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PMHNP 751 Midterm and Final Exam 
Questions & Answers Study Guide with full answers Neurobiology and Differential Diagnosis of Mental Disorders

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This document is a comprehensive PMHNP psychiatric midterm and final-exam study guide consisting of 90 questions covering major areas of psychiatric mental health practice, including anxiety and depressive disorders, schizophrenia and psychosis, personality disorders, ADHD, bipolar disorder, suicide and homicide risk assessment, substance use disorders, trauma and abuse, neurobiology and neurotransmitters, psychopharmacology, dementia, developmental disorders, psychiatric assessment, ethics, and collaborative care. The material includes multiple-choice, true/false, matching, and clinical scenario-based questions with corresponding answers. The document is particularly significant because the questions closely reflected the actual course examinations: both the midterm and final examinations were based on this material, and the questions on the examinations matched the content contained in this study document, making it a direct and highly relevant study resource for the course assessments.

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PMHNP 751 Final Exam
Questions & Answers Study Guide
Neurobiology and Differential Diagnosis of Mental
Disorders
90 questions • Organized for review •

1. Ques on
A disorder that is associated with developmentally inappropriate and excessive distress with separation
from a major attachment igure after age 4 is known as:

Answer: Separation anxiety disorder



2. Ques on
A criterion for a diagnosis of generalized anxiety disorder (GAD) is a period of excessive worrying that lasts
for at least how many months?

Answer: 6 months



3. Ques on
What is the most common type of hallucination in schizophrenia?

Answer: Auditory hallucinations



4. Ques on
Mrs. Shea has come to the mental health center seeking treatment for depression. She has a history of
suicide attempt by overdose 1 month ago. She was started on a tricyclic antidepressant (TCA) after that
event but stopped taking the medication 1 week later because it “did no good.” The PMHNP meets with Mrs.
Shea to plan care with her. Which of the following is the most appropriate initial action?

Answer: Ask Mrs. Shea how to help her.



5. Ques on
Which of the following psychiatric patients is at least risk of suicide?
A. Substance dependence
B. Dementia
C. Depressive disorder
D. Schizophrenia

Answer: B. Dementia




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, 6. Ques on
Which of the following is NOT an indication for electroconvulsive therapy (ECT)?

Answer: Acute possibly suicidal behavior



7. Ques on
Which of the following statements is true about risk of suicide?

Answer: Suicide risk is elevated by a history of suicide in a irst-degree relative, especially the same-
sex parent.



8. Ques on
Rett syndrome is characterized by the following impairment EXCEPT:

Answer: Poor social skills



9. Ques on
Which of the following does NOT apply to antisocial personality disorder?
A. Usually diagnosed by the age of 18
B. High impulsivity
C. No substance abuse comorbidity
D. More common in men

Answer: C. No substance abuse comorbidity



10. Ques on
A patient has positive signs of schizophrenia and is scheduled for a brain scan. What part of the brain does
the healthcare professional expect the scan will focus on?

Answer: Temporal lobe



11. Ques on
During psychiatric consultation in palliative care, a PMHNP should examine which aspect of spirituality?

Answer: All of the above



12. Ques on
Which disorder is characterized by chronic feelings of emptiness, impulsivity, suicidal behavior/threats,
self-mutilation, and unstable interpersonal relationships?

Answer: Borderline personality disorder





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