NURS 6675 WEEK 11 FINAL EXAM LATEST
() (VERIFIED ANSWERS)
NURS 6675 Practice Exam – Part 1
Advanced Nursing Practice / Psychiatric Mental Health Concepts
Questions 1–25
Table of Contents
Section Topic Questions
I Psychiatric Assessment and Diagnosis 1–10
II Psychopharmacology Foundations 11–18
III Psychotherapy and Therapeutic Approaches 19–25
Section I: Psychiatric Assessment and Diagnosis
Question 1
A psychiatric nurse practitioner is conducting an initial evaluation of a patient reporting
depressed mood. Which assessment finding is most important for determining immediate safety
risk?
A. History of insomnia
B. Recent weight gain
C. Presence of suicidal thoughts and intent
D. Decreased concentration
Correct Answer: C. Presence of suicidal thoughts and intent
Rationale:
Assessing suicidal ideation, intent, plan, and access to means is a priority during psychiatric
evaluations because it determines immediate safety needs and level of intervention.
Question 2
,A patient describes hearing voices commenting on their behavior when no one else is present.
Which symptom category does this represent?
A. Delusion
B. Hallucination
C. Obsession
D. Compulsion
Correct Answer: B. Hallucination
Rationale:
A hallucination is a sensory perception occurring without an external stimulus. Auditory
hallucinations are common in psychotic disorders.
Question 3
During a mental status examination, a patient demonstrates rapid speech, frequent topic changes,
and difficulty being interrupted. Which finding is present?
A. Thought blocking
B. Flight of ideas
C. Poverty of speech
D. Echolalia
Correct Answer: B. Flight of ideas
Rationale:
Flight of ideas involves rapid movement between topics with understandable connections and is
commonly associated with manic episodes.
Question 4
Which component of a psychiatric evaluation focuses on a patient’s appearance, behavior,
speech, mood, and thought processes?
A. Family history
B. Mental status examination
C. Psychosocial history
D. Review of systems
Correct Answer: B. Mental status examination
,Rationale:
The mental status examination is a structured assessment of current psychological functioning,
including cognition, mood, behavior, and thought processes.
Question 5
A patient reports excessive worry occurring most days for over six months, difficulty controlling
the worry, and muscle tension. Which diagnosis is most consistent?
A. Panic disorder
B. Generalized anxiety disorder
C. Obsessive-compulsive disorder
D. Adjustment disorder
Correct Answer: B. Generalized anxiety disorder
Rationale:
Generalized anxiety disorder is characterized by excessive anxiety and worry about multiple
areas of life occurring for at least six months, often accompanied by physical symptoms.
Question 6
Which question is most appropriate when assessing a patient’s substance use history?
A. “Why do you use substances?”
B. “How often do you drink alcohol or use other substances?”
C. “Do your family members approve of your substance use?”
D. “Have you tried to hide your substance use?”
Correct Answer: B. “How often do you drink alcohol or use other substances?”
Rationale:
Open, nonjudgmental questions encourage accurate reporting and help determine frequency,
quantity, and patterns of use.
Question 7
A patient believes that others are secretly monitoring them despite evidence showing otherwise.
Which symptom is being described?
A. Delusion
B. Illusion
, C. Phobia
D. Dissociation
Correct Answer: A. Delusion
Rationale:
A delusion is a fixed false belief that remains despite contradictory evidence. Persecutory
delusions involve beliefs of being harmed, watched, or targeted.
Question 8
Which factor is considered a biological contributor to psychiatric disorders?
A. Coping style
B. Social support
C. Neurotransmitter imbalance
D. Cultural beliefs
Correct Answer: C. Neurotransmitter imbalance
Rationale:
Biological factors include genetics, neurochemistry, brain structure, and physiological processes
that influence mental health.
Question 9
A patient avoids social situations due to intense fear of embarrassment and negative evaluation.
Which disorder is most likely?
A. Social anxiety disorder
B. Specific phobia
C. Agoraphobia
D. Separation anxiety disorder
Correct Answer: A. Social anxiety disorder
Rationale:
Social anxiety disorder involves significant fear of social situations where the person may be
judged, embarrassed, or rejected.
