NR 605 EXAM (DIAGNOSIS
MANAGEMENT IN PSYCHIATRIC)
REVIEW QUESTIONS AND ANSWERS
1. A 24-year-old patient presents with symptoms of depression. To meet the DSM-5 criteria
for Major Depressive Disorder, at least one of the five required symptoms must be:
A. Depressed mood or loss of interest/pleasure
B. Feelings of worthlessness
C. Fatigue or loss of energy
D. Diminished ability to think or concentrate
Answer: A
Conceptual Explanation: DSM-5 requires at least 5 symptoms during a 2-week period,
and at least one must be either depressed mood or loss of interest/pleasure (anhedonia).
2. Which characteristic distinguishes Bipolar II Disorder from Bipolar I Disorder?
A. Presence of at least one manic episode
B. The duration of depressive symptoms exceeding two years
C. Severity of depressive symptoms
,D. Presence of at least one hypomanic episode and one major depressive episode, without
mania
Answer: D
Conceptual Explanation: Bipolar II requires a hypomanic episode and a major depressive
episode. If a full manic episode occurs, the diagnosis changes to Bipolar I.
3. When diagnosing Generalized Anxiety Disorder (GAD), for how long must the patient
experience excessive anxiety and worry occurring more days than not?
A. At least 1 month
B. At least 6 months
C. At least 3 months
D. At least 12 months
Answer: B
Conceptual Explanation: The DSM-5 criteria for GAD require excessive anxiety and worry
for at least 6 months about a number of events or activities.
4. A patient experiencing a sudden onset of intense fear, heart palpitations, and shortness of
breath that peaks within minutes is most likely suffering from:
A. Generalized Anxiety Disorder
B. Panic Disorder
C. Social Anxiety Disorder
, D. Post-Traumatic Stress Disorder
Answer: B
Conceptual Explanation: Panic disorder is characterized by recurrent unexpected panic
attacks, which are abrupt surges of intense fear or discomfort reaching a peak within
minutes.
5. Which of the following is considered a ‘negative symptom’ of Schizophrenia?
A. Hallucinations
B. Delusions
C. Disorganized speech
D. Avolition
Answer: D
Conceptual Explanation: Negative symptoms include things taken away from a
personality, such as avolition (lack of motivation), alogia, and affective flattening.
Hallucinations and delusions are positive symptoms.
6. A patient on Lithium for Bipolar Disorder reports coarse hand tremors, ataxia, and
confusion. What is the most likely cause?
A. Common side effects
B. Lithium toxicity
C. Extrapyramidal symptoms
MANAGEMENT IN PSYCHIATRIC)
REVIEW QUESTIONS AND ANSWERS
1. A 24-year-old patient presents with symptoms of depression. To meet the DSM-5 criteria
for Major Depressive Disorder, at least one of the five required symptoms must be:
A. Depressed mood or loss of interest/pleasure
B. Feelings of worthlessness
C. Fatigue or loss of energy
D. Diminished ability to think or concentrate
Answer: A
Conceptual Explanation: DSM-5 requires at least 5 symptoms during a 2-week period,
and at least one must be either depressed mood or loss of interest/pleasure (anhedonia).
2. Which characteristic distinguishes Bipolar II Disorder from Bipolar I Disorder?
A. Presence of at least one manic episode
B. The duration of depressive symptoms exceeding two years
C. Severity of depressive symptoms
,D. Presence of at least one hypomanic episode and one major depressive episode, without
mania
Answer: D
Conceptual Explanation: Bipolar II requires a hypomanic episode and a major depressive
episode. If a full manic episode occurs, the diagnosis changes to Bipolar I.
3. When diagnosing Generalized Anxiety Disorder (GAD), for how long must the patient
experience excessive anxiety and worry occurring more days than not?
A. At least 1 month
B. At least 6 months
C. At least 3 months
D. At least 12 months
Answer: B
Conceptual Explanation: The DSM-5 criteria for GAD require excessive anxiety and worry
for at least 6 months about a number of events or activities.
4. A patient experiencing a sudden onset of intense fear, heart palpitations, and shortness of
breath that peaks within minutes is most likely suffering from:
A. Generalized Anxiety Disorder
B. Panic Disorder
C. Social Anxiety Disorder
, D. Post-Traumatic Stress Disorder
Answer: B
Conceptual Explanation: Panic disorder is characterized by recurrent unexpected panic
attacks, which are abrupt surges of intense fear or discomfort reaching a peak within
minutes.
5. Which of the following is considered a ‘negative symptom’ of Schizophrenia?
A. Hallucinations
B. Delusions
C. Disorganized speech
D. Avolition
Answer: D
Conceptual Explanation: Negative symptoms include things taken away from a
personality, such as avolition (lack of motivation), alogia, and affective flattening.
Hallucinations and delusions are positive symptoms.
6. A patient on Lithium for Bipolar Disorder reports coarse hand tremors, ataxia, and
confusion. What is the most likely cause?
A. Common side effects
B. Lithium toxicity
C. Extrapyramidal symptoms
