NR 607 FINAL EXAM -diagnosis & management in
psychiatric-Mental Health III Practicum- PMHNP
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
The PMHNP is treating a client with a history of traumatic brain injury for symptoms of
depression. The client is prescribed bupropion. For which adverse effect should the client
carefully monitor?
A. aggression
B. memory loss
C. Sleep disturbances
D. seizures
CORRECT ANSWER
D. seizures
Question 2
Which is considered a psychiatric emergency?
A. a client experiencing her first manic episode
B. a client with acute auditory hallucinations
C. a client with neurocognitive decline who can no longer feed herself
D. decompensation of a client with borderline personality disorder
CORRECT ANSWER
B. a client with acute auditory hallucinations
1
,Question 3
A client presents to the emergency department with her sister. She lives alone and has
been unable to perform basic care for herself for three weeks due to active hallucinations.
She has stopped eating, bathing, and drinking only a small amount of water each day as
she believes that everything is poisoned. She does not believe she needs help. Which is
the most appropriate intervention?
A. temporary involuntary admission
B. voluntary admission
C. involuntary admission
D. discharge to the sister's care
CORRECT ANSWER
C. involuntary admission
Question 4
For which client should the PMHNP initiate a psychiatric hold?
A. A 45year old who accidentally overdosed on opioids
B. A 13-year-old with symptoms of mania agrees she needs immediate help, but her
guardian will not sign the consent
C. A 19 year old who is hearing voices
D. A 22 year old client with a suicide plan
CORRECT ANSWER
D. A 22 year old client with a suicide plan
Question 5
A client who is having active visual hallucinations currently has a lighter and a pocketknife
in his possession. Which AEIO risk assessment category is correctly assigned for this client?
A. objects-high risk
2
,B. environment-moderate risk
C. Intent-high risk
D. agitation-moderate risk
CORRECT ANSWER
A. objects-high risk
Question 6
A client who experienced significant childhood trauma is in alternative treatments to help
ease her symptoms associated with complex trauma. Which approach might the PMHNP
recommend?
A. acupuncture
B. structured walking programs
C. passionflower extract
D. reiki
CORRECT ANSWER
A. acupuncture
Question 7
Which client displays significant risk factors for the perpetration of violence?
A. A boy who attends church twice weekly and lives in a neighborhood with frequent gang
activity.
B. A girl who excels at academics at school and is bullied for being "too smart"
C. A boy whose family does not have permanent housing who has perfect attendance at
school
D. A girl who witnesses intimate partner violence at home and does not have close friends
CORRECT ANSWER
3
, D. A girl who witnesses intimate partner violence at home and does not have close
friends
Question 8
A client being treated for schizophrenia presents with fever and chills, hypotension, and
mouth ulcers. After stabilization which is the most appropriate next step?
A. discontinue medications that alter serotonin
B. order stat serum medication level
C. order complete blood count
D. discontinue antipsychotic medications
CORRECT ANSWER
C. order complete blood count
Question 9
The PMHNP receives a consult to see a client with a known history of alcohol use disorder
in the emergency department. The client displays symptoms of delirium and is shaky and
combative. What medical cause of delirium should the PMHNP initially suspect?
A. hypoxia
B. uremia
C. hypercalcemia
D. hypoglycemia
CORRECT ANSWER
D. hypoglycemia
Question 10
4
psychiatric-Mental Health III Practicum- PMHNP
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
The PMHNP is treating a client with a history of traumatic brain injury for symptoms of
depression. The client is prescribed bupropion. For which adverse effect should the client
carefully monitor?
A. aggression
B. memory loss
C. Sleep disturbances
D. seizures
CORRECT ANSWER
D. seizures
Question 2
Which is considered a psychiatric emergency?
A. a client experiencing her first manic episode
B. a client with acute auditory hallucinations
C. a client with neurocognitive decline who can no longer feed herself
D. decompensation of a client with borderline personality disorder
CORRECT ANSWER
B. a client with acute auditory hallucinations
1
,Question 3
A client presents to the emergency department with her sister. She lives alone and has
been unable to perform basic care for herself for three weeks due to active hallucinations.
She has stopped eating, bathing, and drinking only a small amount of water each day as
she believes that everything is poisoned. She does not believe she needs help. Which is
the most appropriate intervention?
A. temporary involuntary admission
B. voluntary admission
C. involuntary admission
D. discharge to the sister's care
CORRECT ANSWER
C. involuntary admission
Question 4
For which client should the PMHNP initiate a psychiatric hold?
A. A 45year old who accidentally overdosed on opioids
B. A 13-year-old with symptoms of mania agrees she needs immediate help, but her
guardian will not sign the consent
C. A 19 year old who is hearing voices
D. A 22 year old client with a suicide plan
CORRECT ANSWER
D. A 22 year old client with a suicide plan
Question 5
A client who is having active visual hallucinations currently has a lighter and a pocketknife
in his possession. Which AEIO risk assessment category is correctly assigned for this client?
A. objects-high risk
2
,B. environment-moderate risk
C. Intent-high risk
D. agitation-moderate risk
CORRECT ANSWER
A. objects-high risk
Question 6
A client who experienced significant childhood trauma is in alternative treatments to help
ease her symptoms associated with complex trauma. Which approach might the PMHNP
recommend?
A. acupuncture
B. structured walking programs
C. passionflower extract
D. reiki
CORRECT ANSWER
A. acupuncture
Question 7
Which client displays significant risk factors for the perpetration of violence?
A. A boy who attends church twice weekly and lives in a neighborhood with frequent gang
activity.
B. A girl who excels at academics at school and is bullied for being "too smart"
C. A boy whose family does not have permanent housing who has perfect attendance at
school
D. A girl who witnesses intimate partner violence at home and does not have close friends
CORRECT ANSWER
3
, D. A girl who witnesses intimate partner violence at home and does not have close
friends
Question 8
A client being treated for schizophrenia presents with fever and chills, hypotension, and
mouth ulcers. After stabilization which is the most appropriate next step?
A. discontinue medications that alter serotonin
B. order stat serum medication level
C. order complete blood count
D. discontinue antipsychotic medications
CORRECT ANSWER
C. order complete blood count
Question 9
The PMHNP receives a consult to see a client with a known history of alcohol use disorder
in the emergency department. The client displays symptoms of delirium and is shaky and
combative. What medical cause of delirium should the PMHNP initially suspect?
A. hypoxia
B. uremia
C. hypercalcemia
D. hypoglycemia
CORRECT ANSWER
D. hypoglycemia
Question 10
4
