NR605 PSYCHIATRIC MENTAL HEALTH FINAL EXAM – MOCK LATEST
2026 UPDATE FAST REVIWED FROM ACTUAL TEST 150 QUESTIONS
AND 100% VERIFIED ANSWERS| A+ GRADE Q&A | INSTANT
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1. Which neurotransmitter is most closely associated with depression?
A. Dopamine
B. Serotonin
C. Acetylcholine
D. Glutamate
Serotonin deficiency is linked to mood regulation and depressive
symptoms.
2. A patient with schizophrenia is experiencing auditory hallucinations. Which
medication class is first-line?
A. Antipsychotics
B. SSRIs
C. Benzodiazepines
D. Mood stabilizers
Antipsychotics reduce positive symptoms such as hallucinations and
delusions.
3. Which defense mechanism involves attributing one’s own unacceptable
thoughts to someone else?
A. Regression
B. Projection
C. Sublimation
D. Reaction formation
Projection allows a person to externalize undesirable feelings onto others.
4. Which of the following is a key symptom of borderline personality disorder?
A. Grandiosity
B. Social withdrawal
C. Intense fear of abandonment
, D. Obsessive orderliness
Patients with BPD often display unstable interpersonal relationships and
fear of abandonment.
5. A patient presents with excessive worry for at least six months, restlessness,
and muscle tension. The most likely diagnosis is:
A. Panic disorder
B. Social anxiety disorder
C. Generalized anxiety disorder (GAD)
D. Obsessive-compulsive disorder
GAD is characterized by persistent, excessive worry and physical
symptoms of tension.
6. Which assessment tool is used to screen for suicidal ideation?
A. PHQ-9
B. GAD-7
C. Columbia-Suicide Severity Rating Scale (C-SSRS)
D. MMSE
C-SSRS is specifically designed to assess suicidal thoughts and behaviors.
7. Lithium is contraindicated in patients with:
A. Mild depression
B. Schizophrenia
C. Renal impairment
D. Generalized anxiety disorder
Lithium is renally excreted, and impaired kidney function increases
toxicity risk.
8. Which of the following is a positive symptom of schizophrenia?
A. Flat affect
B. Delusions
C. Anhedonia
D. Avolition
Positive symptoms reflect an excess or distortion of normal function, like
hallucinations or delusions.
,9. A patient taking clozapine should have regular monitoring of:
A. Liver enzymes
B. Blood glucose
C. Absolute neutrophil count (ANC)
D. Electrolytes
Clozapine carries a risk of agranulocytosis, requiring ANC monitoring.
10.The primary goal of cognitive-behavioral therapy (CBT) is to:
A. Change neurotransmitter levels
B. Improve insight into past traumas
C. Identify and modify maladaptive thought patterns
D. Provide social support
CBT focuses on restructuring distorted thoughts to influence emotions and
behavior.
11.Which disorder is characterized by repeated, uncontrollable episodes of
binge eating followed by compensatory behaviors?
A. Anorexia nervosa
B. Binge-eating disorder
C. Bulimia nervosa
D. Avoidant/restrictive food intake disorder
Bulimia nervosa involves cycles of binge eating and compensatory
behaviors like vomiting or excessive exercise.
12.The most effective pharmacologic treatment for obsessive-compulsive
disorder (OCD) is:
A. Lithium
B. Typical antipsychotics
C. SSRIs
D. Benzodiazepines
SSRIs reduce obsessive thoughts and compulsive behaviors by enhancing
serotonin transmission.
13.A patient experiences sudden, intense fear with palpitations, sweating, and
shortness of breath. The most likely diagnosis is:
, A. Panic disorder
B. Generalized anxiety disorder
C. Agoraphobia
D. Social anxiety disorder
Panic disorder is characterized by recurrent, unexpected panic attacks.
14.Which of the following is a common side effect of typical antipsychotics?
A. Weight loss
B. Extrapyramidal symptoms (EPS)
C. Sedation
D. Hypertension
EPS includes tremor, rigidity, bradykinesia, and tardive dyskinesia.
15.A patient with major depressive disorder reports insomnia, loss of appetite,
and guilt. The most appropriate first-line treatment is:
A. Benzodiazepine
B. SSRI
C. Lithium
D. Typical antipsychotic
SSRIs are first-line for depression due to efficacy and tolerability.
16.Which personality disorder is characterized by a disregard for the rights of
others?
A. Avoidant
B. Dependent
C. Antisocial
D. Borderline
Antisocial personality disorder involves violation of social norms,
impulsivity, and lack of empathy.
