CMN 552 Unit 3 Exam Study Guide 80 Advanced
PMHNP Mastery Q&As
QUESTION 1
What are the common symptoms represented in OCD?
A. Mood swings and irritability
B. Hallucinations and delusions
C. Intrusive thoughts, rituals, preoccupations, and compulsions
D. Social withdrawal and anhedonia
Correct Answer: C. Intrusive thoughts, rituals, preoccupations, and compulsions
Rationale: OCD is characterized by a diverse group of symptoms including intrusive
thoughts, rituals, preoccupations, and compulsions .
QUESTION 2
Differentiate between an obsession and a compulsion.
A. An obsession is a behavior; a compulsion is a thought
B. An obsession is a recurrent and intrusive thought, feeling, idea, or sensation; a
compulsion is a conscious, standardized, recurrent behavior such as counting,
checking, or avoiding
C. They are the same thing
D. An obsession is always visible to others; a compulsion is not
Correct Answer: B. An obsession is a recurrent and intrusive thought, feeling,
idea, or sensation; a compulsion is a conscious, standardized, recurrent behavior
such as counting, checking, or avoiding
,Rationale: An obsession is a recurrent and intrusive thought, feeling, idea, or
sensation. A compulsion is a conscious, standardized, recurrent behavior, such as
counting, checking, or avoiding .
QUESTION 3
What is the estimated lifetime prevalence of OCD in the general population?
A. 0.5-1%
B. 1-2%
C. 2-3%
D. 5-6%
Correct Answer: C. 2-3%
Rationale: The lifetime prevalence of OCD in the general population is estimated at 2
to 3 percent. It is the fourth most common psychiatric diagnosis. Among adults, men
and women are equally likely to be affected .
QUESTION 4
What is the mean age of onset for OCD?
A. 12.5 years
B. 15.0 years
C. 19.5 years
D. 25.0 years
Correct Answer: C. 19.5 years
Rationale: The mean age of onset is about 20 years (19.5 years). The onset can occur
in adolescence or childhood, in some cases as early as 2 years of age. Among
adolescents, boys are more commonly affected than girls .
,QUESTION 5
What is the DSM-5 diagnostic criteria for diagnosing a patient with OCD?
A. The presence of obsessions, compulsions, or both; obsessions are recurrent and
persistent thoughts, urges, or images that are intrusive and unwanted, and the
person attempts to suppress or ignore them
B. Only the presence of compulsions
C. Only the presence of obsessions
D. The presence of hallucinations and delusions
Correct Answer: A. The presence of obsessions, compulsions, or both; obsessions
are recurrent and persistent thoughts, urges, or images that are intrusive and
unwanted, and the person attempts to suppress or ignore them
Rationale: DSM-5 criteria require the presence of obsessions, compulsions, or both.
Obsessions are recurrent and persistent thoughts, urges, or images experienced as
intrusive and unwanted, causing marked anxiety. The person attempts to suppress or
neutralize them .
QUESTION 6
How much time must obsessions or compulsions consume for an OCD diagnosis?
A. 30 minutes per day
B. More than 1 hour per day
C. 2 hours per day
D. 3 hours per day
Correct Answer: B. More than 1 hour per day
Rationale: The obsessions or compulsions must be time-consuming (e.g., take more
than 1 hour per day) or cause clinically significant distress or impairment in social,
occupational, or other important areas of functioning .
, QUESTION 7
What are the four major symptom patterns in OCD?
A. Fear, anxiety, worry, panic
B. Obsessions, compulsions, phobias, panic
C. Checking, washing, counting, ordering
D. Contamination, pathological doubt, intrusive thoughts, symmetry
Correct Answer: D. Contamination, pathological doubt, intrusive thoughts,
symmetry
Rationale: The four major symptom patterns in OCD are: Contamination, Pathological
Doubt, Intrusive Thoughts, and Symmetry. Other patterns include religious obsessions
and compulsions .
QUESTION 8
Which dimension of OCD is more common in females?
A. Symmetry dimensions
B. Forbidden thoughts dimensions
C. Cleaning dimensions
D. Both A and C
Correct Answer: C. Cleaning dimensions
Rationale: Females are more likely to have symptoms in the cleaning dimensions,
while males are more likely to have symptoms in forbidden thoughts and symmetry
dimensions.
