NURS 6501 Knowledge Check Psychological Disorders
NURS 6501 Knowledge Check Psychological Disorders
In this exercise, you will complete a 10- to 20-essay type question Knowledge Check to gauge your understanding of this module’s content.
Possible topics covered in this Knowledge Check include:
- Generalized anxiety disorder
- Depression
- Bipolar disorders
- Schizophrenia
- Delirium and dementia
- Obsessive compulsive disease
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Complete the Knowledge Check By Day 7 of Week 9
To complete this Knowledge Check:
Module 6 Knowledge Check
A ten-year-old boy is brought to clinic by his mother who states that the boy has been listless and not eating. She also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen. Maternal history negative for pre, intra, or post-partum problems. Child’s past medical history negative and he easily reached developmental milestones. Physical exam reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern. The APRN orders complete blood count (CBC), and complete metabolic profile (CMP). The CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl. The APRN recognizes that the patient appears to have acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his mother. The diagnosis of acute lymphoblastic leukemia (ALL) was made after extensive testing.
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Question 1 of 2:
What is ALL?
Selected Answer:
ALL is a malignant bone marrow disease where there is a proliferation of early lymphoid precursors that replace the normal bone marrow hematopoietic cells. It is the most common type of leukemia in the US and cancer in children. The malignant cells (lymphoblasts) get arrested in the early development stages, which is caused by abnormal gene expression following abnormalities in the number of chromosomes or translocations of chromosomes. When the lymphoblasts proliferate, the number of normal elements in the bone marrow which produce other lines of blood cells decrease. This explains why most patients usually present with thrombocytopenia, anemia, and neutropenia. In other instances, the lymphoblasts can also infiltrate the beyond the bone marrow, to the lymph nodes, liver, and spleen, causing enlargement.
Correct Answer:
Acute lymphoblastic leukemia (ALL) is a malignant (clonal) disease of the bone marrow in which early lymphoid precursors proliferate and replace the normal hematopoietic cells of the marrow. ALL is the most common type of cancer and leukemia in children in the United States.
The malignant cells of acute lymphoblastic leukemia (ALL) are lymphoid precursor cells (ie, lymphoblasts) that are arrested in an early stage of development. This arrest is caused by an abnormal expression of genes, often as a result of chromosomal translocations or abnormalities of chromosome number. NURS 6501 Knowledge Check Psychological Disorders
These aberrant lymphoblasts proliferate, reducing the number of the normal marrow elements that produce other blood cell lines (red blood cells, platelets, and neutrophils). Consequently, anemia, thrombocytopenia, and neutropenia occur, although typically to a lesser degree than is seen in acute myeloid leukemia. Lymphoblasts can also infiltrate outside the marrow, particularly in the liver, spleen, and lymph nodes, resulting in enlargement of the latter organs.
Response Feedback:
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What’s Coming Up in Module 7?
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In Module 7, you will analyze processes related to women’s and men’s health, infections, and hematologic disorders through case study analysis. To do this, you will analyze alterations in the relevant systems and the resultant disease processes. You will also consider patient characteristics, including racial and ethnic variables, which may impact physiological functioning and altered physiology.
Week 10 Knowledge Check: Women’s and Men’s Health, Infections, and Hematologic Disorders
In the Week 10 Knowledge Check, you will demonstrate your understanding of the topics covered during Module 7. This Knowledge Check will be composed of a series of questions related to specific scenarios provided. It is highly recommended that you review the Learning Resources in their entirety prior to taking the Knowledge Check, since the resources cover the topics addressed. Plan your time accordingly.
Next Module
To go to the next module:
Module 7
Week 9: Concepts of Psychological Disorders
Among the many risk factors for mental disorders are genetics and other pathophysiological factors. While other factors, such as environmental factors or substance abuse, can also have an impact, it is important to recognize the connections between biological factors and psychological disorders.
Ranging from anxiety to schizophrenia, psychological disorders offer unique challenges in diagnosis and treatment. Clearly, the presence of these disorders can be life-altering for patients, but they can also significantly impact families and other loved ones. NURS 6501 Knowledge Check Psychological Disorders
This week, you examine fundamental concepts of psychological disorders. You explore common psychological disorders, and you apply the key terms and concepts that help communicate the pathophysiological nature of these issues to patients.
Learning Objectives
Students will:
- Analyze concepts and principles of pathophysiology across the lifespan
Learning Resources
Results Displayed All Answers, Submitted Answers, Correct Answers, Feedback, Incorrectly Answered Questions
Question 1
1.25 out of 1.25 points
Correct
Which of the following are positive clinical manifestations of schizophrenia?
