Prepare confidently for NURS 663 Exam 1 with this comprehensive study guide featuring 400+ exam-style practice questions and expert-verified answer explanations covering the essential concepts of psychiatric mental health nursing, mood disorders, psychopharmacology, psychotherapy, suicide risk assessment, and evidence-based psychiatric treatment. This resource provides an in-depth review of bipolar disorders, major depressive disorder (MDD), persistent depressive disorder (dysthymia), cyclothymia, antidepressant pharmacology, mood stabilizers, electroconvulsive therapy (ECT), cognitive behavioral therapies, and psychiatric diagnostic criteria. Organized in a structured question-and-answer format, this guide is designed to strengthen diagnostic reasoning, reinforce pharmacologic knowledge, and improve examination performance for graduate nursing and psychiatric nurse practitioner students.
This study guide comprehensively reviews DSM-5-TR diagnostic criteria for Bipolar I Disorder, Bipolar II Disorder, cyclothymic disorder, persistent depressive disorder, major depressive disorder, mixed episodes, rapid cycling, mania, hypomania, SIGECAPS, Mood Disorder Questionnaire (MDQ), Patient Health Questionnaire-9 (PHQ-9), suicide risk assessment, involuntary commitment criteria, violence risk assessment, delirium, SIADH, monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants (TCAs), selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), bupropion, trazodone, mirtazapine, lithium, valproate (Depakote), carbamazepine, lamotrigine, antidepressant adverse effects, serotonin syndrome, hypertensive crisis, Stevens-Johnson syndrome, lithium toxicity monitoring, therapeutic drug levels, electroconvulsive therapy (ECT), vagus nerve stimulation (VNS), transcranial magnetic stimulation (TMS), cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), interpersonal therapy (IPT), behavioral therapy, treatment-resistant depression, psychopharmacology dosing principles, laboratory monitoring, medication interactions, and evidence-based management of mood disorders across the lifespan. The realistic practice questions reinforce clinical judgment, differential diagnosis, medication safety, and therapeutic decision-making expected in advanced psychiatric nursing practice.
Designed for graduate nursing education and advanced psychiatric practice, this study resource serves as an excellent companion for classroom examinations, PMHNP coursework, clinical practicums, comprehensive reviews, and board certification preparation. The detailed explanations strengthen understanding of psychiatric assessment, evidence-based psychopharmacology, medication management, psychotherapy modalities, and clinical reasoning required to safely evaluate and manage patients with mood disorders and other psychiatric conditions.
The content aligns with current psychiatric practice standards and authoritative references, including American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR). American Psychiatric Association Publishing; 2022, Stahl SM. Stahl's Essential Psychopharmacology. 5th ed. Cambridge University Press; 2021, Stahl SM. Prescriber's Guide. 8th ed. Cambridge University Press; 2025, Varcarolis EM. Essentials of Psychiatric Mental Health Nursing. 5th ed. Elsevier; 2024, Sadock BJ, Sadock VA, Ruiz P. Kaplan & Sadock's Synopsis of Psychiatry. 12th ed. Wolters Kluwer; 2021, American Psychiatric Association Practice Guidelines, and the American Nurses Credentialing Center (ANCC) PMHNP Examination Content Outline, providing the scientific and clinical foundation for advanced psychiatric nursing practice.
Relevant Students:
NURS 663 students, Psychiatric Mental Health Nurse Practitioner (PMHNP) students, Master of Science in Nursing (MSN) students, Doctor of Nursing Practice (DNP) students, Advanced Practice Registered Nurse (APRN) students, Graduate nursing students, Psychiatric nursing students, Mental Health Nursing students, Nurse Practitioner students, Registered Nurse (RN) students, BSN students, Clinical Nurse Specialist (CNS) students, Physician Assistant (PA) students, Medical students, Psychology students, Behavioral Health students, Psychiatry residents, PMHNP certification candidates, ANCC PMHNP exam candidates, Advanced psychopharmacology students.
