NR 606 Final Exam Questions 2026
Chamberlain College of Nursing
Diagnosis and Management in Psychiatric-Mental Health II
Practicum
75 Multiple-Choice Questions with Correct Answers
Highlighted
Instructions: Choose the best answer for each question. Correct answers are shown in bold green
1. What are some of the mental health challenges faced by children in conflict zones?
A. Reduced risk of becoming victims of violent trauma or sexual abuse
B. Increased access to health care and education during conflict
C. Risk of experiencing post-traumatic stress disorder (PTSD) and depression ✓
D. Enhanced community acceptance and reduced stigma for former child soldiers
2. Which is considered a pillar of global mental health?
A. Mental illness is treatable
B. Mental health is a fundamental human right ✓
C. More mental health providers are needed
D. Existing mental health services require restructuring
3. A 9-year-old eats Play-Doh regularly, consuming at least one container per day. Which initial strategy
should the PMHNP recommend?
A. Start vitamin supplements
B. Collaborate with the medical provider to obtain lead levels ✓
C. Remove Play-Doh from the home
D. Reward-based behavior modification
4. A child has poor academic performance, distractibility, inattention, and trouble with organization. She
dreads going to school and complains of frequent stomachaches. Her parents note that she worries about
"everything." Which is the most appropriate initial treatment option?
A. Methylphenidate
B. Bupropion
C. Cognitive behavioral therapy ✓
D. Fluoxetine
5. An 11-year-old's grandmother died unexpectedly about 2 months ago. Since that time, the child refuses to
eat more than one meal per day and cries daily. Several days each week, she has been visiting the school
nurse for complaints of headaches. Based on DSM criteria, which is the most appropriate diagnosis?
A. Prolonged grief disorder
B. Conduct disorder
C. Anorexia nervosa, restricting type
D. Adjustment disorder with depressive symptoms ✓
6. Which initial treatment would the NP recommend for a 17-year-old client who uses marijuana on a weekly
basis?
A. Motivational interviewing ✓
B. Residential treatment
C. Medication-assisted treatment
D. Community service
, 7. Which intervention implemented by the PMHNP is a primary mental health prevention strategy?
B. Teaching a class about substance use to high school students ✓
A. Leading a committee to improve conditions on an adolescent inpatient unit
C. Conducting a social skills group for children with autism spectrum disorder
D. Conducting group therapy for adolescents who have substance use disorder
8. According to the ACEs pyramid, which mechanism, present at conception, can lead to early death?
A. Historical trauma ✓
B. Adverse childhood experiences
C. Disrupted neurodevelopment
D. Social impairment
9. The PMHNP is concerned that an adolescent was exposed to adverse childhood experiences. What is the
A. Screen the client using an ACE questionnaire ✓
next best step?
B. Screen the client using a pediatric symptom checklist
C. Ask the client if there is anything they want to share
D. Ask the client's parents about possible ACEs
10. Which medical complication would differentiate a client who has bulimia nervosa from a client who has
anorexia nervosa?
A. Menstrual irregularities
B. Pancreatitis
C. Enamel erosion ✓
D. Gastroesophageal reflux
11. An adolescent presents with her parents, who endorse that their child has recently lost weight and her
eating habits have significantly changed. Which screening tool is appropriate?
A. PHQ-9
C. SCOFF tool ✓
B. CRAFFT tool
D. PARDI tool
12. A 6-year-old frequently fidgets during class and struggles to sit quietly during silent reading time. His
A. ADHD predominantly hyperactive-impulsive presentation ✓
parents note that he never walks; he only runs. Which diagnosis is most likely?
B. Unlikely ADHD diagnosis
C. ADHD combined presentation
D. ADD predominantly inattentive presentation
13. A 14-year-old diagnosed with ASD is nonverbal and cannot complete ADLs independently. He is cared
for by his single mother, who is unable to work due to his care needs. To which government program
would the PMHNP refer the family?
B. Supplemental Security Income ✓
A. Job and family services
C. Child Protective Services
D. Unemployment benefits
14. Which client meets diagnostic criteria for intermittent explosive disorder?
A. A 15-year-old with poor academic performance who is disorganized and irritable every day
B. A 14-year-old who frequently skips school, has been arrested for vandalism, and gets into fights with peers
C. A 12-year-old who frequently loses his temper, defies teachers, and often speaks of "getting revenge" on
classmates who he feels have treated him poorly
D. An 8-year-old who frequently experiences tantrums when frustrated and destroys his siblings' toys during the outbursts ✓
