NRNP 6665 FINAL EXAM QUESTIONS AND
CORRECT ANSWERS (100% VERIFIED) |
REVISED EDITION 2026/2027 ALREADY
GRADED A+ - WALDEN UNIVERSITY
### Section 1: Foundations of Psychiatric-Mental Health Nursing
**1. The DSM-5 uses a _____ approach to diagnosis, focusing on specific symptom
criteria rather than underlying causes.**
- A) Dimensional
- B) Categorical
- C) Biopsychosocial
- D) Psychodynamic
**Correct Answer: B**
**Rationale:** The DSM-5 uses a categorical approach, meaning disorders are
classified into distinct categories based on specific sets of diagnostic criteria. While
the DSM-5 also includes dimensional assessments (e.g., severity ratings), the primary
diagnostic structure remains categorical.
**2. A mental status examination (MSE) includes assessment of all of the following
EXCEPT:**
- A) Appearance and behavior
- B) Speech and language
- C) Blood pressure and heart rate
- D) Mood and affect
,**Correct Answer: C**
**Rationale:** The MSE assesses psychological and cognitive functioning, including
appearance, behavior, speech, mood, affect, thought process, thought content,
perception, cognition, and insight/judgment. Vital signs (blood pressure, heart rate) are
part of the physical examination, not the MSE.
**3. Which of the following is a key component of a psychiatric assessment?**
- A) Review of systems
- B) Family psychiatric history
- C) Medication reconciliation
- D) All of the above
**Correct Answer: D**
**Rationale:** A comprehensive psychiatric assessment includes review of systems,
family psychiatric history, medication reconciliation, psychosocial history, substance
use history, and a mental status examination.
**4. Therapeutic communication techniques include all of the following EXCEPT:**
- A) Active listening
- B) Open-ended questions
- C) Giving advice
- D) Reflection
**Correct Answer: C**
**Rationale:** Giving advice is generally avoided in therapeutic communication as it
undermines patient autonomy and may not be culturally appropriate. Active listening,
open-ended questions, and reflection are all therapeutic techniques.
,**5. Cultural considerations in psychiatric assessment are important because:**
- A) Symptoms may be expressed differently across cultures
- B) Cultural beliefs affect help-seeking behavior
- C) Cultural formulation is part of the DSM-5
- D) All of the above
**Correct Answer: D**
**Rationale:** Cultural factors influence symptom expression, help-seeking behaviors,
and treatment expectations. The DSM-5 includes a Cultural Formulation Interview to
help clinicians assess cultural influences on mental health.
**6. Informed consent in psychiatric practice requires:**
- A) Disclosure of relevant information
- B) Patient comprehension
- C) Voluntary agreement
- D) All of the above
**Correct Answer: D**
**Rationale:** Informed consent requires that the patient receives adequate
information, understands it, and voluntarily agrees to treatment. This is especially
important in psychiatric practice where decision-making capacity may be
compromised.
**7. The duty to protect (Tarasoff duty) refers to:**
- A) The obligation to maintain patient confidentiality
- B) The obligation to warn identifiable victims of potential harm
, - C) The obligation to report child abuse
- D) The obligation to obtain informed consent
**Correct Answer: B**
**Rationale:** The Tarasoff duty (duty to protect) requires mental health professionals
to warn identifiable victims when a patient poses a serious threat of violence. This is
an exception to confidentiality.
**8. Which of the following is a risk factor for developing a psychiatric disorder?**
- A) Family history of mental illness
- B) Childhood trauma
- C) Chronic medical illness
- D) All of the above
**Correct Answer: D**
**Rationale:** Risk factors for psychiatric disorders include genetic predisposition
(family history), environmental factors (childhood trauma, chronic stress), and medical
comorbidities.
