NRNP-6635 PSYCHPATHOLOGY DIAGNOSTIC

REASONING 2023 SUMMER EXAMS FULL TEST,

CORREC D.
T Recent
Answer: memory

• Question 2
Select the most frequent cause of infant
and childhood intellectual disability that is attributed to a specific gene.

CORREC Answer:
T REASONINGDown syndrome
• Question 3
Select the neurotransmitter that is most associated with the occurrence of ADHD.

CORREC B.
T Dopami
Answer: ne

• Question 4
Select the drug of choice to treat psychosis in delirious patients.
 CORREC D.
T Haloperid
Answer: ol

• Question 5
Select the characteristic that is greater in childhood than adult onset schizophrenia.

CORREC B.
T Social
Answer: withdrawal

• Question 6
Select the personality disorder in which patients are continually in crisis and exhibit
unpredictable behavior.

CORREC C.
T Borderlin
Answer: e

• Question 7
Select the factor that best correlates with attempted and completed suicide.

CORREC A.
T Mental
Answer: illness

• Question 8
Select the brain region that shows the greatest anatomical abnormalities in schizophrenic
patients.

CORREC D.
T Basal
Answer: ganglia

• Question 9
Select the gender dysphoria in which genital surgery is usually not chosen.

CORREC C.
T Crossdress
Answer: er

• Question 10
Select the antipsychotic drug for which the labeling carries a black box warning for
agranulocytosis.

CORREC A.
T Clozapi
Answer: ne
• Question 11
Select the time of onset for tolerance to develop from continuous use of hallucinogens
such as LSD.

CORREC C.
T 4-7
Answer: days

• Question 12
Select the most reliable method to make a diagnosis of schizophrenia.

CORREC D.
T Patient
Answer: history

• Question 13
Select the dysfunction that is common to 50% to 85% of schizophrenic patients.

CORREC D.
T Eye
Answer: movement

• Question 14
Select two of the “Four A’s” symptoms of schizophrenia described by Bleuler.
CORRECT A.
Answers: autism
B.
ambivalen
ce
• Question 15
Select the personality disorder in which patients exhibit covert obstructionism,
procrastination and pessimism.

CORREC D.
T Passive-
Answer: aggressive

• Question 16
Select the negative symptom of schizophrenia.

CORREC A.
T Anhedon
Answer: ia

• Question 17
Select the main cause female orgasmic disorder.
 CORREC B.
T Genet
Answer: ic

• Question 18
Select the age range for 90% of patients treated for schizophrenia.

CORREC C.
T 10-
Answer: 55

• Question 19
Select the non-drug therapy in which mastery of anxiety through desensitization is
critical to successful treatment of sexual dysfunction.

CORREC D.
T Grou
Answer: p

• Question 20
Select the disorder that is often comorbid with brief psychotic disorder.

CORREC D.
T Personali
Answer: ty

• Question 21
Select the psychoactive substance that is most frequently consumed worldwide.

CORREC B.
T Caffei
Answer: ne

• Question 22
Select the age range at which most children with gender dysphoria begin to show
increased anxiety over anticipated changes to their bodies.

CORREC D.
T 3 to
Answer: 4

• Question 23
Select the theorist who first studied social and cultural influences on suicide.

CORREC B.
T Durkhei
Answer: m
• Question 24
Select the disorder in which is characterized by lack breast development.

CORREC B.
T 5-α-reductase
Answer: deficiency

• Question 25
Select the age range of the highest rate of substance dependence or abuse.

CORREC B.
T 18-
Answer: 25

• Question 26
Select two terms preferred to describe sexual orientation.
CORRECT A.
Answers: Gay
D.
Lesbia
n
• Question 27
Select the two patient populations in which delirium occurs most frequently.
CORRECT B.
Answers: Terminally ill
C.
Long-term
care
• Question 28
Select the drug used to treat neuroleptic malignant syndrome.

CORREC C.
T Dantrole
Answer: ne

• Question 29
Select the drug that is most likely to cause parkinsonian movement symptoms.

CORREC D.
T Haloperid
Answer: ol

• Question 30
Select the two main conditions to initially identify in adult psychiatric emergencies.
 CORRECT B.
Answers: Suicide
D.
Substance
intoxication
• Question 31
Select the psychiatric emergency that is indicated by mothers who express inadequate
distress over their children’s medical symptoms.

CORREC D.
T Munchausen’s
Answer: syndrome

• Question 32
Select the drug that is least life-threatening when consumed in an overdose.

CORREC B.
T Zolpide
Answer: m

• Question 33
Select the drug that is most safe and effective in treating mild to moderate memory loss
in early Alzheimer’s disease.

