NR 606 Week 8 Final Exam Actual Week 8
Final Exam Complete 1-100 Exam Questions
Proctored Via Examplify Chamberlain
University With Correct Answers | 100% Pass
Guaranteed | Graded A+ | 2026
1. A 34-year-old male is brought to the psychiatric clinic by his partner, who reports that the
patient has experienced a continuous 3-week period of expansive mood, racing thoughts, and a
decreased need for sleep (sleeping only 2 hours per night while feeling fully energized). During
the interview, the patient demonstrates flight of ideas and reveals he recently spent his entire
savings on a high-risk business venture. He has no prior psychiatric history. Which diagnosis is
most consistent with this clinical presentation?
A. Major Depressive Disorder with atypical features
B. Cyclothymic Disorder
C. Bipolar II Disorder
D. Bipolar I Disorder
2. During an initial intake assessment, a 42-year-old female patient scores a 16 on the Patient
Health Questionnaire-9 (PHQ-9) and answers 'several days' to Question 9 regarding thoughts of
self-harm. What is the immediate, imperative clinical action for the Psychiatric Mental Health
Nurse Practitioner?
A. Prescribe an selective serotonin reuptake inhibitor (SSRI) and schedule a standard follow-up
appointment in 4 weeks
B. Conduct a comprehensive suicide risk assessment to evaluate ideation, intent, plan, and
mitigating protective factors
, C. Advise the patient to check themselves into the nearest emergency department without further
evaluation
D. Request an immediate consult from a clinical psychologist to administer a Minnesota
Multiphasic Personality Inventory (MMPI)
3. A Psychiatric Mental Health Nurse Practitioner (PMHNP) is practicing in a state that requires
a collaborative practice agreement with a physician. The PMHNP objects to a restrictive
institutional policy that limits nurse practitioners from ordering certain diagnostic screenings.
Which concept describes the PMHNP's efforts to influence healthcare policy and remove
structural practice barriers?
A. Malpractice mitigation
B. Professional advocacy
C. Clinical paternalism
D. Interdisciplinary gatekeeping
4. A 26-year-old patient diagnosed with Schizophrenia has been taking Haloperidol, a first-
generation antipsychotic, for the past 6 months. During a follow-up visit, the PMHNP observes
the patient demonstrating repetitive, involuntary movements of the tongue, grimacing, and rapid
blinking. What neurological complication is most likely occurring?
A. Neuroleptic Malignant Syndrome (NMS)
B. Acute dystonia
C. Tardive Dyskinesia (TD)
D. Akathisia
5. An older adult patient with a history of dementia is brought to the clinic due to an acute onset
of severe confusion, visual hallucinations, and extreme psychomotor agitation that fluctuates
throughout the day. A review of her baseline status confirms these symptoms developed over the
past 48 hours. What is the primary differential diagnostic focus?
A. Delirium superimposed on dementia
B. Major Depressive Disorder with psychotic features
C. Progression into late-stage Alzheimer's dementia
D. Late-onset Schizoaffective Disorder
6. Which neurobiological pathway is primarily associated with the development of positive
Final Exam Complete 1-100 Exam Questions
Proctored Via Examplify Chamberlain
University With Correct Answers | 100% Pass
Guaranteed | Graded A+ | 2026
1. A 34-year-old male is brought to the psychiatric clinic by his partner, who reports that the
patient has experienced a continuous 3-week period of expansive mood, racing thoughts, and a
decreased need for sleep (sleeping only 2 hours per night while feeling fully energized). During
the interview, the patient demonstrates flight of ideas and reveals he recently spent his entire
savings on a high-risk business venture. He has no prior psychiatric history. Which diagnosis is
most consistent with this clinical presentation?
A. Major Depressive Disorder with atypical features
B. Cyclothymic Disorder
C. Bipolar II Disorder
D. Bipolar I Disorder
2. During an initial intake assessment, a 42-year-old female patient scores a 16 on the Patient
Health Questionnaire-9 (PHQ-9) and answers 'several days' to Question 9 regarding thoughts of
self-harm. What is the immediate, imperative clinical action for the Psychiatric Mental Health
Nurse Practitioner?
A. Prescribe an selective serotonin reuptake inhibitor (SSRI) and schedule a standard follow-up
appointment in 4 weeks
B. Conduct a comprehensive suicide risk assessment to evaluate ideation, intent, plan, and
mitigating protective factors
, C. Advise the patient to check themselves into the nearest emergency department without further
evaluation
D. Request an immediate consult from a clinical psychologist to administer a Minnesota
Multiphasic Personality Inventory (MMPI)
3. A Psychiatric Mental Health Nurse Practitioner (PMHNP) is practicing in a state that requires
a collaborative practice agreement with a physician. The PMHNP objects to a restrictive
institutional policy that limits nurse practitioners from ordering certain diagnostic screenings.
Which concept describes the PMHNP's efforts to influence healthcare policy and remove
structural practice barriers?
A. Malpractice mitigation
B. Professional advocacy
C. Clinical paternalism
D. Interdisciplinary gatekeeping
4. A 26-year-old patient diagnosed with Schizophrenia has been taking Haloperidol, a first-
generation antipsychotic, for the past 6 months. During a follow-up visit, the PMHNP observes
the patient demonstrating repetitive, involuntary movements of the tongue, grimacing, and rapid
blinking. What neurological complication is most likely occurring?
A. Neuroleptic Malignant Syndrome (NMS)
B. Acute dystonia
C. Tardive Dyskinesia (TD)
D. Akathisia
5. An older adult patient with a history of dementia is brought to the clinic due to an acute onset
of severe confusion, visual hallucinations, and extreme psychomotor agitation that fluctuates
throughout the day. A review of her baseline status confirms these symptoms developed over the
past 48 hours. What is the primary differential diagnostic focus?
A. Delirium superimposed on dementia
B. Major Depressive Disorder with psychotic features
C. Progression into late-stage Alzheimer's dementia
D. Late-onset Schizoaffective Disorder
6. Which neurobiological pathway is primarily associated with the development of positive
