NR 607 FINAL EXAM (CHAMBERLAIN)
NEWEST 2026 ACTUAL EXAM| NR607
DIAGNOSIS & MANAGEMENT IN
PSYCHIATRIC MENTAL HEALTH III
PRACTICUM FINAL EXAM QUESTIONS
AND VERIFIED ANSWERS/ ALREADY
GRADED A+/GURANTEED
PASS/INSTANT DOWNLOAD PDF
SECTION 1: PSYCHIATRIC ASSESSMENT AND RISK MANAGEMENT
Question 1
A client who is having active visual hallucinations currently has a lighter and
a pocketknife in his possession. Which AEIO risk assessment category is
correctly assigned for this client?
A) Objects—high risk ✓
B) Environment—moderate risk
C) Intent—high risk
D) Agitation—moderate risk
Rationale: The AEIO (Agitation, Environment, Intent, Objects) risk
assessment framework evaluates immediate safety concerns. The presence
of a lighter and pocketknife during active hallucinations represents an
object-related high risk, as these items could be used to harm self or
,others. Objects that can be used as weapons warrant the highest risk
classification.
Question 2
A client who experienced significant childhood trauma is seeking alternative
treatments to help ease symptoms associated with complex trauma. Which
approach might the PMHNP recommend?
A) Acupuncture ✓
B) Structured walking programs
C) Passionflower extract
D) Reiki
Rationale: Acupuncture is an evidence-based complementary and
alternative medicine (CAM) treatment for trauma-related symptoms. It has
shown benefit for anxiety, depression, and PTSD symptoms. Other CAM
treatments for CPTSD include mindfulness, yoga, relaxation techniques, and
equine-assisted therapy.
Question 3
A client being treated for schizophrenia presents with fever and chills,
hypotension, and mouth ulcers. After stabilization, which is the most
appropriate next step?
A) Discontinue medications that alter serotonin ✓
B) Order stat serum medication level
C) Order complete blood count
D) Discontinue antipsychotic medications
,Rationale: Fever, hypotension, and mouth ulcers in a patient on
antipsychotic medication suggest neutropenia or agranulocytosis, which
can be caused by clozapine. Discontinuing medications that alter serotonin
(including clozapine) is the priority to prevent further bone marrow
suppression. Complete blood count should be ordered to assess white
blood cell count.
Question 4
The PMHNP receives a consult to see a client with a known history of
alcohol use disorder in the emergency department. The client displays
symptoms of delirium and is shaky and combative. What medical cause of
delirium should the PMHNP initially suspect?
A) Hypoxia
B) Uremia
C) Hypercalcemia
D) Hypoglycemia ✓
Rationale: In a client with alcohol use disorder presenting with delirium,
shakiness, and combativeness, hypoglycemia should be initially suspected.
Alcohol impairs gluconeogenesis and can deplete glycogen stores, leading
to hypoglycemia. This is a medical emergency requiring immediate glucose
assessment and correction before psychiatric evaluation.
Question 5
A client continues to have frequent hallucinations despite serial treatment
with two different antipsychotic medications over the past six months.
Which is the most appropriate treatment strategy?
, A) Add a second antipsychotic medication
B) Confirm that the client has been taking medications as prescribed ✓
C) Add valbenazine
D) Increase the dose of the current antipsychotic medication
Rationale: Before declaring treatment resistance, medication adherence
must be confirmed. Non-adherence is a common cause of apparent
treatment failure. Valbenazine is for tardive dyskinesia, not hallucinations.
Adding a second antipsychotic or increasing the dose should only be
considered after adherence is confirmed.
