NR606 Final Exam | Questions with 100% Verified Answers
| Latest Update 2026/2027
Question: What are some of the mental
health challenges faced by
children in conflict zones?
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
Answer: C. Risk of experiencing post-traumatic stress
disorder (PTSD) and depression
Question: Which is considered a pillar of
global mental health?
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
Answer: B. Mental health is a fundamental human right
Question: A 9-year-old eats Play-Doh
regularly, consuming at least one
container per day. Which initial
strategy should the PMHNP
recommend?
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
Answer: B. Collaborate with the medical provider to
obtain lead levels
,Question: 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?
A. Methylphenidate
B. Bupropion
C. Cognitive behavioral therapy
D. Fluoxetine
Answer: C. Cognitive behavioral therapy
Question: 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
Answer: D. Adjustment disorder with depressive
symptoms
Question: Which initial treatment would the
NP recommend for a 17-year-old
client who uses marijuana on a
weekly basis?
A. Motivational interviewing
B. Residential treatment
C. Medication-assisted treatment
D. Community service
Answer: A. Motivational interviewing
, Question: Which intervention implemented
by the PMHNP is a primary mental
health prevention strategy?
A. Leading a 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
Answer: B. Teaching a class about substance use to high
school students
Question: According to the ACEs pyramid,
which mechanism, present at
conception, can lead to early
death?
A. Historical trauma
B. Adverse childhood experiences
C. Disrupted neurodevelopment
D. Social impairment
Answer: A. Historical trauma
Question: The PMHNP is concerned that an
adolescent was exposed to
adverse childhood experiences.
What is the next best step?
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
Answer: A. Screen the client using an ACE questionnaire
| Latest Update 2026/2027
Question: What are some of the mental
health challenges faced by
children in conflict zones?
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
Answer: C. Risk of experiencing post-traumatic stress
disorder (PTSD) and depression
Question: Which is considered a pillar of
global mental health?
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
Answer: B. Mental health is a fundamental human right
Question: A 9-year-old eats Play-Doh
regularly, consuming at least one
container per day. Which initial
strategy should the PMHNP
recommend?
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
Answer: B. Collaborate with the medical provider to
obtain lead levels
,Question: 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?
A. Methylphenidate
B. Bupropion
C. Cognitive behavioral therapy
D. Fluoxetine
Answer: C. Cognitive behavioral therapy
Question: 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
Answer: D. Adjustment disorder with depressive
symptoms
Question: Which initial treatment would the
NP recommend for a 17-year-old
client who uses marijuana on a
weekly basis?
A. Motivational interviewing
B. Residential treatment
C. Medication-assisted treatment
D. Community service
Answer: A. Motivational interviewing
, Question: Which intervention implemented
by the PMHNP is a primary mental
health prevention strategy?
A. Leading a 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
Answer: B. Teaching a class about substance use to high
school students
Question: According to the ACEs pyramid,
which mechanism, present at
conception, can lead to early
death?
A. Historical trauma
B. Adverse childhood experiences
C. Disrupted neurodevelopment
D. Social impairment
Answer: A. Historical trauma
Question: The PMHNP is concerned that an
adolescent was exposed to
adverse childhood experiences.
What is the next best step?
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
Answer: A. Screen the client using an ACE questionnaire
