NRNP 6665 EXAM 300 ACTUAL QUESTIONS AND
CORRECT ANSWERS WITH RATIONALE LATEST
UPDATE ALREADY GRADED A+
This comprehensive collection provides 300 unique, multiple-choice questions
for NRNP 6665, Psychiatric Mental Health Nurse Practitioner Care Across
the Lifespan I. It covers DSM-5 diagnostic criteria, psychopharmacology
across the lifespan, evidence-based psychotherapies, and the management of
psychiatric disorders including ADHD, anxiety, depression, bipolar disorder,
schizophrenia, eating disorders, autism spectrum disorder, and conduct
disorders. Each question includes a correct answer and a detailed rationale
explaining diagnostic reasoning, medication selection, side effect monitoring,
and therapeutic interventions. Designed for PMHNP students, this resource
supports exam preparation and clinical decision-making
Question 1
Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are
strategies typically used in which therapy?
A. Relaxation therapy
B. Social skills training
C. Motivational Interviewing
D. Applied behavioral analysis
Answer: A
Rationale: These techniques are core components of relaxation therapy, which
aims to reduce physiological arousal and manage stress and anxiety by teaching
patients to self-regulate their body's responses.
Question 2
According to the APA, which of the following is required to support a child's
DSM-5 diagnosis?
A. The child's clinical presentation fulfills the specific symptom-based diagnostic
criteria.
B. The child's symptoms are not caused by other diagnoses or stressors.
C. The child's symptoms are impairing functioning in at least two settings.
D. Both A and B
Answer: D
,Rationale: A DSM-5 diagnosis requires that the clinical presentation meets the
specific symptom criteria for the disorder and that the symptoms are not better
explained by another condition or stressors. Impairment in two settings is required
for disorders like ADHD but is not a universal requirement for all DSM-5
diagnoses.
Question 3
Which of the following is NOT consistent with good sleep hygiene?
A. Allowing a child to keep a cell phone at the bedside
B. Establishing consistent bedtime routines
C. Limiting the use of electronics in the evening
D. Setting a bedtime that allows for adequate sleep
Answer: A
Rationale: Good sleep hygiene involves avoiding stimulants and electronics before
bed. Allowing a cell phone at the bedside introduces a source of stimulation and
blue light that can interfere with sleep onset and quality.
Question 4
Which antipsychotic medication has the greatest tendency to increase appetite and
body weight?
A. Ziprasidone (Geodon)
B. Aripiprazole (Abilify)
C. Olanzapine (Zyprexa)
D. Quetiapine (Seroquel)
Answer: C
Rationale: Olanzapine is associated with the most significant weight gain and
metabolic side effects among antipsychotics. Its high affinity for histamine and
serotonin receptors contributes to increased appetite and weight gain.
Question 5
A period of at least one week in which both a manic episode and a major
depressive episode occur almost daily is consistent with which diagnosis?
A. Bipolar II Disorder
B. Cyclothymic Disorder
C. Bipolar I Disorder, mixed episode
D. Bipolar I Disorder, cyclothymic type
Answer: C
Rationale: A mixed episode in Bipolar I Disorder is characterized by symptoms of
both mania and major depression occurring nearly every day for at least one week.
This distinguishes it from rapid cycling or other bipolar subtypes.
,Question 6
The theory that depression results from specific thought distortions is consistent
with which of the following?
A. Cognitive theory
B. Psychosocial theory
C. Psychodynamic theory
D. Learned helplessness theory
Answer: A
Rationale: Cognitive theory, as developed by Aaron Beck, posits that depression
results from maladaptive thinking patterns, negative cognitive schemas, and
cognitive distortions. This is the foundation of cognitive-behavioral therapy for
depression.
Question 7
Which of the following is NOT true about symptomatology of anorexia nervosa?
A. Most aberrant behaviors directed toward losing weight occur in secret.
B. All patients have an intense fear of gaining weight and becoming obese.
C. Most patients with anorexia nervosa have no difficulty eating with their family
in public places.
