Excel in the Walden University NRNP 6645 Psychotherapy with Multiple Modalities Midterm Exam for 2024-2025 with this A+ graded resource, offering 80 questions across 2 versions with comprehensive answers. Tailored for nursing and mental health students, this guide covers essential psychotherapy topics such as cognitive-behavioral, psychodynamic, humanistic, and integrative approaches. Each version includes 40 exam-style questions, paired with detailed, A+ graded answers to provide thorough insights and boost your exam readiness. This is your go-to resource for mastering the NRNP6645 midterm and achieving top results.
Preview
1. The concentration of alcohol in the body remains the same as a person ages. What
factor affects this concentration in older adults?
• A) The concentration of alcohol in her body remains the same as she ages.
• B) Her change in behavior has nothing to do with any drugs she is taking.
• C) There are different types of alcoholism in older adults, and the change in
behavior is related to the specific type.
• D) Physical changes due to aging affect the body’s metabolism of alcohol
differently. (Correct Answer)
Rationale: As individuals age, their bodies undergo changes that affect alcohol
metabolism. These changes may lead to a higher blood alcohol concentration even with
the same amount of alcohol intake. The aging process slows down the metabolism and
alters the distribution of alcohol in the body, making older adults more susceptible to the
effects of alcohol.
7. A 72-year-old man is being treated for alcoholism. What is the first step in his
treatment plan?
• A) Treat for anxiety.
• B) Begin with higher doses of anti-anxiety medications.
• C) The last choice for medication is serotonin uptake inhibitors.
• D) Buspirone and gabapentin are used as first-line choices. (Correct Answer)
Rationale: The first step in managing anxiety and alcohol use disorder in older adults
involves careful, conservative approaches. Starting with lower doses of medications like
buspirone and gabapentin allows for symptom management while avoiding potential side
effects from polypharmacy in older patients.
8. A 67-year-old woman displays increased energy and restlessness. Which of the
following are indicative of bipolar disorder with mania or hypomania? (Select all that
apply)
• A) Ability to focus on a task
• B) Flight of ideas (Correct Answer)
• C) Rapid speech (Correct Answer)
• D) Impulsivity (Correct Answer)
• E) Thoughtfulness
Rationale: Flight of ideas, rapid speech, and impulsivity are core symptoms of bipolar
disorder during manic or hypomanic episodes. The patient must demonstrate a high level
of energy and distractibility, which are seen in mania. The ability to focus and
thoughtfulness would not align with this symptomatology.
9. A 69-year-old man is assessed for possible bipolar disorder. What diagnostic tests
will contribute to diagnosing this condition? (Select all that apply)
• A) Complete blood count (CBC) and comprehensive metabolic panel, toxicology
screen, urinalysis, thyroid function tests.
• B) Electroencephalogram (EEG) and magnetic resonance imaging (MRI).
• C) Mini-Mental State Examination (Correct Answer)
• D) Saint Louis University Mental Status (SLUMS) (Correct Answer)
• E) Total body computed tomography (CT) scan.
Rationale: The Mini-Mental State Examination (MMSE) and Saint Louis University Mental
Status (SLUMS) test cognitive function, which is relevant in assessing the impact of bipolar
disorder on an individual’s cognitive abilities. Blood work, EEG, and MRI may be useful in ruling out medical conditions, but they are not first-line tests for diagnosing bipolar
disorder.
factor affects this concentration in older adults?
• A) The concentration of alcohol in her body remains the same as she ages.
• B) Her change in behavior has nothing to do with any drugs she is taking.
• C) There are different types of alcoholism in older adults, and the change in
behavior is related to the specific type.
• D) Physical changes due to aging affect the body’s metabolism of alcohol
differently. (Correct Answer)
Rationale: As individuals age, their bodies undergo changes that affect alcohol
metabolism. These changes may lead to a higher blood alcohol concentration even with
the same amount of alcohol intake. The aging process slows down the metabolism and
alters the distribution of alcohol in the body, making older adults more susceptible to the
effects of alcohol.
7. A 72-year-old man is being treated for alcoholism. What is the first step in his
treatment plan?
• A) Treat for anxiety.
• B) Begin with higher doses of anti-anxiety medications.
• C) The last choice for medication is serotonin uptake inhibitors.
• D) Buspirone and gabapentin are used as first-line choices. (Correct Answer)
Rationale: The first step in managing anxiety and alcohol use disorder in older adults
involves careful, conservative approaches. Starting with lower doses of medications like
buspirone and gabapentin allows for symptom management while avoiding potential side
effects from polypharmacy in older patients.
8. A 67-year-old woman displays increased energy and restlessness. Which of the
following are indicative of bipolar disorder with mania or hypomania? (Select all that
apply)
• A) Ability to focus on a task
• B) Flight of ideas (Correct Answer)
• C) Rapid speech (Correct Answer)
• D) Impulsivity (Correct Answer)
• E) Thoughtfulness
Rationale: Flight of ideas, rapid speech, and impulsivity are core symptoms of bipolar
disorder during manic or hypomanic episodes. The patient must demonstrate a high level
of energy and distractibility, which are seen in mania. The ability to focus and
thoughtfulness would not align with this symptomatology.
9. A 69-year-old man is assessed for possible bipolar disorder. What diagnostic tests
will contribute to diagnosing this condition? (Select all that apply)
• A) Complete blood count (CBC) and comprehensive metabolic panel, toxicology
screen, urinalysis, thyroid function tests.
• B) Electroencephalogram (EEG) and magnetic resonance imaging (MRI).
• C) Mini-Mental State Examination (Correct Answer)
• D) Saint Louis University Mental Status (SLUMS) (Correct Answer)
• E) Total body computed tomography (CT) scan.
Rationale: The Mini-Mental State Examination (MMSE) and Saint Louis University Mental
Status (SLUMS) test cognitive function, which is relevant in assessing the impact of bipolar
disorder on an individual’s cognitive abilities. Blood work, EEG, and MRI may be useful in ruling out medical conditions, but they are not first-line tests for diagnosing bipolar
disorder.
Reviews
There are no reviews yet.