NR 668 CEA Final Exam Chamberlain
Practicum Actual Questions and Correct
Answers
Question 1
An uninsured patient who was discharged from the hospital on haloperidol 10 mg
twice daily presents to the PMHNP for a 2-week follow-up medication check visit. On
exam the patient has tachypnea, tachycardia, and tremors, the skin is hot to the touch,
and is overall very rigid. What should the PMHNP do first?
a. Attempt to establish peripheral IV access
b. Call 911 for transfer to the emergency department
c. Discontinue the haldol
d. Prescribe bendaryl 25mg PO STAT
Correct Answer
b. Call 911 for transfer to the emergency department
Question 2
A 50-year-old woman referred from the surgical service is described as a "frequent
flyer." She reports vague complaints that have no apparent cause or objective clinical
findings. Most recently, she complains of vaginal pain, headache, and stomachache.
Upon interview she is tearful, guarded, and withdrawn. What is the most likely
psychiatric diagnosis?
a. Factitious disorder
b. Conversion disorder
c. Somatization disorder
d. Malingering
Correct Answer
c. Somatization disorder
Page 1 of 275
,Question 3
Which neurocognitive disorder has an insidious onset, recurrent hallucinations,
pronounced variation in attention and a dramatic sensitivity to antipsychotic
medications?
a. Huntington's disease
b. Lewy body disease
c. Alzheimer's disease
d. Frontotemporal lobar degeneration
Correct Answer
b. Lewy body disease
*the core diagnostic features of Lewy Body disease include fluctuating cognition,
well formed recurrent visual hallucination, parkinsonism onset subsequent to the
cognitive decline; suggestive features include rapid eye movement sleep behavior
disorder and severe antipsychotic sensitivity
Question 4
Which of the following is NOT a symptom of Alcohol Withdrawal as listed in the
Criterion B of the DSM-5?
a. Hypothermia
b. Pulse greater than 100 bpm
c. Generalized tonic-clonic seizures
d. Increased hand tremor
Correct Answer
a. Hypothermia
*the signs and symptoms of alcohol withdrawal as noted in criterion B of the DSM-5
include autonomic hyperactivity, increased hand tremor, insomnia, nausea or
vomiting, hallucinations, psychomotor agitation, anxiety and generalized tonic
clonic seizures
Page 2 of 275
,Question 5
A 32-year-old woman who is 6-months postpartum requests a psychiatric house call
while her husband is at work. Upon entering the home, the PMHNP notices a well-
cared for infant playing in a crib, and the patient sitting in her breakfast nook
overlooking the nearby park. She is requesting a medication to help her relax because
she feels as if she is walking on eggshells around her husband for fear of him "getting
physical with me" if the baby cries too much. Which of the following best describes
this woman's circumstance?
a. Honeymoon phase
b. Tension building phase
c. Abusive incident phase
d. Postpartum depression
Correct Answer
b. Tension building phase
Question 6
A patient is diagnosed with major depressive disorder with the most prominent
feature of apathy, anhedonia, and isolation. Which neurotransmitter is associated with
the symptoms?
a. Serotonin
b. Dopamine
c. Cannabinoids
d. GABA
Correct Answer
b. Dopamine
Question 7
This therapy often targets role transitions and grief. This therapy focuses on present
relationships with others.
a. IPT
b. Psychoanalysis
c. EMDR
d. CBT
Correct Answer
a. IPT
Page 3 of 275
, Question 8
A patient who has been stable on his long-acting injectable medication tells the
PMHNP that he would like to quit smoking. What is the best response?
a. "I am glad you have decided to quit smoking"
b. "Good for you, i can prescribe you a nicotine patch to help"
c. "I will refer you to a smoking cessation support group"
d. "Let us make an appointment as your medication dose may need to be lowered"
Correct Answer
d. "Let us make an appointment as your medication dose may need to be lowered"
Page 4 of 275
Practicum Actual Questions and Correct
Answers
Question 1
An uninsured patient who was discharged from the hospital on haloperidol 10 mg
twice daily presents to the PMHNP for a 2-week follow-up medication check visit. On
exam the patient has tachypnea, tachycardia, and tremors, the skin is hot to the touch,
and is overall very rigid. What should the PMHNP do first?
a. Attempt to establish peripheral IV access
b. Call 911 for transfer to the emergency department
c. Discontinue the haldol
d. Prescribe bendaryl 25mg PO STAT
Correct Answer
b. Call 911 for transfer to the emergency department
Question 2
A 50-year-old woman referred from the surgical service is described as a "frequent
flyer." She reports vague complaints that have no apparent cause or objective clinical
findings. Most recently, she complains of vaginal pain, headache, and stomachache.
Upon interview she is tearful, guarded, and withdrawn. What is the most likely
psychiatric diagnosis?
a. Factitious disorder
b. Conversion disorder
c. Somatization disorder
d. Malingering
Correct Answer
c. Somatization disorder
Page 1 of 275
,Question 3
Which neurocognitive disorder has an insidious onset, recurrent hallucinations,
pronounced variation in attention and a dramatic sensitivity to antipsychotic
medications?
a. Huntington's disease
b. Lewy body disease
c. Alzheimer's disease
d. Frontotemporal lobar degeneration
Correct Answer
b. Lewy body disease
*the core diagnostic features of Lewy Body disease include fluctuating cognition,
well formed recurrent visual hallucination, parkinsonism onset subsequent to the
cognitive decline; suggestive features include rapid eye movement sleep behavior
disorder and severe antipsychotic sensitivity
Question 4
Which of the following is NOT a symptom of Alcohol Withdrawal as listed in the
Criterion B of the DSM-5?
a. Hypothermia
b. Pulse greater than 100 bpm
c. Generalized tonic-clonic seizures
d. Increased hand tremor
Correct Answer
a. Hypothermia
*the signs and symptoms of alcohol withdrawal as noted in criterion B of the DSM-5
include autonomic hyperactivity, increased hand tremor, insomnia, nausea or
vomiting, hallucinations, psychomotor agitation, anxiety and generalized tonic
clonic seizures
Page 2 of 275
,Question 5
A 32-year-old woman who is 6-months postpartum requests a psychiatric house call
while her husband is at work. Upon entering the home, the PMHNP notices a well-
cared for infant playing in a crib, and the patient sitting in her breakfast nook
overlooking the nearby park. She is requesting a medication to help her relax because
she feels as if she is walking on eggshells around her husband for fear of him "getting
physical with me" if the baby cries too much. Which of the following best describes
this woman's circumstance?
a. Honeymoon phase
b. Tension building phase
c. Abusive incident phase
d. Postpartum depression
Correct Answer
b. Tension building phase
Question 6
A patient is diagnosed with major depressive disorder with the most prominent
feature of apathy, anhedonia, and isolation. Which neurotransmitter is associated with
the symptoms?
a. Serotonin
b. Dopamine
c. Cannabinoids
d. GABA
Correct Answer
b. Dopamine
Question 7
This therapy often targets role transitions and grief. This therapy focuses on present
relationships with others.
a. IPT
b. Psychoanalysis
c. EMDR
d. CBT
Correct Answer
a. IPT
Page 3 of 275
, Question 8
A patient who has been stable on his long-acting injectable medication tells the
PMHNP that he would like to quit smoking. What is the best response?
a. "I am glad you have decided to quit smoking"
b. "Good for you, i can prescribe you a nicotine patch to help"
c. "I will refer you to a smoking cessation support group"
d. "Let us make an appointment as your medication dose may need to be lowered"
Correct Answer
d. "Let us make an appointment as your medication dose may need to be lowered"
Page 4 of 275