CORREC A.
T Donepe
Answer: zil

• Question 34
Select the substance that is most commonly abused by adolescents.

CORREC B.
T Marijuan
Answer: a

• Question 35
Select the development time of symptoms in neuroleptic malignant syndrome.

CORREC D.
T 10-14
Answer: days

• Question 36
Select the patient population at most risk of mortality from delirium.

CORRECT C.
 Answer: Alcohol
withdrawal

• Question 37
Select the most distinguishing characteristic of delirium.

CORREC B.
T Sudden
Answer: onset

• Question 38
Select the category of symptoms that is most commonly comorbid with cognitive
disorders.

CORREC A.
T Behavior
Answer: al

• Question 39
Select the primary defense mechanism that is common in delusional disorder.

CORREC A.
T Projectio
Answer: n

• Question 40
Select the neurotransmitter system that is most associated with the addictive rewarding
properties of opioids.

CORREC A.
T Dopaminer
Answer: gic

• Question 41
Select the type of hallucinations most common in schizophrenia.

CORREC C.
T Auditor
Answer: y

• Question 42
Select the diagnostic criterion for catatonia resulting from a medical condition.

CORREC C.
T Waxy
Answer: flexibility

• Question 43
 Select the two factors that are not applicable to diagnosing schizoaffective disorder.
CORRECT C.
Answers: Medical
condition
D.
Substance
abuse
• Question 44
Select the percentage of substance-addicted persons with a concurrent psychiatric
disorder.

CORRECT B.
Answer: 50

• Question 45
Select the hepatic enzyme that performs the initial metabolism of alcohol.

CORRECT A.
Answer: AD
H

• Question 46
Select the epidemiologic characteristic of tardive dyskinesia symptoms.

CORREC C.
T Absence in age less
Answer: than 50

• Question 47
Select the neurotransmitter that inhibits sexual orgasm.

CORREC A.
T Serotoni
Answer: n

• Question 48
Select the drug that is least likely to cause male sexual dysfunction.

CORREC C.
T sertralin
Answer: e

• Question 49
Select the youngest age at which childhood-onset schizophrenia can be distinguished
from autism spectrum.
 CORRECT A.
Answer: 3

• Question 50
Select the most effective form of questioning when taking a sex history.

CORREC B.
T Open-
Answer: ended

• Question 51
Select the initial intervention to treat children experiencing acute school refusal.

CORREC B.
T Return to school the next
Answer: normal day

• Question 52
Select the primary method to assess cognition.

CORREC C.
T Mental status
Answer: exam

• Question 53
Select the preferred drug used to treat alcohol withdrawal.

CORREC C.
T Lorazepa
Answer: m

• Question 54
Select the procedure most applicable to confirming a diagnosis of delirium.

CORRECT C.
Answer: EE
G

• Question 55
Select the brain region that is associated with substance addiction.

CORREC A.
T Prefrontal
Answer: cortex

• Question 56
Select the two defense mechanisms used commonly by patients with personality
disorders.
 CORRECT C.
Answers: Splitting
D.
Projectio
n
• Question 57
Select the lifetime prevalence of schizophrenia in the United States.

CORREC A.
T 0.1-
Answer: 1.0%

• Question 58
Select the subtype of schizophrenia in which auditory hallucinations are frequent.

CORREC D.
T Residu
Answer: al

• Question 59
Select the neurotransmitter deficiency that is most associated with delirium.

CORREC B.
T Acetylcholi
Answer: ne

• Question 60
Select the rating scale used to assess medication-induced movement disorders.

CORREC C.
T AIM
Answer: S

• Question 61
Select the symptom not present in paranoid personality disorder.

CORREC B.
T Fixed
Answer: delusions

• Question 62
Select the percentage range of schizophrenic patients that remain significantly impaired
throughout their lives.

CORRECT C.
 Answer: 40 to
60

• Question 63
Select the drug most likely to inhibit female orgasm.
CORREC Paroxetin
T
e
Answer:
• Question 64
Select the two non-drug therapies most likely to be effective in treating paraphilic
disorders.
CORRECT A.
Answers: Cognitive-
behavioral
C.
Insight
• Question 65
Select the two patient populations most likely suffer neuroleptic-induced parkinsonian
symptoms.
CORRECT A.
Answers: Femal
e
C.
Elderl
y
• Question 66
Select the factor that is most influential in determining gender role development.

CORREC B.
T Geneti
Answer: cs

• Question 67
Select the most common paraphilic disorder.

CORREC C.
T Pedophili
Answer: a

• Question 68
Select the therapy that is contrary to position statements of the American Academy of
Child and Adolescent Psychiatry.

CORRECT B.
 Answer: Conversi
on

• Question 69
Select the psychiatric disorder in which patients refuse mental health care and deny their
problems.