Question 6
A systematic inquiry that elaborates on the chief complaint while eliciting
pertinent positive and pertinent negative factors from the history is known
as:
A) Diagnostic formulation
B) The mental status exam
C) Physical exam
D) Review of systems ✓
Question 7
A 21-year-old man had his first drink at his birthday party with friends last
night. He presented the following morning to the emergency department
with psychomotor agitation, cognitive impairment, depressed mood, flat
affect, and anhedonia. His heart rate is 110, his blood pressure is 90/60, and
he complains of abdominal pain. He received 2L of normal saline IV and is
NEWEST 2026 ACTUAL EXAM| NR607
DIAGNOSIS & MANAGEMENT IN
PSYCHIATRIC MENTAL HEALTH III
PRACTICUM FINAL EXAM QUESTIONS
AND VERIFIED ANSWERS/ ALREADY
GRADED A+/GURANTEED
PASS/INSTANT DOWNLOAD PDF
SECTION 1: PSYCHIATRIC ASSESSMENT AND RISK MANAGEMENT
Question 1
A client who is having active visual hallucinations currently has a lighter and
a pocketknife in his possession. Which AEIO risk assessment category is
correctly assigned for this client?
A) Objects—high risk ✓
B) Environment—moderate risk
C) Intent—high risk
D) Agitation—moderate risk
Rationale: The AEIO (Agitation, Environment, Intent, Objects) risk
assessment framework evaluates immediate safety concerns. The presence
of a lighter and pocketknife during active hallucinations represents an
object-related high risk, as these items could be used to harm self or
,others. Objects that can be used as weapons warrant the highest risk
classification.
Question 2
A client who experienced significant childhood trauma is seeking alternative
treatments to help ease symptoms associated with complex trauma. Which
approach might the PMHNP recommend?
A) Acupuncture ✓
B) Structured walking programs
C) Passionflower extract
D) Reiki
Rationale: Acupuncture is an evidence-based complementary and
alternative medicine (CAM) treatment for trauma-related symptoms. It has
shown benefit for anxiety, depression, and PTSD symptoms. Other CAM
treatments for CPTSD include mindfulness, yoga, relaxation techniques, and
equine-assisted therapy.
Question 3
A client being treated for schizophrenia presents with fever and chills,
hypotension, and mouth ulcers. After stabilization, which is the most
appropriate next step?
A) Discontinue medications that alter serotonin ✓
B) Order stat serum medication level
C) Order complete blood count
D) Discontinue antipsychotic medications
,Rationale: Fever, hypotension, and mouth ulcers in a patient on
antipsychotic medication suggest neutropenia or agranulocytosis, which
can be caused by clozapine. Discontinuing medications that alter serotonin
(including clozapine) is the priority to prevent further bone marrow
suppression. Complete blood count should be ordered to assess white
blood cell count.
Question 4
The PMHNP receives a consult to see a client with a known history of
alcohol use disorder in the emergency department. The client displays
symptoms of delirium and is shaky and combative. What medical cause of
delirium should the PMHNP initially suspect?
A) Hypoxia
B) Uremia
C) Hypercalcemia
D) Hypoglycemia ✓
Rationale: In a client with alcohol use disorder presenting with delirium,
shakiness, and combativeness, hypoglycemia should be initially suspected.
Alcohol impairs gluconeogenesis and can deplete glycogen stores, leading
to hypoglycemia. This is a medical emergency requiring immediate glucose
assessment and correction before psychiatric evaluation.
Question 5
A client continues to have frequent hallucinations despite serial treatment
with two different antipsychotic medications over the past six months.
Which is the most appropriate treatment strategy?
, A) Add a second antipsychotic medication
B) Confirm that the client has been taking medications as prescribed ✓
C) Add valbenazine
D) Increase the dose of the current antipsychotic medication
Rationale: Before declaring treatment resistance, medication adherence
must be confirmed. Non-adherence is a common cause of apparent
treatment failure. Valbenazine is for tardive dyskinesia, not hallucinations.
Adding a second antipsychotic or increasing the dose should only be
considered after adherence is confirmed.
Question 6
A systematic inquiry that elaborates on the chief complaint while eliciting
pertinent positive and pertinent negative factors from the history is known
as:
A) Diagnostic formulation
B) The mental status exam
C) Physical exam
D) Review of systems ✓
Question 7
A 21-year-old man had his first drink at his birthday party with friends last
night. He presented the following morning to the emergency department
with psychomotor agitation, cognitive impairment, depressed mood, flat
affect, and anhedonia. His heart rate is 110, his blood pressure is 90/60, and
he complains of abdominal pain. He received 2L of normal saline IV and is
