NURS 6635 Exam No Answer
Nursing Education (Walden University)
NURS 6635/6640 Midterm Exam
1. Select the theorist who is credited with establishing the area of psychosomatic medicine.
A. Freud
B. Abraham
C. Groddeck
D. Ferenczi
Answer: D. Ferenczi
2. Select the most important component of the patient-provider rapport.
A. Empathy
B. Confidentiality
C. Respect
D. Privacy
Answer: A. Empathy
3. Select the disorder in which patients feel detached from their environment.
A. Derealization
B. Transient global amnesia
C. Depersonalization
D. Dissociative identity
Answer: A. Derealization
4. Select the patient evaluation scale to be used before and during prescribing antipsychotic
drugs.
A. MMSE
B. AIMS
C. CAGE
D. HAM-D
Answer: A. MMSE
5. Select the event most associated with the occurrence of dissociative fugue.
A. Head trauma
B. Substance abuse
C. Partner betrayal
D. Unplanned travel
Answer: B. Substance abuse
6. Select the most influential source of bias in a mental status examination.
A. Culture
B. Genetics
C. Environment
D. Age
Answer: A. Culture
7. Select the nondrug therapy with the greatest evidence of effectiveness in treating major
depressive disorder.
A. Family
B. Psychoanalytic
C. Cognitive
D. Behavior
Answer: C. Cognitive
8. Select the therapy that has been most effective in treating childhood PTSD.
A. SSRI antidepressants
B. CBITS
C. SPARCS
D. Crisis intervention
Answer: B. CBITS
9. Select the rating scale used to assess response to antidepressant drug therapy.
A. BDI
B. MMSE
C. BPRS
D. HAM-D
Answer: D. HAM-D
10. Select the greatest impediment to treating anorexia nervosa patients.
A. Drug adverse effects
B. Variability of family therapy
C. Patient resistance
D. Noncompliance with therapy
Answer: C. Patient resistance
11. Select the public performance that is most associated with social anxiety in children
A. Dancing
B. Speaking
C. Athletics
D. Eating
Answer: B. Speaking
12. Select the difference in rates of suicidal thoughts and behaviors between placebo and drug
in children and adolescents observed from random controlled trials of nine antidepressant
drugs that resulted in the 2004 FDA “black box” warning in labeling of antidepressant drugs.
A. 1% placebo, 5% drug
B. 2% placebo, 4% drug
C. 2% placebo, 10% drug
D. 4% placebo, 12% drug
Answer: C. 2% placebo, 10% drug
13. Select the drug used to treat bipolar disorder that may cause hypothyroidism.
A. Lithium
B. Risperidone
C. Lamotrigine
D. Valproate
Answer: A. Lithium
14. Select the rating scale area developed by the World Health Organization (WHO).
A. Cognitive
B. Anxiety
C. Depression
D. Disability
Answer: D. Disability
15. Select the rating scale used to screen for Alzheimer’s disease and other dementias.
A. BPRS
B. YBOCS
C. NPI
D. BDI
Answer: C. NPI
16. Select the mood disorder that occurs most frequently in children and adolescents with
ADHD.
A. Bipolar
B. Major depression
C. Dysthymia
D. Conduct
Answer: B. Major depression
17. Select the activity in which children are most likely to suffer selective mutism.
A. Religious
B. Family
C. Playmates
D. School
Answer: D. School
18. Select the comorbidity most commonly occurring with intermittent explosive disorder.
A. Narcissism
B. Pyromania
C. Depersonalization
D. Kleptomania
Answer: A. Narcissism
19. Select the quantities of mental disorders categories and discrete illnesses in DSM-5.
A. 10 and 60
B. 16 and 120
C. 22 and 150
D. 31 and 175
Answer: C. 22 and 150
20. Select the scientist who is most associated with the development of learning theory.
A. Piaget
B. Ainsworth
C. Bowlby
D. Pavlov
Answer: A. Piaget
21. Select the short rating scale used to assess change in psychiatric inpatients.
A. PANSS
B. BPRS
C. HAM-D
D. CAPS
Answer: A. PANSS
22. Select the period of time after most recent use that THC (marijuana) can be detected in
urine specimens.
