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NURS 661 – Psychiatric Mental Health Diagnosis and
Management Review 2025/2026 – Verified Questions &
Answers with 100% Accuracy
A 40-year-old female bank teller has recently been diagnosed with obsessive-
compulsive disorder by her therapist.
Which of the following symptoms characterize this disorder?
a) Ritualistic behaviors that the patient feels compelled to repeat
b) Increased anxiety when attempting to ignore or suppress the repetitive behaviors
c) Frequent intrusive and repetitive thoughts and impulses
d) All of the above - CORRECT ANSWER=D - Obsessive-compulsive disorder is
an anxiety disorder in which people have unwanted and repeated thoughts,
feelings, ideas, sensations (obsessions), or behaviors that make them feel driven to
do something (compulsions). Often the person carries out the behaviors to get rid
of the obsessive thoughts, but this only provides temporary relief. Not performing
the obsessive rituals can cause great anxiety. Signs and symptoms of obsessive-
compulsive disorder include ritualistic behaviors that are repeated, increased
anxiety when the patient attempts to ignore repetitive behaviors, and frequent
intrusive and repetitive thoughts and impulses.
Which of the following statements regarding the rehabilitation of alcoholics is
correct?
a) Al-Anon is not designed for family members of alcoholics
b) Disulfiram (Antabuse) is always effective
c) Alcoholics Anonymous is not an effective method for treating this condition
d) Patients should avoid foods or drinks that contain alcohol, such as cough syrups
- CORRECT ANSWER=D - The intake of foods and medications that contain
alcohol must be avoided because it can precipitate a relapse in a recovering
alcoholic. This includes everyday products that contain alcohol, such as
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mouthwashes and cough syrups. Al-Anon (for adults) and Alateen (for teens) are
12-step programs for families and friends of alcoholics. Antabuse is effective for
some patients. Alcoholics Anonymous (AA) is a 12-step program that is designed
to help alcoholics.
A 30-year-old male patient with bipolar disorder refuses to take his afternoon dose
of pills. The nurse tells him of the possible consequences of his action, but the
patient still refuses to cooperate. Which of the following is the best course for the
nurse to follow?
a) Document the patient's behavior in his record and the action taken by the nurse
b) Reassure the patient that he will be fine after taking the medicine
c) Document only the patient behavior
d) Document only the nurse's action - CORRECT ANSWER=A - Patients have the
right to refuse their medications. Bipolar disorder tends to worsen if it is not
treated. Explain that there is a good chance that manic and depressive episodes will
become more frequent and severe over time. If a patient is noncompliant, the
patient behavior and the actions taken by the nurse both must be documented.
All of the following patients are at higher risk for suicide except:
a) A 66-year-old White man whose wife of 40 years recently died
b) A high school student with a history of bipolar disorder
c) A depressed 45-year-old woman with family history of suicide
d) A 17-year-old teen who has only one close friend in school - CORRECT
ANSWER=D - Risk factors for suicide include (a) elderly White men (especially
after the death of a spouse); (b) past history of suicide; (c) family history of
suicide; (d) plans for use of a lethal weapon such as a gun or knife; (e) gender
(higher attempt rate in females, but higher success rate in males); and (f) personal
history of bipolar disorder or depression.
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All of the following are true statements regarding Munchausen syndrome except:
a) It is considered a mental illness
b) The patient has a medical illness that causes an anxiety reaction and denial
c) The patient fakes an illness in order to gain attention from health care providers
d) The patient has an inconsi - CORRECT ANSWER=B - Munchausen syndrome
is a psychiatric disorder in which the patient fakes a medical illness or disorder to
gain attention from health care providers. These patients often use the emergency
department to gain attention.
A 38-year-old male veteran is diagnosed with posttraumatic stress disorder
(PTSD). He attends group therapy sessions once per week, but reports that his
symptoms remain the same. He is requesting treatment for his condition. Which of
the following is the first-line medication for PTSD?
a) Selective serotonin reuptake inhibitors (SSRIs)
b) Benzodiazepines
c) Tricyclic antidepressants (TCAs)
d) Selective norepinephrine reuptake inhibitors (SNRIs) - CORRECT
ANSWER=A - First-line drug treatment for posttraumatic stress disorder (PTSD)
is SSRIs. The Food and Drug Administration has approved sertraline (Zoloft) and
paroxetine (Paxil) for PTSD.