17.Electroconvulsive therapy (ECT) is most effective for:
A. Mild anxiety
B. Schizophrenia with hallucinations
C. Severe treatment-resistant depression
D. OCD
2026 UPDATE FAST REVIWED FROM ACTUAL TEST 150 QUESTIONS
AND 100% VERIFIED ANSWERS| A+ GRADE Q&A | INSTANT
DOWNLOAD PDF
1. Which neurotransmitter is most closely associated with depression?
A. Dopamine
B. Serotonin
C. Acetylcholine
D. Glutamate
Serotonin deficiency is linked to mood regulation and depressive
symptoms.
2. A patient with schizophrenia is experiencing auditory hallucinations. Which
medication class is first-line?
A. Antipsychotics
B. SSRIs
C. Benzodiazepines
D. Mood stabilizers
Antipsychotics reduce positive symptoms such as hallucinations and
delusions.
3. Which defense mechanism involves attributing one’s own unacceptable
thoughts to someone else?
A. Regression
B. Projection
C. Sublimation
D. Reaction formation
Projection allows a person to externalize undesirable feelings onto others.
4. Which of the following is a key symptom of borderline personality disorder?
A. Grandiosity
B. Social withdrawal
C. Intense fear of abandonment
, D. Obsessive orderliness
Patients with BPD often display unstable interpersonal relationships and
fear of abandonment.
5. A patient presents with excessive worry for at least six months, restlessness,
and muscle tension. The most likely diagnosis is:
A. Panic disorder
B. Social anxiety disorder
C. Generalized anxiety disorder (GAD)
D. Obsessive-compulsive disorder
GAD is characterized by persistent, excessive worry and physical
symptoms of tension.
6. Which assessment tool is used to screen for suicidal ideation?
A. PHQ-9
B. GAD-7
C. Columbia-Suicide Severity Rating Scale (C-SSRS)
D. MMSE
C-SSRS is specifically designed to assess suicidal thoughts and behaviors.
7. Lithium is contraindicated in patients with:
A. Mild depression
B. Schizophrenia
C. Renal impairment
D. Generalized anxiety disorder
Lithium is renally excreted, and impaired kidney function increases
toxicity risk.
8. Which of the following is a positive symptom of schizophrenia?
A. Flat affect
B. Delusions
C. Anhedonia
D. Avolition
Positive symptoms reflect an excess or distortion of normal function, like
hallucinations or delusions.
,9. A patient taking clozapine should have regular monitoring of:
A. Liver enzymes
B. Blood glucose
C. Absolute neutrophil count (ANC)
D. Electrolytes
Clozapine carries a risk of agranulocytosis, requiring ANC monitoring.
10.The primary goal of cognitive-behavioral therapy (CBT) is to:
A. Change neurotransmitter levels
B. Improve insight into past traumas
C. Identify and modify maladaptive thought patterns
D. Provide social support
CBT focuses on restructuring distorted thoughts to influence emotions and
behavior.
11.Which disorder is characterized by repeated, uncontrollable episodes of
binge eating followed by compensatory behaviors?
A. Anorexia nervosa
B. Binge-eating disorder
C. Bulimia nervosa
D. Avoidant/restrictive food intake disorder
Bulimia nervosa involves cycles of binge eating and compensatory
behaviors like vomiting or excessive exercise.
12.The most effective pharmacologic treatment for obsessive-compulsive
disorder (OCD) is:
A. Lithium
B. Typical antipsychotics
C. SSRIs
D. Benzodiazepines
SSRIs reduce obsessive thoughts and compulsive behaviors by enhancing
serotonin transmission.
13.A patient experiences sudden, intense fear with palpitations, sweating, and
shortness of breath. The most likely diagnosis is:
, A. Panic disorder
B. Generalized anxiety disorder
C. Agoraphobia
D. Social anxiety disorder
Panic disorder is characterized by recurrent, unexpected panic attacks.
14.Which of the following is a common side effect of typical antipsychotics?
A. Weight loss
B. Extrapyramidal symptoms (EPS)
C. Sedation
D. Hypertension
EPS includes tremor, rigidity, bradykinesia, and tardive dyskinesia.
15.A patient with major depressive disorder reports insomnia, loss of appetite,
and guilt. The most appropriate first-line treatment is:
A. Benzodiazepine
B. SSRI
C. Lithium
D. Typical antipsychotic
SSRIs are first-line for depression due to efficacy and tolerability.
16.Which personality disorder is characterized by a disregard for the rights of
others?
A. Avoidant
B. Dependent
C. Antisocial
D. Borderline
Antisocial personality disorder involves violation of social norms,
impulsivity, and lack of empathy.
17.Electroconvulsive therapy (ECT) is most effective for:
A. Mild anxiety
B. Schizophrenia with hallucinations
C. Severe treatment-resistant depression
D. OCD
