NR 547 Week 1 Study Guide|
Verified Questions & Correct
Answers| Latest update
2026/2027 Frequently Most Tested Questions and
100% Accurate From Past papers | Graded A+ ,
Reviewed and Updated | 100% Guarantee Pass | Latest
Exam and Newest Version!!!
A nurse practitioner is conducting a Psychiatric Review of Systems (ROS). Which domains
should be included in this assessment?
a. Mood, anxiety, psychosis, and other
b. Cardiovascular, respiratory, and gastrointestinal
,c. Neurological, musculoskeletal, and endocrine
d. Mood, sleep, appetite, and energy only
✔️ Correct Answer: A
Rationale:
The Psychiatric ROS includes four primary domains: Mood, Anxiety, Psychosis, and Other.
The Mood domain encompasses depressive and manic symptoms; Anxiety covers
generalized anxiety, panic, OCD, PTSD, social anxiety, and phobias; Psychosis includes
hallucinations, paranoia, and delusions; and Other includes ADHD, eating disorders, and
substance use. The other options describe general medical ROS or incomplete
psychiatric assessments.
A nurse practitioner is screening a patient for major depressive disorder. Which
mnemonic should the NP use to ensure comprehensive symptom assessment?
a. SIGECAPS
b. SIGEMAPS
c. SIGCAPS
d. SIGEPAPS
✔️ Correct Answer: A
Rationale:
SIGECAPS is the standard mnemonic for screening depression symptoms: Sleep
disturbance, Interest (anhedonia), Guilt, Energy (fatigue), Concentration problems,
Appetite changes, Psychomotor changes (agitation or retardation), and Suicidality (or
sexual functioning). This mnemonic covers the nine DSM-5 criteria for major depressive
disorder and ensures a comprehensive assessment.
A nurse practitioner is evaluating a patient for possible mania. Which symptom is most
characteristic of a manic episode?
a. Decreased need for sleep and increased talkativeness
b. Hypersomnia and psychomotor retardation
c. Anhedonia and social withdrawal
d. Appetite increase and weight gain
,✔️ Correct Answer: A
Rationale:
Manic episodes are characterized by impulsivity, grandiosity, recklessness, excessive
energy, decreased need for sleep, increased spending, talkativeness (pressured speech),
racing thoughts, and hypersexuality. Hypersomnia, psychomotor retardation, anhedonia,
social withdrawal, appetite increase, and weight gain are characteristic of depressive
episodes, not mania.
A nurse practitioner is evaluating a patient who reports irritability and mood variability.
Which mood feature should the NP consider in the differential diagnosis?
a. Pure mania
b. Mixed mood features
c. Pure depression
d. Euthymic mood
✔️ Correct Answer: B
Rationale:
Mixed mood features are characterized by irritability and mood variability, with
symptoms of both depression and mania occurring simultaneously or in rapid
alternation. This presentation is clinically significant because it may indicate a mixed
episode in bipolar disorder, which carries a higher risk of suicide and requires careful
medication management.
A nurse practitioner is assessing a patient for anxiety disorders. Which conditions fall
under the anxiety category in the Psychiatric ROS?
a. Major depressive disorder and bipolar disorder
b. GAD, panic disorder, OCD, PTSD, social anxiety, and simple phobias
c. Schizophrenia and schizoaffective disorder
d. ADHD and eating disorders
✔️ Correct Answer: B
Rationale:
The anxiety domain of the Psychiatric ROS includes Generalized Anxiety Disorder (GAD),
, panic disorder, obsessive-compulsive disorder (OCD), post-traumatic stress disorder
(PTSD), social anxiety disorder, and simple phobias. Depressive and bipolar disorders fall
under mood disorders, schizophrenia and schizoaffective disorders fall under psychosis,
and ADHD and eating disorders fall under "Other."
A nurse practitioner is assessing a patient with suspected Generalized Anxiety Disorder
(GAD). Which questions should the NP ask to evaluate this condition?
a. "When did your symptoms start, and how long do they last?"
b. "Have you experienced any visual hallucinations?"
c. "Do you have a family history of bipolar disorder?"
d. "Have you ever been hospitalized for a psychiatric condition?"
✔️ Correct Answer: A
Rationale:
In assessing GAD, the NP should evaluate where, when, who, how long, and how
frequent the anxiety occurs. This includes the onset, duration, frequency, triggers, and
context of anxiety symptoms. The other options are not specific to GAD assessment;
hallucinations are assessed in psychosis, family history of bipolar is relevant for mood
disorders, and hospitalization history is part of the psychiatric history.
A nurse practitioner is evaluating a patient with suspected panic disorder. Which
symptom is most characteristic of a panic attack?
a. Gradual onset of worry over several days
b. Sense of impending doom with somatic symptoms peaking within minutes
c. Persistent fear of social situations
d. Chronic low-grade anxiety without acute episodes
✔️ Correct Answer: B
Rationale:
Panic disorder is characterized by recurrent, unexpected panic attacks that peak within
minutes and include somatic symptoms such as racing heart, sweating, shortness of
breath, and trouble swallowing, accompanied by a sense of impending doom or fear of
Verified Questions & Correct
Answers| Latest update
2026/2027 Frequently Most Tested Questions and
100% Accurate From Past papers | Graded A+ ,
Reviewed and Updated | 100% Guarantee Pass | Latest
Exam and Newest Version!!!
