NRNP6665 WEEK 11 FINAL EXAM 2026/2027 | Page 1 | Passing Score: 80%
NRNP PROGRAM
NRNP6665 WEEK 11
FINAL EXAM
Official Cumulative Assessment 2026/2027
100 80% One-Time Cert
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Psychiatric Assessment & Diagnostic Reasoning Q1-Q20
Section 2 Mood Disorders & Suicide Risk Assessment Q21-Q40
Section 3 Psychotic Disorders & Schizophrenia Spectrum Q41-Q60
Section 4 Anxiety, Trauma & Stressor-Related Disorders Q61-Q80
Section 5 Psychopharmacology & Legal/Ethical Issues Q81-Q100
Instructions: Select the single best answer for each question. This exam covers the complete Week 11 final assessment for
NRNP6665 WEEK 11 FINAL EXAM - 2026/2027 | Passing Score: 80% | Page 1 of 52
,SECTION 1 | Psychiatric Assessment & Diagnostic Reasoning | Q1-Q20 | NRNP6665 WEEK 11 FINAL 2026/2027
Q1 Question 1 of 100
A 34-year-old woman presents to the psychiatric clinic for the first time reporting persistent
sadness and difficulty sleeping for the past six weeks. The PMHNP begins the assessment by
conducting a comprehensive psychiatric interview. The most important purpose of the
psychiatric interview is to accomplish which goal?
A. A. Establish a therapeutic alliance and gather information for accurate diagnosis
B. B. Prescribe appropriate medication based on the presenting symptoms
C. C. Determine the patient's insurance coverage for treatment options
D. D. Refer the patient to a specialist before completing the assessment
Correct Answer: A
Rationale:
The primary purpose of the psychiatric interview is to establish a therapeutic alliance and gather
comprehensive information for accurate diagnosis and treatment planning. Prescribing medication,
determining insurance, and referring to specialists are secondary steps that depend on a thorough
assessment first.
Q2 Question 2 of 100
A PMHNP is performing a mental status examination on a 45-year-old man who was found
wandering in the community. The patient exhibits tangential speech, provides unrelated
answers to questions, and appears unable to follow a logical conversation. The PMHNP
documents this finding under which category of the MSE?
A. A. Thought content
B. B. Thought process
C. C. Perceptions
D. D. Insight and judgment
Correct Answer: B
Rationale:
Tangential speech and inability to follow logical conversation reflect abnormalities in thought process, which
describes how a person thinks rather than what they think. Thought content involves delusions and
obsessions. Perceptions involve hallucinations. Insight and judgment involve self-awareness and
decision-making.
NRNP6665 WEEK 11 FINAL EXAM - 2026/2027 | Passing Score: 80% | Page 2 of 52
,SECTION 1 | Psychiatric Assessment & Diagnostic Reasoning | Q1-Q20 | NRNP6665 WEEK 11 FINAL 2026/2027
Q3 Question 3 of 100
A 28-year-old patient with a suspected mood disorder is being evaluated. The PMHNP uses
the PHQ-9 screening tool and the patient scores 18. The PMHNP interprets this score as
indicating which level of depression severity?
A. A. Mild depression requiring monitoring only
B. B. Moderate depression requiring treatment intervention
C. C. Moderately severe to severe depression requiring active treatment
D. D. No significant depressive symptoms requiring no intervention
Correct Answer: C
Rationale:
A PHQ-9 score of 18 indicates moderately severe to severe depression, with scores of 15-19 falling in the
moderately severe range. Mild depression scores range from 5-9, moderate from 10-14, and severe from
20-27. This level of severity requires active treatment intervention including psychotherapy and possibly
pharmacotherapy.
Q4 Question 4 of 100
A PMHNP is conducting a biopsychosocial assessment on a 52-year-old man with chronic
depression. The patient reports that his father also suffered from depression. The PMHNP
understands that family history of depression in a first-degree relative increases the patient's
risk by approximately which factor?
A. A. 1.5 to 2 times the general population risk
B. B. 2 to 4 times the general population risk
C. C. 10 to 12 times the general population risk
D. D. No increased risk compared to the general population
Correct Answer: B
Rationale:
Having a first-degree relative with depression increases an individual's risk by approximately 2 to 4 times
compared to the general population. This reflects the significant genetic and shared environmental
contributions to mood disorders. The risk is not as high as 10-12 times, and there is clearly an elevated risk.