CORREC C.
T Personali
Answer: ty

• Question 70
Select the most common cause of dementia in elderly persons.

CORREC C.
T Alzheimer’s
Answer: disease

• Question 71
Select the substance of abuse with the strongest evidence for genetic association.

CORREC C.
T Alcoh
Answer: ol

• Question 72
Select the characteristic found in persons with intersex conditions.

CORREC D.
T Chromosome X
Answer: abnormality

• Question 73
Select the medical condition in which erectile dysfunction drugs (e.g., sildenafil) are likely
to be ineffective.

CORREC D.
T Ischemic heart
Answer: disease

• Question 74
Select the neurotransmitter that increases sexual desire.

CORREC B.
T Dopami
Answer: ne

• Question 75
 Select the infectious disease that when untreated may lead to an inCorrect diagnosis of
depression.

CORREC B.
T Lym
Answer: e

• Question 76
Select the two essential features of sexual dysfunction.
CORRECT A.
Answers: Failure to achieve
orgasm
C.
Pain during sexual
activity
• Question 77
Select the personality disorder in which patients seek social withdrawal.

CORREC D.
T Schizotyp
Answer: al

• Question 78
Select the percentage of the U.S. population with a substance dependence problem as of
year 2012.

CORRECT B.
Answer: 20
%

• Question 79
Select the youngest age by which early-onset schizophrenia occurs.

CORRECT B.
Answer: 13

• Question 80
Select two psychiatric disorders that are often misdiagnosed as childhood-onset or early-
onset schizophrenia.
CORRECT A.
Answers: Autism
spectrum
C.
Bipolar II
• Question 81
Select the comorbid disorder that is more frequent in children with gender dysphoria.
 CORREC A.
T Down
Answer: syndrome

• Question 82
Select two treatments for adults who identify as transgender.
CORRECT A.
Answers: Hormon
al
D.
Surgical
• Question 83
Select two comorbid factors common in schizophrenic patients.
CORRECT A.
Answers: Substance abuse
D.
Undiagnosed medical
illness
• Question 84
Select the age at which sexual identity is self-evident.

CORREC B.
T 2 to 3
Answer: years

• Question 85
Select the pair of terms that represents the greatest conflict regarding sexual behavior.

CORREC C.
T medical and
Answer: legal

• Question 86
Select the two characteristics that describe normal sexual behavior.
CORRECT A.
Answers: Varies from era to
era
B.
Reflects cultural
mores
• Question 87
Select the medical condition that occurs less frequently in schizophrenic patients than in
 the general population.

CORREC D.
T Rheumatoid
Answer: arthritis

• Question 88
Select the most frequently abused illicit drug.

CORREC A.
T Marijuan
Answer: a

• Question 89
Select the two drugs used to treat alcohol dependence.
CORRECT A.
Answers: Naltrexo
ne
C.
Lorazepa
m
• Question 90
Select the percentage of remission that results from Correct antipsychotic drug therapy of
schizophrenic patients.

CORRECT C.
Answer: 4
5

• Question 91
Select the percent blood alcohol level at which voluntary motor activity becomes
impaired.

CORRECT C.
Answer: 0.
2

• Question 92
Select the drug most likely to be effective treating paraphilic disorders.

CORREC D.
T Medroxyprogester
Answer: one

• Question 93
Select the most distinguishing feature in the course and prognosis of schizophrenia.
 CORREC A.
T Worsening after each
Answer: relapse

• Question 94
Select the personality disorder in which patients are preoccupied with perfectionism and
interpersonal control.

CORREC B.
T Obsessive-
Answer: compulsive

• Question 95
Select the rare adverse effect of SSRI antidepressants.

CORREC A.
T Tardive
Answer: dyskinesia

• Question 96
Select the neurotransmitter for which the metabolite 5-HIAA in CSF is evident and
predictive of suicide.

CORREC A.
T Serotoni
Answer: n

• Question 97
Select the two behaviors of schizophrenic patients that occur more frequently than in the
general population.
CORRECT B.
Answers: Violenc
e
C.
Suicide
• Question 98
Select the neurotransmitter that has least involvement in drug-induced movement
disorders.

CORREC C.
T Dopami
Answer: ne

• Question 99
Select the factor that exerts the strongest influence on the initiation of substance use
disorder in adolescents.
 CORREC C.
T Parent
Answer: s

• Question 100
Select the intrinsic chemical released in orgasm that reinforces pleasurable sensation.

CORREC D.
T Oxytoci
Answer: n

• Question 101
When completing this exam, did you comply with Walden University’s
Code of Conduct including the expectations for academic integrity?
CORRECT Ye
Answer: s