NURS 665 Final Exam V2 | NURS 665
Psychiatric Mental Health Diagnosis and
Management III | Actual Q&A with
Rationale (NURS665 Final Exam) |
Maryville University
1. According to Irvin Yalom, which curative factor is characterized by the realization that one
is not alone and that others share similar experiences?
A. Altruism
B. Existential Factors
C. Catharsis
D. Universality
Answer: D
Rationale: Universality provides patients with the relief that their problems are not
unique. This realization helps to decrease the sense of isolation often felt by psychiatric
patients. It is a fundamental mechanism of change in the early stages of group therapy.
2. In Bowenian Family Therapy, what term describes the process of a two-person system
drawing in a third person to reduce tension?
A. Reframing
B. Enmeshment
,C. Differentiation of Self
D. Triangulation
Answer: D
Rationale: Triangulation occurs when a third party is recruited into a dyadic conflict to
stabilize the relationship. While it reduces immediate anxiety, it prevents the original two
people from resolving their issues directly. This concept is central to Murray Bowen’s
family systems theory.
3. A patient taking Clozapine must have regular blood draws. Which laboratory value is the
primary concern for the PMHNP regarding life-threatening side effects?
A. Serum Potassium
B. Hemoglobin A1c
C. Liver Function Tests
D. Absolute Neutrophil Count (ANC)
Answer: D
Rationale: Clozapine carries a black box warning for agranulocytosis, which is a severe
drop in white blood cells. Monitoring the ANC is mandatory to ensure the patient’s immune
system remains functional. If the ANC falls below a specific threshold, the medication must
be discontinued immediately.
, 4. Which therapeutic approach focuses on ‘externalizing the problem’ to help clients view
their issues as separate from their identity?
A. Cognitive Behavioral Therapy
B. Solution-Focused Brief Therapy
C. Narrative Therapy
D. Psychodynamic Therapy
Answer: C
Rationale: Narrative therapy encourages individuals to tell their life stories and see ‘the
problem’ as an external entity. By doing this, the client can develop a sense of agency to
change their relationship with the problem. This technique shifts the focus from ‘I am
depressed’ to ‘Depression is influencing my life.’
5. A 75-year-old patient presents with acute confusion, fluctuating levels of consciousness,
and visual hallucinations. What is the most likely diagnosis?
A. Major Depressive Disorder
B. Delirium
C. Alzheimer’s Dementia
D. Vascular Dementia
Answer: B
Psychiatric Mental Health Diagnosis and
Management III | Actual Q&A with
Rationale (NURS665 Final Exam) |
Maryville University
1. According to Irvin Yalom, which curative factor is characterized by the realization that one
is not alone and that others share similar experiences?
A. Altruism
B. Existential Factors
C. Catharsis
D. Universality
Answer: D
Rationale: Universality provides patients with the relief that their problems are not
unique. This realization helps to decrease the sense of isolation often felt by psychiatric
patients. It is a fundamental mechanism of change in the early stages of group therapy.
2. In Bowenian Family Therapy, what term describes the process of a two-person system
drawing in a third person to reduce tension?
A. Reframing
B. Enmeshment
,C. Differentiation of Self
D. Triangulation
Answer: D
Rationale: Triangulation occurs when a third party is recruited into a dyadic conflict to
stabilize the relationship. While it reduces immediate anxiety, it prevents the original two
people from resolving their issues directly. This concept is central to Murray Bowen’s
family systems theory.
3. A patient taking Clozapine must have regular blood draws. Which laboratory value is the
primary concern for the PMHNP regarding life-threatening side effects?
A. Serum Potassium
B. Hemoglobin A1c
C. Liver Function Tests
D. Absolute Neutrophil Count (ANC)
Answer: D
Rationale: Clozapine carries a black box warning for agranulocytosis, which is a severe
drop in white blood cells. Monitoring the ANC is mandatory to ensure the patient’s immune
system remains functional. If the ANC falls below a specific threshold, the medication must
be discontinued immediately.
, 4. Which therapeutic approach focuses on ‘externalizing the problem’ to help clients view
their issues as separate from their identity?
A. Cognitive Behavioral Therapy
B. Solution-Focused Brief Therapy
C. Narrative Therapy
D. Psychodynamic Therapy
Answer: C
Rationale: Narrative therapy encourages individuals to tell their life stories and see ‘the
problem’ as an external entity. By doing this, the client can develop a sense of agency to
change their relationship with the problem. This technique shifts the focus from ‘I am
depressed’ to ‘Depression is influencing my life.’
5. A 75-year-old patient presents with acute confusion, fluctuating levels of consciousness,
and visual hallucinations. What is the most likely diagnosis?
A. Major Depressive Disorder
B. Delirium
C. Alzheimer’s Dementia
D. Vascular Dementia
Answer: B
