Nursing med surg exam questions with answers perfectly solved
solutions
1. Predisposing factors for delirium include which of the following? Check all that apply.
a. Dementia
b. History of falls
c. Ages 65 and older
d. Sensory impairment
2. Which of the following is recommended in the treatment of pyromania?
a. Psychoanalysis
b. Cognitive therapy
c. Supervision of patient to prevent a repeated episode of fire setting
d. All of the above
3.Which of the following treatments is NOT recommended in treating Dissociative
Identity Disorder?
a. Cognitive therapy
b. Hypnosis
c. Antidepressants
d. Group psychotherapy
4. A congenital neurodevelopmental disorder primarily occurring in females, characterized by
specific deficits following a period of normal function grown and
a. PANDASS
b. Rett syndrome
c. Reye’s syndrome
d. Kluver-Bucy syndrome
5. The ARNP is doing a physical exam on a patient that has a paralyzed hand of unknown
etiology in which the patient’s hand is raised and dropped into the patient’s face. Which of the
following patient response support the finding of a conversion disorder?
a. The patient’s hand drops onto the patient’s face.
b. The patient’s hand falls next to the patient’s face.
c. The patient’s hand stays in the air when dropped
d. This would not be an appropriate test for conversion disorder.
6. Which of the following questions would be important when differentiating pyromania from
conduct disorder or antisocial personality disorder? Check all that apply.
a. Was the fire set in response to a delusion or hallucination?
b. Was the fire set deliberately, not a failure to resist an impulse?
c. Was the fire set as an act of sabotage?
d. Was the fire set with a failure to appreciate the consequences of the act?
7. A tension state that can exist without an action is known as which of the following ?
a. An obsession
,b. A compulsion
c. An impulse
d. Ego dystonic
8. The term psychosomatic literary refers to which of the following?
a. Imaginary illness
b. Psychiatric illness
c. How the mind effects the body
d. How the body effects the mind
9. Which of the following is consistent with what is known about treating individuals with
kleptomania?
a. Insight-oriented psychotherapy has been shown to be effective regardless of motivation
level of the individual.
b. Psychoanalysis is the treatment of choice.
c. Behavior therapy including aversion therapy has been reported to be successful with highly
motivated individuals.
d. A combination of aversive conditioning and alter social contingence has been
reported successful even when self-motivation was lacking.
10. Which of the following is an example of a medical complication of psychiatric conditions or
treatment?
a. Dementia
b. Neuroleptic Malignant syndrome
c. Depression related to limb amputation
d. Recurrence of depressive disorder in setting of cancer treatment.
11. A process by which repressed material is brought back to consciousness and the person
relives the repressed material accompanied by
a. Abulia
b. Abreaction
c. Adynamia
d. Alexithymia
12. The diagnosis formerly known as multiple personality disorder is now known as which of
the following?
a. Dissociative fugue
b. Dissociative identity disorder
c. Factitious dissociative identity disorder
d. None of the above
13. A frontotemporal dementia with onset in the fifth to sixth decade of life, more common in
men, marked by personality change and cognitive decline, is known as which of the following?
a. Pick’s disease
b. Lewy body dementia
c. Huntington’s disease
d. Creutzfeldt-Jakob disease
, 14. Which of the following is not consistent with what is known about depersonalization and
derealization?
a. They are the third most commonly reported psychiatric symptom.
b. Derealization is two to four times more often in men than in women.
c. One survey found a one-year prevalence of 19 percent in the general population.
d. Transient experience of depersonalization and derealization are extremely common in normal
and clinical populations.
15. Which of the following is consistent dementia in HIV?
a. The individual’s decline is very slow and may take years to progress.
b. The individual’s decline is progressive in nature with motoric and
behavioral abnormalities.
c. The individual’s decline is in a stepwise fashion with motoric and behavioral abnormalities.
d. The individual’s decline has marked variability and fluctuating motoric and behavioral
abnormalities.
16. Precipitating factors for delirium do NOT include which of the following?
a. Pain
b. Surgery
c. Age 65 and older
d. Use of physical restraints
17. An unconscious defense mechanism involving the segregation of any group of mental or
behavioral processes from the rest of the person’s psychic activity is known as which of the
following?
a. Repression
b. Dissociation
c. Displacement
d. Reaction formation
18. Which of the following medications is used to treat irritability in autism?
a. fluoxetine
b. aripiprazole
c. alprazolam
d. guanfacine
19. The ARNP is meeting with a person who reports a fascination with fire, along with
recurrent deliberate and purposeful setting of fires. The ARNP realizes that these behaviors are
consistent with which of the following disorders?
a. Pyromania
b. Obsessive-compulsive disorder
c. Intermittent explosive disorder
d. Pyrophobia
20. Which of the following are common disorders that must be differentiated from
dissociative identity disorder? Check all that apply.
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