Walden University | NRNP 6675 Advanced Practice Psychiatric-Mental Health
Nursing
NRNP 6675 Advanced Practice Psychiatric-Mental
Health Nursing Midterm Comprehensive
Examination 2026/2027 | Verified Questions
Walden University | NRNP 6675 Advanced Practice Psychiatric-Mental Health Nursing |
University-Level Advanced Practice Nursing Students
100 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Walden University | NRNP 6675 Advanced Practice Psychiatric-Mental Health Nursing
Midterm Comprehensive Examination Actual Exam | Academic Year 2026/2027
NRNP 6675 Advanced Practice Psychiatric-Mental Health Nursing Midterm Comprehensive Examination 2026/2027 |
Verified Questions
,INTRODUCTION
This document presents 100 original, single-best-answer questions developed for the NRNP 6675
Advanced Practice Psychiatric-Mental Health Nursing Midterm Comprehensive Examination.
The questions are organized into 4 domains: Psychiatric Assessment and Diagnostic Reasoning;
Psychopharmacology and Neurobiology; Therapeutic Modalities and Psychotherapy; Special
Populations and Ethical Considerations. Every question is original and is designed to reinforce
the official course objectives for actual exam readiness and clinical proficiency, aligned to the
2026/2027 academic year. Each question is followed by its correct answer and a clinical rationale
grounded in the NRNP 6675 curriculum and foundational psychiatric-mental health nursing
scholarship, so that learners can trace the diagnostic and therapeutic logic behind each response.
ACTUAL QUESTIONS
Domain 1: Psychiatric Assessment and Diagnostic Reasoning
Question 1. A 28-year-old patient with bipolar I disorder presents with pressured
speech, and ideas jump rapidly from one topic to another but remain loosely
connected. On the mental status examination, the nurse documents which thought-
process pattern
A. Flight of ideas
B. Circumstantiality
C. Tangentiality
D. Perseveration
Correct Answer: A
Rationale: Flight of ideas is a rapid, loosely connected flow of speech characteristic of mania, in
which each idea is triggered by the preceding one. Circumstantiality returns to the original
point after digressions, tangentiality departs from the topic and never returns, and
perseveration is repetitive fixation on a single idea. Distinguishing these patterns is a core
mental status examination skill emphasized in the NRNP 6675 curriculum.
Question 2. A patient admitted for schizophrenia reports hearing voices that
comment on his behavior. The nurse should document this as which type of
hallucination
A. Olfactory hallucinations
B. Auditory hallucinations
C. Visual hallucinations
D. Tactile hallucinations
Correct Answer: B
Rationale: Auditory hallucinations, especially second-person or commentarial voices, are the
most common hallucination type in schizophrenia and a hallmark positive symptom in the
DSM-5-TR. Tactile or olfactory hallucinations more often suggest substance-related or organic
etiologies and prompt additional medical workup.
Question 3. During the mental status examination, the patient's speech shifts
abruptly between subjects with no logical connection, and the listener cannot follow
the train of thought. Which term best describes this finding
A. Neologisms
B. Clanging
C. Dysarthria
D. Derailment (loosening of associations)
Correct Answer: D
Rationale: Derailment, or loosening of associations, is a marked breakdown in the logical
connection between ideas and is a formal thought disorder characteristic of schizophrenia.
Neologisms are self-invented words, clanging is speech driven by sound rhymes, and dysarthria
NRNP 6675 Advanced Practice Psychiatric-Mental Health Nursing Midterm Comprehensive Examination 2026/2027 |
Verified Questions
, is a motor speech disorder, none of which describes a breakdown in the connection between
ideas.
Question 4. The nurse assesses a patient's ability to pay bills, keep appointments,
and manage medications. This behavior most directly reflects which mental status
examination component
A. Judgment
B. Insight
C. Attention
D. Orientation
Correct Answer: A
Rationale: Judgment is evaluated through how a patient plans and acts in everyday situations
such as finances, appointments, and medication management. Insight reflects awareness of
having an illness, while attention and orientation are cognitive components assessed separately.
