NR 607 FINAL EXAM PREP – DIAGNOSIS & MANAGEMENT IN
PSYCHIATRIC-MENTAL HEALTH III PRACTICUM COMPLETE
QUESTIONS WITH 100% VERIFIED ANSWERS
PART I: MULTIPLE CHOICE QUESTIONS (1-200) WITH RATIONALES
1. Which neurotransmitter is primarily implicated in the
pathophysiology of schizophrenia?
A. Norepinephrine
B. Serotonin
C. Dopamine
D. Acetylcholine
Correct Answer: C. The dopamine hypothesis suggests that
hyperdopaminergic activity in the mesolimbic pathway contributes to
positive symptoms of schizophrenia. While other neurotransmitters are
involved, dopamine remains the primary target of antipsychotic
medications.
2. A patient presents with flashbacks, hypervigilance, and avoidance
of reminders of a traumatic event. Which diagnosis is most consistent
with these symptoms?
A. Generalized anxiety disorder
B. Post-traumatic stress disorder
C. Acute stress disorder
D. Obsessive-compulsive disorder
,Correct Answer: B. PTSD is characterized by exposure to a traumatic
event followed by intrusion symptoms (flashbacks), avoidance, negative
alterations in cognition and mood, and hyperarousal. Symptoms must
persist for more than one month.
3. Which of the following best describes pharmacodynamics?
A. How the body affects the drug
B. How the drug affects the body
C. The study of drug absorption
D. The study of drug metabolism
Correct Answer: B. Pharmacodynamics describes what the drug does to
the body, including mechanisms of action, receptor binding, and dose-
response relationships. Pharmacokinetics describes what the body does
to the drug.
4. The Mental Status Examination (MSE) component that assesses a
patient's awareness of time, place, and person is called:
A. Memory
B. Insight
C. Orientation
D. Judgment
Correct Answer: C. Orientation is the MSE component that evaluates a
patient's awareness of person, place, time, and situation. It is typically
one of the first areas assessed.
5. Which SSRI has the longest half-life and is associated with fewer
withdrawal symptoms?
A. Sertraline
B. Paroxetine
,C. Fluoxetine
D. Citalopram
Correct Answer: C. Fluoxetine has a half-life of approximately 4-6 days
(and its active metabolite has a half-life of 7-15 days), making it less
likely to cause withdrawal symptoms upon discontinuation compared to
other SSRIs.
6. A patient reports frequently falling asleep during the day,
sometimes nodding off during conversations. This is most consistent
with:
A. Insomnia
B. Narcolepsy
C. Sleep apnea
D. Restless leg syndrome
Correct Answer: B. Narcolepsy is characterized by excessive daytime
sleepiness with irresistible episodes of sleep, often with cataplexy, sleep
paralysis, and hypnagogic hallucinations.
7. Which of the following is NOT a core domain of the Social
Determinants of Health (SDOH)?
A. Economic Stability
B. Health Care Access and Quality
C. Genetic Predisposition
D. Neighborhood and Built Environment
Correct Answer: C. Genetic predisposition is not one of the five core
SDOH domains. The recognized domains are Economic Stability,
Education Access and Quality, Health Care Access and Quality,
Neighborhood and Built Environment, and Social and Community
Context.
, 8. The PMHNP is assessing a patient with altered mental status and
notes the patient cannot perform rapidly alternating hand
movements. This finding is known as:
A. Dysdiadochokinesia
B. Ataxia
C. Apraxia
D. Agnosia
Correct Answer: A. Dysdiadochokinesia is the inability to perform rapid
alternating movements, which indicates cerebellar dysfunction.
9. Which medication is considered first-line treatment for ADHD in
children?
A. Bupropion
B. Atomoxetine
C. Methylphenidate
D. Guanfacine
Correct Answer: C. Stimulants, particularly methylphenidate and
amphetamine derivatives, are first-line pharmacologic treatments for
ADHD in children based on extensive evidence of efficacy.
