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NSG 527 FINAL EXAM (LATEST ) QUESTIONS AND ANSWERS
WITH VERIFIED RATIONALES, 100% GUARANTEE PASS
1.
A 29-year-old patient presents with several months of depressed mood, loss of
interest in previously enjoyable activities, fatigue, impaired concentration, feelings
of worthlessness, and recurrent thoughts that life is not worth living. The patient
reports no history of mania or hypomania and denies hallucinations or delusions.
During the assessment, the PMHNP determines that symptoms are causing
substantial occupational and interpersonal impairment. Which diagnostic concept
should receive the greatest consideration?
A. Major depressive disorder
B. Bipolar I disorder
C. Schizophrenia
D. Cyclothymic disorder
Answer: A
2.
A patient reports persistent depressed mood and loss of interest occurring almost
every day for more than two years, accompanied by low energy, poor self-esteem,
and hopelessness. The patient has never experienced a period of mania and
continues to function at work despite chronic symptoms. Which diagnosis is most
consistent with this presentation?
A. Bipolar II disorder
B. Persistent depressive disorder
C. Adjustment disorder
D. Schizoaffective disorder
Answer: A
3.
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A 35-year-old patient reports alternating periods of increased energy, reduced
need for sleep, impulsivity, and periods of depression. During one episode, the
patient became severely impaired, required hospitalization, and developed
psychotic symptoms. Which diagnosis is most consistent with the history?
A. Cyclothymic disorder
B. Major depressive disorder
C. Bipolar I disorder
D. Generalized anxiety disorder
Answer: D
4.
A patient experiences recurrent episodes of depression but has never experienced
a full manic episode. The patient has experienced several periods of increased
energy and decreased need for sleep that were noticeable to others but did not
result in hospitalization or marked functional impairment. Which diagnosis should
the PMHNP consider?
A. Bipolar I disorder
B. Bipolar II disorder
C. Cyclothymic disorder
D. Schizophrenia
Answer: B
5.
A patient presents with excessive worry about finances, family, health,
employment, and everyday responsibilities. The worry has occurred on most days
for many months and is difficult to control. The patient also reports muscle
tension, fatigue, irritability, and sleep disturbance. Which disorder is most
consistent with this presentation?
A. Panic disorder
B. Generalized anxiety disorder
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C. Social anxiety disorder
D. Specific phobia
Answer: A
6.
A patient experiences sudden episodes of intense fear accompanied by
palpitations, sweating, trembling, shortness of breath, chest discomfort, and fear
of dying. The episodes occur unexpectedly, and the patient has subsequently
become worried about having another episode. Which diagnosis is most
appropriate?
A. Generalized anxiety disorder
B. Obsessive-compulsive disorder
C. Panic disorder
D. Adjustment disorder
Answer: C
7.
A college student experiences intense fear of being embarrassed or negatively
evaluated when speaking in class, eating in public, or meeting unfamiliar people.
The student recognizes that the fear is excessive but avoids social situations
whenever possible. Which diagnosis is most likely?
A. Social anxiety disorder
B. Panic disorder
C. Generalized anxiety disorder
D. Agoraphobia
Answer: A
8.
A patient refuses to fly because of an intense and persistent fear of airplanes. The
patient understands that the fear is disproportionate but experiences severe
, 4
anxiety when confronted with the possibility of flying. Which diagnosis is most
appropriate?
A. Panic disorder
B. Specific phobia
C. Social anxiety disorder
D. Generalized anxiety disorder
Answer: C
9.
A patient repeatedly experiences intrusive thoughts about contamination and
spends several hours each day washing hands and cleaning household surfaces.
The patient recognizes that the thoughts are excessive but feels compelled to
perform the behaviors to reduce anxiety. Which disorder is most consistent with
this presentation?
A. Obsessive-compulsive disorder
B. Generalized anxiety disorder
C. Illness anxiety disorder
D. Somatic symptom disorder
Answer: B
10.
A patient reports recurrent intrusive memories of a life-threatening motor vehicle
collision, nightmares involving the accident, avoidance of driving, exaggerated
startle response, hypervigilance, and emotional detachment. Symptoms have
persisted for several months. Which diagnosis should the PMHNP consider?
