NR 607
FINAL EXAM PREP
500 QUESTIONS
(WEEKS 5 – 8 COVERED)
Verified Questions & Answers With Rationales
(Diagnosis & Management in Psychiatric-
Mental Health Practicum III)
Chamberlain
,1. Which statement best describes the social determinants of mental health
(SDOMH)?
A. Biological factors that cause mental illness
B. Social and structural factors that influence mental well-being and mental
health outcomes
C. Only individual lifestyle choices affecting mental health
D. Only access to psychiatric medications
B. SDOMH are the social and structural conditions (e.g., inequities, racism, poverty,
housing) that shape mental well-being and mental health outcomes, beyond individual
biology or choices.
2. Why did SDOMH emerge as a prominent priority during the COVID-19
pandemic?
A. COVID-19 eliminated most mental health disparities
B. It highlighted the intersection of the pandemic, mental health inequities, and
structural racism
C. It reduced the need for mental health services
D. It improved global access to mental health care
B. The pandemic exposed and intensified mental health inequities and structural
racism, leading SDOMH to become an urgent focus.
3. Which role best reflects how PMHNPs can address SDOMH?
A. Focusing solely on prescribing and adjusting medications
B. Avoiding advocacy to remain neutral
C. Using holistic care, advocacy, and interprofessional collaboration to address
social factors impacting mental health
D. Limiting care to inpatient settings
C. PMHNPs are specifically trained in holistic mental healthcare, advocacy, and team
collaboration, positioning them to address social factors influencing mental health and
promote equity.
,4. Which of the following is not one of the five core SDOH domains commonly
referenced in public health?
A. Health Care Access and Quality
B. Economic Stability
C. Genetic Predisposition
D. Social and Community Context
C. Genetic predisposition is important but is not one of the traditional SDOH domains;
the others listed are recognized SDOH areas.
5. Greg is a 42-year-old African American man who is unemployed, homeless, has
malignant hypertension and schizophrenia, did not finish high school, and lacks
family and social support. Which of the following accurately describes his risk
profile?
A. Few risk factors for disparities in mental health treatment
B. Multiple SDOMH factors that increase his risk for poor mental health outcomes
C. Only physical health issues, not mental health issues
D. Only educational issues, not social issues
B. Greg’s race, unemployment, homelessness, chronic physical and mental illness,
limited education, and lack of support all represent SDOMH that raise his risk for mental
health disparities.
6. Which SDOH domain is most directly represented by Greg’s homelessness and
lack of safe housing?
A. Education
B. Health Care Access and Quality
C. Neighborhood and Built Environment
D. Social and Community Context
C. Homelessness and the physical environment fall under “Neighborhood and Built
Environment,” a key SDOH domain.
7. Greg’s low educational attainment (did not graduate from high school) is best
categorized under which SDOH domain?
A. Economic Stability
, B. Education
C. Social and Community Context
D. Health Care Access and Quality
B. His failure to complete high school directly reflects the Education domain of SDOH,
which influences employment, literacy, and health outcomes.
8. Which statement best explains how homelessness can negatively impact
Greg’s mental health outcomes?
A. Homelessness mainly affects physical health, not mental health
B. Homelessness promotes rest and relaxation
C. Homelessness creates barriers to rest, nutrition, medication adherence, and
accessing treatment
D. Homelessness guarantees access to shelter-based mental health services
C. Being homeless limits rest, nutritional intake, medication storage, and reliable access
to services, all of which worsen mental health outcomes.
9. Why is Greg at high risk for relapse and rehospitalization for schizophrenia?
A. He lives in a supportive family environment
B. He is employed and insured
C. Social instability and lack of supports make consistent treatment and
medication adherence difficult
D. He has no co-occurring medical problems
C. Unemployment, homelessness, lack of supports, and multiple comorbidities create
barriers to ongoing care and adherence, increasing relapse and hospitalization risk.
10. Serious mental illness (SMI) is best defined as:
A. Any mental disorder that responds quickly to treatment
B. A disorder that only affects mood
C. A mental, behavioral, or emotional disorder causing serious functional
impairment and limiting one or more major life activities
D. A mild anxiety disorder
C. SMI is specifically defined by serious functional impairment that substantially
interferes with or limits major life activities.
