NURS 6660 FINAL EXAM / NURS6660 FINAL EXAM (UPDATED 2026) QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% Verified Solutions | Updated Per Latest Guidelines | Graded A+...
CORE DOMAINS
Neurodevelopmental and Disruptive Behavior Disorders of Childhood and Adolescence
Mood Disorders: Depressive and Bipolar Spectrum Conditions Across the Lifespan
Anxiety, Obsessive-Compulsive, Trauma-Related, and Somatic Symptom Disorders
Psychotic Spectrum Disorders and Diagnostic Considerations
Substance Use Disorders, Dual Diagnosis, and Addictive Behaviors
Neurocognitive Disorders, Delirium, and Geriatric Psychiatry
Psychopharmacology: Mechanisms, Selection, and Monitoring Across the Lifespan
Psychotherapeutic Modalities and Evidence-Based Therapeutic Interventions
Ethical, Legal, and Forensic Considerations in Psychiatric-Mental Health Advanced Nursing Practice
Crisis Intervention, Risk Assessment, and Management of Psychiatric Emergencies
INTRODUCTION
This comprehensive assessment is designed to evaluate the advanced clinical knowledge, diagnostic reasoning, and
professional judgment essential for the psychiatric-mental health nurse practitioner across the lifespan. The
examination challenges candidates to synthesize complex clinical presentations, formulate differential diagnoses
using DSM-5-TR criteria, and select evidence-based psychopharmacologic and psychotherapeutic interventions
,within realistic clinical scenarios. Candidates must demonstrate sophisticated clinical decision-making in risk
assessment, crisis management, and ethical-legal reasoning. Through 100 original, scenario-based multiple-choice
questions, this assessment tests the capacity to integrate knowledge of neurobiology, developmental
considerations, and therapeutic frameworks into a holistic, safe, and person-centered plan of care, reflecting the
advanced competencies required for autonomous practice in psychiatric-mental health nursing and certification
readiness.
SECTION ONE
Question 1
A 7-year-old boy is brought to the clinic by his parents, who report that he frequently interrupts others, has
difficulty remaining seated during meals, and often loses items necessary for homework. His teacher notes that
he blurts out answers before questions are completed. Symptoms have been present for over 8 months and
impair his academic performance. What is the most probable diagnosis?
A. Autism spectrum disorder
B. Generalized anxiety disorder
C. Attention-deficit/hyperactivity disorder, combined presentation
D. Disruptive mood dysregulation disorder
🟢 Correct Answer: C
🔴 RATIONALE: The DSM-5-TR criteria for ADHD, combined presentation, require at least six symptoms of
inattention and six symptoms of hyperactivity-impulsivity for children under 17, present for at least 6 months,
,with onset before age 12 and impairment in two or more settings. The described inattentive symptoms (losing
items, difficulty with sustained attention) and hyperactive-impulsive symptoms (fidgeting, interrupting, blurting
out) across home and school meet these criteria. Autism spectrum disorder would also feature social
communication deficits, not described here.
Question 2
A 35-year-old woman presents with a persistent low mood, anhedonia, significant weight gain, hypersomnia,
and leaden paralysis for the past two years. She states she has felt this way more often than not during this
period and cannot recall feeling symptom-free for more than a few weeks at a time. What is the most likely
diagnosis?
A. Major depressive disorder, single episode
B. Bipolar II disorder
C. Persistent depressive disorder (dysthymia) with atypical features
D. Cyclothymic disorder
🟢 Correct Answer: C
🔴 RATIONALE: Persistent depressive disorder is characterized by a depressed mood that occurs for most of
the day, for more days than not, for at least two years. The presence of mood reactivity plus two or more of the
following: significant weight gain or increased appetite, hypersomnia, leaden paralysis, and a long-standing
pattern of interpersonal rejection sensitivity, indicates atypical features. The chronicity distinguishes this from a
single major depressive episode.
, Question 3
A 22-year-old college student is brought to the emergency department by campus security after he was found
standing motionless in the middle of a busy intersection, holding his arm in a raised position. He does not
respond to questions and maintains a rigid posture. His roommate reports he has become increasingly
withdrawn and odd over the past month. Vital signs are stable. What phenomenon is this patient exhibiting?
A. Tardive dyskinesia
B. Catatonia
C. Akathisia
D. Dystonic reaction
🟢 Correct Answer: B
🔴 RATIONALE: Catatonia is a syndrome characterized by marked psychomotor disturbance, including stupor,
catalepsy (passive induction of a posture held against gravity), waxy flexibility, mutism, negativism, posturing,
stereotypy, and echolalia. The patient's immobility, rigid posture, and lack of response are classic signs.
Catatonia can occur in the context of psychotic, mood, or neurodevelopmental disorders.
