NRNP 6665 EXAM 2026
NRNP 6665 | NRNP 6665 Week 11 Final Exam:
Psychiatric Mental Health Nurse Practitioner
Practicum - A Comprehensive 200-Question Practice
Exam with Verified Answers, Detailed Clinical
Rationales, and Latest 2026 Evidence-Based Updates
NRNP 6665 Week 11 Final Exam
Psychiatric Mental Health Nurse Practitioner Practicum
200 Question Practice Exam with Verified Answers & Detailed Rationales
Latest 2026 Updates
QUESTION 1
QUESTION:
An illness of symptoms or deficits that affect voluntary motor or sensory functions, which suggest
another medical condition but that is judged to be caused by psychological factors because the
illness is preceded by conflicts or other stressors, is known as which of the following?
A. Factitious disorder
B. Illness anxiety disorder
C. Somatic symptom disorder
D. Functional neurological symptom disorder
ANSWER:
D. Functional neurological symptom disorder
RATIONALE:
Functional neurological symptom disorder (conversion disorder) is characterized by symptoms or
deficits affecting voluntary motor or sensory functions that suggest a neurological or other medical
condition but are judged to be caused by psychological factors. These symptoms are often preceded
by conflicts or stressors. Factitious disorder involves intentional production of symptoms for external
gain, illness anxiety disorder involves preoccupation with having a serious illness despite minimal
symptoms, and somatic symptom disorder involves distressing somatic symptoms with
disproportionate thoughts about their seriousness .
QUESTION 2
QUESTION:
A condition characterized by the person giving approximate answers, with clouding of
consciousness, frequently accompanied by hallucinations or other dissociative, somatoform, or
conversion symptoms is:
, NRNP 6665 EXAM 2026
A. Ganser syndrome
B. Dissociative amnesia
C. Depersonalization-derealization disorder
D. Dissociative identity disorder
ANSWER:
A. Ganser syndrome
RATIONALE:
Ganser syndrome is a rare dissociative disorder characterized by the giving of approximate answers
(vorbeireden), clouding of consciousness, and often accompanied by hallucinations or other
dissociative, somatoform, or conversion symptoms. It typically occurs in response to severe stress.
Dissociative amnesia involves memory loss, depersonalization-derealization involves feelings of
unreality, and dissociative identity disorder involves the presence of two or more distinct personality
states .
QUESTION 3
QUESTION:
Which of the following can cause delirium? Select all that apply.
A. Polypharmacy
B. Sleep deprivation
C. Admission/transfer/discharge from a healthcare facility
D. None of the above
ANSWER:
A. Polypharmacy
B. Sleep deprivation
C. Admission/transfer/discharge from a healthcare facility
RATIONALE:
Delirium is an acute neuropsychiatric syndrome with multiple potential causes. Polypharmacy,
particularly with medications affecting the central nervous system, is a common cause of delirium.
Sleep deprivation can precipitate or exacerbate delirium in vulnerable individuals. Transitions in care
settings, such as admission, transfer, or discharge, represent significant environmental changes and
stressors that can trigger delirium, especially in elderly patients. Therefore, all three options are
correct causes of delirium .
QUESTION 4
QUESTION:
Acute withdrawal from alcohol represents which type of clinical problem in psychosomatic
medicine?
A. Medical complications of psychiatric conditions or treatments
B. Psychiatric complications of medical conditions and treatments
, NRNP 6665 EXAM 2026
C. Psychiatric symptoms as a reaction to medical therapy
D. Co-occurring medical and psychiatric conditions
ANSWER:
A. Medical complications of psychiatric conditions or treatments
RATIONALE:
Acute alcohol withdrawal represents a medical complication of a psychiatric condition (alcohol use
disorder). The psychiatric condition (alcohol dependence) leads to medical complications when the
substance is withdrawn. This falls under the category of medical complications arising from
psychiatric disorders or their treatments. It is not primarily a psychiatric complication of a medical
condition, a reaction to medical therapy, or simply co-occurring conditions .
QUESTION 5
QUESTION:
The principal theoretician to bring psyche and soma together was which of the following?
A. Sigmund Freud
B. Anna Freud
C. Karl Abraham
D. Georg Groddeck
ANSWER:
D. Georg Groddeck
RATIONALE:
Georg Groddeck was a physician and psychoanalyst who is considered a pioneer in psychosomatic
medicine. He emphasized the unity of psyche and soma, viewing illness as an expression of the "It"
(a concept similar to the unconscious). While Sigmund Freud also contributed to psychosomatic
concepts, Groddeck is specifically credited with bringing psyche and soma together in clinical
practice. Anna Freud focused on child psychoanalysis and ego psychology, while Karl Abraham
contributed to object relations theory .
