NURS6635 Mental Health Final Exam With Answers (119 Solved Questions)

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1NURS 6635 FINALEXAM | QUESTIONS &ANSWERS (VERIFIED) |LATESTUPDATE | GRADED A+1. Select the development time of symptoms in neuroleptic malignant syndrome.A. 12-24 hoursB. 24-72 hoursC. 4-7 daysD.10-14 daysCorrect Answer:B. 24-72 hoursIf untreated syndromelasts 10 to 14 daysTreat with dantrolene or bromocriptineSelect the brain region that shows the greatest anatomical abnormalities inschizophrenic patients.A. HippocampusB. Amygdala

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2C. Prefrontal cortexD. Basal gangliaCorrect Answer:C. Prefrontal cortex has anatomical abnormalitieshippocampus and amygdala have size decreasebasal ganglia theoretical due to odd movementsD. per some answersSelect the mental function that is most affected in mild cognitive impairment.A. General cognitionB. Activities of daily livingC. Geographic orientationD. Recent memoryCorrect Answer:D. Recent memorySelect the time frame for symptoms of schizophreniform disorder.A. 2 to 6 weeksB. 1 to 5 monthsC. 6 to 8 monthsD. 1 yearCorrect Answer:Symptoms are short term lasting at least 1 month but less than 6months. p. 342Select two comorbid factors common in schizophrenic patients

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3Correct Answer:obesity, DM, substance use disorders, complex partial epilepsy,cardiovascular disease, HIV, COPDSelect the medical condition that occurs less frequently in schizophrenic patients than inthe general populationCorrect Answer:rheumatoid arthritisSelect the percentage of remission that results from correct antipsychotic drug therapyof schizophrenic patientsA. 15B. 30C. 45D. 70Correct Answer:p. 354 Approximately 60% will improve to the extent that they willachieve remission or only mild symptomsSelect the most distinguishing feature in the course and prognosis of schizophreniaCorrect Answer:worsening after each relapseSelect the two behaviors of schizophrenic patients that occur more frequently than inthe general population.Correct Answer:p.339 little impulse control, decreased social sensitivity, impulsivebehavior, suicide, violent behavior

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4Select the characteristic that is greater in childhood than adult onset schizophreniaCorrect Answer:Social withdrawal p. 349 typically quiet introverted, no close friends,may have sudden onset of ocdSelect the most reliable method to make a diagnosis of schizophreniaCorrect Answer:a patient's history is essential for the diagnosis of schizophrenia;clinicians cannot diagnose schizophrenia simply by results of a mental statusexamination, which may vary.Select thedysfunction that is common to 50% to 85% of schizophrenic patients.Correct Answer:Various studies have reported abnormal eye movements in 50 to 85percent of patients with schizophrenia compared with about 25 percent in psychiatricpatients without schizophrenia and fewer than 10 percent in nonpsychiatrically ill controlparticipant. p. 359Select two of the "Four A's" symptoms of schizophrenia described by BleulerA.autismB.ambivalenceC.anhedoniaD.abstract

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5Correct Answer:the four As: associations, affect, autism, and ambivalenceSelect the age range for 90% of patients treated for schizophreniaCorrect Answer:p. 358 90% of patients in treatment for schizophrenia are between 15and 55 years old. (peak age of onset women-25 to 35, men 10-25). Late onset refersto over 45. cannabis raises risk by 40%The most common type of hallucination in schizophreniaCorrect Answer:AuditoryCognition of patient's with schizophreniaCorrect Answer:Usually oriented to person, time, and place. they do have cognitivedeficiencies in attention, executive function, working memory, and episodic memoryleading cause of premature death in schizphrenia?Correct Answer:SuicidePositive and negative syndrome scale (PANNS)Brief psychiatric rating scale (BPRS)EPS symptoms-Simpson angus scale (SAS), Abnormal involuntary movement scale(AIMS), Barnes akathisia rating scale(BARS)Correct Answer:diagnostic and rating scales for schizophrenia

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6What percentage of schizophrenia patients have substance use disorder throughoutlifetime?Correct Answer:74%neurotransmitters involved in schziophreniaCorrect Answer:excessive dopamine = positive symptomsincreased glutamate = overexcites braindecreased gaba = reduces neuron excitabilitydecreased muscarinic and nicotinic receptors = dec cognitionSelect the negative symptom of schizophreniaCorrect Answer:Affectiveflattening or bluntingAlogia (poverty of speech, blocking)avolition (apathy)anhedoniaAttention (inattentiveness)Positive symptoms of schizophreniaCorrect Answer:hallucinations and delusions, bizarre behavior, formal thoughtdisorderSelect the disorder that is often comorbid with brief psychotic disorder

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7Correct Answer:p. 344 Common in patients with personality disorders lasts one dayand not more than one monthBy definition, patients with delusional disorders do not have what?Correct Answer:prominent or sustained hallucinations. Persecutory and jealous aremost common delusional disordersSelect the diagnostic criterion for catatonia resulting from a medical condition.Correct Answer:waxy flexibilitySelect the two factors that are not applicable to diagnosing schizoaffective disorderCorrect Answer:Medical condition, Substance abuseAs with most psychiatric diagnoses, schizoaffective disorder should not be used if thesymptoms are caused by substance abuse or a secondary medical conditionSelect the lifetime prevalence of schizophrenia in the United StatesCorrect Answer:. 0.1-1.0%Select the subtype of schizophrenia in which auditory hallucinations are frequentCorrect Answer:paranoid typeSelect the percentage range of schizophrenic patients that remain significantly impairedthroughout their lives.Correct Answer:p. 350 40-60% remain significantly impaired

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820-30% percent are moderately impaired20-30 percent somewhat normalSelect the youngest age by which early-onset schizophrenia occurs.Correct Answer:p. 358 peak onset for males is 10-25 13?Select the neurotransmitter that is most implicated in schizophrenia based on theeffectiveness of antipsychotic drug therapy.A.NorepinephrineB.DopamineC.GABAD.GlutamateCorrect Answer:B. DopamineSelect two psychiatric disorders that are often misdiagnosed as childhood-onset or earlyonset schizophreniaA.Autism spectrumB.

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