NRNP 6665 WEEK 11 FINAL EXAM (LATEST 2026 /
2027) QS & ANS: MOST COMPREHENSIVE TO
PASS THE EXAM, 100% VERIFIED(UPDATED)
NRNP 6665 Final Practice Exam (Original) – Part 1
Table of Contents
1. Psychiatric Assessment & Diagnostic Reasoning (Questions 1–10)
2. DSM-5-TR Disorders (Questions 11–20)
3. Psychopharmacology (Questions 21–25)
Section 1: Psychiatric Assessment & Diagnostic Reasoning
Question 1
A psychiatric-mental health nurse practitioner (PMHNP) is conducting an initial psychiatric
evaluation. Which component should be completed first?
A. Mental Status Examination (MSE)
B. Establish rapport and obtain the chief complaint
C. Prescribe medication
D. Develop a treatment plan
Correct Answer: B. Establish rapport and obtain the chief complaint
Rationale: Building rapport and identifying the patient's primary concern establishes trust and
guides the remainder of the assessment. The MSE, diagnosis, and treatment planning follow after
collecting the history.
Question 2
Which statement best describes the purpose of the Mental Status Examination (MSE)?
A. It measures intelligence only.
B. It evaluates a patient's current psychological functioning.
C. It diagnoses every psychiatric disorder.
D. It replaces a comprehensive psychiatric interview.
,Correct Answer: B. It evaluates a patient's current psychological functioning.
Rationale: The MSE provides a structured assessment of appearance, behavior, speech, mood,
affect, thought process, thought content, cognition, insight, and judgment. It complements—but
does not replace—a full psychiatric assessment.
Question 3
Which question best assesses suicidal ideation?
A. "You aren't thinking about hurting yourself, are you?"
B. "Have you had any thoughts about ending your life or harming yourself?"
C. "You're feeling better now, right?"
D. "You're not suicidal anymore?"
Correct Answer: B. "Have you had any thoughts about ending your life or harming
yourself?"
Rationale: Open, direct, and nonjudgmental questions improve disclosure of suicidal thoughts
and are recommended in suicide risk assessment.
Question 4
A patient's speech is rapid, loud, and difficult to interrupt. This finding is most consistent with:
A. Major depressive disorder
B. Mania
C. Delirium
D. Catatonia
Correct Answer: B. Mania
Rationale: Pressured speech is a hallmark feature of manic episodes and often accompanies
increased energy, decreased need for sleep, and racing thoughts.
Question 5
Which cognitive domain is primarily assessed by asking a patient to recall three objects after five
minutes?
A. Attention
B. Language
,C. Short-term memory
D. Abstract thinking
Correct Answer: C. Short-term memory
Rationale: Delayed recall testing evaluates recent memory, which can be impaired in dementia,
delirium, and other neurocognitive disorders.
Question 6
A patient reports hearing voices commenting on their behavior despite no one being present. This
symptom is:
A. Illusion
B. Delusion
C. Auditory hallucination
D. Obsession
Correct Answer: C. Auditory hallucination
Rationale: Hallucinations are sensory perceptions occurring without an external stimulus.
Hearing voices is an auditory hallucination.
Question 7
Which factor is considered the strongest predictor of future suicide attempts?
A. Anxiety
B. Family history of depression
C. Previous suicide attempt
D. Poor appetite
Correct Answer: C. Previous suicide attempt
Rationale: A prior suicide attempt is consistently one of the strongest predictors of future
attempts and suicide death.
Question 8
Which patient requires the highest priority intervention?
A. A patient with mild insomnia.
B. A patient with panic attacks occurring weekly.
, C. A patient expressing active suicidal intent with a specific plan.
D. A patient requesting medication refills.
Correct Answer: C. A patient expressing active suicidal intent with a specific plan.
Rationale: Active suicidal intent with a plan represents a psychiatric emergency requiring
immediate safety assessment and intervention.
Question 9
Which finding best reflects intact insight?
A. "Nothing is wrong with me."
B. "My symptoms may be related to my illness."
C. "Everyone else is causing my problems."
D. "The government controls my thoughts."
Correct Answer: B. "My symptoms may be related to my illness."
Rationale: Insight refers to recognizing one's illness and understanding the need for treatment.
Question 10
Which assessment finding indicates impaired judgment?
A. Appropriate eye contact
B. Choosing to drive while intoxicated
C. Normal speech
D. Cooperative behavior
Correct Answer: B. Choosing to drive while intoxicated
Rationale: Judgment reflects the ability to make safe, appropriate decisions. Driving under the
influence demonstrates impaired judgment.
Section 2: DSM-5-TR Disorders
Question 11
Which symptom is required for a diagnosis of Major Depressive Disorder?