QUESTION 6
QUESTION:
Which of the following would NOT be included in the treatment plan for a patient with illness
anxiety disorder?
A. Behavioral therapy
B. Group psychotherapy
C. Insight-oriented psychotherapy
D. Exploratory invasive procedures to obtain diagnosis
ANSWER:
D. Exploratory invasive procedures to obtain diagnosis
, NRNP 6665 EXAM 2026
RATIONALE:
Illness anxiety disorder is characterized by persistent preoccupation with having a serious illness
despite reassurance. Treatment should focus on psychological interventions. Exploratory invasive
procedures are contraindicated because they reinforce the patient's belief that something is
physically wrong, may lead to iatrogenic complications, and do not address the underlying
psychological issue. Behavioral therapy, group psychotherapy, and insight-oriented psychotherapy
are appropriate and evidence-based treatment modalities .
QUESTION 7
QUESTION:
Which of the following is consistent with current literature about the relationship between
obstetrical complications and Autism Spectrum Disorders (ASD)?
A. Research is unclear whether obstetric complications are a true risk factor for ASD.
B. Research proves there is a negative correlation between obstetrical complications and ASD.
C. Research proves there is a positive correlation between obstetrical complications and ASD.
D. Research strongly supports a positive relationship between obstetric complications and ASD.
ANSWER:
A. Research is unclear whether obstetric complications are a true risk factor for ASD.
RATIONALE:
The relationship between obstetrical complications and ASD remains complex and not fully
elucidated. While some studies have suggested associations between certain obstetrical
complications and ASD, research has not definitively proven causality. Many studies have
methodological limitations, and it remains unclear whether obstetrical complications are true risk
factors or whether they are consequences of underlying genetic or biological factors that also
contribute to ASD. The evidence does not strongly support a clear positive correlation .
QUESTION 8
QUESTION:
The epidemiology related to kleptomania includes which of the following?
A. Kleptomania is more prevalent in males
B. Kleptomania is reported to occur in fewer than 5 percent of identified shoplifters
C. Kleptomania is more prevalent in females
D. Both B and C
ANSWER:
D. Both B and C
RATIONALE:
Kleptomania is characterized by recurrent failure to resist impulses to steal items not needed for
personal use or monetary value. Epidemiological data indicate that kleptomania is more prevalent in
females than in males. Additionally, it is reported to occur in fewer than 5 percent of identified
NRNP 6665 | NRNP 6665 Week 11 Final Exam:
Psychiatric Mental Health Nurse Practitioner
Practicum - A Comprehensive 200-Question Practice
Exam with Verified Answers, Detailed Clinical
Rationales, and Latest 2026 Evidence-Based Updates
NRNP 6665 Week 11 Final Exam
Psychiatric Mental Health Nurse Practitioner Practicum
200 Question Practice Exam with Verified Answers & Detailed Rationales
Latest 2026 Updates
QUESTION 1
QUESTION:
An illness of symptoms or deficits that affect voluntary motor or sensory functions, which suggest
another medical condition but that is judged to be caused by psychological factors because the
illness is preceded by conflicts or other stressors, is known as which of the following?
A. Factitious disorder
B. Illness anxiety disorder
C. Somatic symptom disorder
D. Functional neurological symptom disorder
ANSWER:
D. Functional neurological symptom disorder
RATIONALE:
Functional neurological symptom disorder (conversion disorder) is characterized by symptoms or
deficits affecting voluntary motor or sensory functions that suggest a neurological or other medical
condition but are judged to be caused by psychological factors. These symptoms are often preceded
by conflicts or stressors. Factitious disorder involves intentional production of symptoms for external
gain, illness anxiety disorder involves preoccupation with having a serious illness despite minimal
symptoms, and somatic symptom disorder involves distressing somatic symptoms with
disproportionate thoughts about their seriousness .
QUESTION 2
QUESTION:
A condition characterized by the person giving approximate answers, with clouding of
consciousness, frequently accompanied by hallucinations or other dissociative, somatoform, or
conversion symptoms is:
, NRNP 6665 EXAM 2026
A. Ganser syndrome
B. Dissociative amnesia
C. Depersonalization-derealization disorder
D. Dissociative identity disorder
ANSWER:
A. Ganser syndrome
RATIONALE:
Ganser syndrome is a rare dissociative disorder characterized by the giving of approximate answers
(vorbeireden), clouding of consciousness, and often accompanied by hallucinations or other
dissociative, somatoform, or conversion symptoms. It typically occurs in response to severe stress.
Dissociative amnesia involves memory loss, depersonalization-derealization involves feelings of
unreality, and dissociative identity disorder involves the presence of two or more distinct personality
states .