Question 5. A patient reports two weeks of depressed mood, anhedonia, insomnia,
fatigue, poor concentration, and feelings of worthlessness, with no prior history of
hypomanic or manic episodes. Which diagnosis best fits this presentation
A. Cyclothymic disorder
B. Bipolar II disorder
C. Major depressive disorder, single episode
D. Persistent depressive disorder
Correct Answer: C
Rationale: A major depressive episode requires five or more of nine symptoms for at least two
weeks, including depressed mood or anhedonia, without a history of mania or hypomania.
Persistent depressive disorder requires two years of chronic depressive symptoms, cyclothymia
involves subthreshold mood fluctuations, and bipolar II requires at least one hypomanic
episode.
Question 6. A patient presents with depressed mood, mood that brightens with
positive events, hypersomnia, hyperphagia, leaden paralysis, and chronic
sensitivity to rejection. Which DSM-5-TR specifier should the nurse include
A. Melancholic features
B. Catatonic features
C. Psychotic features
D. Atypical features
Correct Answer: D
Rationale: The atypical features specifier requires mood reactivity plus at least two of
hypersomnia, increased appetite or weight gain, leaden paralysis, and chronic rejection
sensitivity. Melancholic features present with diurnal variation, anorexia, and early-morning
insomnia, a pattern distinct from this presentation.
Question 7. A patient describes six months of persistent, excessive worry about
work, health, and finances that is difficult to control, accompanied by restlessness,
fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbance.
Which diagnosis is most consistent
A. Generalized anxiety disorder
B. Panic disorder
C. Adjustment disorder with anxiety
D. Agoraphobia
Correct Answer: A
Rationale: Generalized anxiety disorder requires six months or more of excessive anxiety and
worry about multiple domains plus three or more associated somatic or cognitive symptoms.
NRNP 6675 Advanced Practice Psychiatric-Mental Health Nursing Midterm Comprehensive Examination 2026/2027 |
Verified Questions
Nursing
NRNP 6675 Advanced Practice Psychiatric-Mental
Health Nursing Midterm Comprehensive
Examination 2026/2027 | Verified Questions
Walden University | NRNP 6675 Advanced Practice Psychiatric-Mental Health Nursing |
University-Level Advanced Practice Nursing Students
100 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Walden University | NRNP 6675 Advanced Practice Psychiatric-Mental Health Nursing
Midterm Comprehensive Examination Actual Exam | Academic Year 2026/2027
NRNP 6675 Advanced Practice Psychiatric-Mental Health Nursing Midterm Comprehensive Examination 2026/2027 |
Verified Questions
,INTRODUCTION
This document presents 100 original, single-best-answer questions developed for the NRNP 6675
Advanced Practice Psychiatric-Mental Health Nursing Midterm Comprehensive Examination.
The questions are organized into 4 domains: Psychiatric Assessment and Diagnostic Reasoning;
Psychopharmacology and Neurobiology; Therapeutic Modalities and Psychotherapy; Special
Populations and Ethical Considerations. Every question is original and is designed to reinforce
the official course objectives for actual exam readiness and clinical proficiency, aligned to the
2026/2027 academic year. Each question is followed by its correct answer and a clinical rationale
grounded in the NRNP 6675 curriculum and foundational psychiatric-mental health nursing
scholarship, so that learners can trace the diagnostic and therapeutic logic behind each response.
ACTUAL QUESTIONS
Domain 1: Psychiatric Assessment and Diagnostic Reasoning
Question 1. A 28-year-old patient with bipolar I disorder presents with pressured
speech, and ideas jump rapidly from one topic to another but remain loosely
connected. On the mental status examination, the nurse documents which thought-
process pattern
A. Flight of ideas
B. Circumstantiality
C. Tangentiality
D. Perseveration
Correct Answer: A
Rationale: Flight of ideas is a rapid, loosely connected flow of speech characteristic of mania, in
which each idea is triggered by the preceding one. Circumstantiality returns to the original
point after digressions, tangentiality departs from the topic and never returns, and
perseveration is repetitive fixation on a single idea. Distinguishing these patterns is a core
mental status examination skill emphasized in the NRNP 6675 curriculum.