A. Elevated mood
B. Hallucinations
2027) QS & ANS: MOST COMPREHENSIVE TO
PASS THE EXAM, 100% VERIFIED(UPDATED)
NRNP 6665 Final Practice Exam (Original) – Part 1
Table of Contents
1. Psychiatric Assessment & Diagnostic Reasoning (Questions 1–10)
2. DSM-5-TR Disorders (Questions 11–20)
3. Psychopharmacology (Questions 21–25)
Section 1: Psychiatric Assessment & Diagnostic Reasoning
Question 1
A psychiatric-mental health nurse practitioner (PMHNP) is conducting an initial psychiatric
evaluation. Which component should be completed first?
A. Mental Status Examination (MSE)
B. Establish rapport and obtain the chief complaint
C. Prescribe medication
D. Develop a treatment plan
Correct Answer: B. Establish rapport and obtain the chief complaint
Rationale: Building rapport and identifying the patient's primary concern establishes trust and
guides the remainder of the assessment. The MSE, diagnosis, and treatment planning follow after
collecting the history.
Question 2
Which statement best describes the purpose of the Mental Status Examination (MSE)?
A. It measures intelligence only.
B. It evaluates a patient's current psychological functioning.
C. It diagnoses every psychiatric disorder.
D. It replaces a comprehensive psychiatric interview.
,Correct Answer: B. It evaluates a patient's current psychological functioning.
Rationale: The MSE provides a structured assessment of appearance, behavior, speech, mood,
affect, thought process, thought content, cognition, insight, and judgment. It complements—but
does not replace—a full psychiatric assessment.
Question 3
Which question best assesses suicidal ideation?
A. "You aren't thinking about hurting yourself, are you?"
B. "Have you had any thoughts about ending your life or harming yourself?"
C. "You're feeling better now, right?"
D. "You're not suicidal anymore?"
Correct Answer: B. "Have you had any thoughts about ending your life or harming
yourself?"
Rationale: Open, direct, and nonjudgmental questions improve disclosure of suicidal thoughts
and are recommended in suicide risk assessment.
Question 4
A patient's speech is rapid, loud, and difficult to interrupt. This finding is most consistent with:
A. Major depressive disorder
B. Mania
C. Delirium
D. Catatonia
Correct Answer: B. Mania
Rationale: Pressured speech is a hallmark feature of manic episodes and often accompanies
increased energy, decreased need for sleep, and racing thoughts.
Question 5
Which cognitive domain is primarily assessed by asking a patient to recall three objects after five
minutes?
A. Attention
B. Language
,C. Short-term memory
D. Abstract thinking
Correct Answer: C. Short-term memory
Rationale: Delayed recall testing evaluates recent memory, which can be impaired in dementia,
delirium, and other neurocognitive disorders.
Question 6
A patient reports hearing voices commenting on their behavior despite no one being present. This
symptom is:
A. Illusion
B. Delusion
C. Auditory hallucination
D. Obsession
Correct Answer: C. Auditory hallucination
Rationale: Hallucinations are sensory perceptions occurring without an external stimulus.
Hearing voices is an auditory hallucination.
Question 7
Which factor is considered the strongest predictor of future suicide attempts?
A. Anxiety
B. Family history of depression
C. Previous suicide attempt
D. Poor appetite
Correct Answer: C. Previous suicide attempt
Rationale: A prior suicide attempt is consistently one of the strongest predictors of future
attempts and suicide death.
Question 8
Which patient requires the highest priority intervention?
A. A patient with mild insomnia.
B. A patient with panic attacks occurring weekly.
, C. A patient expressing active suicidal intent with a specific plan.
D. A patient requesting medication refills.
Correct Answer: C. A patient expressing active suicidal intent with a specific plan.
Rationale: Active suicidal intent with a plan represents a psychiatric emergency requiring
immediate safety assessment and intervention.
Question 9
Which finding best reflects intact insight?
A. "Nothing is wrong with me."
B. "My symptoms may be related to my illness."
C. "Everyone else is causing my problems."
D. "The government controls my thoughts."
Correct Answer: B. "My symptoms may be related to my illness."
Rationale: Insight refers to recognizing one's illness and understanding the need for treatment.
Question 10
Which assessment finding indicates impaired judgment?
A. Appropriate eye contact
B. Choosing to drive while intoxicated
C. Normal speech
D. Cooperative behavior
Correct Answer: B. Choosing to drive while intoxicated
Rationale: Judgment reflects the ability to make safe, appropriate decisions. Driving under the
influence demonstrates impaired judgment.
Section 2: DSM-5-TR Disorders
Question 11
Which symptom is required for a diagnosis of Major Depressive Disorder?
A. Elevated mood
B. Hallucinations