PMHNP Mastery Q&As
QUESTION 1
What are the common symptoms represented in OCD?
A. Mood swings and irritability
B. Hallucinations and delusions
C. Intrusive thoughts, rituals, preoccupations, and compulsions
D. Social withdrawal and anhedonia
Correct Answer: C. Intrusive thoughts, rituals, preoccupations, and compulsions
Rationale: OCD is characterized by a diverse group of symptoms including intrusive
thoughts, rituals, preoccupations, and compulsions .
QUESTION 2
Differentiate between an obsession and a compulsion.
A. An obsession is a behavior; a compulsion is a thought
B. An obsession is a recurrent and intrusive thought, feeling, idea, or sensation; a
compulsion is a conscious, standardized, recurrent behavior such as counting,
checking, or avoiding
C. They are the same thing
D. An obsession is always visible to others; a compulsion is not
Correct Answer: B. An obsession is a recurrent and intrusive thought, feeling,
idea, or sensation; a compulsion is a conscious, standardized, recurrent behavior
such as counting, checking, or avoiding
,Rationale: An obsession is a recurrent and intrusive thought, feeling, idea, or
sensation. A compulsion is a conscious, standardized, recurrent behavior, such as
counting, checking, or avoiding .
QUESTION 3
What is the estimated lifetime prevalence of OCD in the general population?
A. 0.5-1%
B. 1-2%
C. 2-3%
D. 5-6%
Correct Answer: C. 2-3%
Rationale: The lifetime prevalence of OCD in the general population is estimated at 2
to 3 percent. It is the fourth most common psychiatric diagnosis. Among adults, men
and women are equally likely to be affected .
QUESTION 4
What is the mean age of onset for OCD?
A. 12.5 years
B. 15.0 years
C. 19.5 years
D. 25.0 years
Correct Answer: C. 19.5 years
Rationale: The mean age of onset is about 20 years (19.5 years). The onset can occur
in adolescence or childhood, in some cases as early as 2 years of age. Among
adolescents, boys are more commonly affected than girls .
,QUESTION 5
What is the DSM-5 diagnostic criteria for diagnosing a patient with OCD?
A. The presence of obsessions, compulsions, or both; obsessions are recurrent and
persistent thoughts, urges, or images that are intrusive and unwanted, and the
person attempts to suppress or ignore them
B. Only the presence of compulsions
C. Only the presence of obsessions
D. The presence of hallucinations and delusions
Correct Answer: A. The presence of obsessions, compulsions, or both; obsessions
are recurrent and persistent thoughts, urges, or images that are intrusive and
unwanted, and the person attempts to suppress or ignore them
Rationale: DSM-5 criteria require the presence of obsessions, compulsions, or both.
Obsessions are recurrent and persistent thoughts, urges, or images experienced as
intrusive and unwanted, causing marked anxiety. The person attempts to suppress or
neutralize them .
QUESTION 6
How much time must obsessions or compulsions consume for an OCD diagnosis?
A. 30 minutes per day
B. More than 1 hour per day
C. 2 hours per day
D. 3 hours per day
Correct Answer: B. More than 1 hour per day
Rationale: The obsessions or compulsions must be time-consuming (e.g., take more
than 1 hour per day) or cause clinically significant distress or impairment in social,
occupational, or other important areas of functioning .
, QUESTION 7
What are the four major symptom patterns in OCD?
A. Fear, anxiety, worry, panic
B. Obsessions, compulsions, phobias, panic
C. Checking, washing, counting, ordering
D. Contamination, pathological doubt, intrusive thoughts, symmetry
Correct Answer: D. Contamination, pathological doubt, intrusive thoughts,
symmetry
Rationale: The four major symptom patterns in OCD are: Contamination, Pathological
Doubt, Intrusive Thoughts, and Symmetry. Other patterns include religious obsessions
and compulsions .
QUESTION 8
Which dimension of OCD is more common in females?
A. Symmetry dimensions
B. Forbidden thoughts dimensions
C. Cleaning dimensions
D. Both A and C
Correct Answer: C. Cleaning dimensions
Rationale: Females are more likely to have symptoms in the cleaning dimensions,
while males are more likely to have symptoms in forbidden thoughts and symmetry
dimensions.
