’t help
