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NRNP 6675 FINAL EXAM REVISION WORKSHEET-2026 VERSION
100 PRACTICE QUESTIONS + ANSWERS + RATIONALES
Key Topics Covered (in line with course)
• Psychiatric assessment & mental status exam
• Diagnostic criteria & differential diagnosis
• Psychopharmacologic principles
• Evidence-based treatment planning
• Therapeutic communication skills
• Ethical/legal issues in mental health care
• Collaborative interprofessional care
*(The exam content is based on the Walden University NRNP 6675 syllabus and common final
exam topics.)
1–20: PSYCHIATRIC ASSESSMENT & DIAGNOSIS
1. A 30-year-old presents with low mood, anhedonia, and sleep disturbance for 3 weeks. The
likely diagnosis is:
A. Dysthymia
B. Major Depressive Disorder
C. Adjustment Disorder
D. Bipolar II disorder
Answer: B
Rationale: Symptoms lasting ≥2 weeks with significant impairment suggest Major Depressive
Disorder; dysthymia (persistent depressive disorder) requires ≥2 years.
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2. In mental status exam, lack of purpose and poverty of speech most indicates:
A. Hallucination
B. Loosening of associations
C. Negative symptoms
D. Anxiety
Answer: C
Rationale: Negative symptoms include flat affect, reduced speech, and social withdrawal.
3. A mood disorder with manic episodes but no major depression is likely:
A. Bipolar II
B. Cyclothymia
C. Bipolar I
D. Major depressive disorder
Answer: C
Rationale: Bipolar I is defined by ≥1 manic episode; bipolar II includes hypomania + depression.
4. First-line screening tool for alcohol use in primary care is:
A. MMSE
B. CAGE questionnaire
C. PHQ-9
D. GAD-7
Answer: B
Rationale: CAGE is brief alcohol screening.
5. A patient reporting voices with no identifiable external source is experiencing a:
A. Delusion
B. Illusion
C. Hallucination
D. Obsession
Answer: C
Rationale: Hallucinations are sensory perceptions without stimulus.
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6. Differential diagnosis should be considered to rule out:
A. Medical conditions causing psychiatric symptoms
B. Only substance abuse
C. Only mood disorders
D. Only anxiety
Answer: A
Rationale: Many medical conditions mimic psychiatric symptoms; NP must rule them out.
7. A flat affect on exam indicates:
A. Severe anxiety
B. Emotional blunting
C. Hallucinations
D. Obsessive thought
Answer: B
8. A patient preoccupied with contamination fears and compulsive washing likely has:
A. Generalized anxiety disorder
B. Specific phobia
C. Obsessive-Compulsive Disorder
D. PTSD
Answer: C
9. In suicide risk assessment, protective factors include:
A. Isolation
B. Access to lethal means
C. Strong social support
D. Hopelessness
Answer: C
NRNP 6675 FINAL EXAM REVISION WORKSHEET-2026 VERSION
100 PRACTICE QUESTIONS + ANSWERS + RATIONALES
Key Topics Covered (in line with course)
• Psychiatric assessment & mental status exam
• Diagnostic criteria & differential diagnosis
• Psychopharmacologic principles
• Evidence-based treatment planning
• Therapeutic communication skills
• Ethical/legal issues in mental health care
• Collaborative interprofessional care
*(The exam content is based on the Walden University NRNP 6675 syllabus and common final
exam topics.)
1–20: PSYCHIATRIC ASSESSMENT & DIAGNOSIS
1. A 30-year-old presents with low mood, anhedonia, and sleep disturbance for 3 weeks. The
likely diagnosis is:
A. Dysthymia
B. Major Depressive Disorder
C. Adjustment Disorder
D. Bipolar II disorder
Answer: B
Rationale: Symptoms lasting ≥2 weeks with significant impairment suggest Major Depressive
Disorder; dysthymia (persistent depressive disorder) requires ≥2 years.
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2. In mental status exam, lack of purpose and poverty of speech most indicates:
A. Hallucination
B. Loosening of associations
C. Negative symptoms
D. Anxiety
Answer: C
Rationale: Negative symptoms include flat affect, reduced speech, and social withdrawal.
3. A mood disorder with manic episodes but no major depression is likely:
A. Bipolar II
B. Cyclothymia
C. Bipolar I
D. Major depressive disorder
Answer: C
Rationale: Bipolar I is defined by ≥1 manic episode; bipolar II includes hypomania + depression.
4. First-line screening tool for alcohol use in primary care is:
A. MMSE
B. CAGE questionnaire
C. PHQ-9
D. GAD-7
Answer: B
Rationale: CAGE is brief alcohol screening.
5. A patient reporting voices with no identifiable external source is experiencing a:
A. Delusion
B. Illusion
C. Hallucination
D. Obsession
Answer: C
Rationale: Hallucinations are sensory perceptions without stimulus.
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6. Differential diagnosis should be considered to rule out:
A. Medical conditions causing psychiatric symptoms
B. Only substance abuse
C. Only mood disorders
D. Only anxiety
Answer: A
Rationale: Many medical conditions mimic psychiatric symptoms; NP must rule them out.
7. A flat affect on exam indicates:
A. Severe anxiety
B. Emotional blunting
C. Hallucinations
D. Obsessive thought
Answer: B
8. A patient preoccupied with contamination fears and compulsive washing likely has:
A. Generalized anxiety disorder
B. Specific phobia
C. Obsessive-Compulsive Disorder
D. PTSD
Answer: C
9. In suicide risk assessment, protective factors include:
A. Isolation
B. Access to lethal means
C. Strong social support
D. Hopelessness
Answer: C
