Page 1 of 21
CHAMBERLAIN NR607 Final Exam
2026|REAL 300+Qs&As WITH
RATIONALES|ALREADY GRADED A+
Question 1
A 45-year-old patient presents with depressed mood,
anhedonia, weight gain, and hypersomnia for 6 weeks. The most
appropriate initial screening tool is:
A) GAD-7
B) PHQ-9 ✅
C) MDQ
D) C-SSRS
Rationale: The PHQ-9 is the gold-standard screening tool for
depression, assessing 9 DSM-5 criteria. GAD-7 screens for
anxiety, MDQ for bipolar disorder, and C-SSRS for suicide risk.
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Question 2
A patient states, "I'm worthless and my family would be better
off without me." This is an example of which cognitive distortion?
A) Catastrophizing
B) Emotional reasoning
C) Magnification
D) Labeling ✅
Rationale: Labeling involves attaching a global, negative label
to oneself (e.g., "worthless") rather than describing specific
behaviors. Catastrophizing assumes worst-case scenarios;
emotional reasoning assumes feelings equal facts; magnification
exaggerates negatives.
, Page 3 of 21
Question 3 (Scenario)
A 28-year-old female patient reports panic attacks 3-4 times
weekly for 2 months. During attacks, she experiences
palpitations, sweating, trembling, shortness of breath, and fear
of dying. Between attacks, she worries constantly about having
another attack. What is the MOST likely diagnosis?
A) Generalized Anxiety Disorder
B) Panic Disorder ✅
C) Social Anxiety Disorder
D) Agoraphobia
Rationale: Panic Disorder requires recurrent unexpected panic
attacks PLUS ≥1 month of persistent concern about additional
attacks or maladaptive behavior changes. GAD involves
excessive worry about multiple domains, not specifically about
panic attacks.
CHAMBERLAIN NR607 Final Exam
2026|REAL 300+Qs&As WITH
RATIONALES|ALREADY GRADED A+
Question 1
A 45-year-old patient presents with depressed mood,
anhedonia, weight gain, and hypersomnia for 6 weeks. The most
appropriate initial screening tool is:
A) GAD-7
B) PHQ-9 ✅
C) MDQ
D) C-SSRS
Rationale: The PHQ-9 is the gold-standard screening tool for
depression, assessing 9 DSM-5 criteria. GAD-7 screens for
anxiety, MDQ for bipolar disorder, and C-SSRS for suicide risk.
,Page 2 of 21
Question 2
A patient states, "I'm worthless and my family would be better
off without me." This is an example of which cognitive distortion?
A) Catastrophizing
B) Emotional reasoning
C) Magnification
D) Labeling ✅
Rationale: Labeling involves attaching a global, negative label
to oneself (e.g., "worthless") rather than describing specific
behaviors. Catastrophizing assumes worst-case scenarios;
emotional reasoning assumes feelings equal facts; magnification
exaggerates negatives.
, Page 3 of 21
Question 3 (Scenario)
A 28-year-old female patient reports panic attacks 3-4 times
weekly for 2 months. During attacks, she experiences
palpitations, sweating, trembling, shortness of breath, and fear
of dying. Between attacks, she worries constantly about having
another attack. What is the MOST likely diagnosis?
A) Generalized Anxiety Disorder
B) Panic Disorder ✅
C) Social Anxiety Disorder
D) Agoraphobia
Rationale: Panic Disorder requires recurrent unexpected panic
attacks PLUS ≥1 month of persistent concern about additional
attacks or maladaptive behavior changes. GAD involves
excessive worry about multiple domains, not specifically about
panic attacks.