A. 7-12 hours
B. 36-72 hours
C. 3 days
D. 2-7 days
Answer: C. 3 days
23. Select the therapy for insomnia that can be effective at up to three years after
discontinuation.
A. Cognitive-behavioral
B. Sedating antihistamines
C. Benzodiazepines
D. Paradoxical intention
Answer: A. Cognitive-behavioral
24. Select two brain regions that are associated with anxiety disorders.
A. Substantia nigra
B. Locus ceruleus
C. Temporal lobe
D. Raphe nuclei
Answer: B. Locus ceruleus
C. Temporal lobe
25. Select the hormone or neurotransmitter that is involved in regulating the 24-hour
circadian sleep-wake cycle.
A. Dopamine
B. Corticotrophin releasing
C. Serotonin
D. Melatonin
Answer: D. Melatonin
26. Select the medical condition that must be excluded as a cause of somatic symptom
disorder or hypochondriasis.
A. Angina pectoris
B. Asthma
C. Diabetes
D. Multiple sclerosis
Answer: A. Angina pectoris
27. Select the two rating scales used specifically for schizophrenia.
A. PANSS
B. MMSE
C. SAPS
D. BPRS
Answer: A. PANSS
C. SAPS
28. Select two events that are causes of dissociative trance disorder.
A. Natural disaster
B. Substance abuse
C. Experienced violence
D. Appropriate drug therapy
Answer: B. Substance abuse
D. Appropriate drug therapy
29. Select the term that best describes the study of human behavior based on transmission and
modification of genetically influenced behavioral traits.
A. Ethology
B. Sociobiology
C. Neuropsychology
D. Phenomenology
Answer: B. Sociobiology
30. Select the theorist who developed psychoanalysis.
A. Maslow
B. Skinner
C. Erikson
D. Freud
Answer: D. Freud
31. Select the serum assessment that is required when prescribing drugs to treat psychiatric
disorders in psychosomatic patients.
A. Potassium
B. White blood cells
C. Liver enzymes
D. Blood urea nitrogen
Answer: A. Potassium
32. Select two types of theories that have contributed to causes of anxiety.
A. Psychoanalytic theory
B. Behavioral theory
C. Family
D. Group
Answer: A. Psychoanalytic theory
B. Behavioral theory
33. Select the neurotransmitter that is most genetically involved in childhood and adolescent
depression.
A. Norepinephrine
B. Serotonin
C. Dopamine
D. Gamma amino butyric acid (GABA)
Answer: C. Dopamine
34. Select the drug that has been effective in treating social anxiety in children.
A. Bupropion
B. Carbamazepine
C. Amitriptyline
D. Fluoxetine
Answer: A. Bupropion
35. Select the alternate name for persistent depressive disorder.
A. Cyclothymia
B. Bipolar I
C. Bipolar II
D. Dysthymia
Answer: D. Dysthymia
36. Select the percentage occurrence of anxiety disorders in children and adolescents.
A. 2-5
B. 5-10
C. 10-20
D. 20-30
Answer: C. 10-20
37. Select the rating scale used to assess obsessive-compulsive disorder.
A. HAM-A
B. CAGE
C. YBOCS
D. CAPS
Answer: C. YBOCS
38. Select the characteristic in long sleepers (more than 9 hours) that is absent in short
sleepers (less than 6 hours).
A. Mildly depressed
B. Ambitious
C. Socially adept
D. Efficient
Answer: A. Mildly depressed
39. Select the function that is most affected by conversion disorder.
A. Voluntary motor
B. Hearing
C. Involuntary motor
D. Smelling
Answer: A. Voluntary motor
40. Select the minimum treatment time to assess the effectiveness of antidepressant drugs
A. 1-2 weeks
B. 3-4 weeks
C. 6-8 weeks
D. 10-14 weeks
Answer: B. 3-4 weeks
41. Select the largest percentage prevalence of psychiatric disorders in patients hospitalized
for medical conditions.
