NR547 Final 2 Practice Questions
MCQ Options, Correct Answers, and Expert Rationales
1. A client wishing to use medication-assisted treatment for opioid use disorder expresses
concerns that her roommates may try to steal her medication to get high. Which
medication is the most appropriate options for the client?
Options:
A. Buprenorphine/Naloxone
B. Methadone syrup kept at home
C. Oxycodone immediate release
D. Alprazolam
Correct Answer:
A. Buprenorphine/Naloxone
Expert Rationale:
Buprenorphine/naloxone is appropriate for opioid use disorder because buprenorphine
reduces cravings and withdrawal, while naloxone discourages misuse by injection. It is
safer than prescribing full opioid agonists in an unsupervised home setting.
2. Which of the following is the best predictor for antisocial personality disorder?
Options:
A. A diagnosis of conduct disorder at age 13
B. A diagnosis of separation anxiety at age 7
C. A history of one panic attack
D. A late-life diagnosis of mild neurocognitive disorder
Correct Answer:
A. A diagnosis of conduct disorder at age 13
Expert Rationale:
Antisocial personality disorder is strongly associated with conduct disorder symptoms
before age 15. Early patterns of aggression, deceitfulness, serious rule violation, and
disregard for others predict later antisocial traits.
3. Which of the following is a tool that may be used to screen for any type of substance use
disorder?
Options:
A. SBIRT
B. MoCA
,C. Geriatric Depression Scale
D. Mood Disorder Questionnaire
Correct Answer:
A. SBIRT
Expert Rationale:
SBIRT stands for Screening, Brief Intervention, and Referral to Treatment. It is used to
identify risky substance use and substance use disorders and connect clients with
appropriate intervention or treatment.
4. Which of the following would be included in the treatment plan for a client with
antisocial personality disorder?
Options:
A. Reward-Based therapy
B. Long-term benzodiazepine therapy
C. Avoiding all treatment limits
D. Unstructured confrontation only
Correct Answer:
A. Reward-Based therapy
Expert Rationale:
Clients with antisocial personality disorder often respond best to structured approaches
with clear expectations, consequences, and reinforcement of prosocial behavior. Reward-
based therapy can support behavioral change more effectively than insight-only
approaches.
5. Which description best describes cluster A personality disorders?
Options:
A. Characterized by odd, eccentric thinking or behavior
B. Characterized by dramatic, emotional, attention-seeking behavior
C. Characterized by anxious or fearful behavior
D. Characterized by substance withdrawal symptoms
Correct Answer:
A. Characterized by odd, eccentric thinking or behavior
Expert Rationale:
Cluster A personality disorders include paranoid, schizoid, and schizotypal personality
disorders. They are commonly described as odd or eccentric because of suspiciousness,
detachment, or unusual beliefs and behaviors.
, 6. Which characteristic is most indicative of narcissistic personality disorder?
Options:
A. Ongoing need for admiration
B. Fear of abandonment with recurrent self-harm
C. Lack of desire for social relationships
D. Excessive dependence on others for decisions
Correct Answer:
A. Ongoing need for admiration
Expert Rationale:
Narcissistic personality disorder is marked by grandiosity, need for admiration,
entitlement, and lack of empathy. A persistent need for admiration is a central feature.
7. A 25-year-old client presents with irritability, insomnia, and excessive energy. She states
she has felt this way for about a week. Last month, she reports that she felt “really down”
and slept most of the time. She endorses a pattern of “ups and downs” in her mood at
least half the time over the past few years. Which diagnosis is the most consistent with the
client’s symptoms?
Options:
A. Cyclothymia
B. Major depressive disorder
C. Schizotypal personality disorder
D. Adjustment disorder with depressed mood
Correct Answer:
A. Cyclothymia
Expert Rationale:
Cyclothymic disorder involves chronic fluctuating mood symptoms with hypomanic and
depressive features that do not meet full criteria for manic or major depressive episodes.
The long-standing pattern of ups and downs supports cyclothymia.
8. Select an appropriate initial medication choice for a 75-year-old with a new diagnosis of
major depressive disorder.