Question 10
Which assessment tool is commonly used to measure depression severity?
() (VERIFIED ANSWERS)
NURS 6675 Practice Exam – Part 1
Advanced Nursing Practice / Psychiatric Mental Health Concepts
Questions 1–25
Table of Contents
Section Topic Questions
I Psychiatric Assessment and Diagnosis 1–10
II Psychopharmacology Foundations 11–18
III Psychotherapy and Therapeutic Approaches 19–25
Section I: Psychiatric Assessment and Diagnosis
Question 1
A psychiatric nurse practitioner is conducting an initial evaluation of a patient reporting
depressed mood. Which assessment finding is most important for determining immediate safety
risk?
A. History of insomnia
B. Recent weight gain
C. Presence of suicidal thoughts and intent
D. Decreased concentration
Correct Answer: C. Presence of suicidal thoughts and intent
Rationale:
Assessing suicidal ideation, intent, plan, and access to means is a priority during psychiatric
evaluations because it determines immediate safety needs and level of intervention.
Question 2
,A patient describes hearing voices commenting on their behavior when no one else is present.
Which symptom category does this represent?
A. Delusion
B. Hallucination
C. Obsession
D. Compulsion
Correct Answer: B. Hallucination
Rationale:
A hallucination is a sensory perception occurring without an external stimulus. Auditory
hallucinations are common in psychotic disorders.
Question 3
During a mental status examination, a patient demonstrates rapid speech, frequent topic changes,
and difficulty being interrupted. Which finding is present?
A. Thought blocking
B. Flight of ideas
C. Poverty of speech
D. Echolalia
Correct Answer: B. Flight of ideas
Rationale:
Flight of ideas involves rapid movement between topics with understandable connections and is
commonly associated with manic episodes.
Question 4
Which component of a psychiatric evaluation focuses on a patient’s appearance, behavior,
speech, mood, and thought processes?
A. Family history
B. Mental status examination
C. Psychosocial history
D. Review of systems
Correct Answer: B. Mental status examination
,Rationale:
The mental status examination is a structured assessment of current psychological functioning,
including cognition, mood, behavior, and thought processes.
Question 5
A patient reports excessive worry occurring most days for over six months, difficulty controlling
the worry, and muscle tension. Which diagnosis is most consistent?
A. Panic disorder
B. Generalized anxiety disorder
C. Obsessive-compulsive disorder
D. Adjustment disorder
Correct Answer: B. Generalized anxiety disorder
Rationale:
Generalized anxiety disorder is characterized by excessive anxiety and worry about multiple
areas of life occurring for at least six months, often accompanied by physical symptoms.
Question 6
Which question is most appropriate when assessing a patient’s substance use history?
A. “Why do you use substances?”
B. “How often do you drink alcohol or use other substances?”
C. “Do your family members approve of your substance use?”
D. “Have you tried to hide your substance use?”
Correct Answer: B. “How often do you drink alcohol or use other substances?”
Rationale:
Open, nonjudgmental questions encourage accurate reporting and help determine frequency,
quantity, and patterns of use.
Question 7
A patient believes that others are secretly monitoring them despite evidence showing otherwise.
Which symptom is being described?
A. Delusion
B. Illusion
, C. Phobia
D. Dissociation
Correct Answer: A. Delusion
Rationale:
A delusion is a fixed false belief that remains despite contradictory evidence. Persecutory
delusions involve beliefs of being harmed, watched, or targeted.
Question 8
Which factor is considered a biological contributor to psychiatric disorders?
A. Coping style
B. Social support
C. Neurotransmitter imbalance
D. Cultural beliefs
Correct Answer: C. Neurotransmitter imbalance
Rationale:
Biological factors include genetics, neurochemistry, brain structure, and physiological processes
that influence mental health.
Question 9
A patient avoids social situations due to intense fear of embarrassment and negative evaluation.
Which disorder is most likely?
A. Social anxiety disorder
B. Specific phobia
C. Agoraphobia
D. Separation anxiety disorder
Correct Answer: A. Social anxiety disorder
Rationale:
Social anxiety disorder involves significant fear of social situations where the person may be
judged, embarrassed, or rejected.
Question 10
Which assessment tool is commonly used to measure depression severity?
