NR 668 QUIZ 5 COMMON ADULT GERIATRIC
DISORDERS LATEST STUDY GUIDE 2026
QUESTIONS WITH CORRECT ANSWERS
LATEST EDITION
1. A 15-year-old boy has refused to go to school for the past
month. Every morning he has a new symptom or develops one
and has to be picked up from school. When he is home, the
symptoms disappear. On weekends the symptoms never
present. What is the most likely diagnosis?
Separation anxiety
Social anxiety
Agoraphobia
Panic disorder
2. Delirium characterized by apathy, psychomotor
retardation, and inattentiveness is known as:
Hypoactive delirium
Mixed delirium
Hyperactive delirium
Mania
3. Which of the following are true regarding dissociative amnesia?
The amnesia is selective for specific events which should
be successfully recalled in stored memory and readily
remembered.
Personal identity is completely forgotten as well as previously learned
skills.
Dissociative amnesia is related to neurobiological damage which
prevents memory storage.
All of these statements are true.
Dissociative amnesia involves the inability to recall important
autobiographical information, usually of a traumatic or stressful
nature, that is inconsistent with ordinary forgetting. It is potentially
reversible and not associated with neurobiological damage. Loss of
one's personality identity and procedural knowledge is associated
with generalized amnesia.
4. A 17-year-old girl with major depressive disorder single
, episode and bulimia nervosa is unable to actively
participate in psychotherapy because she says she feels
too sleepy during the day because she is
unable to sleep at night. In addition, she is inattentive, irritable,
finds it difficult to concentrate, and has no desire to do anything.
Which pharmacological agent is preferred for monotherapy?
Atypical antipsychotic
Tricyclic
antidepressant
Selective serotonin reuptake inhibitor
Mood stabilizer
5. John is a 39 year old business executive who works 60 plus
hours a week. He has no financial challenges but insists on
staying in the office in order to perfect the projects he is
working on. His manager notes that John is stubborn and asked
John to delegate part of his upcoming presentation to junior
staff members, but John always refuses to delegate. John is also
saving his money "in case of the next pandemic" and rarely
spends money on anything fun. John is preoccupied with
perfectionism, rules, morality and ethics and is reluctant to work
with others, unless they adopt his exact method of doing things.
John's behavior best describes what?
Obsessive Compulsive Personality Disorder
Obsessive compulsive
disorder Hoarding disorder
General anxiety disorder
6. Leo is a 32-year-old male with MDD who has been treated
with Citalopram for the last 5 years. Which of the following is
associated with and increased risk of serotonin syndrome?
All of these are associated with increased risk.
Triptans, Oxycodone and
Tramadol 5-HTP, Valproate and
Trypophan
Yohimbe, Panax ginseng and St. John's wart
All of these drugs and herbs may contribute to serotonin syndrome.
7. Soledad is a 32 year old female who for the last 8 months has
, been overly concerned that she has been infected with
theCovid-19 virus. Her mother had the virus 6 months ago. Soledad
is anxious that she is
now ill. She checks her temperature 4 times a day. She has
tested negative for Covid -19 10 times in the last 3 months.
Soledad has no overt symptoms of the virus. She frequently
visits her PCP and drug store clinic asking for repeated testing.
Two years ago, she had fears of the Zika virus and displayed
similar behavior and repeated medical care visits. What is the
most likely diagnosis here?
iIlness anxiety disorder
Factitious disorder by proxy
Panic disorder
Somatic symptom disorder
Soledad meets the DSM-5 criteria for illness anxiety disorder. No
somatic symptoms are present. Repeated and excessive
reassurance and medical care visits are present. The preoccupation
with having a serious illness has been present for at least 6 months.
There is a high level of anxiety about personal health status.
8. A 40-year-old man who has been on olanzapine for
schizophrenia has a lipid profile indicating total cholesterol 240
mg/dL, and low-density lipoprotein (LDL) 200 mg/dL. Which of
the following is recommended?
