NR606 Week 6 Exam V2 | NR606 Diagnosis & Management in
Psychiatric-Mental Health II Practicum | Q&A with Rationale (NR606
Week 6 Exam) | Chamberlain University
1. A 28-year-old female patient presents with a history of unstable relationships, intense
anger, and recurrent self-harm. Which therapeutic modality is considered the gold standard
for this diagnosis?
A. Dialectical Behavior Therapy (DBT)
B. Interpersonal Therapy (IPT)
C. Cognitive Processing Therapy (CPT)
D. Exposure and Response Prevention (ERP)
Answer: A
Explanation: Dialectical Behavior Therapy (DBT) was specifically designed to treat
Borderline Personality Disorder and chronic suicidality. It focuses on four key modules:
mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
Research consistently shows DBT reduces self-injurious behaviors and hospitalization
rates in this population.
2. Which Cluster A personality disorder is characterized by a pervasive pattern of detachment
from social relationships and a restricted range of expression of emotions?
A. Schizotypal Personality Disorder
B. Paranoid Personality Disorder
C. Avoidant Personality Disorder
D. Schizoid Personality Disorder
Answer: D
Explanation: Schizoid Personality Disorder involves a lack of interest in social
relationships and a limited emotional range. Unlike Schizotypal PD, it does not typically
involve cognitive or perceptual distortions. These individuals often prefer solitary activities
and appear indifferent to praise or criticism from others.
3. A patient is prescribed Disulfiram (Antabuse) for alcohol use disorder. Which of the
following is the most critical education point regarding this medication?
A. It must be taken with a meal to avoid GI upset.
B. Monitor for symptoms of hypertension and tachycardia.
C. Avoid all products containing alcohol, including mouthwash and hand sanitizer.
,D. The medication should be started while the patient is still drinking.
Answer: C
Explanation: Disulfiram causes a severe adverse reaction when any amount of alcohol is
ingested by inhibiting aldehyde dehydrogenase. Even topical or inhaled alcohol products
can trigger a reaction consisting of nausea, flushing, and palpitations. Patients must remain
alcohol-free for at least 12 hours before the first dose is administered.
4. A patient with Antisocial Personality Disorder (ASPD) is admitted to an inpatient unit. What
is a required diagnostic component for an ASPD diagnosis according to the DSM-5?
A. Presence of psychotic features during stressful events.
B. Evidence of Conduct Disorder before age 15.
C. A history of severe social anxiety in childhood.
D. The patient must be at least 21 years old.
Answer: B
Explanation: According to DSM-5 criteria, a diagnosis of Antisocial Personality Disorder
requires evidence of Conduct Disorder with onset before age 15. The individual must be at
least 18 years of age to receive the formal ASPD diagnosis. This pattern reflects a pervasive
disregard for the rights of others and societal norms.
5. Which medication is a partial mu-opioid agonist and is used for the treatment of opioid use
disorder in an office-based setting?
A. Methadone
B. Naltrexone
C. Naloxone
D. Buprenorphine
Answer: D
Explanation: Buprenorphine is a partial mu-opioid agonist with a high affinity for the
receptor, which helps suppress withdrawal symptoms. It has a ceiling effect on respiratory
depression, making it safer for office-based treatment than full agonists. Providers must
have specific federal authorization to prescribe this medication for opioid use disorder.
6. A patient displays excessive emotionality and attention-seeking behavior. They are
uncomfortable when they are not the center of attention. Which diagnosis is most likely?
A. Narcissistic Personality Disorder
B. Borderline Personality Disorder
C. Dependent Personality Disorder
, D. Histrionic Personality Disorder
Answer: D
Explanation: Histrionic Personality Disorder is characterized by a pattern of excessive
emotional expression and seeking attention. Individuals often use physical appearance to
draw attention and may have rapidly shifting, shallow emotions. Unlike Narcissistic PD, the
focus is on being the center of attention rather than achieving admiration for superiority.
7. What is the mechanism of action for Acamprosate in the treatment of alcohol use
disorder?
A. It blocks opioid receptors to reduce cravings.
B. It prevents the metabolism of acetaldehyde.
C. It induces nausea when alcohol is consumed.
D. It modulates the glutamate and GABA neurotransmitter systems.
Answer: D
Explanation: Acamprosate is thought to stabilize the chemical balance in the brain that is
disrupted by chronic alcohol use. It works by antagonizing glutamate receptors and
potentially enhancing GABAergic activity. This medication is particularly effective for
maintaining abstinence in patients who have already stopped drinking.
8. A patient presents with extreme perfectionism, orderliness, and a need for control that
interferes with efficiency. They are reluctant to delegate tasks. This describes:
A. Obsessive-Compulsive Disorder (OCD)
B. Narcissistic Personality Disorder
C. Obsessive-Compulsive Personality Disorder (OCPD)
D. Avoidant Personality Disorder
Answer: C
Explanation: Obsessive-Compulsive Personality Disorder (OCPD) is distinct from OCD
because it does not involve true obsessions or compulsions. Instead, it is a pervasive
pattern of perfectionism and rigidity that the individual often views as ego-syntonic. OCD
symptoms are usually ego-dystonic, meaning the patient finds them distressing and
irrational.
9. The PMHNP is using the CRAFFT screening tool. For which population is this tool specifically
designed?
