NR 605 FINAL EXAM PREP - DIAGNOSIS
AND MANAGEMENT IN PSYCHIATRIC-
MENTAL HEALTH ACROSS THE
LIFESPAN QUESTIONS & ANSWERS
(CHAMBERLAIN) 100% GUARANTEE
PASS
1. Which laboratory monitoring parameter is most critical for a patient initiated on Clozapine
(Clozaril) to prevent life-threatening complications?
A. Serum Creatinine
B. Hemoglobin A1c
C. Liver Function Tests (LFTs)
D. Absolute Neutrophil Count (ANC)
Answer: D
Conceptual Explanation: Clozapine carries a black box warning for agranulocytosis. The
Absolute Neutrophil Count (ANC) must be monitored weekly for the first 6 months to
detect potential bone marrow suppression.
2. A 72-year-old patient presents with memory loss, but also exhibits clear visual
hallucinations and fluctuations in alertness. Which diagnosis is most likely?
A. Alzheimer’s Disease
,B. Vascular Dementia
C. Lewy Body Dementia
D. Frontotemporal Dementia
Answer: C
Conceptual Explanation: Lewy Body Dementia is characterized by the triad of fluctuating
cognition, visual hallucinations, and spontaneous features of Parkinsonism.
3. When prescribing Lithium, the PMHNP knows that the therapeutic range for acute mania is
generally:
A. 0.6 - 1.2 mEq/L
B. 0.2 - 0.5 mEq/L
C. 1.5 - 2.0 mEq/L
D. 2.5 - 3.0 mEq/L
Answer: A
Conceptual Explanation: The standard therapeutic range for Lithium is 0.6 to 1.2 mEq/L.
Levels above 1.5 mEq/L are considered toxic.
4. A patient reporting a history of trauma presents with hypervigilance, flashbacks, and
avoidance of triggers for over 6 months. What is the primary diagnosis?
A. Post-Traumatic Stress Disorder (PTSD)
B. Adjustment Disorder
, C. Acute Stress Disorder
D. Generalized Anxiety Disorder
Answer: A
Conceptual Explanation: PTSD requires symptoms to persist for more than one month; if
symptoms last less than one month, Acute Stress Disorder is the appropriate diagnosis.
5. Which antidepressant is specifically contraindicated in patients with a history of seizure
disorders or bulimia nervosa?
A. Fluoxetine
B. Venlafaxine
C. Sertraline
D. Bupropion
Answer: D
Conceptual Explanation: Bupropion lowers the seizure threshold and is contraindicated
in patients with seizure disorders and those with active or past eating disorders due to an
increased risk of seizures.
6. Which neurotransmitter is primarily targeted by first-generation (typical) antipsychotics?
A. Serotonin (5-HT2A)
B. Dopamine (D2)
C. Norepinephrine
AND MANAGEMENT IN PSYCHIATRIC-
MENTAL HEALTH ACROSS THE
LIFESPAN QUESTIONS & ANSWERS
(CHAMBERLAIN) 100% GUARANTEE
PASS
1. Which laboratory monitoring parameter is most critical for a patient initiated on Clozapine
(Clozaril) to prevent life-threatening complications?
A. Serum Creatinine
B. Hemoglobin A1c
C. Liver Function Tests (LFTs)
D. Absolute Neutrophil Count (ANC)
Answer: D
Conceptual Explanation: Clozapine carries a black box warning for agranulocytosis. The
Absolute Neutrophil Count (ANC) must be monitored weekly for the first 6 months to
detect potential bone marrow suppression.
2. A 72-year-old patient presents with memory loss, but also exhibits clear visual
hallucinations and fluctuations in alertness. Which diagnosis is most likely?
A. Alzheimer’s Disease
,B. Vascular Dementia
C. Lewy Body Dementia
D. Frontotemporal Dementia
Answer: C
Conceptual Explanation: Lewy Body Dementia is characterized by the triad of fluctuating
cognition, visual hallucinations, and spontaneous features of Parkinsonism.
3. When prescribing Lithium, the PMHNP knows that the therapeutic range for acute mania is
generally:
A. 0.6 - 1.2 mEq/L
B. 0.2 - 0.5 mEq/L
C. 1.5 - 2.0 mEq/L
D. 2.5 - 3.0 mEq/L
Answer: A
Conceptual Explanation: The standard therapeutic range for Lithium is 0.6 to 1.2 mEq/L.
Levels above 1.5 mEq/L are considered toxic.
4. A patient reporting a history of trauma presents with hypervigilance, flashbacks, and
avoidance of triggers for over 6 months. What is the primary diagnosis?
A. Post-Traumatic Stress Disorder (PTSD)
B. Adjustment Disorder
, C. Acute Stress Disorder
D. Generalized Anxiety Disorder
Answer: A
Conceptual Explanation: PTSD requires symptoms to persist for more than one month; if
symptoms last less than one month, Acute Stress Disorder is the appropriate diagnosis.
5. Which antidepressant is specifically contraindicated in patients with a history of seizure
disorders or bulimia nervosa?
A. Fluoxetine
B. Venlafaxine
C. Sertraline
D. Bupropion
Answer: D
Conceptual Explanation: Bupropion lowers the seizure threshold and is contraindicated
in patients with seizure disorders and those with active or past eating disorders due to an
increased risk of seizures.
6. Which neurotransmitter is primarily targeted by first-generation (typical) antipsychotics?
A. Serotonin (5-HT2A)
B. Dopamine (D2)
C. Norepinephrine