D. Fear of gaining weight frequently contributes to resistance to therapy.
Answer: C
Rationale: Patients with anorexia nervosa often hide their aberrant eating behaviors
and have an intense fear of weight gain. They typically have significant difficulty
eating in public and often avoid eating with family, making option C untrue.
Question 8
Sleep-related hallucinations occurring at sleep onset are known as which of the
following?
A. Hypnagogic
B. Hypnopompic
C. Complex hallucinations
D. Paranormal hallucinations
Answer: A
Rationale: Hypnagogic hallucinations occur at sleep onset (falling asleep), while
hypnopompic hallucinations occur upon awakening. These are common in
narcolepsy but can occur in other conditions.
Question 9
, Which antidepressant medication has the greatest tendency to increase appetite and
body weight?
A. Fluoxetine (Prozac)
B. Trazodone (Desyrel)
C. Amitriptyline (Elavil)
D. Venlafaxine (Effexor)
Answer: C
Rationale: Tricyclic antidepressants, particularly amitriptyline, are associated with
significant weight gain and increased appetite. SSRIs like fluoxetine are more
likely to cause initial weight loss, while venlafaxine has a neutral weight effect.
Question 10
ADHD, impulse-control, conduct disorder, intellectual disabilities, and anxiety
disorders are predominant during which age range?
A. Ages 0 – 5
B. Ages 6 – 12
C. Ages 13 – 18
D. Ages 18+
Answer: B
Rationale: Middle childhood (ages 6-12) is the period when ADHD, impulse-
control disorders, conduct disorders, intellectual disabilities, and anxiety disorders
are most commonly diagnosed and manifest with school-age challenges.
Question 11
Which of the following is the most common eating disorder?
A. Bulimia nervosa
B. Anorexia nervosa
C. Binge eating disorder
D. Night eating syndrome
Answer: C
Rationale: Binge eating disorder is the most common eating disorder in the United
States, affecting a larger percentage of the population than anorexia or bulimia
nervosa.
Question 12
A patient with Bipolar I Disorder who is manic states she is the Queen of England
and quite wealthy. This is an example of which of the following?
A. Mood-congruent manic delusion
B. Mood-incongruent manic delusion
C. Mood-congruent manic hallucination
CORRECT ANSWERS WITH RATIONALE LATEST
UPDATE ALREADY GRADED A+
This comprehensive collection provides 300 unique, multiple-choice questions
for NRNP 6665, Psychiatric Mental Health Nurse Practitioner Care Across
the Lifespan I. It covers DSM-5 diagnostic criteria, psychopharmacology
across the lifespan, evidence-based psychotherapies, and the management of
psychiatric disorders including ADHD, anxiety, depression, bipolar disorder,
schizophrenia, eating disorders, autism spectrum disorder, and conduct
disorders. Each question includes a correct answer and a detailed rationale
explaining diagnostic reasoning, medication selection, side effect monitoring,
and therapeutic interventions. Designed for PMHNP students, this resource
supports exam preparation and clinical decision-making
Question 1
Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are
strategies typically used in which therapy?
A. Relaxation therapy
B. Social skills training
C. Motivational Interviewing
D. Applied behavioral analysis
Answer: A
Rationale: These techniques are core components of relaxation therapy, which
aims to reduce physiological arousal and manage stress and anxiety by teaching
patients to self-regulate their body's responses.
Question 2
According to the APA, which of the following is required to support a child's
DSM-5 diagnosis?
A. The child's clinical presentation fulfills the specific symptom-based diagnostic
criteria.
B. The child's symptoms are not caused by other diagnoses or stressors.
C. The child's symptoms are impairing functioning in at least two settings.
D. Both A and B
Answer: D
,Rationale: A DSM-5 diagnosis requires that the clinical presentation meets the
specific symptom criteria for the disorder and that the symptoms are not better
explained by another condition or stressors. Impairment in two settings is required
for disorders like ADHD but is not a universal requirement for all DSM-5
diagnoses.
Question 3
Which of the following is NOT consistent with good sleep hygiene?
A. Allowing a child to keep a cell phone at the bedside
B. Establishing consistent bedtime routines
C. Limiting the use of electronics in the evening
D. Setting a bedtime that allows for adequate sleep
Answer: A
Rationale: Good sleep hygiene involves avoiding stimulants and electronics before
bed. Allowing a cell phone at the bedside introduces a source of stimulation and
blue light that can interfere with sleep onset and quality.
