NR 547 PMHNP MIDTERM EXAM BANK AND
FINAL EXAM 2026 CURRENTLY TESTING
COMPLETE ACTUAL EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS WITH
RATIONALES EXPERT VERIFIED /ALREADY
GRADED A+//BRAND NEW!!
What is obsessive-compulsive disorder (OCD)? - CORRECT ANSWER ✔✔- This
is obsessive thoughts, compulsions or both that consume at least 1 hour/day or
cause significant distress or impairment. The individual has these obsessions &
then need to complete a compulsion that will help them neutralize the thoughts.
Usually if they do not do this then they think something bad will happen
What are obsessions? - CORRECT ANSWER ✔✔- Intrusive and unwanted
repetitive thoughts, urges or impulses that often lead to a marked increase of
anxiety or distress.
1.) Contamination
2.) Pathological doubt
3.) Somatic
4.)Aggressive, sexual thoughts
5.) Need for symmetry/ordering
_______ are repetitive behaviors or mental acts that are done in response to
obsessions or in a rigid rule-bound way that can cause severe distress. Name some
- CORRECT ANSWER ✔✔- Checking, washing, counting, need to ask/confess,
symmetry/precision, hoarding, multiple comparisons, taking hours to complete a
task
1|Page
,When person that has a obsession believes that that a compulsion has to be
completed or their family will die. What is this called? - CORRECT ANSWER
✔✔- OCD with delusional beliefs
OCD with poor insight, the person mayy believe their obsessions/compulsions are
probably true. Someone with good insight KNOWS their actions are not true -
CORRECT ANSWER ✔✔-
How would you treat OCD? - CORRECT ANSWER ✔✔- SSRI at high doses.
You DO want to start low then go high. For example, Fluoxetine at 20 mg but the
patient may be therapeutic at 80 mg or Sertraline at 200 mg.
PLUSSSS EXPOSURE response therapy
What childhood infection can lead someone to developing OCD? - CORRECT
ANSWER ✔✔- PANDAS- it is a beta hemolytic streptococcal infection which
results from an auto-immune process that leads to inflammation of the basal
ganglia that disrupts cortical-striatal-thalmic axis functioning which causes OCD.
What tool can be used to assess severity of a patients obsessions/compulsions? -
CORRECT ANSWER ✔✔- Yale Brown OC Scale. The patient is able to rate their
severity of symptoms
0-7-subclinical
8-15 mild
16-23 mod
24-31 severe
2|Page
,32-40 EXTREME
Name different types of Psychosis - CORRECT ANSWER ✔✔- Schizophrenia
schizoaffective d/o
schizophreniform d/o
brief psychotic episode,
delusional d/o
Catatonia
A psychotomor syndrome that presents as a decreases reactivity to ones
environment. It usually occurs in tandem with other psychiatric/medical disorders.
Most associated with schizophrenia/affective disorders, autism or infectious
diseases. S/s: Mutism, withdrawal, refusal to eat, staring, posturing & rigidity,
negativism, echolalia, echopraxia, grimacing.
The presence of 3 or more of these symptoms will lead to the diagnosis in DSM5. -
CORRECT ANSWER ✔✔- Catatonia
What is the main treatment for Catatonia? - CORRECT ANSWER ✔✔-
Benzodiazepines!
Schizophrenia is marked by a "pre-phase" in which the patient develops symptoms
before the 1st psychotic episode over a few days to a few months and the
symptoms may persist for over a year or more before the onset of overt psychotic
symptoms. - CORRECT ANSWER ✔✔- Prodromal phase
Some people may experience abstract ideas, odd perceptual experiences, strange
behavior, abnormal affect, unusual speech, bizarre ideas.
3|Page
, Tell me about schizophrenia - CORRECT ANSWER ✔✔- This is symptoms
present for a significant portion of time during a 1 month period with continuous
signs of the disturbance persisting for at least 6 months.
So DELUSIONS, HALLUCINATIONS or DISORGANIZED SPEECH must be
present plus 2 or MORE of the following:
Delusions, hallucinations, disorganized speech, grossly disorganized, negative
symptoms or catatonia.
________ is associated with symptoms of schizophrenia and symptoms of a mood
disorder. It can be misdiagnosed as MDD - CORRECT ANSWER ✔✔-
SchizoAFFECTIVE disorder
What is schizophreniform disorder? - CORRECT ANSWER ✔✔- This is
schizophrenia like symptoms that last for more than one month BUT less than 6
months. They return to their baseline of functioning usually within 6 months
_____ is an acute psychosis often precipitated by stress that can last more than 1
day BUT less than 1 month. These patients will experience COMPLETE remission
and return to their full functioning. Some s/s are emotional votality, strange
behavior, screaming, muteness, impaired memory of recent events - CORRECT
ANSWER ✔✔- BRIEF PSYCHOTIC BREAK
1 OR MORE delusions for at LEAST 1 month duration that cannot be attributes to
ANY other psychiatric disorder. These patients delusions are WITHOUT
hallucinations. They have false belieds that involve situations: erotomanic,
persecutory, jealous, somatic, grandiose, mixed/unspecified. What disorder is this?