Keywords
NURS 663, NURS 663 Exam 1, Psychiatric mental health nursing, PMHNP, Psychopharmacology, Bipolar disorder, Bipolar I disorder, Bipolar II disorder, Cyclothymia, Persistent depressive disorder, Dysthymia, Major depressive disorder, MDD, Mania, Hypomania, Mixed episodes, Rapid cycling, DSM-5-TR, Mood Disorder Questionnaire, MDQ, PHQ-9, SIGECAPS, Suicide risk assessment, Involuntary commitment, MAOI, Monoamine oxidase inhibitors, Tricyclic antidepressants, TCA, SSRI, SNRI, Bupropion, Trazodone, Mirtazapine, Escitalopram, Fluoxetine, Sertraline, Paroxetine, Venlafaxine, Duloxetine, Lithium, Valproate, Carbamazepine, Lamotrigine, Electroconvulsive therapy, ECT, Vagus nerve stimulation, VNS, Transcranial magnetic stimulation, TMS, Cognitive behavioral therapy, CBT, Dialectical behavior therapy, DBT, Interpersonal therapy, Psychiatric assessment, Mood stabilizers, Mental health nursing, Graduate nursing, PMHNP exam preparation
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NURS 663 Exam 1 2026 Expert
Verifed Ace the Test
Bipolar one disorder DSM five criteria - ANSWER ✔✔Manic episode:
1+ week of a colon elevated, expansive or irritable mood and increase
energy. 3+ symptoms from B: distractibility, indiscretion, irresponsible,
grandiosity, flight of ideas, activity(Increase goal-orient), decreased need
for sleep, talkativeness or pressured speech.
Bipolar two DSM five criteria - ANSWER ✔✔Hypo mania and major
depressive disorder: hypo mania same as mania with decreased
severity and duration and no functional impairment for episode of four or
more days and no psychosis
,Mixed episodes (bipolar) - ANSWER ✔✔Manic and depressive
symptoms time by side usually with comorbid substance abuse
increased risk of suicide and psychosis
rapid cycling - ANSWER ✔✔Four or more cycles per year no greater
than a week well period
Cyclothymia DSM-V Criteria - ANSWER ✔✔Two or more years of
mood cycling with dysthymia and hypo mania decreased intensity than
bipolar disorder meets criteria for hypo mania but does not meet criteria
for major depressive disorder
Dysthymia DSM five criteria - ANSWER ✔✔HE'S 2 SAD depressive
symptoms lasting two or more years that is subsydromal characterized
by hopelessness decreased energy, decrease self-esteem for two years,
abnormal sleep, abnormal appetite impaired decision-making.
MAOÍ Mechanism of action generally - ANSWER ✔✔Catalyzes the
deamination of monoamines intracellularly and MAO transport Reuptake
extracellular monoamines
MAO-A Mechanism of action - ANSWER ✔✔MAO-A Oxidizes
serotonin norepinephrine and epinephrine
MAO-B Mechanism of action - ANSWER ✔✔Oxidizes phenylalanine
, MAO-A and MAO-B mechanism of action - ANSWER ✔✔Oxidizes
dopamine non-preferentially
MAOs Neumonic -2 - ANSWER ✔✔Date with Tyra banks with wine
and cheese in Maui— can cause hypertensive crisis related to tyramine
from aged food.
MAWIs= my arms weight increased= effective for atypical depression
MAOs adverse effects-6 - ANSWER ✔✔Hypertensive crisis, diet
restriction, avoid meds, five week after Prozac, two week after other
antidepressants, no other medications for two weeks after discontinuing
MAOs diet restriction-4 compounds - ANSWER ✔✔Tyrosine, high
tyramine, tryptophan, phenylalanine
Tyrosine foods-10 - ANSWER ✔✔Aged cheese, aged wine, fava or
broad bean pods, sauerkraut, soy sauce, tap or draft beer, overripe fruit,
cured meat, spoiled food
MAOs drugs to avoid- 6 - ANSWER ✔✔Antidepressants,
Dextromethorphan, stimulants, sympathomimetics, meperidine,
disulfiram
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