A. Geriatric patients with dementia.
B. Adolescents for substance-related risks.
Psychiatric-Mental Health II Practicum | Q&A with Rationale (NR606
Week 6 Exam) | Chamberlain University
1. A 28-year-old female patient presents with a history of unstable relationships, intense
anger, and recurrent self-harm. Which therapeutic modality is considered the gold standard
for this diagnosis?
A. Dialectical Behavior Therapy (DBT)
B. Interpersonal Therapy (IPT)
C. Cognitive Processing Therapy (CPT)
D. Exposure and Response Prevention (ERP)
Answer: A
Explanation: Dialectical Behavior Therapy (DBT) was specifically designed to treat
Borderline Personality Disorder and chronic suicidality. It focuses on four key modules:
mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
Research consistently shows DBT reduces self-injurious behaviors and hospitalization
rates in this population.
2. Which Cluster A personality disorder is characterized by a pervasive pattern of detachment
from social relationships and a restricted range of expression of emotions?
A. Schizotypal Personality Disorder
B. Paranoid Personality Disorder
C. Avoidant Personality Disorder
D. Schizoid Personality Disorder
Answer: D
Explanation: Schizoid Personality Disorder involves a lack of interest in social
relationships and a limited emotional range. Unlike Schizotypal PD, it does not typically
involve cognitive or perceptual distortions. These individuals often prefer solitary activities
and appear indifferent to praise or criticism from others.
3. A patient is prescribed Disulfiram (Antabuse) for alcohol use disorder. Which of the
following is the most critical education point regarding this medication?
A. It must be taken with a meal to avoid GI upset.
B. Monitor for symptoms of hypertension and tachycardia.
C. Avoid all products containing alcohol, including mouthwash and hand sanitizer.
,D. The medication should be started while the patient is still drinking.
Answer: C
Explanation: Disulfiram causes a severe adverse reaction when any amount of alcohol is
ingested by inhibiting aldehyde dehydrogenase. Even topical or inhaled alcohol products
can trigger a reaction consisting of nausea, flushing, and palpitations. Patients must remain
alcohol-free for at least 12 hours before the first dose is administered.
4. A patient with Antisocial Personality Disorder (ASPD) is admitted to an inpatient unit. What
is a required diagnostic component for an ASPD diagnosis according to the DSM-5?
A. Presence of psychotic features during stressful events.
B. Evidence of Conduct Disorder before age 15.
C. A history of severe social anxiety in childhood.
D. The patient must be at least 21 years old.
Answer: B
Explanation: According to DSM-5 criteria, a diagnosis of Antisocial Personality Disorder
requires evidence of Conduct Disorder with onset before age 15. The individual must be at
least 18 years of age to receive the formal ASPD diagnosis. This pattern reflects a pervasive
disregard for the rights of others and societal norms.
5. Which medication is a partial mu-opioid agonist and is used for the treatment of opioid use
disorder in an office-based setting?
A. Methadone
B. Naltrexone
C. Naloxone
D. Buprenorphine
Answer: D
Explanation: Buprenorphine is a partial mu-opioid agonist with a high affinity for the
receptor, which helps suppress withdrawal symptoms. It has a ceiling effect on respiratory
depression, making it safer for office-based treatment than full agonists. Providers must
have specific federal authorization to prescribe this medication for opioid use disorder.
6. A patient displays excessive emotionality and attention-seeking behavior. They are
uncomfortable when they are not the center of attention. Which diagnosis is most likely?
A. Narcissistic Personality Disorder
B. Borderline Personality Disorder
C. Dependent Personality Disorder
, D. Histrionic Personality Disorder
Answer: D
Explanation: Histrionic Personality Disorder is characterized by a pattern of excessive
emotional expression and seeking attention. Individuals often use physical appearance to
draw attention and may have rapidly shifting, shallow emotions. Unlike Narcissistic PD, the
focus is on being the center of attention rather than achieving admiration for superiority.
7. What is the mechanism of action for Acamprosate in the treatment of alcohol use
disorder?
A. It blocks opioid receptors to reduce cravings.
B. It prevents the metabolism of acetaldehyde.
C. It induces nausea when alcohol is consumed.
D. It modulates the glutamate and GABA neurotransmitter systems.
Answer: D
Explanation: Acamprosate is thought to stabilize the chemical balance in the brain that is
disrupted by chronic alcohol use. It works by antagonizing glutamate receptors and
potentially enhancing GABAergic activity. This medication is particularly effective for
maintaining abstinence in patients who have already stopped drinking.
8. A patient presents with extreme perfectionism, orderliness, and a need for control that
interferes with efficiency. They are reluctant to delegate tasks. This describes:
A. Obsessive-Compulsive Disorder (OCD)
B. Narcissistic Personality Disorder
C. Obsessive-Compulsive Personality Disorder (OCPD)
D. Avoidant Personality Disorder
Answer: C
Explanation: Obsessive-Compulsive Personality Disorder (OCPD) is distinct from OCD
because it does not involve true obsessions or compulsions. Instead, it is a pervasive
pattern of perfectionism and rigidity that the individual often views as ego-syntonic. OCD
symptoms are usually ego-dystonic, meaning the patient finds them distressing and
irrational.
9. The PMHNP is using the CRAFFT screening tool. For which population is this tool specifically
designed?
A. Geriatric patients with dementia.
B. Adolescents for substance-related risks.