A nurse practitioner is giving dietary counseling to a 30-year-old male alcoholic
who has recently been diagnosed with folic acid deficiency anemia. Which of the
following foods should the nurse practitioner recommend to this patient?
a) Tomatoes, oranges, and bananas
b) Cheese, yogurt, and milk
c) Lettuce, beef, and dairy products
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d) Spinach, liver, and beans - CORRECT ANSWER=D - Folic acid deficiency is
associated with excessive alcohol intake and malnutrition. Folate is a water-soluble
B vitamin (vitamin B9). Folate is present in the following foods: liver, dark leafy
vegetables (spinach, turnip, broccoli), beans (soy, lentils, peas), pasta, breads, and
cereals.
A 21-year-old new mother reports that she has been feeling irritable and jittery
almost daily for the past few months. She complains of frequent palpitations and
more frequent bowel movements along with weight loss. Her blood pressure is
160/70 mmHg, pulse is 110 beats/min, and she is afebrile. All of the following
conditions should be considered in the differential diagnosis for this patient except:
a) Mitral regurgitation
b) Graves' disease
c) Generalized anxiety disorder
d) Illicit drug use - CORRECT ANSWER=A - Signs and symptoms of mitral
regurgitation do not include frequent bowel movements with weight loss.
A 68-year-old woman is suspected of having Alzheimer's disease. Which of the
following is the best initial method for assessing the condition?
Select All That Apply
a) CT scan of the brain
b) Folstein Mini-Mental State Exam
c) Patient history obtained from family members and close friends
d) EEG (electroencephalography) - CORRECT ANSWER=B & C - To assess a
patient for dementia, the first step is obtaining a thorough history of the patient's
behavior, medical history, and medications. There are questionnaires to assess for
dementia. The Folstein Mini-Mental State Exam is probably one the most common
tools used to assess for dementia.
NURS 661 – Psychiatric Mental Health Diagnosis and
Management Review 2025/2026 – Verified Questions &
Answers with 100% Accuracy
A 40-year-old female bank teller has recently been diagnosed with obsessive-
compulsive disorder by her therapist.
Which of the following symptoms characterize this disorder?
a) Ritualistic behaviors that the patient feels compelled to repeat
b) Increased anxiety when attempting to ignore or suppress the repetitive behaviors
c) Frequent intrusive and repetitive thoughts and impulses
d) All of the above - CORRECT ANSWER=D - Obsessive-compulsive disorder is
an anxiety disorder in which people have unwanted and repeated thoughts,
feelings, ideas, sensations (obsessions), or behaviors that make them feel driven to
do something (compulsions). Often the person carries out the behaviors to get rid
of the obsessive thoughts, but this only provides temporary relief. Not performing
the obsessive rituals can cause great anxiety. Signs and symptoms of obsessive-
compulsive disorder include ritualistic behaviors that are repeated, increased
anxiety when the patient attempts to ignore repetitive behaviors, and frequent
intrusive and repetitive thoughts and impulses.
Which of the following statements regarding the rehabilitation of alcoholics is
correct?
a) Al-Anon is not designed for family members of alcoholics
b) Disulfiram (Antabuse) is always effective
c) Alcoholics Anonymous is not an effective method for treating this condition
d) Patients should avoid foods or drinks that contain alcohol, such as cough syrups
- CORRECT ANSWER=D - The intake of foods and medications that contain
alcohol must be avoided because it can precipitate a relapse in a recovering
alcoholic. This includes everyday products that contain alcohol, such as
,2|Page
mouthwashes and cough syrups. Al-Anon (for adults) and Alateen (for teens) are
12-step programs for families and friends of alcoholics. Antabuse is effective for
some patients. Alcoholics Anonymous (AA) is a 12-step program that is designed
to help alcoholics.