Statin therapy
Transthoracic
echocardiogram Lifestyle
modification
Serial EKGs
9. Upon awakening, a period of reduced alertness, impaired
performance and reduced vigilance associated with
Hypersomnolence disorder is better known as what?
Sleep
inertia
Sleep ataxia
Nap disorder
Sleep
, delirium
Sleep inertia refers to a groggy period lasting minutes to hours, which
includes impaired alertness upon awakening and is specific to
hypersomonolence disorder. There is no such thing as sleep ataxia or
nap
disorder. Sleep delirium is when you have gone without sleep and
you are in a delirium state due to it.
10. A 38-year-old Middle Eastern male veteran of
Operation Iraqi Freedom is evaluated at the mental health clinic.
He reports that he saw many of his battle buddies get killed in
action. He has been stateside for 2 years, but since that time he
has had trouble sleeping and as such he is very irritable to be
around. He reports ongoing nightmares and flashbacks to an
explosion and he feels on edge most of the time. He avoids
large crowds and loud noises. He finds that having a few beers
helps calm him and makes him more pleasant to be around and
allows him to socialize rather than isolate himself. Which of the
following medications should the PMHNP prescribe?
Sertraline
Risperdal
Lorazepam
Imipramine
11. A 25 year old male reported a sudden choking
sensation at work which caused some difficulty breathing. He
retreated to the bathroom out of fear that others would see him
struggling as he couldn't comprehend if these symptoms were
life threatening or he was going crazy. He felt dizzy, sweaty, sick
to his stomach and could not swallow. He had a fear at first that
he was dying. He attributed his symptoms to an undiagnosed
illness or a recent infection that he wasn't over. He never sought
medical treatment. He struggled for the next 3 weeks out of
concern these symptoms might come back. The symptoms
recurred 4 weeks later, while sitting alone in his car after leaving
a supermarket. He drove to the nearest emergency room and no
immediate cause was identified. He was instructed to follow up
with an ENT provider as an outpatient. What disorder the most
likely diagnosis based on his symptoms?
Specific phobia, situational
type Illness anxiety disorder
DISORDERS LATEST STUDY GUIDE 2026
QUESTIONS WITH CORRECT ANSWERS
LATEST EDITION
1. A 15-year-old boy has refused to go to school for the past
month. Every morning he has a new symptom or develops one
and has to be picked up from school. When he is home, the
symptoms disappear. On weekends the symptoms never
present. What is the most likely diagnosis?
Separation anxiety
Social anxiety
Agoraphobia
Panic disorder
2. Delirium characterized by apathy, psychomotor
retardation, and inattentiveness is known as:
Hypoactive delirium
Mixed delirium
Hyperactive delirium
Mania
3. Which of the following are true regarding dissociative amnesia?
The amnesia is selective for specific events which should
be successfully recalled in stored memory and readily
remembered.
Personal identity is completely forgotten as well as previously learned
skills.
Dissociative amnesia is related to neurobiological damage which
prevents memory storage.
All of these statements are true.
Dissociative amnesia involves the inability to recall important
autobiographical information, usually of a traumatic or stressful
nature, that is inconsistent with ordinary forgetting. It is potentially
reversible and not associated with neurobiological damage. Loss of
one's personality identity and procedural knowledge is associated
with generalized amnesia.
4. A 17-year-old girl with major depressive disorder single
, episode and bulimia nervosa is unable to actively
participate in psychotherapy because she says she feels
too sleepy during the day because she is
unable to sleep at night. In addition, she is inattentive, irritable,
finds it difficult to concentrate, and has no desire to do anything.
Which pharmacological agent is preferred for monotherapy?
Atypical antipsychotic
Tricyclic
antidepressant
Selective serotonin reuptake inhibitor
Mood stabilizer
5. John is a 39 year old business executive who works 60 plus
hours a week. He has no financial challenges but insists on
staying in the office in order to perfect the projects he is
working on. His manager notes that John is stubborn and asked
John to delegate part of his upcoming presentation to junior
staff members, but John always refuses to delegate. John is also
saving his money "in case of the next pandemic" and rarely
spends money on anything fun. John is preoccupied with
perfectionism, rules, morality and ethics and is reluctant to work
with others, unless they adopt his exact method of doing things.