FINAL EXAM PREP
500 QUESTIONS
(WEEKS 5 – 8 COVERED)
Verified Questions & Answers With Rationales
(Diagnosis & Management in Psychiatric-
Mental Health Practicum III)
Chamberlain
,1. Which statement best describes the social determinants of mental health
(SDOMH)?
A. Biological factors that cause mental illness
B. Social and structural factors that influence mental well-being and mental
health outcomes
C. Only individual lifestyle choices affecting mental health
D. Only access to psychiatric medications
B. SDOMH are the social and structural conditions (e.g., inequities, racism, poverty,
housing) that shape mental well-being and mental health outcomes, beyond individual
biology or choices.
2. Why did SDOMH emerge as a prominent priority during the COVID-19
pandemic?
A. COVID-19 eliminated most mental health disparities
B. It highlighted the intersection of the pandemic, mental health inequities, and
structural racism
C. It reduced the need for mental health services
D. It improved global access to mental health care
B. The pandemic exposed and intensified mental health inequities and structural
racism, leading SDOMH to become an urgent focus.
3. Which role best reflects how PMHNPs can address SDOMH?
A. Focusing solely on prescribing and adjusting medications
B. Avoiding advocacy to remain neutral
C. Using holistic care, advocacy, and interprofessional collaboration to address
social factors impacting mental health
D. Limiting care to inpatient settings
C. PMHNPs are specifically trained in holistic mental healthcare, advocacy, and team
collaboration, positioning them to address social factors influencing mental health and
promote equity.
,4. Which of the following is not one of the five core SDOH domains commonly
referenced in public health?
A. Health Care Access and Quality
B. Economic Stability
C. Genetic Predisposition
D. Social and Community Context
C. Genetic predisposition is important but is not one of the traditional SDOH domains;
the others listed are recognized SDOH areas.
5. Greg is a 42-year-old African American man who is unemployed, homeless, has
malignant hypertension and schizophrenia, did not finish high school, and lacks
family and social support. Which of the following accurately describes his risk
profile?
A. Few risk factors for disparities in mental health treatment
B. Multiple SDOMH factors that increase his risk for poor mental health outcomes
C. Only physical health issues, not mental health issues
D. Only educational issues, not social issues
B. Greg’s race, unemployment, homelessness, chronic physical and mental illness,
limited education, and lack of support all represent SDOMH that raise his risk for mental
health disparities.
6. Which SDOH domain is most directly represented by Greg’s homelessness and
lack of safe housing?
A. Education
B. Health Care Access and Quality
C. Neighborhood and Built Environment
D. Social and Community Context
C. Homelessness and the physical environment fall under “Neighborhood and Built
Environment,” a key SDOH domain.
7. Greg’s low educational attainment (did not graduate from high school) is best
categorized under which SDOH domain?
A. Economic Stability
, B. Education
C. Social and Community Context
D. Health Care Access and Quality
B. His failure to complete high school directly reflects the Education domain of SDOH,
which influences employment, literacy, and health outcomes.
8. Which statement best explains how homelessness can negatively impact
Greg’s mental health outcomes?
A. Homelessness mainly affects physical health, not mental health
B. Homelessness promotes rest and relaxation
C. Homelessness creates barriers to rest, nutrition, medication adherence, and
accessing treatment
D. Homelessness guarantees access to shelter-based mental health services
C. Being homeless limits rest, nutritional intake, medication storage, and reliable access
to services, all of which worsen mental health outcomes.
9. Why is Greg at high risk for relapse and rehospitalization for schizophrenia?
A. He lives in a supportive family environment
B. He is employed and insured
C. Social instability and lack of supports make consistent treatment and
medication adherence difficult
D. He has no co-occurring medical problems
C. Unemployment, homelessness, lack of supports, and multiple comorbidities create
barriers to ongoing care and adherence, increasing relapse and hospitalization risk.
10. Serious mental illness (SMI) is best defined as:
A. Any mental disorder that responds quickly to treatment
B. A disorder that only affects mood
C. A mental, behavioral, or emotional disorder causing serious functional
impairment and limiting one or more major life activities
D. A mild anxiety disorder
C. SMI is specifically defined by serious functional impairment that substantially
interferes with or limits major life activities.