Question 4
A 45-year-old man with a 20-year history of alcohol use disorder is brought to the emergency department by
his family because he became confused, agitated, and began sweating profusely about 10 hours after his last
GRADED A+. 100% Verified Solutions | Updated Per Latest Guidelines | Graded A+...
CORE DOMAINS
Neurodevelopmental and Disruptive Behavior Disorders of Childhood and Adolescence
Mood Disorders: Depressive and Bipolar Spectrum Conditions Across the Lifespan
Anxiety, Obsessive-Compulsive, Trauma-Related, and Somatic Symptom Disorders
Psychotic Spectrum Disorders and Diagnostic Considerations
Substance Use Disorders, Dual Diagnosis, and Addictive Behaviors
Neurocognitive Disorders, Delirium, and Geriatric Psychiatry
Psychopharmacology: Mechanisms, Selection, and Monitoring Across the Lifespan
Psychotherapeutic Modalities and Evidence-Based Therapeutic Interventions
Ethical, Legal, and Forensic Considerations in Psychiatric-Mental Health Advanced Nursing Practice
Crisis Intervention, Risk Assessment, and Management of Psychiatric Emergencies
INTRODUCTION
This comprehensive assessment is designed to evaluate the advanced clinical knowledge, diagnostic reasoning, and
professional judgment essential for the psychiatric-mental health nurse practitioner across the lifespan. The
examination challenges candidates to synthesize complex clinical presentations, formulate differential diagnoses
using DSM-5-TR criteria, and select evidence-based psychopharmacologic and psychotherapeutic interventions
,within realistic clinical scenarios. Candidates must demonstrate sophisticated clinical decision-making in risk
assessment, crisis management, and ethical-legal reasoning. Through 100 original, scenario-based multiple-choice
questions, this assessment tests the capacity to integrate knowledge of neurobiology, developmental
considerations, and therapeutic frameworks into a holistic, safe, and person-centered plan of care, reflecting the
advanced competencies required for autonomous practice in psychiatric-mental health nursing and certification
readiness.
SECTION ONE
Question 1
A 7-year-old boy is brought to the clinic by his parents, who report that he frequently interrupts others, has
difficulty remaining seated during meals, and often loses items necessary for homework. His teacher notes that
he blurts out answers before questions are completed. Symptoms have been present for over 8 months and
impair his academic performance. What is the most probable diagnosis?
A. Autism spectrum disorder
B. Generalized anxiety disorder
C. Attention-deficit/hyperactivity disorder, combined presentation
D. Disruptive mood dysregulation disorder
🟢 Correct Answer: C
🔴 RATIONALE: The DSM-5-TR criteria for ADHD, combined presentation, require at least six symptoms of
inattention and six symptoms of hyperactivity-impulsivity for children under 17, present for at least 6 months,
,with onset before age 12 and impairment in two or more settings. The described inattentive symptoms (losing
items, difficulty with sustained attention) and hyperactive-impulsive symptoms (fidgeting, interrupting, blurting
out) across home and school meet these criteria. Autism spectrum disorder would also feature social
communication deficits, not described here.
Question 2
A 35-year-old woman presents with a persistent low mood, anhedonia, significant weight gain, hypersomnia,
and leaden paralysis for the past two years. She states she has felt this way more often than not during this
period and cannot recall feeling symptom-free for more than a few weeks at a time. What is the most likely
diagnosis?
A. Major depressive disorder, single episode
B. Bipolar II disorder
C. Persistent depressive disorder (dysthymia) with atypical features
D. Cyclothymic disorder
🟢 Correct Answer: C
🔴 RATIONALE: Persistent depressive disorder is characterized by a depressed mood that occurs for most of
the day, for more days than not, for at least two years. The presence of mood reactivity plus two or more of the
following: significant weight gain or increased appetite, hypersomnia, leaden paralysis, and a long-standing
pattern of interpersonal rejection sensitivity, indicates atypical features. The chronicity distinguishes this from a
single major depressive episode.
, Question 3
A 22-year-old college student is brought to the emergency department by campus security after he was found
standing motionless in the middle of a busy intersection, holding his arm in a raised position. He does not
respond to questions and maintains a rigid posture. His roommate reports he has become increasingly
withdrawn and odd over the past month. Vital signs are stable. What phenomenon is this patient exhibiting?
A. Tardive dyskinesia
B. Catatonia
C. Akathisia
D. Dystonic reaction
🟢 Correct Answer: B
🔴 RATIONALE: Catatonia is a syndrome characterized by marked psychomotor disturbance, including stupor,
catalepsy (passive induction of a posture held against gravity), waxy flexibility, mutism, negativism, posturing,
stereotypy, and echolalia. The patient's immobility, rigid posture, and lack of response are classic signs.
Catatonia can occur in the context of psychotic, mood, or neurodevelopmental disorders.
Question 4
A 45-year-old man with a 20-year history of alcohol use disorder is brought to the emergency department by
his family because he became confused, agitated, and began sweating profusely about 10 hours after his last
