NR668 2026 EXAMINATION TEST
COMPLETE QUESTIONS AND SOLUTIONS
◉Susan is a 22 year old female who has a marked fear of elevators,
Uber rides and public transportation. She never shops or travels
alone. She is now experiencing "nervousness" when she waits in line
at the grocery store. Her husband suggested that she receive
counseling after she recently refused to go into Walmart alone.
1. What disorder best describes Susan's behavior?
2. What 1st line pharmacological tx would reduce relapse? Answer:
1. Agoraphobia
2. SSRI's
*note: one can be diagnosed with agoraphobia and not necessarily
panic disorder
◉Michelle, a 28 year old female began having recurring thoughts
about people dying somewhere in the USA. One month later, she
learns on social media that an act of terrorism occurred on the
opposite coast. She felt strongly that she played a role in the act by
merely thinking of the act. She complains that the more she tries to
, not think about the thought, the more often she has the unwanted
thought.
1. Michelle linking of the terrorist act to her previous unwanted
thought is an example of what?
2. What common disorder is this associated with?
3. When treating this disorder with pharmacotherapy, would the
PMHNP expect to prescribe lower or higher dosing of medication
compared to the pharmacotherapy of depression? Answer: 1.
Magical thinking
2. OCD
3. Higher
◉Jim is an 73 year old male with a dx of Major Neurocognitive
Disorder. Jim developed parkinsonism around the same time his
cognitive impairment became more pronounced. Jim was admitted
to a nursing home after his wife could no longer care for him at
home at night. Some nights he would hallucinate and some nights he
would fall out of bed or act out his dreams. Jim was recently
prescribed Haloperidol after believing the FBI was listening to him
in the ceiling tiles. He started to tear down the ceiling at his long
term care facility. Jim became rigid after receiving his second dose of
Haloperidol.
Which Major Neurocognitive disorder does Jim likely have? Answer:
Dementia with Lewy Bodies (DLB)
COMPLETE QUESTIONS AND SOLUTIONS
◉Susan is a 22 year old female who has a marked fear of elevators,
Uber rides and public transportation. She never shops or travels
alone. She is now experiencing "nervousness" when she waits in line
at the grocery store. Her husband suggested that she receive
counseling after she recently refused to go into Walmart alone.
1. What disorder best describes Susan's behavior?
2. What 1st line pharmacological tx would reduce relapse? Answer:
1. Agoraphobia
2. SSRI's
*note: one can be diagnosed with agoraphobia and not necessarily
panic disorder
◉Michelle, a 28 year old female began having recurring thoughts
about people dying somewhere in the USA. One month later, she
learns on social media that an act of terrorism occurred on the
opposite coast. She felt strongly that she played a role in the act by
merely thinking of the act. She complains that the more she tries to
, not think about the thought, the more often she has the unwanted
thought.
1. Michelle linking of the terrorist act to her previous unwanted
thought is an example of what?
2. What common disorder is this associated with?
3. When treating this disorder with pharmacotherapy, would the
PMHNP expect to prescribe lower or higher dosing of medication
compared to the pharmacotherapy of depression? Answer: 1.
Magical thinking
2. OCD
3. Higher
◉Jim is an 73 year old male with a dx of Major Neurocognitive
Disorder. Jim developed parkinsonism around the same time his
cognitive impairment became more pronounced. Jim was admitted
to a nursing home after his wife could no longer care for him at
home at night. Some nights he would hallucinate and some nights he
would fall out of bed or act out his dreams. Jim was recently
prescribed Haloperidol after believing the FBI was listening to him
in the ceiling tiles. He started to tear down the ceiling at his long
term care facility. Jim became rigid after receiving his second dose of
Haloperidol.
Which Major Neurocognitive disorder does Jim likely have? Answer:
Dementia with Lewy Bodies (DLB)