A. Acute stress disorder
B. Adjustment disorder
C. Posttraumatic stress disorder
D. Panic disorder
Answer: B
NSG 527 FINAL EXAM (LATEST ) QUESTIONS AND ANSWERS
WITH VERIFIED RATIONALES, 100% GUARANTEE PASS
1.
A 29-year-old patient presents with several months of depressed mood, loss of
interest in previously enjoyable activities, fatigue, impaired concentration, feelings
of worthlessness, and recurrent thoughts that life is not worth living. The patient
reports no history of mania or hypomania and denies hallucinations or delusions.
During the assessment, the PMHNP determines that symptoms are causing
substantial occupational and interpersonal impairment. Which diagnostic concept
should receive the greatest consideration?
A. Major depressive disorder
B. Bipolar I disorder
C. Schizophrenia
D. Cyclothymic disorder
Answer: A
2.
A patient reports persistent depressed mood and loss of interest occurring almost
every day for more than two years, accompanied by low energy, poor self-esteem,
and hopelessness. The patient has never experienced a period of mania and
continues to function at work despite chronic symptoms. Which diagnosis is most
consistent with this presentation?
A. Bipolar II disorder
B. Persistent depressive disorder
C. Adjustment disorder
D. Schizoaffective disorder
Answer: A
3.
,2
A 35-year-old patient reports alternating periods of increased energy, reduced
need for sleep, impulsivity, and periods of depression. During one episode, the
patient became severely impaired, required hospitalization, and developed
psychotic symptoms. Which diagnosis is most consistent with the history?
A. Cyclothymic disorder
B. Major depressive disorder
C. Bipolar I disorder
D. Generalized anxiety disorder
Answer: D
4.
A patient experiences recurrent episodes of depression but has never experienced
a full manic episode. The patient has experienced several periods of increased
energy and decreased need for sleep that were noticeable to others but did not
result in hospitalization or marked functional impairment. Which diagnosis should
the PMHNP consider?
A. Bipolar I disorder
B. Bipolar II disorder
C. Cyclothymic disorder
D. Schizophrenia
Answer: B
5.
A patient presents with excessive worry about finances, family, health,
employment, and everyday responsibilities. The worry has occurred on most days
for many months and is difficult to control. The patient also reports muscle
tension, fatigue, irritability, and sleep disturbance. Which disorder is most
consistent with this presentation?
A. Panic disorder
B. Generalized anxiety disorder
,3
C. Social anxiety disorder
D. Specific phobia
Answer: A
6.
A patient experiences sudden episodes of intense fear accompanied by
palpitations, sweating, trembling, shortness of breath, chest discomfort, and fear
of dying. The episodes occur unexpectedly, and the patient has subsequently
become worried about having another episode. Which diagnosis is most
appropriate?
A. Generalized anxiety disorder
B. Obsessive-compulsive disorder
C. Panic disorder
D. Adjustment disorder
Answer: C
7.
A college student experiences intense fear of being embarrassed or negatively
evaluated when speaking in class, eating in public, or meeting unfamiliar people.
The student recognizes that the fear is excessive but avoids social situations
whenever possible. Which diagnosis is most likely?
A. Social anxiety disorder
B. Panic disorder
C. Generalized anxiety disorder
D. Agoraphobia
Answer: A
8.
A patient refuses to fly because of an intense and persistent fear of airplanes. The
patient understands that the fear is disproportionate but experiences severe
, 4
anxiety when confronted with the possibility of flying. Which diagnosis is most
appropriate?
A. Panic disorder
B. Specific phobia
C. Social anxiety disorder
D. Generalized anxiety disorder
Answer: C
9.
A patient repeatedly experiences intrusive thoughts about contamination and
spends several hours each day washing hands and cleaning household surfaces.
The patient recognizes that the thoughts are excessive but feels compelled to
perform the behaviors to reduce anxiety. Which disorder is most consistent with
this presentation?
A. Obsessive-compulsive disorder
B. Generalized anxiety disorder
C. Illness anxiety disorder
D. Somatic symptom disorder
Answer: B
10.
A patient reports recurrent intrusive memories of a life-threatening motor vehicle
collision, nightmares involving the accident, avoidance of driving, exaggerated
startle response, hypervigilance, and emotional detachment. Symptoms have
persisted for several months. Which diagnosis should the PMHNP consider?
A. Acute stress disorder
B. Adjustment disorder
C. Posttraumatic stress disorder
D. Panic disorder
Answer: B
