NU 664C / NU664C Final Exam Actual
Exam 2026/2027 | Family Psychiatric
Mental Health I | Regis | Questions
with Verified Answers | 100% Correct |
Pass Guaranteed
Q001: A 38-year-old mother of two presents with
persistent sadness, loss of interest, and guilt after
childbirth 10 months ago. She states, “I’m a terrible
mother.” She denies psychosis and has no prior
mental health history. Her partner reports she is
irritable and exhausted. Which diagnosis is most
appropriate?
Options:
A. Major depressive disorder, peripartum onset -
CORRECT
B. Bipolar II disorder
P a g e 1 | 53
,C. Generalized anxiety disorder
D. Adjustment disorder with depressed mood
ANSWER: A
Q002: A 42-year-old father reports that his 7-year-
old son is “constantly defiant,” argues with adults,
and deliberately annoys siblings. The behavior
occurs at home and school for >6 months. No mood
episodes are noted. Which disorder best fits this
presentation?
Options:
A. Oppositional defiant disorder - CORRECT
B. Conduct disorder
C. ADHD, combined presentation
D. Intermittent explosive disorder
ANSWER: A
Q003: A married couple seeks therapy after the
wife’s affair. The husband states, “I can’t trust her;
we fight daily.” The wife expresses guilt and wants
reconciliation. The PMHNP plans family sessions
P a g e 2 | 53
,focusing on communication and boundary setting.
Which family therapy model is most appropriate?
Options:
A. Emotionally focused therapy - CORRECT
B. Strategic family therapy
C. Structural family therapy
D. Bowen family systems therapy
ANSWER: A
Q004: A 16-year-old girl reports excessive worry
about school performance, social acceptance, and
family finances for >1 year. She has muscle tension
and sleep disturbance. Parents describe her as
“perfectionistic.” No avoidance behaviors are noted.
Which diagnosis is primary?
Options:
A. Generalized anxiety disorder - CORRECT
B. Social anxiety disorder
C. Separation anxiety disorder
P a g e 3 | 53
, D. Specific phobia
ANSWER: A
Q005: A 9-year-old boy is “hyper” since age 5:
fidgets, blurts answers, runs in hallways, and forgets
homework. Teachers report similar behaviors. No
mood or psychotic symptoms. Which first-line
medication should the PMHNP discuss with parents?
Options:
A. Methylphenidate extended-release - CORRECT
B. Atomoxetine
C. Guanfacine extended-release
D. Clonidine patch
ANSWER: A
Q006: A 30-year-old single father with bipolar I
disorder, currently euthymic on lithium, asks about
family planning. He is concerned about medication
teratogenicity. Which counseling is most accurate?
Options:
A. Lithium is safe during conception and pregnancy
P a g e 4 | 53
Exam 2026/2027 | Family Psychiatric
Mental Health I | Regis | Questions
with Verified Answers | 100% Correct |
Pass Guaranteed
Q001: A 38-year-old mother of two presents with
persistent sadness, loss of interest, and guilt after
childbirth 10 months ago. She states, “I’m a terrible
mother.” She denies psychosis and has no prior
mental health history. Her partner reports she is
irritable and exhausted. Which diagnosis is most
appropriate?
Options:
A. Major depressive disorder, peripartum onset -
CORRECT
B. Bipolar II disorder
P a g e 1 | 53
,C. Generalized anxiety disorder
D. Adjustment disorder with depressed mood
ANSWER: A
Q002: A 42-year-old father reports that his 7-year-
old son is “constantly defiant,” argues with adults,
and deliberately annoys siblings. The behavior
occurs at home and school for >6 months. No mood
episodes are noted. Which disorder best fits this
presentation?
Options:
A. Oppositional defiant disorder - CORRECT
B. Conduct disorder
C. ADHD, combined presentation
D. Intermittent explosive disorder
ANSWER: A
Q003: A married couple seeks therapy after the
wife’s affair. The husband states, “I can’t trust her;
we fight daily.” The wife expresses guilt and wants
reconciliation. The PMHNP plans family sessions
P a g e 2 | 53
,focusing on communication and boundary setting.
Which family therapy model is most appropriate?
Options:
A. Emotionally focused therapy - CORRECT
B. Strategic family therapy
C. Structural family therapy
D. Bowen family systems therapy
ANSWER: A
Q004: A 16-year-old girl reports excessive worry
about school performance, social acceptance, and
family finances for >1 year. She has muscle tension
and sleep disturbance. Parents describe her as
“perfectionistic.” No avoidance behaviors are noted.
Which diagnosis is primary?
Options:
A. Generalized anxiety disorder - CORRECT
B. Social anxiety disorder
C. Separation anxiety disorder
P a g e 3 | 53
, D. Specific phobia
ANSWER: A
Q005: A 9-year-old boy is “hyper” since age 5:
fidgets, blurts answers, runs in hallways, and forgets
homework. Teachers report similar behaviors. No
mood or psychotic symptoms. Which first-line
medication should the PMHNP discuss with parents?
Options:
A. Methylphenidate extended-release - CORRECT
B. Atomoxetine
C. Guanfacine extended-release
D. Clonidine patch
ANSWER: A
Q006: A 30-year-old single father with bipolar I
disorder, currently euthymic on lithium, asks about
family planning. He is concerned about medication
teratogenicity. Which counseling is most accurate?
Options:
A. Lithium is safe during conception and pregnancy
P a g e 4 | 53
