NR 547 / NR547 Midterm EDAPT Exam 2025 Actual
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TABLE OF CONTENTS
Section 1 | Psychiatric Assessment and Diagnostic Reasoning | Q1 – Q45
Section 2 | Psychopharmacology Across the Lifespan | Q46 – Q90
Section 3 | Mood and Anxiety Disorders | Q91 – Q135
Section 4 | Psychotic Disorders and Cognitive Impairment | Q136 – Q179
Section 5 | Therapeutic Communication and Ethical Considerations | Q180 – Q224
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SECTION 1: PSYCHIATRIC ASSESSMENT AND DIAGNOSTIC REASONING Q1 – Q45
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Question 1 of 224
A 28-year-old female presents to the emergency department with acute chest pain and shortness
of breath after receiving a promotion. She reports tingling in her fingers and feels like she is
dying. The physical exam is unremarkable.
A. Myocardial infarction
B. Pulmonary embolism
C. Panic attack
D. Asthma exacerbation
C. Panic attack [CORRECT]
Correct Answer: C
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The presentation of sudden onset of anxiety symptoms with somatic complaints like chest pain
and paresthesias, in the absence of physical pathology, is classic for a panic attack. Myocardial
infarction would likely show ECG changes, and pulmonary embolism usually presents with
tachycardia and hypoxia not described here.
Question 2 of 224
While conducting an interview, a 40-year-old male patient states, "The government is tracking
me through my fillings and they listen to my phone calls." He appears anxious but has no
thought disorders.
A. Delusion of reference
B. Paranoid ideation
C. Grandiose delusion
D. Somatic delusion
B. Paranoid ideation [CORRECT]
Correct Answer: B
Paranoid ideation involves a suspicion or mistrust of others or systems without reaching the level
of a fixed, false belief (delusion). A delusion is a fixed false belief held despite contradictory
evidence, which would not typically be expressed with mere "ideas" of tracking without
conviction.
Question 3 of 224
During a mental status exam, a 65-year-old patient is asked to repeat three words: "table, red,
pencil." She immediately repeats them but cannot recall them after five minutes.
A. Immediate memory is intact, short-term memory is impaired
B. Immediate memory is impaired, short-term memory is intact
C. Both immediate and short-term memory are impaired
D. Remote memory is primarily affected
,3
A. Immediate memory is intact, short-term memory is impaired [CORRECT]
Correct Answer: A
Registration (immediate memory) is assessed by asking the patient to repeat the words
immediately, which she could do. Inability to recall after five minutes indicates a deficit in short-
term memory or recent recall, common in early dementia or delirium.
Question 4 of 224
A 19-year-old college student reports feeling "on edge" all the time, has trouble sleeping, and
finds it hard to concentrate because he is constantly worrying about his grades. He has felt this
way for six months.
A. Generalized anxiety disorder
B. Adjustment disorder with anxiety
C. Panic disorder
D. Acute stress disorder
A. Generalized anxiety disorder [CORRECT]
Correct Answer: A
Generalized anxiety disorder is characterized by excessive anxiety and worry occurring more
days than not for at least six months, about various activities like work or school. Adjustment
disorder occurs in response to a specific stressor within three months, and panic disorder
involves discrete episodes of intense fear.
Question 5 of 224
A 50-year-old woman is brought to the clinic by her husband who says she has been "seeing dead
people" in the house for the past two days. She is confused and has a fluctuating level of
consciousness.
A. Schizophrenia
, 4
B. Delirium
C. Histrionic personality disorder
D. Brief psychoric disorder
B. Delirium [CORRECT]
Correct Answer: B
The key features of delirium are an acute onset, disturbance in consciousness, and perceptual
disturbances like hallucinations, often accompanied by cognitive fluctuations. Schizophrenia is a
chronic condition, not typically associated with a fluctuating level of consciousness or acute
confusion.
Question 6 of 224
A patient with a history of alcohol use disorder is admitted with tremors, diaphoresis, and visual
hallucinations of small insects crawling on his arms.
A. Wernicke-Korsakoff syndrome
B. Alcohol withdrawal delirium
C. Schizophrenia
D. Alcohol-induced persisting dementia
B. Alcohol withdrawal delirium [CORRECT]
Correct Answer: B
Alcohol withdrawal delirium (delirium tremens) typically occurs 48 to 72 hours after the last
drink and presents with autonomic hyperactivity like tremors and diaphoresis, alongside
hallucinations. Wernicke's encephalopathy involves the triad of ataxia, ophthalmoplegia, and
confusion, not usually this vivid hallucination profile.
Question 7 of 224