- CORRECT ANSWER ✔✔- Delusional disorder
4|Page
FINAL EXAM 2026 CURRENTLY TESTING
COMPLETE ACTUAL EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS WITH
RATIONALES EXPERT VERIFIED /ALREADY
GRADED A+//BRAND NEW!!
What is obsessive-compulsive disorder (OCD)? - CORRECT ANSWER ✔✔- This
is obsessive thoughts, compulsions or both that consume at least 1 hour/day or
cause significant distress or impairment. The individual has these obsessions &
then need to complete a compulsion that will help them neutralize the thoughts.
Usually if they do not do this then they think something bad will happen
What are obsessions? - CORRECT ANSWER ✔✔- Intrusive and unwanted
repetitive thoughts, urges or impulses that often lead to a marked increase of
anxiety or distress.
1.) Contamination
2.) Pathological doubt
3.) Somatic
4.)Aggressive, sexual thoughts
5.) Need for symmetry/ordering
_______ are repetitive behaviors or mental acts that are done in response to
obsessions or in a rigid rule-bound way that can cause severe distress. Name some
- CORRECT ANSWER ✔✔- Checking, washing, counting, need to ask/confess,
symmetry/precision, hoarding, multiple comparisons, taking hours to complete a
task
1|Page
,When person that has a obsession believes that that a compulsion has to be
completed or their family will die. What is this called? - CORRECT ANSWER
✔✔- OCD with delusional beliefs
OCD with poor insight, the person mayy believe their obsessions/compulsions are
probably true. Someone with good insight KNOWS their actions are not true -
CORRECT ANSWER ✔✔-
How would you treat OCD? - CORRECT ANSWER ✔✔- SSRI at high doses.
You DO want to start low then go high. For example, Fluoxetine at 20 mg but the
patient may be therapeutic at 80 mg or Sertraline at 200 mg.
PLUSSSS EXPOSURE response therapy
What childhood infection can lead someone to developing OCD? - CORRECT
ANSWER ✔✔- PANDAS- it is a beta hemolytic streptococcal infection which
results from an auto-immune process that leads to inflammation of the basal
ganglia that disrupts cortical-striatal-thalmic axis functioning which causes OCD.
What tool can be used to assess severity of a patients obsessions/compulsions? -
CORRECT ANSWER ✔✔- Yale Brown OC Scale. The patient is able to rate their
severity of symptoms
0-7-subclinical
8-15 mild
16-23 mod
24-31 severe
2|Page
,32-40 EXTREME
Name different types of Psychosis - CORRECT ANSWER ✔✔- Schizophrenia
schizoaffective d/o
schizophreniform d/o
brief psychotic episode,
delusional d/o
Catatonia
A psychotomor syndrome that presents as a decreases reactivity to ones
environment. It usually occurs in tandem with other psychiatric/medical disorders.
Most associated with schizophrenia/affective disorders, autism or infectious
diseases. S/s: Mutism, withdrawal, refusal to eat, staring, posturing & rigidity,
negativism, echolalia, echopraxia, grimacing.
The presence of 3 or more of these symptoms will lead to the diagnosis in DSM5. -
CORRECT ANSWER ✔✔- Catatonia
What is the main treatment for Catatonia? - CORRECT ANSWER ✔✔-
Benzodiazepines!
Schizophrenia is marked by a "pre-phase" in which the patient develops symptoms
before the 1st psychotic episode over a few days to a few months and the
symptoms may persist for over a year or more before the onset of overt psychotic
symptoms. - CORRECT ANSWER ✔✔- Prodromal phase
Some people may experience abstract ideas, odd perceptual experiences, strange
behavior, abnormal affect, unusual speech, bizarre ideas.
3|Page
, Tell me about schizophrenia - CORRECT ANSWER ✔✔- This is symptoms
present for a significant portion of time during a 1 month period with continuous
signs of the disturbance persisting for at least 6 months.
So DELUSIONS, HALLUCINATIONS or DISORGANIZED SPEECH must be
present plus 2 or MORE of the following:
Delusions, hallucinations, disorganized speech, grossly disorganized, negative
symptoms or catatonia.
________ is associated with symptoms of schizophrenia and symptoms of a mood
disorder. It can be misdiagnosed as MDD - CORRECT ANSWER ✔✔-
SchizoAFFECTIVE disorder
What is schizophreniform disorder? - CORRECT ANSWER ✔✔- This is
schizophrenia like symptoms that last for more than one month BUT less than 6
months. They return to their baseline of functioning usually within 6 months
_____ is an acute psychosis often precipitated by stress that can last more than 1
day BUT less than 1 month. These patients will experience COMPLETE remission
and return to their full functioning. Some s/s are emotional votality, strange
behavior, screaming, muteness, impaired memory of recent events - CORRECT
ANSWER ✔✔- BRIEF PSYCHOTIC BREAK
1 OR MORE delusions for at LEAST 1 month duration that cannot be attributes to
ANY other psychiatric disorder. These patients delusions are WITHOUT
hallucinations. They have false belieds that involve situations: erotomanic,
persecutory, jealous, somatic, grandiose, mixed/unspecified. What disorder is this?
- CORRECT ANSWER ✔✔- Delusional disorder
4|Page
