& Advanced Clinical Modalities Questions & Answers
Introduction:
NSG527 practice final offers 80 new questions with balanced key, covering psychopathology, lifespan
theories, mood, anxiety, trauma, psychosis, personality, addiction, neurocognitive disorders,
psychopharmacology, and therapy modalities. Designed to test neurobiology, DSM-5-TR criteria,
assessment, and ethical concepts with bolded answers, rationales, and application-focused content for
PMHNP exam preparation. Correct answers in bold Green
Toics covered:
• Neurobiology - dopamine, serotonin, GABA, NE, glutamate, histamine
• Theories - Freud, Erikson, Piaget, Kohlberg, Maslow, Peplau, Sullivan, Beck
• Depressive & Bipolar Disorders
• Anxiety, Phobias, OCD-related, PTSD
• Psychotic Disorders - schizophrenia spectrum
• Personality Disorders - Clusters A, B, C
• Substance Use - alcohol, opioids, stimulants, cannabis, withdrawal
• Neurocognitive & Eating Disorders
• Psychopharmacology - antidepressants, antipsychotics, mood stabilizers, anxiolytics,
addiction meds
• Modalities - CBT, DBT, MBT, exposure, EMDR, MI, family systems
• Assessment - MSE, defense mechanisms, ethics, Tarasoff, confidentiality
1. Dopamine low in which disorder:
A. Parkinson's disease and depression
B. Only schizophrenia high
C. Only anxiety
D. Only mania high only
Rationale: Low DA = Parkinson, depression, ADHD. High DA = psychosis, mania.
Topic: Neurobiology
2. Freud's psychosexual stage: Phallic stage conflict:
A. Oral dependency
B. Oedipus/Electra complex age 3-6 years
C. Anal control
D. Latency
Rationale: Resolved via identification with same-sex parent.
Topic: Theories
3. Persistent Depressive Disorder dysthymia requires:
A. 2 weeks depressed
B. Depressed mood most days for 2+ years, 2+ symptoms, no mania/hypomania
, C. Only 1 month
D. Psychosis required
Rationale: Chronic low-grade depression.
Topic: Depressive
4. Cyclothymia is:
A. Full mania + depression
B. Only major depression
C. No mood symptoms
D. 2+ years of hypomanic symptoms and depressive symptoms not meeting
major depressive episode, with no mania
Rationale: Chronic fluctuating mood.
Topic: Bipolar
5. Aaron Beck is father of:
A. Cognitive Therapy - cognitive distortions
B. Psychoanalysis
C. Behaviorism only
D. Humanism
Rationale: Beck Depression Inventory, cognitive triad.
Topic: Theories
6. Specific Phobia treatment gold standard:
A. Exposure therapy systematic desensitization
B. Only medication
C. No treatment effective
D. Psychoanalysis only
Rationale: Hierarchy exposure + relaxation.
Topic: Anxiety
7. Acute Stress Disorder vs PTSD timeline:
A. Same timeline
B. PTSD <3 days
C. No timeline difference
D. ASD = 3 days to 1 month post-trauma; PTSD = >1 month
Rationale: ASD can predict PTSD but not all develop PTSD.
Topic: Trauma
8. Hoarding Disorder is classified under:
A. Psychotic disorders
B. Personality only
C. Mood disorders
D. OCD-related disorders
Rationale: Difficulty discarding, accumulation.
Topic: OCD-related
9. Schizophrenia prodromal phase:
A. Decline in functioning before active psychosis - social withdrawal, odd beliefs,
hygiene decline
B. Only after psychosis
C. No prodrome
D. Only mania