NR668 WEEK 5 EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
Jane is a 27 year old female with no previous psychiatric hx. She was employed at a large
company within the outside sales division. The company recently downsized and
eliminated 50% of its workforce. Jane was let go 1 month ago. She had recently
purchased a condominium near her former employer and expressed worry about the
mortgage payment. She stopped attending her weekly outings with her friends from
college and no longer attends yoga. She is often tearful and notes that 1-2x a week, she
will feel overwhelmed with hopelessness. She denies SI. She denies changes in appetite,
weight, sleep or energy level. She has been able to update her resume and denies trouble
concentrating. She finds pleasure walking her dog, but is seeking help with her "crying".
Given the current info above, what disorder best describes Jane's symptoms? -
CORRECT-ANSWERSadjustment disorder with depressed mood
*key is that it is not chronic
Susan is a 22 year old female who has a marked fear of elevators, Uber rides and public
transportation. She never shops or travels alone. She is now experiencing "nervousness"
when she waits in line at the grocery store. Her husband suggested that she receive
counseling after she recently refused to go into Walmart alone.
What disorder best describes Susan's behavior?
What 1st line pharmacological tx would reduce relapse? - CORRECT-ANSWERS1.
Agoraphobia
SSRI's
*note: one can be diagnosed with agoraphobia and not necessarily panic disorder
Michelle, a 28 year old female began having recurring thoughts about people dying
somewhere in the USA. One month later, she learns on social media that an act of
terrorism occurred on the opposite coast. She felt strongly that she played a role in the act
, by merely thinking of the act. She complains that the more she tries to not think about the
thought, the more often she has the unwanted thought.
Michelle linking of the terrorist act to her previous unwanted thought is an example of
what?
What common disorder is this associated with?
When treating this disorder with pharmacotherapy, would the PMHNP expect to
prescribe lower or higher dosing of medication compared to the pharmacotherapy of
depression? - CORRECT-ANSWERS1. Magical thinking
2. OCD
Higher
Jim is an 73 year old male with a dx of Major Neurocognitive Disorder. Jim developed
parkinsonism around the same time his cognitive impairment became more pronounced.
Jim was admitted to a nursing home after his wife could no longer care for him at home
at night. Some nights he would hallucinate and some nights he would fall out of bed or
act out his dreams. Jim was recently prescribed Haloperidol after believing the FBI was
listening to him in the ceiling tiles. He started to tear down the ceiling at his long term
care facility. Jim became rigid after receiving his second dose of Haloperidol.
Which Major Neurocognitive disorder does Jim likely have? - CORRECT-
ANSWERSDementia with Lewy Bodies (DLB)
*key information: major neurocognitive disorder with delusions, rigidity/sensitivity to
antipsychotic meds, timing and parkinsonism (PDD, parkinsonism symptoms then
cognitive impairment)
April is a 29 year old female who presents to your office for the first time. She is on
Zyprexa 10mg PO qHS. April never had delusions or hallucinations.
Can one have a diagnosis of schizophrenia without having prior delusions or
hallucinations? - CORRECT-ANSWERSYes
*at least one of 3: delusions, hallucinations, disorganized speech
Which of the following statements are true regarding the literature and suicide?
QUESTIONS AND ANSWERS 2025
Jane is a 27 year old female with no previous psychiatric hx. She was employed at a large
company within the outside sales division. The company recently downsized and
eliminated 50% of its workforce. Jane was let go 1 month ago. She had recently
purchased a condominium near her former employer and expressed worry about the
mortgage payment. She stopped attending her weekly outings with her friends from
college and no longer attends yoga. She is often tearful and notes that 1-2x a week, she
will feel overwhelmed with hopelessness. She denies SI. She denies changes in appetite,
weight, sleep or energy level. She has been able to update her resume and denies trouble
concentrating. She finds pleasure walking her dog, but is seeking help with her "crying".
Given the current info above, what disorder best describes Jane's symptoms? -
CORRECT-ANSWERSadjustment disorder with depressed mood
*key is that it is not chronic
Susan is a 22 year old female who has a marked fear of elevators, Uber rides and public
transportation. She never shops or travels alone. She is now experiencing "nervousness"
when she waits in line at the grocery store. Her husband suggested that she receive
counseling after she recently refused to go into Walmart alone.
What disorder best describes Susan's behavior?
What 1st line pharmacological tx would reduce relapse? - CORRECT-ANSWERS1.
Agoraphobia
SSRI's
*note: one can be diagnosed with agoraphobia and not necessarily panic disorder
Michelle, a 28 year old female began having recurring thoughts about people dying
somewhere in the USA. One month later, she learns on social media that an act of
terrorism occurred on the opposite coast. She felt strongly that she played a role in the act
, by merely thinking of the act. She complains that the more she tries to not think about the
thought, the more often she has the unwanted thought.
Michelle linking of the terrorist act to her previous unwanted thought is an example of
what?
What common disorder is this associated with?
When treating this disorder with pharmacotherapy, would the PMHNP expect to
prescribe lower or higher dosing of medication compared to the pharmacotherapy of
depression? - CORRECT-ANSWERS1. Magical thinking
2. OCD
Higher
Jim is an 73 year old male with a dx of Major Neurocognitive Disorder. Jim developed
parkinsonism around the same time his cognitive impairment became more pronounced.
Jim was admitted to a nursing home after his wife could no longer care for him at home
at night. Some nights he would hallucinate and some nights he would fall out of bed or
act out his dreams. Jim was recently prescribed Haloperidol after believing the FBI was
listening to him in the ceiling tiles. He started to tear down the ceiling at his long term
care facility. Jim became rigid after receiving his second dose of Haloperidol.
Which Major Neurocognitive disorder does Jim likely have? - CORRECT-
ANSWERSDementia with Lewy Bodies (DLB)
*key information: major neurocognitive disorder with delusions, rigidity/sensitivity to
antipsychotic meds, timing and parkinsonism (PDD, parkinsonism symptoms then
cognitive impairment)
April is a 29 year old female who presents to your office for the first time. She is on
Zyprexa 10mg PO qHS. April never had delusions or hallucinations.
Can one have a diagnosis of schizophrenia without having prior delusions or
hallucinations? - CORRECT-ANSWERSYes
*at least one of 3: delusions, hallucinations, disorganized speech
Which of the following statements are true regarding the literature and suicide?
