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NR547 Week 4: Midterm Exam (Nov-2025)
Which client statement is an example of the most common form of hallucination seen in schizophrenia spectrum and other psychotic disorders?
Answers: A – D
A the client smells a foul odor in the absence of a stimulus
B the client sees flashes of light that are not visible to anyone else
C a client hears voices telling them they are stupid and worthless ✅
D a client feels invisible insects crawling on their skin
Why are diagnostic instruments and psychiatric rating scales beneficial?
Answers: A – D
A They independently provide sufficient information to accurately diagnose and treat a client.
B They omit the need for the clinical interview.
C They are easy to administer without training.
D They can help to standardize the information collected across time by various observers. ✅
For which conditions are persistent insomnia and excessive sleepiness comorbid?
Answers: A – D
A major depressive disorder, substance use disorder
B parasomnias, major depressive disorder
C obstructive sleep apnea hypopnea, substance use disorder
D anxiety, obstructive sleep apnea hypopnea ✅
A 17-year-old boy is brought to the mental health clinic by his parents due to their concerns about his lack of motivation, odd behaviors, verbal aggression, and social isolation. The parents report the client has had few friends since middle school. Over the last nine months, he has gradually withdrawn from family and refuses to eat meals with them. He is experiencing increased academic difficulties.
His parents are concerned about drug use, but the client reports he has only used alcohol a few times and tried marijuana one time. The client has no previous medical history and is not on any prescribed medications. The client has no past psychiatric history. While meeting privately with the psychiatric mental health nurse practitioner, the client reports that his family is out to get him, and they have been poisoning his food with a chemical substance his father obtained from a terrorist organization. His mental status exam is significant for a clear sensorium, restricted affect, tangential speech, and poor insight. Laboratory testing is normal, and urine drug screen is negative. What is the most likely diagnosis?
Answers: A – D
A schizophreniform disorder ✅
B schizoaffective disorder
C schizophrenia
D schizoid personality disorder
Which diagnosis presents with minimal spontaneous sexual thinking or minimal desire for sex ahead of sexual experiences?
Answers: A – D
A male hypoactive sexual desire disorder ✅
B female orgasmic disorder
C female sexual interest/arousal disorder
D male sexual interest/arousal disorder
A client communicates using short, one- or two-word responses. What symptom is the client exhibiting?
Answers: A – D
A anosognosia
B affective flattening
C alogia ✅
D avolition………………………………………………………….$60
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