A. 10
B. 33
C. 50
D. 67
Answer: B. 33
42. Select the percent rate of mortality in anorexia nervosa patients.
A. 1 to 5
B. 3 to 12
C. 5 to 18
D. 18 to 25
Answer: C. 5 to 18
43. Select the therapeutic plasma concentration range for lithium in mEq/L.
A. 0.1-0.5
B. 0.6-1.2
C. 1.4-1.9
D. 2.0-2.6
Answer: B. 0.6-1.2
44. Select the type of dissociative amnesia described by patient’s inability to recall any
information about her or his family.
A. Selective
B. Localized
C. Continuous
D. Systematized
Answer: D. Systematized
45. Select the memory category retained in transient global amnesia that is absent in
dissociative amnesia.
A. Family members
B. Sequential events
C. Personal identity
D. Adolescent years
Answer: B. Sequential events
46. Select the behavior that best describes early onset bipolar disorder in children and
adolescents.
A. Aggression
B. Withdrawal
C. Panic
D. Exhibition
Answer: B. Withdrawal
47. Select the serum substance that should be measured to aid the diagnosis of restless leg
syndrome.
A. Potassium
B. Ferritin
C. Magnesium
D. Albumin
Answer: B. Ferritin
48. Select the two primary psychometric properties of psychiatric rating scales.
A. Reproducibility
B. Reliability
C. Validity
D. Variability
Answer: B. Reliability
C. Validity
49. Select the third most commonly reported psychiatric symptom.
A. Depression
B. Anxiety
C. Psychosis
D. Depersonalization
Answer: C. Psychosis
50. Select the anxiety disorder that emerges in ages 9 to 18 months.
A. Separation
B. Generalized
C. Social
D. Traumatic
Answer: A. Separation
51. Select the factor that best correlates with the occurrence of PTSD in children.
A. Excessive dopamine metabolites
B. Higher IQ
C. Larger corpus callosum
D. Lower IQ
Answer: D. Lower IQ
52. Select the percentage that most accurately represents the rate of heritability of major
depression.
A. 15
B. 30
C. 45
D. 60
Answer: D. 60
53. Select the least effective method to treat dissociative amnesia.
A. Antipsychotic drugs
B. Cognitive therapy
C. Hypnosis
D. Group therapy
Answer: B. Cognitive therapy
54. Select the two most important factors that guide the decision to prescribe benzodiazepines
to treat generalized anxiety.
A. Specific target symptoms
B. Patient insistence on a benzodiazepine
C. History of substance abuse
D. Duration of therapy
Answer: A. Specific target symptoms
C. History of substance abuse
55. Select the factor that is required to cause PTSD from a stressor.
A. Intense horror
B. Isolated experience
C. Concurrent substance abuse
D. Survivor’s guilt
Answer: A. Intense horror
56. Select the percentage of untreated PTSD patients who recover after one year.
A. 10%
B. 20%
C. 30%
D. 50%
Answer: B. 20%
57. Select two common uses of items taken in kleptomania.
A. Gifts
B. Displaying
C. Selling
D. Hiding
Answer: A. Gifts
C. Selling
58. Select the anxiety disorder that is most associated with selective mutism in children.
A. Social
B. Generalized
C. Separation
D. Phobic
Answer: A. Social
59. Select the earliest delay of time between exposure to the stressor and onset of PTSD
symptoms.
A. 1 week
B. 1 month
C. 6 months
D. 2 years
Answer: B. 1 month
60. Select the exposure to violence that is excluded as a DSM-5diagnostic criterion for PTSD
in children and adolescents.
