1
NRNP 6645 PSYCHIATRIC MENTAL HEALTH NURSE
PRACTITIONER FINAL EXAM 2026/2027 |
COMPREHENSIVE REVIEW (MODULES 1-4) | EXPERT
VERIFIED | 100 VERIFIED Q&A | DETAILED RATIONALES |
PASS GUARANTEED – A+ GRADED
SECTION 1: PSYCHIATRIC ASSESSMENT - Questions 1-15
Q1: Chief Complaint
The nurse practitioner is documenting the chief complaint. Which of the following is an appropriate
chief complaint?
A. "Patient has schizophrenia"
B. "Patient reports feeling sad and hopeless for the past 2 months"
C. "Patient has a history of depression"
D. "Patient is taking antidepressants"
Correct Answer: B
Rationale: The chief complaint is a brief statement in the patient's own words describing the reason
for seeking care. Option B is the only option that uses the patient's own words. Options A, C, and D
are not chief complaints. [100% CORRECT]
Q2: History of Present Illness
The nurse practitioner is taking a history of present illness. Which of the following is included?
A. Duration of symptoms
B. Severity of symptoms
C. Precipitating factors
D. All of the above
Correct Answer: D
Rationale: The history of present illness includes duration, severity, and precipitating factors of
symptoms. All options are correct. [100% CORRECT]
Q3: Past Psychiatric History
The nurse practitioner is obtaining a past psychiatric history. Which of the following is included?
A. Previous psychiatric hospitalizations
B. Previous psychiatric diagnoses
,2
C. Previous psychiatric medications
D. All of the above
Correct Answer: D
Rationale: Past psychiatric history includes previous hospitalizations, diagnoses, and medications. All
options are correct. [100% CORRECT]
Q4: Mental Status Examination
The nurse practitioner is performing a mental status examination. Which of the following is a
component of the MSE?
A. Appearance
B. Behavior
C. Speech
D. All of the above
Correct Answer: D
Rationale: The mental status examination includes appearance, behavior, speech, mood, affect,
thought process, thought content, cognition, and insight/judgment. All options are correct. [100%
CORRECT]
Q5: Mood vs. Affect
The nurse practitioner is differentiating between mood and affect. Which of the following describes
mood?
A. The observable emotional expression
B. The subjective emotional state reported by the patient
C. The intensity of emotional expression
D. The duration of emotional expression
Correct Answer: B
Rationale: Mood is the subjective emotional state reported by the patient. Option A describes
affect. Options C and D are not definitions. [100% CORRECT]
Q6: Mood vs. Affect
The nurse practitioner is differentiating between mood and affect. Which of the following describes
affect?
A. The subjective emotional state reported by the patient
B. The observable emotional expression
C. The duration of emotional expression
D. The intensity of emotional expression
Correct Answer: B
,3
Rationale: Affect is the observable emotional expression. Option A describes mood. Options C and D
are not definitions. [100% CORRECT]
Q7: Mini-Mental State Examination
The nurse practitioner is administering a Mini-Mental State Examination (MMSE). Which of the
following is assessed?
A. Orientation
B. Registration
C. Attention and calculation
D. All of the above
Correct Answer: D
Rationale: The MMSE assesses orientation, registration, attention/calculation, recall, language, and
visuospatial ability. All options are correct. [100% CORRECT]
Q8: Major Depressive Disorder Criteria
The nurse practitioner is evaluating a patient for Major Depressive Disorder. Which of the following
is required for diagnosis?
A. Depressed mood or anhedonia for at least 2 weeks
B. Depressed mood or anhedonia for at least 1 week
C. Depressed mood or anhedonia for at least 1 month
D. Depressed mood or anhedonia for at least 6 months
Correct Answer: A
Rationale: MDD requires depressed mood or anhedonia for at least 2 weeks, plus 4 additional
symptoms. Options B, C, and D are incorrect. [100% CORRECT]
Q9: SIGECAPS
The nurse practitioner is using SIGECAPS to assess depression. What does SIGECAPS stand for?
A. Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor, Suicidality
B. Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychosis, Suicidality
C. Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor, Somatization
D. Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychosis, Somatization
Correct Answer: A
Rationale: SIGECAPS stands for Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor,
and Suicidality. Options B, C, and D are incorrect. [100% CORRECT]
Q10: Bipolar I Disorder Criteria
, 4
The nurse practitioner is evaluating a patient for Bipolar I Disorder. Which of the following is
required for diagnosis?
A. At least one manic episode
B. At least one hypomanic episode
C. At least one depressive episode
D. Both A and C
Correct Answer: A
Rationale: Bipolar I Disorder requires at least one manic episode. Option B is Bipolar II. Option C is
not required. [100% CORRECT]
Q11: Bipolar II Disorder Criteria
The nurse practitioner is evaluating a patient for Bipolar II Disorder. Which of the following is
required for diagnosis?
A. At least one manic episode
B. At least one hypomanic episode and at least one major depressive episode
C. At least one depressive episode
D. At least one manic episode and at least one depressive episode
Correct Answer: B
Rationale: Bipolar II Disorder requires at least one hypomanic episode and at least one major
depressive episode. Options A, C, and D are incorrect. [100% CORRECT]
Q12: Generalized Anxiety Disorder Criteria
The nurse practitioner is evaluating a patient for Generalized Anxiety Disorder. Which of the
following is required for diagnosis?
A. Excessive anxiety and worry for at least 6 months
B. Excessive anxiety and worry for at least 1 month
C. Excessive anxiety and worry for at least 2 weeks
D. Excessive anxiety and worry for at least 1 week
Correct Answer: A
Rationale: GAD requires excessive anxiety and worry for at least 6 months. Options B, C, and D are
incorrect. [100% CORRECT]
Q13: Panic Disorder Criteria
The nurse practitioner is evaluating a patient for Panic Disorder. Which of the following is required
for diagnosis?
A. Recurrent unexpected panic attacks
B. At least one month of persistent concern about having another attack
NRNP 6645 PSYCHIATRIC MENTAL HEALTH NURSE
PRACTITIONER FINAL EXAM 2026/2027 |
COMPREHENSIVE REVIEW (MODULES 1-4) | EXPERT
VERIFIED | 100 VERIFIED Q&A | DETAILED RATIONALES |
PASS GUARANTEED – A+ GRADED
SECTION 1: PSYCHIATRIC ASSESSMENT - Questions 1-15
Q1: Chief Complaint
The nurse practitioner is documenting the chief complaint. Which of the following is an appropriate
chief complaint?
A. "Patient has schizophrenia"
B. "Patient reports feeling sad and hopeless for the past 2 months"
C. "Patient has a history of depression"
D. "Patient is taking antidepressants"
Correct Answer: B
Rationale: The chief complaint is a brief statement in the patient's own words describing the reason
for seeking care. Option B is the only option that uses the patient's own words. Options A, C, and D
are not chief complaints. [100% CORRECT]
Q2: History of Present Illness
The nurse practitioner is taking a history of present illness. Which of the following is included?
A. Duration of symptoms
B. Severity of symptoms
C. Precipitating factors
D. All of the above
Correct Answer: D
Rationale: The history of present illness includes duration, severity, and precipitating factors of
symptoms. All options are correct. [100% CORRECT]
Q3: Past Psychiatric History
The nurse practitioner is obtaining a past psychiatric history. Which of the following is included?
A. Previous psychiatric hospitalizations
B. Previous psychiatric diagnoses
,2
C. Previous psychiatric medications
D. All of the above
Correct Answer: D
Rationale: Past psychiatric history includes previous hospitalizations, diagnoses, and medications. All
options are correct. [100% CORRECT]
Q4: Mental Status Examination
The nurse practitioner is performing a mental status examination. Which of the following is a
component of the MSE?
