NRNP 6665 COMPREHENSIVE PMHNP
EXAM PREP QUESTIONS AND
ANSWERS
1. A 9-year-old child presents with frequent outbursts of temper, chronic irritability, and an
angry mood between outbursts for at least 12 months. Which diagnosis is most appropriate
according to DSM-5?
A. Bipolar I Disorder
B. Conduct Disorder
C. Oppositional Defiant Disorder (ODD)
D. Disruptive Mood Dysregulation Disorder (DMDD)
Answer: D
Conceptual Explanation: DMDD is characterized by severe recurrent temper outbursts
and chronic, persistently irritable or angry mood between outbursts, occurring for 12+
months in at least two settings.
,2. When prescribing stimulants for ADHD, which physical parameter must be monitored most
closely due to potential side effects?
A. Hearing sensitivity
B. Visual acuity
C. Height and weight
D. Thyroid function
Answer: C
Conceptual Explanation: Stimulants can cause appetite suppression and potential growth
deceleration; therefore, height and weight should be monitored regularly in pediatric
patients.
3. Which developmental theorist proposed the concept of ‘Industry vs. Inferiority’ for
children aged 6 to 12 years?
A. Erik Erikson
B. Sigmund Freud
C. Jean Piaget
D. Lawrence Kohlberg
Answer: A
Conceptual Explanation: Erikson’s stage of Industry vs. Inferiority occurs during school
age, where children learn to be productive and master new skills.
, 4. A 4-year-old child shows significant deficits in social communication, lack of eye contact,
and repetitive motor mannerisms. Which screening tool is most specific for this presentation?
A. PHQ-A
B. M-CHAT-R
C. SCARED
D. Vanderbilt Assessment Scale
Answer: B
Conceptual Explanation: The Modified Checklist for Autism in Toddlers, Revised (M-
CHAT-R) is used to screen for Autism Spectrum Disorder (ASD).
5. What is the primary difference between Oppositional Defiant Disorder (ODD) and Conduct
Disorder (CD)?
A. ODD involves physical aggression toward people or animals.
B. ODD is only diagnosed after age 18.
C. CD involves the violation of the basic rights of others or major societal norms.
D. CD is characterized by arguing with authority figures but no illegal acts.
Answer: C
Conceptual Explanation: Conduct Disorder involves more severe behaviors like
aggression, destruction of property, and theft, which violate societal norms or others’
rights, unlike the defiance seen in ODD.
EXAM PREP QUESTIONS AND
ANSWERS
1. A 9-year-old child presents with frequent outbursts of temper, chronic irritability, and an
angry mood between outbursts for at least 12 months. Which diagnosis is most appropriate
according to DSM-5?
A. Bipolar I Disorder
B. Conduct Disorder
C. Oppositional Defiant Disorder (ODD)
D. Disruptive Mood Dysregulation Disorder (DMDD)
Answer: D
Conceptual Explanation: DMDD is characterized by severe recurrent temper outbursts
and chronic, persistently irritable or angry mood between outbursts, occurring for 12+
months in at least two settings.
,2. When prescribing stimulants for ADHD, which physical parameter must be monitored most
closely due to potential side effects?
A. Hearing sensitivity
B. Visual acuity
C. Height and weight
D. Thyroid function
Answer: C
Conceptual Explanation: Stimulants can cause appetite suppression and potential growth
deceleration; therefore, height and weight should be monitored regularly in pediatric
patients.
3. Which developmental theorist proposed the concept of ‘Industry vs. Inferiority’ for
children aged 6 to 12 years?
A. Erik Erikson
B. Sigmund Freud
C. Jean Piaget
D. Lawrence Kohlberg
Answer: A
Conceptual Explanation: Erikson’s stage of Industry vs. Inferiority occurs during school
age, where children learn to be productive and master new skills.
, 4. A 4-year-old child shows significant deficits in social communication, lack of eye contact,
and repetitive motor mannerisms. Which screening tool is most specific for this presentation?
A. PHQ-A
B. M-CHAT-R
C. SCARED
D. Vanderbilt Assessment Scale
Answer: B
Conceptual Explanation: The Modified Checklist for Autism in Toddlers, Revised (M-
CHAT-R) is used to screen for Autism Spectrum Disorder (ASD).
5. What is the primary difference between Oppositional Defiant Disorder (ODD) and Conduct
Disorder (CD)?
A. ODD involves physical aggression toward people or animals.
B. ODD is only diagnosed after age 18.
C. CD involves the violation of the basic rights of others or major societal norms.
D. CD is characterized by arguing with authority figures but no illegal acts.
Answer: C
Conceptual Explanation: Conduct Disorder involves more severe behaviors like
aggression, destruction of property, and theft, which violate societal norms or others’
rights, unlike the defiance seen in ODD.