Options:
A. Escitalopram 10 mg daily
B. Amitriptyline 100 mg nightly
C. Phenelzine 90 mg daily
D. Haloperidol 10 mg twice daily
Correct Answer:
A. Escitalopram 10 mg daily
MCQ Options, Correct Answers, and Expert Rationales
1. A client wishing to use medication-assisted treatment for opioid use disorder expresses
concerns that her roommates may try to steal her medication to get high. Which
medication is the most appropriate options for the client?
Options:
A. Buprenorphine/Naloxone
B. Methadone syrup kept at home
C. Oxycodone immediate release
D. Alprazolam
Correct Answer:
A. Buprenorphine/Naloxone
Expert Rationale:
Buprenorphine/naloxone is appropriate for opioid use disorder because buprenorphine
reduces cravings and withdrawal, while naloxone discourages misuse by injection. It is
safer than prescribing full opioid agonists in an unsupervised home setting.
2. Which of the following is the best predictor for antisocial personality disorder?
Options:
A. A diagnosis of conduct disorder at age 13
B. A diagnosis of separation anxiety at age 7
C. A history of one panic attack
D. A late-life diagnosis of mild neurocognitive disorder
Correct Answer:
A. A diagnosis of conduct disorder at age 13
Expert Rationale:
Antisocial personality disorder is strongly associated with conduct disorder symptoms
before age 15. Early patterns of aggression, deceitfulness, serious rule violation, and
disregard for others predict later antisocial traits.
3. Which of the following is a tool that may be used to screen for any type of substance use
disorder?
Options:
A. SBIRT
B. MoCA
,C. Geriatric Depression Scale
D. Mood Disorder Questionnaire
Correct Answer:
A. SBIRT
Expert Rationale:
SBIRT stands for Screening, Brief Intervention, and Referral to Treatment. It is used to
identify risky substance use and substance use disorders and connect clients with
appropriate intervention or treatment.
4. Which of the following would be included in the treatment plan for a client with
antisocial personality disorder?
Options:
A. Reward-Based therapy
B. Long-term benzodiazepine therapy
C. Avoiding all treatment limits
D. Unstructured confrontation only
Correct Answer:
A. Reward-Based therapy
Expert Rationale:
Clients with antisocial personality disorder often respond best to structured approaches
with clear expectations, consequences, and reinforcement of prosocial behavior. Reward-
based therapy can support behavioral change more effectively than insight-only
approaches.
5. Which description best describes cluster A personality disorders?
Options:
A. Characterized by odd, eccentric thinking or behavior
B. Characterized by dramatic, emotional, attention-seeking behavior
C. Characterized by anxious or fearful behavior
D. Characterized by substance withdrawal symptoms
Correct Answer:
A. Characterized by odd, eccentric thinking or behavior
Expert Rationale:
Cluster A personality disorders include paranoid, schizoid, and schizotypal personality
disorders. They are commonly described as odd or eccentric because of suspiciousness,
detachment, or unusual beliefs and behaviors.
, 6. Which characteristic is most indicative of narcissistic personality disorder?
Options:
A. Ongoing need for admiration
B. Fear of abandonment with recurrent self-harm
C. Lack of desire for social relationships
D. Excessive dependence on others for decisions
Correct Answer:
A. Ongoing need for admiration
Expert Rationale:
Narcissistic personality disorder is marked by grandiosity, need for admiration,
entitlement, and lack of empathy. A persistent need for admiration is a central feature.
7. A 25-year-old client presents with irritability, insomnia, and excessive energy. She states
she has felt this way for about a week. Last month, she reports that she felt “really down”
and slept most of the time. She endorses a pattern of “ups and downs” in her mood at
least half the time over the past few years. Which diagnosis is the most consistent with the
client’s symptoms?
Options:
A. Cyclothymia
B. Major depressive disorder
C. Schizotypal personality disorder
D. Adjustment disorder with depressed mood
Correct Answer:
A. Cyclothymia
Expert Rationale:
Cyclothymic disorder involves chronic fluctuating mood symptoms with hypomanic and
depressive features that do not meet full criteria for manic or major depressive episodes.
The long-standing pattern of ups and downs supports cyclothymia.
8. Select an appropriate initial medication choice for a 75-year-old with a new diagnosis of
major depressive disorder.
Options:
A. Escitalopram 10 mg daily
B. Amitriptyline 100 mg nightly
C. Phenelzine 90 mg daily
D. Haloperidol 10 mg twice daily
Correct Answer:
A. Escitalopram 10 mg daily