10. A patient with schizophrenia has been on haloperidol for 5 years
and develops repetitive, involuntary movements of the tongue and
lips. This is most likely:
A. Acute dystonia
B. Akathisia
C. Tardive dyskinesia
D. Neuroleptic malignant syndrome
Correct Answer: C. Tardive dyskinesia is a late-onset movement
disorder characterized by involuntary, repetitive movements, often
PSYCHIATRIC-MENTAL HEALTH III PRACTICUM COMPLETE
QUESTIONS WITH 100% VERIFIED ANSWERS
PART I: MULTIPLE CHOICE QUESTIONS (1-200) WITH RATIONALES
1. Which neurotransmitter is primarily implicated in the
pathophysiology of schizophrenia?
A. Norepinephrine
B. Serotonin
C. Dopamine
D. Acetylcholine
Correct Answer: C. The dopamine hypothesis suggests that
hyperdopaminergic activity in the mesolimbic pathway contributes to
positive symptoms of schizophrenia. While other neurotransmitters are
involved, dopamine remains the primary target of antipsychotic
medications.
2. A patient presents with flashbacks, hypervigilance, and avoidance
of reminders of a traumatic event. Which diagnosis is most consistent
with these symptoms?
A. Generalized anxiety disorder
B. Post-traumatic stress disorder
C. Acute stress disorder
D. Obsessive-compulsive disorder
,Correct Answer: B. PTSD is characterized by exposure to a traumatic
event followed by intrusion symptoms (flashbacks), avoidance, negative
alterations in cognition and mood, and hyperarousal. Symptoms must
persist for more than one month.
3. Which of the following best describes pharmacodynamics?
A. How the body affects the drug
B. How the drug affects the body
C. The study of drug absorption
D. The study of drug metabolism
Correct Answer: B. Pharmacodynamics describes what the drug does to
the body, including mechanisms of action, receptor binding, and dose-
response relationships. Pharmacokinetics describes what the body does
to the drug.
4. The Mental Status Examination (MSE) component that assesses a
patient's awareness of time, place, and person is called:
A. Memory
B. Insight
C. Orientation
D. Judgment
Correct Answer: C. Orientation is the MSE component that evaluates a
patient's awareness of person, place, time, and situation. It is typically
one of the first areas assessed.
5. Which SSRI has the longest half-life and is associated with fewer
withdrawal symptoms?
A. Sertraline
B. Paroxetine
,C. Fluoxetine
D. Citalopram
Correct Answer: C. Fluoxetine has a half-life of approximately 4-6 days
(and its active metabolite has a half-life of 7-15 days), making it less
likely to cause withdrawal symptoms upon discontinuation compared to
other SSRIs.
6. A patient reports frequently falling asleep during the day,
sometimes nodding off during conversations. This is most consistent
with:
A. Insomnia
B. Narcolepsy
C. Sleep apnea
D. Restless leg syndrome
Correct Answer: B. Narcolepsy is characterized by excessive daytime
sleepiness with irresistible episodes of sleep, often with cataplexy, sleep
paralysis, and hypnagogic hallucinations.
7. Which of the following is NOT a core domain of the Social
Determinants of Health (SDOH)?
A. Economic Stability
B. Health Care Access and Quality
C. Genetic Predisposition
D. Neighborhood and Built Environment
Correct Answer: C. Genetic predisposition is not one of the five core
SDOH domains. The recognized domains are Economic Stability,
Education Access and Quality, Health Care Access and Quality,
Neighborhood and Built Environment, and Social and Community
Context.
, 8. The PMHNP is assessing a patient with altered mental status and
notes the patient cannot perform rapidly alternating hand
movements. This finding is known as:
A. Dysdiadochokinesia
B. Ataxia
C. Apraxia
D. Agnosia
Correct Answer: A. Dysdiadochokinesia is the inability to perform rapid
alternating movements, which indicates cerebellar dysfunction.
9. Which medication is considered first-line treatment for ADHD in
children?
A. Bupropion
B. Atomoxetine
C. Methylphenidate
D. Guanfacine
Correct Answer: C. Stimulants, particularly methylphenidate and
amphetamine derivatives, are first-line pharmacologic treatments for
ADHD in children based on extensive evidence of efficacy.
10. A patient with schizophrenia has been on haloperidol for 5 years
and develops repetitive, involuntary movements of the tongue and
lips. This is most likely:
A. Acute dystonia
B. Akathisia
C. Tardive dyskinesia
D. Neuroleptic malignant syndrome
Correct Answer: C. Tardive dyskinesia is a late-onset movement
disorder characterized by involuntary, repetitive movements, often