A. Electronic media
B. Directly witnessed
C. Report of family member
D. Repeated natural disaster
Answer: A. Electronic media
61. Select the percentage range of correlation between obesity and psychiatric disorders.
A. 10 to 20
B. 20 to 30
C. 40 to 60
D. 50 to 70
Answer: C. 40 to 60
62. Select the most common stressor of PTSD in women.
A. Home accident
B. Partner or spousal abuse
C. Sexual assault
D. Natural disaster
Answer: B. Partner or spousal abuse
63. Select the youngest age range at which alarm therapy is effective to treat enuresis.
A. 11 to 12
B. 9 to 10
C. 6 to 7
D. 5 to 6
Answer: C. 6 to 7
64. Select the primary cause of reactive attachment disorder in children.
A. Death of mother
B. Bullying by peers
C. Negligent parenting
D. Fetal alcohol syndrome
Answer: A. Death of mother
65. Select the delay of time between exposure to the stressor and onset of PTSD symptoms.
A. 1 month to 3 years
B. 6 weeks to 10 years
C. 6 months to 5 years
D. 1 week to 30 years
Answer: A. 1 month to 3 years
66. Select the greatest challenge in the long-term treatment of Bipolar I and II disorder.
A. Psychotic symptoms
B. Mood stabilization
C. Acute depression
D. Panic anxiety
Answer: C. Acute depression
67. Select the two methods to treat dissociative amnesia.
A. Antipsychotic drugs
B. Cognitive therapy
C. Hypnosis
D. Psychoanalysis
Answer: B. Cognitive therapy
C. Hypnosis
68. Select the cognitive function category in a mental status examination that is represented
by the question, “Starting at 3 A.M., count back the time 2 hours at a time.”
A. Orientation
B. Concentration
C. Calculation
D. Alertness
Answer: B. Concentration
69. Select the two comorbid disorders with which Pica occurs most commonly.
A. Enuresis
B. Encopresis
C. Autism
D. Intellectual disability
Answer: C. Autism
D. Intellectual disability
70. Select the obsessive-compulsive disorder for which a patient is likely to initially seek help
from a non-psychiatric provider.
A. Hoarding
B. Excoriation
C. Hair-pulling
D. Body dysmorphia
Answer: D. Body dysmorphia
71. Select the two most commonly co-occurring anxiety disorders that may present with
generalized anxiety disorder.
A. PTSD
B. Dissociative disorder
C. OCD
D. Delusional disorder
Answer: A. PTSD
C. OCD
72. Select the prognosis range of untreated PTSD patients.
A. 10% recover, 20% mild symptoms, 30% moderate symptoms, 40% no change or worse
B. 20% recover, 10% mild symptoms, 40% moderate symptoms, 30% no change or worse
C. 30% recover, 40% mild symptoms, 20% moderate symptoms, 10% no change or worse
D. 40% recover, 30% mild symptoms, 10% moderate symptoms, 20% no change or worse
Answer: A. 10% recover, 20% mild symptoms, 30% moderate symptoms, 40% no change or
worse
73. Select the drug with the most rapid onset of action to treat acute mania.
A. Lithium
B. Clonazepam
C. Lamotrigine
D. Valproate
Answer: B. Clonazepam
74. Select the disorder in which children are irritable and display temper outbursts but are not
likely to cause physical harm to themselves and others.
A. Oppositional
B. Conduct
C. Dysregulation
D. Bipolar
Answer: C. Dysregulation
75. Select the most effective treatment for early onset bipolar disorder in adolescents.
A. Atypical antipsychotic plus SSRI drugs
B. CBT plus mood stabilizing drug
C. CBT plus SSRI drug
D. Atypical antipsychotic plus mood stabilizing drugs
Answer: D. Atypical antipsychotic plus mood stabilizing drugs
76. Select the drug proven most effective in treating PTSD.
A. Buspirone
B. Paroxetine
C. Trazodone
D. Clonidine
Answer: B. Paroxetine
77. Select the DSM-5 disorder formerly called multiple personality disorder.
A. Depersonalization
B. Dissociative fugue
C. Dissociative identity
D. Derealization
Answer: C. Dissociative identity
78. Select the two symptoms that result from prolonged sleep deprivation.
A. Ambition
B. Hallucinations
C. Contentedness
D. Irritability
Answer: B. Hallucinations
79. Select the best antidepressant alternative to fluoxetine to treat a patient suffering loss of
sleep, appetite and weight for the past three months.
A. Mirtazapine
B. Citalopram
C. Duloxetine
D. Bupropion
Answer: A. Mirtazapine
80. Select the neurotransmitter that is most involved in the pathophysiology of schizophrenia.
A. Norepinephrine
B. Dopamine
C. Serotonin
D. Acetylcholine
Answer: B. Dopamine
81. Select the brain region that is least associated with OCD.
A. Prefrontal cortex
B. Amygdala
C. Thalamus
D. Anterior cingulate
Answer: B. Amygdala
82. Select the mental health disorder that commonly coexists with generalized anxiety
disorder.
