Question 1

Which of the following adaptive skills are consist with normal range developmental milestone of an 18-month-old?

• Bite, chews cookie; looks for fallen item
• Finger feeds items; takes off a hat
• Gets onto a chair; removes garment
• Opens doorknobs; pulls off pants

Question 2

A patient presents with persistent feelings of detachment from one’s self, like watching one’s self in a movie. The ARNP recognizes this as which of the following?

• Derealization
• Depersonalization
• Generalized amnesia
• Dissociative identity disorder

Question 3

The ARNP in working with a parent of a 6-month-old would offer which of the following in anticipatory guidance?

• Give baby much attention.
• Attune to baby’s needs for hunger, fatigue, diaper change.
• Provide supervised time for crawling, sitting, and rolling.
• All the above

Question 4

Functional neurological symptoms disorder is also known as which of the following?

• Conversion disorder
• Somatization disorder
• Factitious disorder
• A and C

Question 5

Indicators of imitative dissociative identity disorder include which of the following symptoms?

• Symptom exaggeration
• Confusion and shame related to symptoms
• Use of symptoms to excuse antisocial behaviors
• A and C only

Question 6

A term use to describe a neurodevelopmental disorder characterized by impairments in reciprocal social communication and a tendency to engage in repetitive stereotyped patterns of behaviors, interests and activities is

• Intellectual disability
• Specific learning disorder
• Autism spectrum disorder (ASD)
• Attention deficit/hyperactivity disorder (ADHD)

Question 7

Which of the following is consistent with what is known about treating individuals with kleptomania?

• Insight-oriented psychotherapy has been shown to be effective regardless of motivation level of the individual.
• Psychoanalysis is the treatment of choice.
• Behavior therapy including aversion therapy has been reported to be successful with highly motivated individuals.
• A combination of aversive conditioning and alter social contingencies has been reported successful even when self-motivation was lacking.

Question 8

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?

• Pyromania
• Obsessive-compulsive disorder
• Intermittent explosive disorder
• Pyrophobia

Question 9

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?

• Pick’s disease
• Lewy body dementia
• Huntington’s disease
• Creutzfeldt-Jakob disease

Question 10

Which of the following is an example of a medical complication of psychiatric conditions or treatment?

• Dementia
• Neuroleptic Malignant syndrome
• Depression related to limb amputation
• Recurrence of depressive disorder in setting of cancer treatment

Question 11

A capacity evaluation prior to an organ transplantation is an example of which of the following clinical problems in psychosomatic medicine?

• Psychiatric symptoms secondary to a medical condition
• Medical complications of psychiatric treatments
• Psychological factors precipitating medical conditions
• Psychiatric/psychosocial assessment