John's behavior best describes what?
Obsessive Compulsive Personality Disorder
Obsessive compulsive
disorder Hoarding disorder
General anxiety disorder
6. Leo is a 32-year-old male with MDD who has been treated
with Citalopram for the last 5 years. Which of the following is
associated with and increased risk of serotonin syndrome?
All of these are associated with increased risk.
Triptans, Oxycodone and
Tramadol 5-HTP, Valproate and
Trypophan
Yohimbe, Panax ginseng and St. John's wart
All of these drugs and herbs may contribute to serotonin syndrome.
7. Soledad is a 32 year old female who for the last 8 months has
, been overly concerned that she has been infected with
theCovid-19 virus. Her mother had the virus 6 months ago. Soledad
is anxious that she is
now ill. She checks her temperature 4 times a day. She has
tested negative for Covid -19 10 times in the last 3 months.
Soledad has no overt symptoms of the virus. She frequently
visits her PCP and drug store clinic asking for repeated testing.
Two years ago, she had fears of the Zika virus and displayed
similar behavior and repeated medical care visits. What is the
most likely diagnosis here?
iIlness anxiety disorder
Factitious disorder by proxy
Panic disorder
Somatic symptom disorder
Soledad meets the DSM-5 criteria for illness anxiety disorder. No
somatic symptoms are present. Repeated and excessive
reassurance and medical care visits are present. The preoccupation
with having a serious illness has been present for at least 6 months.
There is a high level of anxiety about personal health status.
8. A 40-year-old man who has been on olanzapine for
schizophrenia has a lipid profile indicating total cholesterol 240
mg/dL, and low-density lipoprotein (LDL) 200 mg/dL. Which of
the following is recommended?
Statin therapy
Transthoracic
echocardiogram Lifestyle
modification
Serial EKGs
9. Upon awakening, a period of reduced alertness, impaired
performance and reduced vigilance associated with
Hypersomnolence disorder is better known as what?
Sleep
inertia
Sleep ataxia
Nap disorder
Sleep
, delirium
Sleep inertia refers to a groggy period lasting minutes to hours, which
includes impaired alertness upon awakening and is specific to
hypersomonolence disorder. There is no such thing as sleep ataxia or
nap
disorder. Sleep delirium is when you have gone without sleep and
you are in a delirium state due to it.
10. A 38-year-old Middle Eastern male veteran of
Operation Iraqi Freedom is evaluated at the mental health clinic.
He reports that he saw many of his battle buddies get killed in
action. He has been stateside for 2 years, but since that time he
has had trouble sleeping and as such he is very irritable to be
around. He reports ongoing nightmares and flashbacks to an
explosion and he feels on edge most of the time. He avoids
large crowds and loud noises. He finds that having a few beers
helps calm him and makes him more pleasant to be around and
allows him to socialize rather than isolate himself. Which of the
following medications should the PMHNP prescribe?
Sertraline
Risperdal
Lorazepam
Imipramine
11. A 25 year old male reported a sudden choking
sensation at work which caused some difficulty breathing. He
retreated to the bathroom out of fear that others would see him
struggling as he couldn't comprehend if these symptoms were
life threatening or he was going crazy. He felt dizzy, sweaty, sick
to his stomach and could not swallow. He had a fear at first that
he was dying. He attributed his symptoms to an undiagnosed
illness or a recent infection that he wasn't over. He never sought
medical treatment. He struggled for the next 3 weeks out of
concern these symptoms might come back. The symptoms
recurred 4 weeks later, while sitting alone in his car after leaving
a supermarket. He drove to the nearest emergency room and no
immediate cause was identified. He was instructed to follow up
with an ENT provider as an outpatient. What disorder the most
likely diagnosis based on his symptoms?
Specific phobia, situational
type Illness anxiety disorder
