NRNP 6665 Midterm Exam Practice Latest-
2023/2024, 100 Q & A)
Question 1
Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are
strategies that are typically used in which of the following therapies?
A. Relaxation therapy
B. Social skills training
C. Motivational Interviewing
D. Applied behavioral analysis
✅ Answer: A. Relaxation therapy
Rationale: These techniques are core components of relaxation therapy, aimed at
reducing physiological arousal and stress through mind-body awareness and self-
regulation.
Question 2
According to the APA, which of the following are required to support a child's DSM-5
diagnosis?
A. The child's clinical presentation fulfills the specific symptom-based diagnostic criteria.
B. The child's symptoms are not caused by other diagnoses or stressors.
C. The child's symptoms are impairing functioning in at least two settings.
D. A and B
,✅ Answer: D. A and B
Rationale: Per DSM-5 and APA guidance, diagnostic validity requires meeting specific
symptom criteria and ruling out alternative causes or stressors before confirming the
diagnosis.
Question 3
Which of the following is NOT consistent with good sleep hygiene?
A. Allow child to keep a cell phone at bedside.
B. Establish bedtime routines and maintain consistency.
C. Limit use of electronics in the evening (TV, computer, etc.).
D. Set and maintain a bedtime that allows for adequate sleep.
✅ Answer: A. Allow child to keep a cell phone at bedside
Rationale: Electronic devices can disrupt melatonin secretion and sleep patterns;
therefore, keeping a phone at bedside contradicts proper sleep hygiene practices.
Question 4
Which of the following antipsychotic medications have the greatest tendency to
increase appetite and body weight?
A. Aripiprazole (Abilify)
B. Ziprasidone (Geodon)
C. Haloperidol (Haldol)
D. Risperidone (Risperdal)
, ✅ Answer: D. Risperidone (Risperdal)
Rationale: Risperidone is associated with significant weight gain and metabolic side
effects compared to other antipsychotics, though olanzapine generally carries the
highest risk.
Question 5
When assessing a child with disruptive or aggressive behavior, the clinician asks "Have
you been thinking about or planning to hurt anyone?" to screen for which of the
following diagnostic categories?
A. Safety
B. Bullying
C. Conduct disorder
D. Oppositional defiant disorder
✅ Answer: A. Safety
Rationale: This question is a standard safety screening question to assess risk of harm
to others, which is a critical component of any psychiatric evaluation.
Question 6
The clinician assessing substance abuse in an adolescent asks, "Did you develop more
mood or anxiety problems after you started using?" to screen for which of the following
diagnostic possibilities?
A. Substance use disorder
B. Substance withdrawal
2023/2024, 100 Q & A)
Question 1
Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are
strategies that are typically used in which of the following therapies?
A. Relaxation therapy
B. Social skills training
C. Motivational Interviewing
D. Applied behavioral analysis
✅ Answer: A. Relaxation therapy
Rationale: These techniques are core components of relaxation therapy, aimed at
reducing physiological arousal and stress through mind-body awareness and self-
regulation.
Question 2
According to the APA, which of the following are required to support a child's DSM-5
diagnosis?
A. The child's clinical presentation fulfills the specific symptom-based diagnostic criteria.
B. The child's symptoms are not caused by other diagnoses or stressors.
C. The child's symptoms are impairing functioning in at least two settings.
D. A and B
,✅ Answer: D. A and B
Rationale: Per DSM-5 and APA guidance, diagnostic validity requires meeting specific
symptom criteria and ruling out alternative causes or stressors before confirming the
diagnosis.
Question 3
Which of the following is NOT consistent with good sleep hygiene?
A. Allow child to keep a cell phone at bedside.
B. Establish bedtime routines and maintain consistency.
C. Limit use of electronics in the evening (TV, computer, etc.).
D. Set and maintain a bedtime that allows for adequate sleep.
✅ Answer: A. Allow child to keep a cell phone at bedside
Rationale: Electronic devices can disrupt melatonin secretion and sleep patterns;
therefore, keeping a phone at bedside contradicts proper sleep hygiene practices.
Question 4
Which of the following antipsychotic medications have the greatest tendency to
increase appetite and body weight?
A. Aripiprazole (Abilify)
B. Ziprasidone (Geodon)
C. Haloperidol (Haldol)
D. Risperidone (Risperdal)
, ✅ Answer: D. Risperidone (Risperdal)
Rationale: Risperidone is associated with significant weight gain and metabolic side
effects compared to other antipsychotics, though olanzapine generally carries the
highest risk.
Question 5
When assessing a child with disruptive or aggressive behavior, the clinician asks "Have
you been thinking about or planning to hurt anyone?" to screen for which of the
following diagnostic categories?
A. Safety
B. Bullying
C. Conduct disorder
D. Oppositional defiant disorder
✅ Answer: A. Safety
Rationale: This question is a standard safety screening question to assess risk of harm
to others, which is a critical component of any psychiatric evaluation.
Question 6
The clinician assessing substance abuse in an adolescent asks, "Did you develop more
mood or anxiety problems after you started using?" to screen for which of the following
diagnostic possibilities?
A. Substance use disorder
B. Substance withdrawal