A. Appearance
B. Behavior
C. Speech
D. All of the above
Correct Answer: D
Rationale: The mental status examination includes appearance, behavior, speech, mood, affect,
thought process, thought content, cognition, and insight/judgment. All options are correct. [100%
CORRECT]
Q5: Mood vs. Affect
The nurse practitioner is differentiating between mood and affect. Which of the following describes
mood?
A. The observable emotional expression
B. The subjective emotional state reported by the patient
C. The intensity of emotional expression
D. The duration of emotional expression
Correct Answer: B
Rationale: Mood is the subjective emotional state reported by the patient. Option A describes
affect. Options C and D are not definitions. [100% CORRECT]
Q6: Mood vs. Affect
The nurse practitioner is differentiating between mood and affect. Which of the following describes
affect?
A. The subjective emotional state reported by the patient
B. The observable emotional expression
C. The duration of emotional expression
D. The intensity of emotional expression
Correct Answer: B
,3
Rationale: Affect is the observable emotional expression. Option A describes mood. Options C and D
are not definitions. [100% CORRECT]
Q7: Mini-Mental State Examination
The nurse practitioner is administering a Mini-Mental State Examination (MMSE). Which of the
following is assessed?
A. Orientation
B. Registration
C. Attention and calculation
D. All of the above
Correct Answer: D
Rationale: The MMSE assesses orientation, registration, attention/calculation, recall, language, and
visuospatial ability. All options are correct. [100% CORRECT]
Q8: Major Depressive Disorder Criteria
The nurse practitioner is evaluating a patient for Major Depressive Disorder. Which of the following
is required for diagnosis?
A. Depressed mood or anhedonia for at least 2 weeks
B. Depressed mood or anhedonia for at least 1 week
C. Depressed mood or anhedonia for at least 1 month
D. Depressed mood or anhedonia for at least 6 months
Correct Answer: A
Rationale: MDD requires depressed mood or anhedonia for at least 2 weeks, plus 4 additional
symptoms. Options B, C, and D are incorrect. [100% CORRECT]
Q9: SIGECAPS
The nurse practitioner is using SIGECAPS to assess depression. What does SIGECAPS stand for?
A. Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor, Suicidality
B. Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychosis, Suicidality
C. Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor, Somatization
D. Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychosis, Somatization
Correct Answer: A
Rationale: SIGECAPS stands for Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor,
and Suicidality. Options B, C, and D are incorrect. [100% CORRECT]
Q10: Bipolar I Disorder Criteria
, 4
The nurse practitioner is evaluating a patient for Bipolar I Disorder. Which of the following is
required for diagnosis?
A. At least one manic episode
B. At least one hypomanic episode
C. At least one depressive episode
D. Both A and C
Correct Answer: A
Rationale: Bipolar I Disorder requires at least one manic episode. Option B is Bipolar II. Option C is
not required. [100% CORRECT]
Q11: Bipolar II Disorder Criteria
The nurse practitioner is evaluating a patient for Bipolar II Disorder. Which of the following is
required for diagnosis?
A. At least one manic episode
B. At least one hypomanic episode and at least one major depressive episode
C. At least one depressive episode
D. At least one manic episode and at least one depressive episode
Correct Answer: B
Rationale: Bipolar II Disorder requires at least one hypomanic episode and at least one major
depressive episode. Options A, C, and D are incorrect. [100% CORRECT]
Q12: Generalized Anxiety Disorder Criteria
The nurse practitioner is evaluating a patient for Generalized Anxiety Disorder. Which of the
following is required for diagnosis?
A. Excessive anxiety and worry for at least 6 months
B. Excessive anxiety and worry for at least 1 month
C. Excessive anxiety and worry for at least 2 weeks
D. Excessive anxiety and worry for at least 1 week
Correct Answer: A
Rationale: GAD requires excessive anxiety and worry for at least 6 months. Options B, C, and D are
incorrect. [100% CORRECT]
Q13: Panic Disorder Criteria
The nurse practitioner is evaluating a patient for Panic Disorder. Which of the following is required
for diagnosis?
A. Recurrent unexpected panic attacks
B. At least one month of persistent concern about having another attack