A 30-year-old male patient with bipolar disorder refuses to take his afternoon dose
of pills. The nurse tells him of the possible consequences of his action, but the
patient still refuses to cooperate. Which of the following is the best course for the
nurse to follow?
a) Document the patient's behavior in his record and the action taken by the nurse
b) Reassure the patient that he will be fine after taking the medicine
c) Document only the patient behavior
d) Document only the nurse's action - CORRECT ANSWER=A - Patients have the
right to refuse their medications. Bipolar disorder tends to worsen if it is not
treated. Explain that there is a good chance that manic and depressive episodes will
become more frequent and severe over time. If a patient is noncompliant, the
patient behavior and the actions taken by the nurse both must be documented.
All of the following patients are at higher risk for suicide except:
a) A 66-year-old White man whose wife of 40 years recently died
b) A high school student with a history of bipolar disorder
c) A depressed 45-year-old woman with family history of suicide
d) A 17-year-old teen who has only one close friend in school - CORRECT
ANSWER=D - Risk factors for suicide include (a) elderly White men (especially
after the death of a spouse); (b) past history of suicide; (c) family history of
suicide; (d) plans for use of a lethal weapon such as a gun or knife; (e) gender
(higher attempt rate in females, but higher success rate in males); and (f) personal
history of bipolar disorder or depression.
,3|Page
All of the following are true statements regarding Munchausen syndrome except:
a) It is considered a mental illness
b) The patient has a medical illness that causes an anxiety reaction and denial
c) The patient fakes an illness in order to gain attention from health care providers
d) The patient has an inconsi - CORRECT ANSWER=B - Munchausen syndrome
is a psychiatric disorder in which the patient fakes a medical illness or disorder to
gain attention from health care providers. These patients often use the emergency
department to gain attention.
A 38-year-old male veteran is diagnosed with posttraumatic stress disorder
(PTSD). He attends group therapy sessions once per week, but reports that his
symptoms remain the same. He is requesting treatment for his condition. Which of
the following is the first-line medication for PTSD?
a) Selective serotonin reuptake inhibitors (SSRIs)
b) Benzodiazepines
c) Tricyclic antidepressants (TCAs)
d) Selective norepinephrine reuptake inhibitors (SNRIs) - CORRECT
ANSWER=A - First-line drug treatment for posttraumatic stress disorder (PTSD)
is SSRIs. The Food and Drug Administration has approved sertraline (Zoloft) and
paroxetine (Paxil) for PTSD.
A nurse practitioner is giving dietary counseling to a 30-year-old male alcoholic
who has recently been diagnosed with folic acid deficiency anemia. Which of the
following foods should the nurse practitioner recommend to this patient?
a) Tomatoes, oranges, and bananas
b) Cheese, yogurt, and milk
c) Lettuce, beef, and dairy products
, 4|Page
d) Spinach, liver, and beans - CORRECT ANSWER=D - Folic acid deficiency is
associated with excessive alcohol intake and malnutrition. Folate is a water-soluble
B vitamin (vitamin B9). Folate is present in the following foods: liver, dark leafy
vegetables (spinach, turnip, broccoli), beans (soy, lentils, peas), pasta, breads, and
cereals.
A 21-year-old new mother reports that she has been feeling irritable and jittery
almost daily for the past few months. She complains of frequent palpitations and
more frequent bowel movements along with weight loss. Her blood pressure is
160/70 mmHg, pulse is 110 beats/min, and she is afebrile. All of the following
conditions should be considered in the differential diagnosis for this patient except:
a) Mitral regurgitation
b) Graves' disease
c) Generalized anxiety disorder
d) Illicit drug use - CORRECT ANSWER=A - Signs and symptoms of mitral
regurgitation do not include frequent bowel movements with weight loss.
A 68-year-old woman is suspected of having Alzheimer's disease. Which of the
following is the best initial method for assessing the condition?
Select All That Apply
a) CT scan of the brain
b) Folstein Mini-Mental State Exam
c) Patient history obtained from family members and close friends
d) EEG (electroencephalography) - CORRECT ANSWER=B & C - To assess a
patient for dementia, the first step is obtaining a thorough history of the patient's
behavior, medical history, and medications. There are questionnaires to assess for
dementia. The Folstein Mini-Mental State Exam is probably one the most common
tools used to assess for dementia.