A nurse practitioner is conducting a Psychiatric Review of Systems (ROS). Which domains
should be included in this assessment?
a. Mood, anxiety, psychosis, and other
b. Cardiovascular, respiratory, and gastrointestinal
,c. Neurological, musculoskeletal, and endocrine
d. Mood, sleep, appetite, and energy only
✔️ Correct Answer: A
Rationale:
The Psychiatric ROS includes four primary domains: Mood, Anxiety, Psychosis, and Other.
The Mood domain encompasses depressive and manic symptoms; Anxiety covers
generalized anxiety, panic, OCD, PTSD, social anxiety, and phobias; Psychosis includes
hallucinations, paranoia, and delusions; and Other includes ADHD, eating disorders, and
substance use. The other options describe general medical ROS or incomplete
psychiatric assessments.
A nurse practitioner is screening a patient for major depressive disorder. Which
mnemonic should the NP use to ensure comprehensive symptom assessment?
a. SIGECAPS
b. SIGEMAPS
c. SIGCAPS
d. SIGEPAPS
✔️ Correct Answer: A
Rationale:
SIGECAPS is the standard mnemonic for screening depression symptoms: Sleep
disturbance, Interest (anhedonia), Guilt, Energy (fatigue), Concentration problems,
Appetite changes, Psychomotor changes (agitation or retardation), and Suicidality (or
sexual functioning). This mnemonic covers the nine DSM-5 criteria for major depressive
disorder and ensures a comprehensive assessment.
A nurse practitioner is evaluating a patient for possible mania. Which symptom is most
characteristic of a manic episode?
a. Decreased need for sleep and increased talkativeness
b. Hypersomnia and psychomotor retardation
c. Anhedonia and social withdrawal
d. Appetite increase and weight gain
,✔️ Correct Answer: A
Rationale:
Manic episodes are characterized by impulsivity, grandiosity, recklessness, excessive
energy, decreased need for sleep, increased spending, talkativeness (pressured speech),
racing thoughts, and hypersexuality. Hypersomnia, psychomotor retardation, anhedonia,
social withdrawal, appetite increase, and weight gain are characteristic of depressive
episodes, not mania.
A nurse practitioner is evaluating a patient who reports irritability and mood variability.
Which mood feature should the NP consider in the differential diagnosis?
a. Pure mania
b. Mixed mood features
c. Pure depression
d. Euthymic mood
✔️ Correct Answer: B
Rationale:
Mixed mood features are characterized by irritability and mood variability, with
symptoms of both depression and mania occurring simultaneously or in rapid
alternation. This presentation is clinically significant because it may indicate a mixed
episode in bipolar disorder, which carries a higher risk of suicide and requires careful
medication management.
A nurse practitioner is assessing a patient for anxiety disorders. Which conditions fall
under the anxiety category in the Psychiatric ROS?
a. Major depressive disorder and bipolar disorder
b. GAD, panic disorder, OCD, PTSD, social anxiety, and simple phobias
c. Schizophrenia and schizoaffective disorder
d. ADHD and eating disorders
✔️ Correct Answer: B
Rationale:
The anxiety domain of the Psychiatric ROS includes Generalized Anxiety Disorder (GAD),
, panic disorder, obsessive-compulsive disorder (OCD), post-traumatic stress disorder
(PTSD), social anxiety disorder, and simple phobias. Depressive and bipolar disorders fall
under mood disorders, schizophrenia and schizoaffective disorders fall under psychosis,
and ADHD and eating disorders fall under "Other."
A nurse practitioner is assessing a patient with suspected Generalized Anxiety Disorder
(GAD). Which questions should the NP ask to evaluate this condition?
a. "When did your symptoms start, and how long do they last?"
b. "Have you experienced any visual hallucinations?"
c. "Do you have a family history of bipolar disorder?"
d. "Have you ever been hospitalized for a psychiatric condition?"
✔️ Correct Answer: A
Rationale:
In assessing GAD, the NP should evaluate where, when, who, how long, and how
frequent the anxiety occurs. This includes the onset, duration, frequency, triggers, and
context of anxiety symptoms. The other options are not specific to GAD assessment;
hallucinations are assessed in psychosis, family history of bipolar is relevant for mood
disorders, and hospitalization history is part of the psychiatric history.
A nurse practitioner is evaluating a patient with suspected panic disorder. Which
symptom is most characteristic of a panic attack?
a. Gradual onset of worry over several days
b. Sense of impending doom with somatic symptoms peaking within minutes
c. Persistent fear of social situations
d. Chronic low-grade anxiety without acute episodes
✔️ Correct Answer: B
Rationale:
Panic disorder is characterized by recurrent, unexpected panic attacks that peak within
minutes and include somatic symptoms such as racing heart, sweating, shortness of
breath, and trouble swallowing, accompanied by a sense of impending doom or fear of
