A+ GRADED 1
NRNP 6635 Psychopathology
and Diagnostic Reasoning –
Final Exam – Walden
University (2025/2026)
complete exam material
Instructions
• Prepare for the Final Exam by reviewing each question carefully.
• Each multiple-choice question has four options; select the correct one.
• The correct answer is highlighted in blue.
• Detailed rationales follow each answer to reinforce understanding of
psychopathology and diagnostic reasoning.
• Questions cover high-yield domains: substance abuse, sexual orientation
Secti
and psychopathology per DSM-5-TR and Walden’s NRNP 6635
curriculum (2025/2026).
• Use this for comprehensive exam preparation.
, 2
Question 1
A 32-year-old male presents with persistent low mood, anhedonia, and
insomnia for 6 months. He denies substance use. Which diagnosis is
most likely based on DSM-5-TR criteria?
A. Bipolar II Disorder
B. Major Depressive Disorder
C. Persistent Depressive Disorder
D. Cyclothymic Disorder
Answer: B. Major Depressive Disorder
Rationale: Major Depressive Disorder (MDD) requires at least five
symptoms, including depressed mood or anhedonia, for ≥2 weeks,
causing significant impairment (DSM-5-TR, 2022). This patient’s 6-
month symptoms (low mood, anhedonia, insomnia) exceed the duration
but meet MDD criteria if impairing. Persistent Depressive Disorder (C)
requires ≥2 years, Bipolar II (A) requires hypomania, and Cyclothymic
Disorder (D) involves milder, chronic mood fluctuations, none fitting
here.
Question 2
A 45-year-old female reports daily alcohol use (4 drinks/day) and
difficulty cutting down despite job loss. Which DSM-5-TR criterion best
supports Alcohol Use Disorder?
A. Tolerance
B. Withdrawal
C. Craving
D. Continued use despite social/occupational harm
, 3
Answer: D. Continued use despite social/occupational harm
Rationale: Alcohol Use Disorder (AUD) requires ≥2 criteria within 12
months (DSM-5-TR). Continued use despite job loss directly meets the
criterion of persistent use despite social/occupational consequences.
Tolerance (A) and withdrawal (B) are not described, and craving (C) is
implied but less specific than harm in this case. AUD diagnosis guides
targeted interventions like motivational interviewing (APA, 2025).
Question 3
A 28-year-old transgender male presents with anxiety about disclosing
their gender identity at work. What is the most appropriate initial
intervention?
A. Prescribe an SSRI for anxiety
B. Explore their concerns in a supportive, nonjudgmental manner
C. Refer to a gender reassignment surgeon
D. Recommend immediate workplace disclosure
Answer: B. Explore their concerns in a supportive, nonjudgmental
manner
Rationale: Anxiety related to gender identity disclosure often stems
from fear of stigma or discrimination (APA, 2025). A supportive
therapeutic alliance builds trust and informs tailored interventions.
SSRIs (A) may be premature without full assessment, surgical referral
(C) is irrelevant, and forcing disclosure (D) disregards patient autonomy
and safety.
Question 4
NRNP 6635 Psychopathology
and Diagnostic Reasoning –
Final Exam – Walden
University (2025/2026)
complete exam material
Instructions
• Prepare for the Final Exam by reviewing each question carefully.
• Each multiple-choice question has four options; select the correct one.
• The correct answer is highlighted in blue.
• Detailed rationales follow each answer to reinforce understanding of
psychopathology and diagnostic reasoning.
• Questions cover high-yield domains: substance abuse, sexual orientation
Secti
and psychopathology per DSM-5-TR and Walden’s NRNP 6635
curriculum (2025/2026).
• Use this for comprehensive exam preparation.
, 2
Question 1
A 32-year-old male presents with persistent low mood, anhedonia, and
insomnia for 6 months. He denies substance use. Which diagnosis is
most likely based on DSM-5-TR criteria?
A. Bipolar II Disorder
B. Major Depressive Disorder
C. Persistent Depressive Disorder
D. Cyclothymic Disorder
Answer: B. Major Depressive Disorder
Rationale: Major Depressive Disorder (MDD) requires at least five
symptoms, including depressed mood or anhedonia, for ≥2 weeks,
causing significant impairment (DSM-5-TR, 2022). This patient’s 6-
month symptoms (low mood, anhedonia, insomnia) exceed the duration
but meet MDD criteria if impairing. Persistent Depressive Disorder (C)
requires ≥2 years, Bipolar II (A) requires hypomania, and Cyclothymic
Disorder (D) involves milder, chronic mood fluctuations, none fitting
here.
Question 2
A 45-year-old female reports daily alcohol use (4 drinks/day) and
difficulty cutting down despite job loss. Which DSM-5-TR criterion best
supports Alcohol Use Disorder?
A. Tolerance
B. Withdrawal
C. Craving
D. Continued use despite social/occupational harm
, 3
Answer: D. Continued use despite social/occupational harm
Rationale: Alcohol Use Disorder (AUD) requires ≥2 criteria within 12
months (DSM-5-TR). Continued use despite job loss directly meets the
criterion of persistent use despite social/occupational consequences.
Tolerance (A) and withdrawal (B) are not described, and craving (C) is
implied but less specific than harm in this case. AUD diagnosis guides
targeted interventions like motivational interviewing (APA, 2025).
Question 3
A 28-year-old transgender male presents with anxiety about disclosing
their gender identity at work. What is the most appropriate initial
intervention?
A. Prescribe an SSRI for anxiety
B. Explore their concerns in a supportive, nonjudgmental manner
C. Refer to a gender reassignment surgeon
D. Recommend immediate workplace disclosure
Answer: B. Explore their concerns in a supportive, nonjudgmental
manner
Rationale: Anxiety related to gender identity disclosure often stems
from fear of stigma or discrimination (APA, 2025). A supportive
therapeutic alliance builds trust and informs tailored interventions.
SSRIs (A) may be premature without full assessment, surgical referral
(C) is irrelevant, and forcing disclosure (D) disregards patient autonomy
and safety.
Question 4
