NR547 Midterm Exam 2026/2027 COMPLETE STUDY
GUIDE WITH VERIFIED SOLUTIONS
• the PMHNP is providing psychoeducation and anticipatory guidance to
concerned parents regarding their child's night terrors. At which stage of sleep is
this most likely to occur?
a. any stage of sleep
b. stage 1
c. stage 2
d. stage 3 to 4 -✓✓ d. stage 3 to 4
• what criteria must be present to confirm a diagnosis of insomnia? -✓✓ occurs at
least 3 nights a week for 3 months or more
• what are the long term effects of sleep deprivation? -✓✓ MDD, stroke, HTN,
weakened immune system, MI, depression/anxiety
• What are the GAD-7 scoring numbers for no-low risk, mild, moderate, and severe
anxiety? -✓✓ no to low = 0-4, mild = 5-9, moderate = 10-14, severe = 15+
• what is the first-line treatment for GAD? -✓✓ SSRIs/SNRIs and CBT
• What is the DSM diagnostic criteria for GAD? -✓✓ excessive worrying
occurring more days than not for AT LEAST 6 MONTHS, difficulty controlling
worrying, associated with THREE OR MORE OF THE FOLLOWING:
restlessness/keyed up/on edge, easily fatigued, trouble concentrating, sleep
disturbance
involves clinically significant distress as a result
,drug therapy for at least 12 months
• What is the DSM diagnostic criteria for OCD? -✓✓ persistent, uncontrollable
thoughts or actions that occur over an hour or more per day
• What are OCD obsessions? -✓✓ Obsessions involve intrusive and unwanted
repetitive thoughts. The thoughts or urges increase anxiety or distress. Common
obsessions include thoughts of contamination, doubt, or intrusive thoughts about
harm, violence, sex, or religion
• What are OCD compulsions? -✓✓ Compulsions are repetitive behaviors that
occur in response to obsessive thoughts. Common compulsions include
handwashing, counting, hoarding, and maintaining symmetry and precision, for
instance taking hours to eat a meal or shave.
compulsions are usually performed in response to obsessive thoughts
• What are some of the risk factors and characteristics of OCD? -✓✓ risk factors:
adverse childhood events
characteristics: may have obsessions, compulsions or both
high importance placed on perfectionism
often recognize that their thoughts/behaviors are excessive
may have difficulty maintaining employment
• What is the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) -✓✓ a
questionnaire using a likert scale to assess the degree of obsessions and
compulsions, is accompanied by a symptom checklist
• What is the treatment for OCD? -✓✓ pharmacotherapy, psychotherapy, or both
,SSRIs are well-tolerated and usualy require higher doses for OCD (ex. 80mg
fluoxetine)
ERP (exposure response therapy) is a type of CBT that is beneficial for OCD
• What are some common comorbidities of OCD? -✓✓ anxiety disorders
mood disorders
substance use disorders
eating disorders
schizophrenia
schizophreniform
• What is the DSM diagnostic criteria for panic disorder? -✓✓ recurrent
unexpected panic attacks
brief episode of acute anxiety, the person feels a sense of imminent danger, usually
peaks within 10-20 mins
persistent concerns about additional panic attacks
AT LEAST ONE OF THE ATTACKS HAS BEEN FOLLOWED BY 1 MONTH
OR MORE OF ONE OR BOTH OF THE FOLLOWING:
persistent concern about additional panic attacks, maladaptive change in behavior
like avoidance, not caused by an underlying condition, etc.
• Which of the following medical conditions is likely to present with symptoms
that mimic anxiety?
hypothyroidism
hyperthyroidism
dysrhythmias
irritable bowel syndrome
, anemia
diabetes type 2
migraine headache
covid-19
rheumatoid arthritis
menopause -✓✓ hyperthyroidism
dysrhythmias
irritable bowel syndrome
migraine headache
rheumatoid arthritis
menopause
• List some common medications used to treat panic disorder: -✓✓ paroxetine,
sertraline, fluoxetine
drug therapy usually 6-9 months
• What is the DSM criteria for social anxiety disorder? -✓✓ fear of acting in a way
that might cause judgement by others, avoidance of social situations,
PERSISTENT FOR MORE THAN 6 MONTHS
typical social situations cause anxiety, can be severe enough to cause derealization,
marked fear or anxiety about one or more social situations where a person is
exposed to potential scrutiny
• Common social phobias: -✓✓ making small talk, meeting new people,
performing in front of others
GUIDE WITH VERIFIED SOLUTIONS
• the PMHNP is providing psychoeducation and anticipatory guidance to
concerned parents regarding their child's night terrors. At which stage of sleep is
this most likely to occur?