Question 4
Which antipsychotic medication has the greatest tendency to increase appetite and
body weight?
A. Ziprasidone (Geodon)
B. Aripiprazole (Abilify)
C. Olanzapine (Zyprexa)
D. Quetiapine (Seroquel)
Answer: C
Rationale: Olanzapine is associated with the most significant weight gain and
metabolic side effects among antipsychotics. Its high affinity for histamine and
serotonin receptors contributes to increased appetite and weight gain.
Question 5
A period of at least one week in which both a manic episode and a major
depressive episode occur almost daily is consistent with which diagnosis?
A. Bipolar II Disorder
B. Cyclothymic Disorder
C. Bipolar I Disorder, mixed episode
D. Bipolar I Disorder, cyclothymic type
Answer: C
Rationale: A mixed episode in Bipolar I Disorder is characterized by symptoms of
both mania and major depression occurring nearly every day for at least one week.
This distinguishes it from rapid cycling or other bipolar subtypes.
,Question 6
The theory that depression results from specific thought distortions is consistent
with which of the following?
A. Cognitive theory
B. Psychosocial theory
C. Psychodynamic theory
D. Learned helplessness theory
Answer: A
Rationale: Cognitive theory, as developed by Aaron Beck, posits that depression
results from maladaptive thinking patterns, negative cognitive schemas, and
cognitive distortions. This is the foundation of cognitive-behavioral therapy for
depression.
Question 7
Which of the following is NOT true about symptomatology of anorexia nervosa?
A. Most aberrant behaviors directed toward losing weight occur in secret.
B. All patients have an intense fear of gaining weight and becoming obese.
C. Most patients with anorexia nervosa have no difficulty eating with their family
in public places.
D. Fear of gaining weight frequently contributes to resistance to therapy.
Answer: C
Rationale: Patients with anorexia nervosa often hide their aberrant eating behaviors
and have an intense fear of weight gain. They typically have significant difficulty
eating in public and often avoid eating with family, making option C untrue.
Question 8
Sleep-related hallucinations occurring at sleep onset are known as which of the
following?
A. Hypnagogic
B. Hypnopompic
C. Complex hallucinations
D. Paranormal hallucinations
Answer: A
Rationale: Hypnagogic hallucinations occur at sleep onset (falling asleep), while
hypnopompic hallucinations occur upon awakening. These are common in
narcolepsy but can occur in other conditions.
Question 9
, Which antidepressant medication has the greatest tendency to increase appetite and
body weight?
A. Fluoxetine (Prozac)
B. Trazodone (Desyrel)
C. Amitriptyline (Elavil)
D. Venlafaxine (Effexor)
Answer: C
Rationale: Tricyclic antidepressants, particularly amitriptyline, are associated with
significant weight gain and increased appetite. SSRIs like fluoxetine are more
likely to cause initial weight loss, while venlafaxine has a neutral weight effect.
Question 10
ADHD, impulse-control, conduct disorder, intellectual disabilities, and anxiety
disorders are predominant during which age range?
A. Ages 0 – 5
B. Ages 6 – 12
C. Ages 13 – 18
D. Ages 18+
Answer: B
Rationale: Middle childhood (ages 6-12) is the period when ADHD, impulse-
control disorders, conduct disorders, intellectual disabilities, and anxiety disorders
are most commonly diagnosed and manifest with school-age challenges.
Question 11
Which of the following is the most common eating disorder?
A. Bulimia nervosa
B. Anorexia nervosa
C. Binge eating disorder
D. Night eating syndrome
Answer: C
Rationale: Binge eating disorder is the most common eating disorder in the United
States, affecting a larger percentage of the population than anorexia or bulimia
nervosa.
Question 12
A patient with Bipolar I Disorder who is manic states she is the Queen of England
and quite wealthy. This is an example of which of the following?
A. Mood-congruent manic delusion
B. Mood-incongruent manic delusion
C. Mood-congruent manic hallucination