15. Which intervention is an example of providing trauma-informed care?
A. Hanging diverse and gender-affirming posters in the office waiting room ✓
Chamberlain College of Nursing
Diagnosis and Management in Psychiatric-Mental Health II
Practicum
75 Multiple-Choice Questions with Correct Answers
Highlighted
Instructions: Choose the best answer for each question. Correct answers are shown in bold green
1. What are some of the mental health challenges faced by children in conflict zones?
A. Reduced risk of becoming victims of violent trauma or sexual abuse
B. Increased access to health care and education during conflict
C. Risk of experiencing post-traumatic stress disorder (PTSD) and depression ✓
D. Enhanced community acceptance and reduced stigma for former child soldiers
2. Which is considered a pillar of global mental health?
A. Mental illness is treatable
B. Mental health is a fundamental human right ✓
C. More mental health providers are needed
D. Existing mental health services require restructuring
3. A 9-year-old eats Play-Doh regularly, consuming at least one container per day. Which initial strategy
should the PMHNP recommend?
A. Start vitamin supplements
B. Collaborate with the medical provider to obtain lead levels ✓
C. Remove Play-Doh from the home
D. Reward-based behavior modification
4. A child has poor academic performance, distractibility, inattention, and trouble with organization. She
dreads going to school and complains of frequent stomachaches. Her parents note that she worries about
"everything." Which is the most appropriate initial treatment option?
A. Methylphenidate
B. Bupropion
C. Cognitive behavioral therapy ✓
D. Fluoxetine
5. An 11-year-old's grandmother died unexpectedly about 2 months ago. Since that time, the child refuses to
eat more than one meal per day and cries daily. Several days each week, she has been visiting the school
nurse for complaints of headaches. Based on DSM criteria, which is the most appropriate diagnosis?
A. Prolonged grief disorder
B. Conduct disorder
C. Anorexia nervosa, restricting type
D. Adjustment disorder with depressive symptoms ✓
6. Which initial treatment would the NP recommend for a 17-year-old client who uses marijuana on a weekly
basis?
A. Motivational interviewing ✓
B. Residential treatment
C. Medication-assisted treatment
D. Community service
, 7. Which intervention implemented by the PMHNP is a primary mental health prevention strategy?
B. Teaching a class about substance use to high school students ✓
A. Leading a committee to improve conditions on an adolescent inpatient unit
C. Conducting a social skills group for children with autism spectrum disorder
D. Conducting group therapy for adolescents who have substance use disorder
8. According to the ACEs pyramid, which mechanism, present at conception, can lead to early death?
A. Historical trauma ✓
B. Adverse childhood experiences
C. Disrupted neurodevelopment
D. Social impairment
9. The PMHNP is concerned that an adolescent was exposed to adverse childhood experiences. What is the
A. Screen the client using an ACE questionnaire ✓
next best step?
B. Screen the client using a pediatric symptom checklist
C. Ask the client if there is anything they want to share
D. Ask the client's parents about possible ACEs
10. Which medical complication would differentiate a client who has bulimia nervosa from a client who has
anorexia nervosa?
A. Menstrual irregularities
B. Pancreatitis
C. Enamel erosion ✓
D. Gastroesophageal reflux
11. An adolescent presents with her parents, who endorse that their child has recently lost weight and her
eating habits have significantly changed. Which screening tool is appropriate?
A. PHQ-9
C. SCOFF tool ✓
B. CRAFFT tool
D. PARDI tool
12. A 6-year-old frequently fidgets during class and struggles to sit quietly during silent reading time. His
A. ADHD predominantly hyperactive-impulsive presentation ✓
parents note that he never walks; he only runs. Which diagnosis is most likely?
B. Unlikely ADHD diagnosis
C. ADHD combined presentation
D. ADD predominantly inattentive presentation
13. A 14-year-old diagnosed with ASD is nonverbal and cannot complete ADLs independently. He is cared
for by his single mother, who is unable to work due to his care needs. To which government program
would the PMHNP refer the family?
B. Supplemental Security Income ✓
A. Job and family services
C. Child Protective Services
D. Unemployment benefits
14. Which client meets diagnostic criteria for intermittent explosive disorder?
A. A 15-year-old with poor academic performance who is disorganized and irritable every day
B. A 14-year-old who frequently skips school, has been arrested for vandalism, and gets into fights with peers
C. A 12-year-old who frequently loses his temper, defies teachers, and often speaks of "getting revenge" on
classmates who he feels have treated him poorly
D. An 8-year-old who frequently experiences tantrums when frustrated and destroys his siblings' toys during the outbursts ✓
15. Which intervention is an example of providing trauma-informed care?
A. Hanging diverse and gender-affirming posters in the office waiting room ✓
