NR605 Midterm Exam | Questions & Answers with Rationales | Diagnosis &
x x x x x x x x x x x
xManagement in Psychiatric-Mental Health Across the Lifespan I Practicum |
x x x x x x x x x
2026 Study Guide
x x x
THIS EXAM INCLUDES: x x
• xx NR605 midterm practice questions
x x x
• xx Answers for self-assessment
x x
• xx Detailed rationales and explanations
x x x
• xx Clinical scenario-based practice
x x
• xx PMHNP-focused review x
• xx Psychiatric assessment concepts
x x
• xx Psychotherapy and treatment review x x x
• xx 2026-focused exam preparation x x
, NR 605 / NR605 Midterm Exam | Questions & Answers with
x x x x x x x x x x
xRationales | Diagnosis & Management in Psychiatric-Mental x x x x x x
Health Across the Lifespan I Practicum | 2026 Study Guide
x x x x x x x x x x
1. ______ begins with a precipitating event such as a marriage,
x x x x x x x x x x
x retirement, graduation, move, pregnancy or unpredictable event such
x x x x x x x
x as a natural disaster, accident, death of a loved one, being a victim of a
x x x x x x x x x x x x x x
x crime or other trauma.
x x x
A. Crisis
x
B. Assault
x
C. Adjustment
x
D. Syndrome
x
Answer: A x
Rationale: A crisis is defined as a state of disequilibrium that occurs when a
x x x x x x x x x x x x x
person's usual coping mechanisms fail in response to a precipitating event.
x x x x x x x x x x x
These events can be developmental (marriage, graduation), situational
x x x x x x x x
(accident, death), or traumatic (natural disaster, crime). The key characteristic
x x x x x x x x x x
is that the event overwhelms the individual's usual coping resources.
x x x x x x x x x x
2. The four domains of crisis include developmental crisis, traumatic
x x x x x x x x x
x event crisis, existential crisis, and ______ crisis.
x x x x x x
A. Psychological crisis
x x
B. Physiological crisis
x x
,C. Psychiatric crisis
x x
D. None of the above
x x x x
Answer: C x
Rationale: The four domains of crisis are: (1) Developmental crisis—normal
x x x x x x x x x
life transitions; (2) Traumatic event crisis—unexpected external events; (3)
x x x x x x x x x
Existential crisis—inner conflicts about purpose and meaning; and (4)
x x x x x x x x x
Psychiatric crisis—mental health emergencies requiring immediate
x x x x x x
intervention. Each domain requires different approaches to crisis
x x x x x x x x
intervention.
x
3. During infancy, children develop a sense of trust when caregivers
x x x x x x x x x x
x provide reliability, care, and affection. Lack of this will lead to ______.
x x x x x x x x x x x
A. Doubt
x
B. Guilt
x
C. Mistrust
x
D. Inferiority
x
Answer: C x
Rationale: According to Erikson's psychosocial development theory, the first
x x x x x x x x
stage (Infancy, 0-18 months) is Trust vs. Mistrust. When caregivers
x x x x x x x x x x
consistently meet the infant's needs, the child develops a sense of trust.
x x x x x x x x x x x x
When needs are not met consistently, the child develops mistrust, which can
x x x x x x x x x x x x
affect future relationships and view of the world.
x x x x x x x x
, 4. During Erikson's school age stage, children need to cope with new
x x x x x x x x x x x
x social and academic demands. Success leads to a sense of competence
x x x x x x x x x x
x while failure results in feelings of ______.
x x x x x x
A. Doubt
x
B. Guilt
x
C. Mistrust
x
D. Inferiority
x
Answer: D x
Rationale: Erikson's fourth stage (School Age, 6-12 years) is Industry vs.
x x x x x x x x x x
Inferiority. Children develop a sense of industry (competence) when they
x x x x x x x x x x
succeed in learning new skills, completing tasks, and meeting
x x x x x x x x x
academic/social expectations. Failure to master these tasks results in feelings
x x x x x x x x x x
of inferiority, which can affect self-esteem and motivation.
x x x x x x x x
5. During middle adulthood, adults need to create and nurture things
x x x x x x x x x x
x that will outlast them, often by having children or creating a positive
x x x x x x x x x x x
x change that will benefit other people. Success leads to feelings of
x x x x x x x x x x
x usefulness and accomplishment while failure results in shallow ______
x x x x x x x x
x in the world.
x x
A. Identity
x
B. Intimacy
x
C. Involvement
x
D. Isolation
x