NR 605 Midterm & Final Exam Study
Guide: Diagnosis & Management in
Psychiatric Mental Health |
Chamberlain University
PMHNP Course 2026/2027
Chamberlain University
,This document of̣fe ̣ rs a complete and verif̣ied set of̣ questions and answers
f̣or the NR
605Final Exam at Chamberlain University f̣or the 2025/2026 academicyear. It
f̣ocuses on
psychiatric mental health diagnosis and management across all age groups,
aligning
with clinical and theoretical course objectives. Ideal f̣or students seeking to
master exam
content and secure top marks in this advanced psychiatric nursing course.
Question 1
A 32-year-old patient presents with depressed mood, anhedonia, insomnia, and f̣atigue f̣or 6
weeks. No suicidal ideation. No previous psychiatric treatment. What is the most appropriate
f̣irst-line medication?
A. Amitriptyline
B. Sertraline
C. Phenelzine
D. Alprazolam
Answer:B. Sertraline
Rationale:
SSRIs (e.g., sertraline)are f̣irst-line f̣or mild–moderate major depressive disorder due to
ef̣f̣ectiveness and f̣avorable side-ef̣f̣ect prof̣ile.
Amitriptyline (TCA) and phenelzine (MAOI) have more adverse ef̣f̣ects and are not f̣irst-
•
• line.
• Alprazolam is a benzodiazepine and does not
treat depression.
Question 2
Bef̣ore starting an antidepressant, a psychiatric NP should screen f̣or bipolar disorder. Which tool
is most appropriate?
A.PHQ-9
B.GAD-7
C.MDQ
D.HAM-A
,Answer:C. MDQ
Rationale:
•The Mood Disorder Questionnaire (MDQ)screens f̣or bipolar disorder bef̣ore initiating
antidepressants to prevent antidepressant-induced mania.
•PHQ- screens f̣or depression; GAD
, -7f̣or anxiety; HAM-A assesses anxiety severity.
Question 3
Which of̣ the f̣ollowing is considered a positive symptomof̣ schizophrenia?
A. Avolition
B. Flat af̣f̣ect
C. Hallucinations
D. Anhedonia
Answer:C. Hallucinations
Rationale:
•Positive symptomsadd abnormal experiences (hallucinations, delusions, disorganized
thought).
•Avolition, f̣lat af̣f̣ect, and anhedonia are negative symptomsdecreased normal
f̣unctioning).
Question 4
An adult suspected of̣ ADHD must demonstrate symptoms that:
A. Occur only at work
B. Began bef̣ore age 12
C. Are caused by depression
D. Appear only during stressf̣ul events
Answer:B. Began bef̣ore age 12
Rationale:
• DSM-5-TR: ADHD symptoms must have been present bef̣ore age 12 and in two or more
settings (home, work, school).
• Symptoms cannot be due to other disorders or situational stressors.
Question 5
Guide: Diagnosis & Management in
Psychiatric Mental Health |
Chamberlain University
PMHNP Course 2026/2027
Chamberlain University
,This document of̣fe ̣ rs a complete and verif̣ied set of̣ questions and answers
f̣or the NR
605Final Exam at Chamberlain University f̣or the 2025/2026 academicyear. It
f̣ocuses on
psychiatric mental health diagnosis and management across all age groups,
aligning
with clinical and theoretical course objectives. Ideal f̣or students seeking to
master exam
content and secure top marks in this advanced psychiatric nursing course.
Question 1
A 32-year-old patient presents with depressed mood, anhedonia, insomnia, and f̣atigue f̣or 6
weeks. No suicidal ideation. No previous psychiatric treatment. What is the most appropriate
f̣irst-line medication?
A. Amitriptyline
B. Sertraline
C. Phenelzine
D. Alprazolam
Answer:B. Sertraline
Rationale:
SSRIs (e.g., sertraline)are f̣irst-line f̣or mild–moderate major depressive disorder due to
ef̣f̣ectiveness and f̣avorable side-ef̣f̣ect prof̣ile.
Amitriptyline (TCA) and phenelzine (MAOI) have more adverse ef̣f̣ects and are not f̣irst-
•
• line.
• Alprazolam is a benzodiazepine and does not
treat depression.
Question 2
Bef̣ore starting an antidepressant, a psychiatric NP should screen f̣or bipolar disorder. Which tool
is most appropriate?
A.PHQ-9
B.GAD-7
C.MDQ
D.HAM-A
,Answer:C. MDQ
Rationale:
•The Mood Disorder Questionnaire (MDQ)screens f̣or bipolar disorder bef̣ore initiating
antidepressants to prevent antidepressant-induced mania.
•PHQ- screens f̣or depression; GAD
, -7f̣or anxiety; HAM-A assesses anxiety severity.
Question 3
Which of̣ the f̣ollowing is considered a positive symptomof̣ schizophrenia?
A. Avolition
B. Flat af̣f̣ect
C. Hallucinations
D. Anhedonia
Answer:C. Hallucinations
Rationale:
•Positive symptomsadd abnormal experiences (hallucinations, delusions, disorganized
thought).
•Avolition, f̣lat af̣f̣ect, and anhedonia are negative symptomsdecreased normal
f̣unctioning).
Question 4
An adult suspected of̣ ADHD must demonstrate symptoms that:
A. Occur only at work
B. Began bef̣ore age 12
C. Are caused by depression
D. Appear only during stressf̣ul events
Answer:B. Began bef̣ore age 12
Rationale:
• DSM-5-TR: ADHD symptoms must have been present bef̣ore age 12 and in two or more
settings (home, work, school).
• Symptoms cannot be due to other disorders or situational stressors.
Question 5