NRNP6665 WEEK 11 FINAL EXAM - 2026/2027 | Passing Score: 80% | Page 3 of 52
, SECTION 1 | Psychiatric Assessment & Diagnostic Reasoning | Q1-Q20 | NRNP6665 WEEK 11 FINAL 2026/2027
Q5 Question 5 of 100
A 60-year-old woman with new-onset depression is being assessed for cognitive decline. The
PMHNP administers the Mini-Mental State Examination and the patient scores 22 out of 30.
This score is most consistent with which interpretation?
A. A. Normal cognitive function for age
B. B. Mild cognitive impairment that may be related to depression
C. C. Severe dementia requiring immediate institutional care
D. D. Normal score that rules out any cognitive concerns
Correct Answer: B
Rationale:
An MMSE score of 22 out of 30 suggests mild cognitive impairment, which in this context may be related to
pseudodementia (depression mimicking dementia) rather than true neurocognitive disorder. Scores of 24-30
are generally considered normal, 19-23 indicate mild impairment, and below 19 suggests moderate to
severe impairment. The score does not rule out cognitive concerns.
Q6 Question 6 of 100
A 38-year-old patient reports hearing voices that comment on his behavior and tell him he is
worthless. The PMHNP assesses the patient's perceptual disturbances and determines that
these auditory hallucinations are most characteristic of which condition?
A. A. Auditory hallucinations in schizophrenia typically involving running commentary
B. B. Hypnagogic hallucinations occurring during the transition to sleep
C. C. Pseudohallucinations experienced as internal thoughts rather than external perceptions
D. D. Reflex hallucinations triggered by environmental stimuli
Correct Answer: A
Rationale:
Auditory hallucinations involving a running commentary on the patient's behavior are a Schneiderian
first-rank symptom particularly characteristic of schizophrenia. Hypnagogic hallucinations occur at sleep
onset and are not pathologic. Pseudohallucinations are experienced as internal, and reflex hallucinations are
triggered by specific stimuli, neither of which fits this presentation.
NRNP6665 WEEK 11 FINAL EXAM - 2026/2027 | Passing Score: 80% | Page 4 of 52
NRNP PROGRAM
NRNP6665 WEEK 11
FINAL EXAM
Official Cumulative Assessment 2026/2027
100 80% One-Time Cert
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Psychiatric Assessment & Diagnostic Reasoning Q1-Q20
Section 2 Mood Disorders & Suicide Risk Assessment Q21-Q40
Section 3 Psychotic Disorders & Schizophrenia Spectrum Q41-Q60
Section 4 Anxiety, Trauma & Stressor-Related Disorders Q61-Q80
Section 5 Psychopharmacology & Legal/Ethical Issues Q81-Q100
Instructions: Select the single best answer for each question. This exam covers the complete Week 11 final assessment for
NRNP6665 WEEK 11 FINAL EXAM - 2026/2027 | Passing Score: 80% | Page 1 of 52
,SECTION 1 | Psychiatric Assessment & Diagnostic Reasoning | Q1-Q20 | NRNP6665 WEEK 11 FINAL 2026/2027
Q1 Question 1 of 100
A 34-year-old woman presents to the psychiatric clinic for the first time reporting persistent
sadness and difficulty sleeping for the past six weeks. The PMHNP begins the assessment by
conducting a comprehensive psychiatric interview. The most important purpose of the
psychiatric interview is to accomplish which goal?
A. A. Establish a therapeutic alliance and gather information for accurate diagnosis
B. B. Prescribe appropriate medication based on the presenting symptoms
C. C. Determine the patient's insurance coverage for treatment options
D. D. Refer the patient to a specialist before completing the assessment
Correct Answer: A
Rationale:
The primary purpose of the psychiatric interview is to establish a therapeutic alliance and gather
comprehensive information for accurate diagnosis and treatment planning. Prescribing medication,
determining insurance, and referring to specialists are secondary steps that depend on a thorough
assessment first.
Q2 Question 2 of 100
A PMHNP is performing a mental status examination on a 45-year-old man who was found
wandering in the community. The patient exhibits tangential speech, provides unrelated
answers to questions, and appears unable to follow a logical conversation. The PMHNP
documents this finding under which category of the MSE?