Question 2. A patient admitted for schizophrenia reports hearing voices that
comment on his behavior. The nurse should document this as which type of
hallucination
A. Olfactory hallucinations
B. Auditory hallucinations
C. Visual hallucinations
D. Tactile hallucinations
Correct Answer: B
Rationale: Auditory hallucinations, especially second-person or commentarial voices, are the
most common hallucination type in schizophrenia and a hallmark positive symptom in the
DSM-5-TR. Tactile or olfactory hallucinations more often suggest substance-related or organic
etiologies and prompt additional medical workup.
Question 3. During the mental status examination, the patient's speech shifts
abruptly between subjects with no logical connection, and the listener cannot follow
the train of thought. Which term best describes this finding
A. Neologisms
B. Clanging
C. Dysarthria
D. Derailment (loosening of associations)
Correct Answer: D
Rationale: Derailment, or loosening of associations, is a marked breakdown in the logical
connection between ideas and is a formal thought disorder characteristic of schizophrenia.
Neologisms are self-invented words, clanging is speech driven by sound rhymes, and dysarthria
NRNP 6675 Advanced Practice Psychiatric-Mental Health Nursing Midterm Comprehensive Examination 2026/2027 |
Verified Questions
, is a motor speech disorder, none of which describes a breakdown in the connection between
ideas.
Question 4. The nurse assesses a patient's ability to pay bills, keep appointments,
and manage medications. This behavior most directly reflects which mental status
examination component
A. Judgment
B. Insight
C. Attention
D. Orientation
Correct Answer: A
Rationale: Judgment is evaluated through how a patient plans and acts in everyday situations
such as finances, appointments, and medication management. Insight reflects awareness of
having an illness, while attention and orientation are cognitive components assessed separately.
Question 5. A patient reports two weeks of depressed mood, anhedonia, insomnia,
fatigue, poor concentration, and feelings of worthlessness, with no prior history of
hypomanic or manic episodes. Which diagnosis best fits this presentation
A. Cyclothymic disorder
B. Bipolar II disorder
C. Major depressive disorder, single episode
D. Persistent depressive disorder
Correct Answer: C
Rationale: A major depressive episode requires five or more of nine symptoms for at least two
weeks, including depressed mood or anhedonia, without a history of mania or hypomania.
Persistent depressive disorder requires two years of chronic depressive symptoms, cyclothymia
involves subthreshold mood fluctuations, and bipolar II requires at least one hypomanic
episode.
Question 6. A patient presents with depressed mood, mood that brightens with
positive events, hypersomnia, hyperphagia, leaden paralysis, and chronic
sensitivity to rejection. Which DSM-5-TR specifier should the nurse include
A. Melancholic features
B. Catatonic features
C. Psychotic features
D. Atypical features
Correct Answer: D
Rationale: The atypical features specifier requires mood reactivity plus at least two of
hypersomnia, increased appetite or weight gain, leaden paralysis, and chronic rejection
sensitivity. Melancholic features present with diurnal variation, anorexia, and early-morning
insomnia, a pattern distinct from this presentation.
Question 7. A patient describes six months of persistent, excessive worry about
work, health, and finances that is difficult to control, accompanied by restlessness,
fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbance.
Which diagnosis is most consistent
A. Generalized anxiety disorder
B. Panic disorder
C. Adjustment disorder with anxiety
D. Agoraphobia
Correct Answer: A
Rationale: Generalized anxiety disorder requires six months or more of excessive anxiety and
worry about multiple domains plus three or more associated somatic or cognitive symptoms.
NRNP 6675 Advanced Practice Psychiatric-Mental Health Nursing Midterm Comprehensive Examination 2026/2027 |
Verified Questions