Selected Answer:
Correct
Hallucinations, delusions, and incoherent speech
Answers:
Social withdraw, blunted affect, and failure to respond to simple questions
Correct
Hallucinations, delusions, and incoherent speech
Hallucinations, blunted affect, and social withdraw
Delusions, hallucinations, and failure to respond to simple questions
Question 2
1.25 out of 1.25 points
Correct
A patient with schizophrenia will have alterations in their dorsolateral prefrontal cortex. The APRN would expect it to be described as:
Selected Answer:
Correct
hypoactive
Answers:
stimulated
absent
hyperactive
Correct
hypoactive
Question 3
0 out of 1.25 points
Incorrect
The neurobiology of depression is believed to be related to the atrophy of neurons in the:
Selected Answer:
Incorrect
amygdala
Answers:
hypothalmus
Correct
hippocampus
thalmus
amygdala
Question 4
1.25 out of 1.25 points
Correct
The APRN is assessing a patient that is talking to his mother in the corner of the room even although you are the only other person in the room. This is an example of:
Selected Answer:
Correct
Hallucination
Answers:
Delusion
Correct
Hallucination
Anhedonia
Pressured speech
Question 5
0 out of 1.25 points
Incorrect
The APRN is treating a patient with bipolar II disorder. The major focus of treatment is on:
Selected Answer:
Incorrect
mania
Answers:
mania
Correct
depression
anxiety
panic attacks
Question 6
1.25 out of 1.25 points
Correct
Monoamine neurotransmission is hypothesized to be _______________ during mania.
Selected Answer:
Correct
increased
Answers:
Correct
increased
decreased
absent
suspended
Question 7
1.25 out of 1.25 points
Correct
Abnormalities in brain development related to schizophrenia are thought to develop when?
Selected Answer:
Correct
Prenatal
Answers:
Correct
Prenatal
Infancy
Early Childhood
Adolescent
Question 8
1.25 out of 1.25 points
Correct
Obsessive compulsive disorder is characterized by what types of thoughts and behaviors?
Selected Answer:
Correct
repetitive irrational thoughts and ritualized behavior
Answers:
disorganized irrational thoughts and disorganized behavior
constant irrational thoughts and constant behavior
Correct
repetitive irrational thoughts and ritualized behavior
repetitive irrational thoughts and disorganized behavior
Question 9
1.25 out of 1.25 points
Correct
Monoamine neurotransmission is hypothesized to be _______________ during depression.
Selected Answer:
Correct
decreased
Answers:
increased
Correct
decreased
absent
stimulated
Question 10
1.25 out of 1.25 points
Correct
What type of thoughts are characteristic of post traumatic stress disorder?
Selected Answer:
Correct
intrusive
Answers:
disorganized
Correct
intrusive
anxious
disturbing
Question 11
0 out of 1.25 points
Incorrect
The APRN would expect to find elevated blood levels of which of the following markers for patients with a diagnosis of depression?
Selected Answer:
Incorrect
Calcium and Cortisol
Answers:
Proinflammatory cytokines and pH
Calcium and Cortisol
Calcium and pH
Correct
Proinflammatory cytokines and cortisol
Question 12
1.25 out of 1.25 points
Correct
The APRN is treating a patient with bipolar 1 disorder. The major focus of treatment is on:
Selected Answer:
Correct
mania
Answers:
Correct
mania
depression
anxiety
panic attacks
Question 13
0 out of 1.25 points
Incorrect
Which of the following are negative clinical manifestations of schizophrenia?
Selected Answer:
Incorrect
Hallucinations, delusions, and incoherent speech
Answers:
Correct
Social withdraw, blunted affect, and failure to respond to simple questions
Hallucinations, delusions, and incoherent speech
Hallucinations, blunted affect, and social withdraw
Delusions, hallucinations, and failure to respond to simple questions
Question 14
1.25 out of 1.25 points
Correct
The APRN is assessing a patient that is talking so rapidly and urgently that it is difficult to understand. This is an example of:
Selected Answer:
Correct
Pressured speech
Answers:
Delusion
Hallucination
Anhedonia
Correct
Pressured speech
Question 15
1.25 out of 1.25 points
Correct
The APRN is assessing a patient that states that Napoleon Bonaparte is the King of France even thought he has a book that says he is dead. This is an example of:
Selected Answer:
Correct
Delusion
Answers:
Correct
Delusion
Hallucination
Anhedonia
Pressured speech
Question 16
1.25 out of 1.25 points
Correct
The APRN is assessing a patient that has monotone speech and unchanged facial expressions even though he states he is happy and excited about his life. This is an example of:
Selected Answer:
Correct
Anhedonia
Answers:
Delusion
Hallucination
Correct
Anhedonia
Pressured speech