A. Bipolar I
B. Alzheimer’s disease
C. Major depression
D. Schizophrenia
Answer: C. Major depression
83. Select the neurodevelopmental disorder typically diagnosed in childhood.
A. Bipolar I
B. Major depression
C. Intellect
D. Agoraphobia
Answer: C. Intellect
84. Select the serious risk of treating cyclothymic patients with antidepressant drugs.
A. Acute depression
B. Manic episode
C. Uncontrolled impulses
D. Suicidal ideation
Answer: B. Manic episode
85. Select the two diverse symptoms of OCD.
A. Rituals
B. Flashbacks
C. Loose associations
D. Intrusive thoughts
Answer: A. Rituals
D. Intrusive thoughts
86. Select two causes of dissociative amnesia.
A. Sexual abuse
B. Substance abuse
C. Surgical pain
D. Partner betrayal
Answer: A. Sexual abuse
B. Substance abuse
87. Select the disorder in children and adolescents that is described by depressed or irritable
mood for most of the day for a majority of days in at least one year.
A. Major depression
B. Cyclothymia
C. Bereavement
D. Persistent depression
Answer: D. Persistent depression
88. Select the motivation in pyromania that is absent in patients who commit arson.
A. Financial gain
B. Revenge
C. Affective arousal
D. Power
Answer: C. Affective arousal
89. Select the mood disorder that is worsened by chronic exposure to observing violence in
television, movies, and video games.
A. Bipolar
B. Oppositional
C. Conduct
D. Dysthymia
Answer: C. Conduct
90. Select the two most effective treatments for obsessive-compulsive disorder (OCD) in
children and adolescents.
A. SSRI antidepressants
B. SNRI antidepressants
C. Cognitive behavioral therapy (CBT)
D. Parent-child interaction therapy (PCIT)
Answer: A. SSRI antidepressants
C. Cognitive behavioral therapy (CBT)
91. Select the most likely stressor to cause an adjustment disorder.
A. Natural disaster
B. Emergency surgery
C. Vehicle accident
D. Substance abuse
Answer: B. Emergency surgery
92. Select two signs and symptoms of bulimia nervosa.
A. Weekly binge eating for at least three months
B. Abuse of emetic drugs and substances
C. Greater weight loss than with anorexia nervosa
D. Binge eating and purging is most common in winter
Answer: A. Weekly binge eating for at least three months
B. Abuse of emetic drugs and substances
93. Select the time from occurrence of the stressor in which symptoms must appear to
diagnose an adjustment disorder.
A. 1 week
B. 1 month
C. 3 months
D. 6 months
Answer: B. 1 month
94. Select age after which encopresis may be correctly diagnosed.
A. 2
B. 3
C. 4
D. 6
Answer: B. 3
95. Select the preferred treatment for bulimia nervosa.
A. Cognitive-behavior therapy (CBT)
B. SNRI antidepressants
C. Monoamine oxidase inhibitors (MAOIs)
D. Dynamic psychotherapy
Answer: A. Cognitive-behavior therapy (CBT)
96. Select the mood disorder in which diagnosis requires symptoms present for at least two
years.
A. Major depression
B. Dysthymia
C. Bipolar II
D. Cyclothymia
Answer: B. Dysthymia
97. Select the neurotransmitter involved in obsessive-compulsive disorder (OCD) in children
and adolescents based on the common comorbidity of tic disorders.
A. Norepinephrine
B. GABA
C. Dopamine
D. Acetylcholine
Answer: C. Dopamine
98. Select the age group in which adjustment disorders occur most frequently.
A. Childhood
B. Middle adult
C. Young adult
D. Adolescent
Answer: D. Adolescent
99. Select the mg/dL blood alcohol level range that is associated with causing impaired
judgment and coordination.
A. 20 to 40
B. 50 to 100
C. 100 to 130
D. 140 to 190
Answer: A. 20 to 40
100. Select the brain region associated with emotions of reward and punishment.
A. Hippocampus
B. Amygdala
C. Prefrontal cortex
D. Anterior cingulate cortex
Answer: B. Amygdala
101. When completing this exam, did you comply with Walden University’s Code of
Conduct including the expectations for academic integrity?
A. Yes
B. No
Answer: A. Yes
