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

Name: NURS6635 Mental Health Final Exam With Answers (119 Solved Questions)
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NURS 6635 FINAL EXAM | QUESTIONS &
ANSWERS (VERIFIED) | LATEST
UPDATE | GRADED A+
1. Select the development time of symptoms in neuroleptic malignant syndrome.
A. 12-24 hours
B. 24-72 hours
C. 4-7 days
D.10-14 days
Correct Answer: B. 24-72 hours
If untreated syndrome lasts 10 to 14 days
Treat with dantrolene or bromocriptine
Select the brain region that shows the greatest anatomical abnormalities in
schizophrenic patients.
A. Hippocampus
B. Amygdala

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C. Prefrontal cortex
D. Basal ganglia
Correct Answer: C. Prefrontal cortex has anatomical abnormalities
hippocampus and amygdala have size decrease
basal ganglia theoretical due to odd movements
D. per some answers
Select the mental function that is most affected in mild cognitive impairment.
A. General cognition
B. Activities of daily living
C. Geographic orientation
D. Recent memory
Correct Answer: D. Recent memory
Select the time frame for symptoms of schizophreniform disorder.
A. 2 to 6 weeks
B. 1 to 5 months
C. 6 to 8 months
D. 1 year
Correct Answer: Symptoms are short term lasting at least 1 month but less than 6
months. p. 342
Select two comorbid factors common in schizophrenic patients

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Correct Answer: obesity, DM, substance use disorders, complex partial epilepsy,
cardiovascular disease, HIV, COPD
Select the medical condition that occurs less frequently in schizophrenic patients than in
the general population
Correct Answer: rheumatoid arthritis
Select the percentage of remission that results from correct antipsychotic drug therapy
of schizophrenic patients
A. 15
B. 30
C. 45
D. 70
Correct Answer: p. 354 Approximately 60% will improve to the extent that they will
achieve remission or only mild symptoms
Select the most distinguishing feature in the course and prognosis of schizophrenia
Correct Answer: worsening after each relapse
Select the two behaviors of schizophrenic patients that occur more frequently than in
the general population.
Correct Answer: p.339 little impulse control, decreased social sensitivity, impulsive
behavior, suicide, violent behavior

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Select the characteristic that is greater in childhood than adult onset schizophrenia
Correct Answer: Social withdrawal p. 349 typically quiet introverted, no close friends,
may have sudden onset of ocd
Select the most reliable method to make a diagnosis of schizophrenia
Correct Answer: a patient's history is essential for the diagnosis of schizophrenia;
clinicians cannot diagnose schizophrenia simply by results of a mental status
examination, which may vary.
Select the dysfunction that is common to 50% to 85% of schizophrenic patients.
Correct Answer: Various studies have reported abnormal eye movements in 50 to 85
percent of patients with schizophrenia compared with about 25 percent in psychiatric
patients without schizophrenia and fewer than 10 percent in nonpsychiatrically ill control
participant. p. 359
Select two of the "Four A's" symptoms of schizophrenia described by Bleuler
A.
autism
B.
ambivalence
C.
anhedonia
D.
abstract

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Correct Answer: the four As: associations, affect, autism, and ambivalence
Select the age range for 90% of patients treated for schizophrenia
Correct Answer: p. 358 90% of patients in treatment for schizophrenia are between 15
and 55 years old. (peak age of onset women - 25 to 35, men 10-25). Late onset refers
to over 45. cannabis raises risk by 40%
The most common type of hallucination in schizophrenia
Correct Answer: Auditory
Cognition of patient's with schizophrenia
Correct Answer: Usually oriented to person, time, and place. they do have cognitive
deficiencies in attention, executive function, working memory, and episodic memory
leading cause of premature death in schizphrenia?
Correct Answer: Suicide
Positive 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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What percentage of schizophrenia patients have substance use disorder throughout
lifetime?
Correct Answer: 74%
neurotransmitters involved in schziophrenia
Correct Answer: excessive dopamine = positive symptoms
increased glutamate = overexcites brain
decreased gaba = reduces neuron excitability
decreased muscarinic and nicotinic receptors = dec cognition
Select the negative symptom of schizophrenia
Correct Answer: Affective flattening or blunting
Alogia (poverty of speech, blocking)
avolition (apathy)
anhedonia
Attention (inattentiveness)
Positive symptoms of schizophrenia
Correct Answer: hallucinations and delusions, bizarre behavior, formal thought
disorder
Select the disorder that is often comorbid with brief psychotic disorder

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Correct Answer: p. 344 Common in patients with personality disorders lasts one day
and not more than one month
By definition, patients with delusional disorders do not have what?
Correct Answer: prominent or sustained hallucinations. Persecutory and jealous are
most common delusional disorders
Select the diagnostic criterion for catatonia resulting from a medical condition.
Correct Answer: waxy flexibility
Select the two factors that are not applicable to diagnosing schizoaffective disorder
Correct Answer: Medical condition, Substance abuse
As with most psychiatric diagnoses, schizoaffective disorder should not be used if the
symptoms are caused by substance abuse or a secondary medical condition
Select the lifetime prevalence of schizophrenia in the United States
Correct Answer: . 0.1-1.0%
Select the subtype of schizophrenia in which auditory hallucinations are frequent
Correct Answer: paranoid type
Select the percentage range of schizophrenic patients that remain significantly impaired
throughout their lives.
Correct Answer: p. 350 40-60% remain significantly impaired

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20-30% percent are moderately impaired
20-30 percent somewhat normal
Select 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 the
effectiveness of antipsychotic drug therapy.
A.
Norepinephrine
B.
Dopamine
C.
GABA
D.
Glutamate
Correct Answer: B. Dopamine
Select two psychiatric disorders that are often misdiagnosed as childhood-onset or early
onset schizophrenia
A.
Autism spectrum
B.

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

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