A. A. Thought content
B. B. Thought process
C. C. Perceptions
D. D. Insight and judgment
Correct Answer: B
Rationale:
Tangential speech and inability to follow logical conversation reflect abnormalities in thought process, which
describes how a person thinks rather than what they think. Thought content involves delusions and
obsessions. Perceptions involve hallucinations. Insight and judgment involve self-awareness and
decision-making.
NRNP6665 WEEK 11 FINAL EXAM - 2026/2027 | Passing Score: 80% | Page 2 of 52
,SECTION 1 | Psychiatric Assessment & Diagnostic Reasoning | Q1-Q20 | NRNP6665 WEEK 11 FINAL 2026/2027
Q3 Question 3 of 100
A 28-year-old patient with a suspected mood disorder is being evaluated. The PMHNP uses
the PHQ-9 screening tool and the patient scores 18. The PMHNP interprets this score as
indicating which level of depression severity?
A. A. Mild depression requiring monitoring only
B. B. Moderate depression requiring treatment intervention
C. C. Moderately severe to severe depression requiring active treatment
D. D. No significant depressive symptoms requiring no intervention
Correct Answer: C
Rationale:
A PHQ-9 score of 18 indicates moderately severe to severe depression, with scores of 15-19 falling in the
moderately severe range. Mild depression scores range from 5-9, moderate from 10-14, and severe from
20-27. This level of severity requires active treatment intervention including psychotherapy and possibly
pharmacotherapy.
Q4 Question 4 of 100
A PMHNP is conducting a biopsychosocial assessment on a 52-year-old man with chronic
depression. The patient reports that his father also suffered from depression. The PMHNP
understands that family history of depression in a first-degree relative increases the patient's
risk by approximately which factor?
A. A. 1.5 to 2 times the general population risk
B. B. 2 to 4 times the general population risk
C. C. 10 to 12 times the general population risk
D. D. No increased risk compared to the general population
Correct Answer: B
Rationale:
Having a first-degree relative with depression increases an individual's risk by approximately 2 to 4 times
compared to the general population. This reflects the significant genetic and shared environmental
contributions to mood disorders. The risk is not as high as 10-12 times, and there is clearly an elevated risk.
NRNP6665 WEEK 11 FINAL EXAM - 2026/2027 | Passing Score: 80% | Page 3 of 52
, SECTION 1 | Psychiatric Assessment & Diagnostic Reasoning | Q1-Q20 | NRNP6665 WEEK 11 FINAL 2026/2027
Q5 Question 5 of 100
A 60-year-old woman with new-onset depression is being assessed for cognitive decline. The
PMHNP administers the Mini-Mental State Examination and the patient scores 22 out of 30.
This score is most consistent with which interpretation?
A. A. Normal cognitive function for age
B. B. Mild cognitive impairment that may be related to depression
C. C. Severe dementia requiring immediate institutional care
D. D. Normal score that rules out any cognitive concerns
Correct Answer: B
Rationale:
An MMSE score of 22 out of 30 suggests mild cognitive impairment, which in this context may be related to
pseudodementia (depression mimicking dementia) rather than true neurocognitive disorder. Scores of 24-30
are generally considered normal, 19-23 indicate mild impairment, and below 19 suggests moderate to
severe impairment. The score does not rule out cognitive concerns.
Q6 Question 6 of 100
A 38-year-old patient reports hearing voices that comment on his behavior and tell him he is
worthless. The PMHNP assesses the patient's perceptual disturbances and determines that
these auditory hallucinations are most characteristic of which condition?
A. A. Auditory hallucinations in schizophrenia typically involving running commentary
B. B. Hypnagogic hallucinations occurring during the transition to sleep
C. C. Pseudohallucinations experienced as internal thoughts rather than external perceptions
D. D. Reflex hallucinations triggered by environmental stimuli
Correct Answer: A
Rationale:
Auditory hallucinations involving a running commentary on the patient's behavior are a Schneiderian
first-rank symptom particularly characteristic of schizophrenia. Hypnagogic hallucinations occur at sleep
onset and are not pathologic. Pseudohallucinations are experienced as internal, and reflex hallucinations are
triggered by specific stimuli, neither of which fits this presentation.
NRNP6665 WEEK 11 FINAL EXAM - 2026/2027 | Passing Score: 80% | Page 4 of 52