QUESTION 3
QUESTION:
Which of the following can cause delirium? Select all that apply.
A. Polypharmacy
B. Sleep deprivation
C. Admission/transfer/discharge from a healthcare facility
D. None of the above
ANSWER:
A. Polypharmacy
B. Sleep deprivation
C. Admission/transfer/discharge from a healthcare facility
RATIONALE:
Delirium is an acute neuropsychiatric syndrome with multiple potential causes. Polypharmacy,
particularly with medications affecting the central nervous system, is a common cause of delirium.
Sleep deprivation can precipitate or exacerbate delirium in vulnerable individuals. Transitions in care
settings, such as admission, transfer, or discharge, represent significant environmental changes and
stressors that can trigger delirium, especially in elderly patients. Therefore, all three options are
correct causes of delirium .
QUESTION 4
QUESTION:
Acute withdrawal from alcohol represents which type of clinical problem in psychosomatic
medicine?
A. Medical complications of psychiatric conditions or treatments
B. Psychiatric complications of medical conditions and treatments
, NRNP 6665 EXAM 2026
C. Psychiatric symptoms as a reaction to medical therapy
D. Co-occurring medical and psychiatric conditions
ANSWER:
A. Medical complications of psychiatric conditions or treatments
RATIONALE:
Acute alcohol withdrawal represents a medical complication of a psychiatric condition (alcohol use
disorder). The psychiatric condition (alcohol dependence) leads to medical complications when the
substance is withdrawn. This falls under the category of medical complications arising from
psychiatric disorders or their treatments. It is not primarily a psychiatric complication of a medical
condition, a reaction to medical therapy, or simply co-occurring conditions .
QUESTION 5
QUESTION:
The principal theoretician to bring psyche and soma together was which of the following?
A. Sigmund Freud
B. Anna Freud
C. Karl Abraham
D. Georg Groddeck
ANSWER:
D. Georg Groddeck
RATIONALE:
Georg Groddeck was a physician and psychoanalyst who is considered a pioneer in psychosomatic
medicine. He emphasized the unity of psyche and soma, viewing illness as an expression of the "It"
(a concept similar to the unconscious). While Sigmund Freud also contributed to psychosomatic
concepts, Groddeck is specifically credited with bringing psyche and soma together in clinical
practice. Anna Freud focused on child psychoanalysis and ego psychology, while Karl Abraham
contributed to object relations theory .
QUESTION 6
QUESTION:
Which of the following would NOT be included in the treatment plan for a patient with illness
anxiety disorder?
A. Behavioral therapy
B. Group psychotherapy
C. Insight-oriented psychotherapy
D. Exploratory invasive procedures to obtain diagnosis
ANSWER:
D. Exploratory invasive procedures to obtain diagnosis
, NRNP 6665 EXAM 2026
RATIONALE:
Illness anxiety disorder is characterized by persistent preoccupation with having a serious illness
despite reassurance. Treatment should focus on psychological interventions. Exploratory invasive
procedures are contraindicated because they reinforce the patient's belief that something is
physically wrong, may lead to iatrogenic complications, and do not address the underlying
psychological issue. Behavioral therapy, group psychotherapy, and insight-oriented psychotherapy
are appropriate and evidence-based treatment modalities .
QUESTION 7
QUESTION:
Which of the following is consistent with current literature about the relationship between
obstetrical complications and Autism Spectrum Disorders (ASD)?
A. Research is unclear whether obstetric complications are a true risk factor for ASD.
B. Research proves there is a negative correlation between obstetrical complications and ASD.
C. Research proves there is a positive correlation between obstetrical complications and ASD.
D. Research strongly supports a positive relationship between obstetric complications and ASD.
ANSWER:
A. Research is unclear whether obstetric complications are a true risk factor for ASD.
RATIONALE:
The relationship between obstetrical complications and ASD remains complex and not fully
elucidated. While some studies have suggested associations between certain obstetrical
complications and ASD, research has not definitively proven causality. Many studies have
methodological limitations, and it remains unclear whether obstetrical complications are true risk
factors or whether they are consequences of underlying genetic or biological factors that also
contribute to ASD. The evidence does not strongly support a clear positive correlation .
QUESTION 8
QUESTION:
The epidemiology related to kleptomania includes which of the following?
A. Kleptomania is more prevalent in males
B. Kleptomania is reported to occur in fewer than 5 percent of identified shoplifters
C. Kleptomania is more prevalent in females
D. Both B and C
ANSWER:
D. Both B and C
RATIONALE:
Kleptomania is characterized by recurrent failure to resist impulses to steal items not needed for
personal use or monetary value. Epidemiological data indicate that kleptomania is more prevalent in
females than in males. Additionally, it is reported to occur in fewer than 5 percent of identified
