NR606 Week 8 Final Exam Due 26 April
2026 Diagnosis and Management in
Psychiatric-Mental Health II Practicum
(PMHNP) 1-75 ACTUAL EXAM
QUESTIONS [2026-2027 ]Chamberlain
University
What are some of the mental health challenges faced by children in conflict zones?
Answers: A - D
A Reduced risk of becoming victims of violent trauma or sexual abuse.
,B Increased access to health care and education during conflict.
C Risk of experiencing post-traumatic stress disorder (PTSD) and depression.
D Enhanced community acceptance and reduced stigma for former child soldiers.
Which is considered a pillar of global mental health?
Answers: A - D
A mental illness is treatable
B mental health is a fundamental human right
C more mental health providers are needed
D existing mental health services require restructuring
A 9-year-old eats play-doh regularly, consuming at least one container per day. Which
initial treatment strategy should the PMHNP recommend?
Answers: A - D
A start vitamin supplements
B collaborate with the medical provider to obtain lead levels
C remove play-doh from the home
D reward-based behavior modification
A child has poor academic performance, distractibility, inattention, and trouble with
organization. She dreads going to school and complains of frequent stomachaches. Her
parents note that she worries about 'everything." Which is the most appropriate initial
treatment option?
Answers: A - D
A methylphenidate
B bupropion
C cognitive behavior therapy
D fluoxetine
An 11-year-old's grandmother died unexpectedly about 2 months ago. Since that time,
the child refuses to eat more than one meal per day and cries daily. Several days each
week, she has been visiting the school nurse for complaints of headaches. Based on
DSM criteria, which is the most appropriate diagnosis?
A prolonged grief disorder
B conduct disorder
C anorexia nervosa, restricting type
D adjustment disorder with depressive symptoms
Which initial treatment would the NP recommend for a 17-year-old client who uses
marijuana on a weekly basis?
Answers: A - D
A motivational interviewing
B residential treatment
, C medication assisted treatment
D community service
Which intervention implemented by the PMHNP is a primary mental health prevention
strategy?
Answers: A - D
A leading committee to improve conditions on an adolescent inpatient unit
B teaching a class about substance use to high school students
C conducting a social skills group for children with autism spectrum disorder
D conducting group therapy for adolescents who have substance use disorder
According to the ACEs pyramid, which mechanism, present at conception, can lead to
early death?
Answers: A - D
A historical trauma
B adverse childhood experiences
C disrupted neurodevelopment
D social impairment
The PMHNP is concerned that an adolescent was exposed to adverse childhood
experiences. Which is the next best step?
Answers: A - D
A screen the client using an ACE questionnaire.
B screen the client using a pediatric symptom checklist.
C ask the client if there is anything they want to share
D ask the client's parents about possible ACEs
Which medical complication would differentiate a client who has bulimia nervosa from a
client who has anorexia nervosa?
Answers: A - D
A menstrual irregularities
B pancreatitis
C enamel erosion
D gastroesophageal reflux
An adolescent presents with her parents, who endorse their child has recently lost
weight and her eating habits have significantly changed. Which screening tool is
appropriate?
Answers: A - D
A PHQ-9
B CRAFFT tool
C SCOFF tool
D PARDI tool
A 6-year-old frequently fidgets during class and struggles to sit quietly during silent
reading time. His parents note that he never walks, he only runs,
Which diagnosis is most likely?
Answers: A - D
A ADHD predominantly hyperactive-impulsive presentation
2026 Diagnosis and Management in
Psychiatric-Mental Health II Practicum
(PMHNP) 1-75 ACTUAL EXAM
QUESTIONS [2026-2027 ]Chamberlain
University
What are some of the mental health challenges faced by children in conflict zones?
Answers: A - D
A Reduced risk of becoming victims of violent trauma or sexual abuse.
,B Increased access to health care and education during conflict.
C Risk of experiencing post-traumatic stress disorder (PTSD) and depression.
D Enhanced community acceptance and reduced stigma for former child soldiers.
Which is considered a pillar of global mental health?
Answers: A - D
A mental illness is treatable
B mental health is a fundamental human right
C more mental health providers are needed
D existing mental health services require restructuring
A 9-year-old eats play-doh regularly, consuming at least one container per day. Which
initial treatment strategy should the PMHNP recommend?
Answers: A - D
A start vitamin supplements
B collaborate with the medical provider to obtain lead levels
C remove play-doh from the home
D reward-based behavior modification
A child has poor academic performance, distractibility, inattention, and trouble with
organization. She dreads going to school and complains of frequent stomachaches. Her
parents note that she worries about 'everything." Which is the most appropriate initial
treatment option?
Answers: A - D
A methylphenidate
B bupropion
C cognitive behavior therapy
D fluoxetine
An 11-year-old's grandmother died unexpectedly about 2 months ago. Since that time,
the child refuses to eat more than one meal per day and cries daily. Several days each
week, she has been visiting the school nurse for complaints of headaches. Based on
DSM criteria, which is the most appropriate diagnosis?
A prolonged grief disorder
B conduct disorder
C anorexia nervosa, restricting type
D adjustment disorder with depressive symptoms
Which initial treatment would the NP recommend for a 17-year-old client who uses
marijuana on a weekly basis?
Answers: A - D
A motivational interviewing
B residential treatment
, C medication assisted treatment
D community service
Which intervention implemented by the PMHNP is a primary mental health prevention
strategy?
Answers: A - D
A leading committee to improve conditions on an adolescent inpatient unit
B teaching a class about substance use to high school students
C conducting a social skills group for children with autism spectrum disorder
D conducting group therapy for adolescents who have substance use disorder
According to the ACEs pyramid, which mechanism, present at conception, can lead to
early death?
Answers: A - D
A historical trauma
B adverse childhood experiences
C disrupted neurodevelopment
D social impairment
The PMHNP is concerned that an adolescent was exposed to adverse childhood
experiences. Which is the next best step?
Answers: A - D
A screen the client using an ACE questionnaire.
B screen the client using a pediatric symptom checklist.
C ask the client if there is anything they want to share
D ask the client's parents about possible ACEs
Which medical complication would differentiate a client who has bulimia nervosa from a
client who has anorexia nervosa?
Answers: A - D
A menstrual irregularities
B pancreatitis
C enamel erosion
D gastroesophageal reflux
An adolescent presents with her parents, who endorse their child has recently lost
weight and her eating habits have significantly changed. Which screening tool is
appropriate?
Answers: A - D
A PHQ-9
B CRAFFT tool
C SCOFF tool
D PARDI tool
A 6-year-old frequently fidgets during class and struggles to sit quietly during silent
reading time. His parents note that he never walks, he only runs,
Which diagnosis is most likely?
Answers: A - D
A ADHD predominantly hyperactive-impulsive presentation