a. any stage of sleep
b. stage 1
c. stage 2
d. stage 3 to 4 -✓✓ d. stage 3 to 4
• what criteria must be present to confirm a diagnosis of insomnia? -✓✓ occurs at
least 3 nights a week for 3 months or more
• what are the long term effects of sleep deprivation? -✓✓ MDD, stroke, HTN,
weakened immune system, MI, depression/anxiety
• What are the GAD-7 scoring numbers for no-low risk, mild, moderate, and severe
anxiety? -✓✓ no to low = 0-4, mild = 5-9, moderate = 10-14, severe = 15+
• what is the first-line treatment for GAD? -✓✓ SSRIs/SNRIs and CBT
• What is the DSM diagnostic criteria for GAD? -✓✓ excessive worrying
occurring more days than not for AT LEAST 6 MONTHS, difficulty controlling
worrying, associated with THREE OR MORE OF THE FOLLOWING:
restlessness/keyed up/on edge, easily fatigued, trouble concentrating, sleep
disturbance
involves clinically significant distress as a result
,drug therapy for at least 12 months
• What is the DSM diagnostic criteria for OCD? -✓✓ persistent, uncontrollable
thoughts or actions that occur over an hour or more per day
• What are OCD obsessions? -✓✓ Obsessions involve intrusive and unwanted
repetitive thoughts. The thoughts or urges increase anxiety or distress. Common
obsessions include thoughts of contamination, doubt, or intrusive thoughts about
harm, violence, sex, or religion
• What are OCD compulsions? -✓✓ Compulsions are repetitive behaviors that
occur in response to obsessive thoughts. Common compulsions include
handwashing, counting, hoarding, and maintaining symmetry and precision, for
instance taking hours to eat a meal or shave.
compulsions are usually performed in response to obsessive thoughts
• What are some of the risk factors and characteristics of OCD? -✓✓ risk factors:
adverse childhood events
characteristics: may have obsessions, compulsions or both
high importance placed on perfectionism
often recognize that their thoughts/behaviors are excessive
may have difficulty maintaining employment
• What is the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) -✓✓ a
questionnaire using a likert scale to assess the degree of obsessions and
compulsions, is accompanied by a symptom checklist
• What is the treatment for OCD? -✓✓ pharmacotherapy, psychotherapy, or both
,SSRIs are well-tolerated and usualy require higher doses for OCD (ex. 80mg
fluoxetine)
ERP (exposure response therapy) is a type of CBT that is beneficial for OCD
• What are some common comorbidities of OCD? -✓✓ anxiety disorders
mood disorders
substance use disorders
eating disorders
schizophrenia
schizophreniform
• What is the DSM diagnostic criteria for panic disorder? -✓✓ recurrent
unexpected panic attacks
brief episode of acute anxiety, the person feels a sense of imminent danger, usually
peaks within 10-20 mins
persistent concerns about additional panic attacks
AT LEAST ONE OF THE ATTACKS HAS BEEN FOLLOWED BY 1 MONTH
OR MORE OF ONE OR BOTH OF THE FOLLOWING:
persistent concern about additional panic attacks, maladaptive change in behavior
like avoidance, not caused by an underlying condition, etc.
• Which of the following medical conditions is likely to present with symptoms
that mimic anxiety?
hypothyroidism
hyperthyroidism
dysrhythmias
irritable bowel syndrome
, anemia
diabetes type 2
migraine headache
covid-19
rheumatoid arthritis
menopause -✓✓ hyperthyroidism
dysrhythmias
irritable bowel syndrome
migraine headache
rheumatoid arthritis
menopause
• List some common medications used to treat panic disorder: -✓✓ paroxetine,
sertraline, fluoxetine
drug therapy usually 6-9 months
• What is the DSM criteria for social anxiety disorder? -✓✓ fear of acting in a way
that might cause judgement by others, avoidance of social situations,
PERSISTENT FOR MORE THAN 6 MONTHS
typical social situations cause anxiety, can be severe enough to cause derealization,
marked fear or anxiety about one or more social situations where a person is
exposed to potential scrutiny
• Common social phobias: -✓✓ making small talk, meeting new people,
performing in front of others