**9. The biopsychosocial model of psychiatric illness considers:**
- A) Biological factors only
- B) Psychological factors only
- C) Social factors only
- D) Biological, psychological, and social factors
**Correct Answer: D**
CORRECT ANSWERS (100% VERIFIED) |
REVISED EDITION 2026/2027 ALREADY
GRADED A+ - WALDEN UNIVERSITY
### Section 1: Foundations of Psychiatric-Mental Health Nursing
**1. The DSM-5 uses a _____ approach to diagnosis, focusing on specific symptom
criteria rather than underlying causes.**
- A) Dimensional
- B) Categorical
- C) Biopsychosocial
- D) Psychodynamic
**Correct Answer: B**
**Rationale:** The DSM-5 uses a categorical approach, meaning disorders are
classified into distinct categories based on specific sets of diagnostic criteria. While
the DSM-5 also includes dimensional assessments (e.g., severity ratings), the primary
diagnostic structure remains categorical.
**2. A mental status examination (MSE) includes assessment of all of the following
EXCEPT:**
- A) Appearance and behavior
- B) Speech and language
- C) Blood pressure and heart rate
- D) Mood and affect
,**Correct Answer: C**
**Rationale:** The MSE assesses psychological and cognitive functioning, including
appearance, behavior, speech, mood, affect, thought process, thought content,
perception, cognition, and insight/judgment. Vital signs (blood pressure, heart rate) are
part of the physical examination, not the MSE.
**3. Which of the following is a key component of a psychiatric assessment?**
- A) Review of systems
- B) Family psychiatric history
- C) Medication reconciliation
- D) All of the above
**Correct Answer: D**
**Rationale:** A comprehensive psychiatric assessment includes review of systems,
family psychiatric history, medication reconciliation, psychosocial history, substance
use history, and a mental status examination.
**4. Therapeutic communication techniques include all of the following EXCEPT:**
- A) Active listening
- B) Open-ended questions
- C) Giving advice
- D) Reflection
**Correct Answer: C**
**Rationale:** Giving advice is generally avoided in therapeutic communication as it
undermines patient autonomy and may not be culturally appropriate. Active listening,
open-ended questions, and reflection are all therapeutic techniques.
,**5. Cultural considerations in psychiatric assessment are important because:**
- A) Symptoms may be expressed differently across cultures
- B) Cultural beliefs affect help-seeking behavior
- C) Cultural formulation is part of the DSM-5
- D) All of the above
**Correct Answer: D**
**Rationale:** Cultural factors influence symptom expression, help-seeking behaviors,
and treatment expectations. The DSM-5 includes a Cultural Formulation Interview to
help clinicians assess cultural influences on mental health.
**6. Informed consent in psychiatric practice requires:**
- A) Disclosure of relevant information
- B) Patient comprehension
- C) Voluntary agreement
- D) All of the above
**Correct Answer: D**
**Rationale:** Informed consent requires that the patient receives adequate
information, understands it, and voluntarily agrees to treatment. This is especially
important in psychiatric practice where decision-making capacity may be
compromised.
**7. The duty to protect (Tarasoff duty) refers to:**
- A) The obligation to maintain patient confidentiality
- B) The obligation to warn identifiable victims of potential harm
, - C) The obligation to report child abuse
- D) The obligation to obtain informed consent
**Correct Answer: B**
**Rationale:** The Tarasoff duty (duty to protect) requires mental health professionals
to warn identifiable victims when a patient poses a serious threat of violence. This is
an exception to confidentiality.
**8. Which of the following is a risk factor for developing a psychiatric disorder?**
- A) Family history of mental illness
- B) Childhood trauma
- C) Chronic medical illness
- D) All of the above
**Correct Answer: D**
**Rationale:** Risk factors for psychiatric disorders include genetic predisposition
(family history), environmental factors (childhood trauma, chronic stress), and medical
comorbidities.
**9. The biopsychosocial model of psychiatric illness considers:**
- A) Biological factors only
- B) Psychological factors only
- C) Social factors only
- D) Biological, psychological, and social factors
**Correct Answer: D**
