NR 607 DIAGNOSIS AND MANAGEMENT IN PSYCHIATRIC MENTAL HEALTH III PRACTICUM FINAL EXAM QUESTIONS
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 607 Diagnosis and
Management in Psychiatric
Mental Health III Practicum
Final Exam Questions and
Answers Detailed Updated
2026/2027 Chamberlain
University (Rationales)
Verified Answers Exam Ready With Rationales 96 QUESTIONS
DOCUMENT OVERVIEW
This document provides 96 detailed questions with correct answers and comprehensive
rationales for psychiatric mental health nursing. It covers core diagnostic and management
principles within the field. This resource is an ideal tool for students to study, review, and
prepare for certification exams.
TOPICS
Somatic and Dissociative Disorders Q1–Q25
Psychiatric Emergencies and Safety Q26–Q32
Adverse Medication Effects Q33–Q67
Trauma and Stressor-Related Disorders Q68–Q79
Schizophrenia and Treatment Resistance Q80–Q85
Page 1
,Depression and Geriatric Considerations Q86–Q96
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 96
What is Somatic Symptom Disorder characterized by?
RESPONSE
An individual's significant focus on one or more physical symptoms such as pain, fatigue,
weakness, or shortness of breath.
RATIONALE
This disorder is defined by excessive thoughts, feelings, or behaviors related to somatic symptoms.
The focus is disproportionate to the actual physical complaint, leading to significant distress and
functional impairment. This preoccupation with physical sensations is a hallmark diagnostic
feature.
Q2 QUESTION 2 OF 96
How long must symptoms persist for a diagnosis of Somatic Symptom Disorder?
RESPONSE
More than 6 months.
RATIONALE
Diagnostic criteria for Somatic Symptom Disorder stipulate that the distressing somatic symptoms
and the associated excessive thoughts, feelings, or behaviors must be present for a minimum
duration. This persistent symptomology, exceeding a six-month period, is a key diagnostic marker
for the disorder.
Q3 QUESTION 3 OF 96
What impact do the symptoms of Somatic Symptom Disorder have on an individual?
RESPONSE
They cause major distress and/or disruption of daily life.
Page 2
, RATIONALE
Somatic Symptom Disorder is characterized by excessive thoughts, feelings, or behaviors related
to somatic symptoms. These manifestations significantly impair functioning, causing substantial
emotional distress and interfering with an individual's daily activities and social interactions. This
disruption is a core diagnostic criterion.
Q4 QUESTION 4 OF 96
________ is characterized by an individual's significant focus on one or more PHYSICAL
symptoms such as pain, fatigue, weakness, or shortness of breath to the extent that it
causes major distress and/or disruption of daily life FOR MORE THAN 6 MONTHS. These
people are frequenty flyers in the hospital and have had multiple interventions with no relief!
These people are ALWAYS looking up their symptoms ONLINE.
RESPONSE
SOMATIC SYMPTOM DISORDER
RATIONALE
This condition involves persistent, distressing physical symptoms that dominate an individual's
thoughts and behaviors. The focus on somatic complaints for over six months, leading to
significant functional impairment and frequent healthcare seeking, are hallmark diagnostic
features. This pattern reflects a maladaptive preoccupation with bodily sensations.
Q5 QUESTION 5 OF 96
_____________ (formerly HYPOCHONDRIASIS) involves a PREOCCUPUATION WITH HAVING
OR GETTING AN ILNESS, leading to high anxiety about one's health and performance of
excessive health-related behaviors or maladaptive avoidance of medical care FOR MORE
THAN 6 MONTHS. (APA, 2022).
It differs from somatic symptom disorder in that individuals experience extensive WORRIES
about health with few or NO SOMATIC SYMPTOMS.
Illness may become a central part of the individual's identity and lead to substantial strain
on social and family relationships.
Reassurance by medical professionals does not alleviate the anxiety and may even increase
it.
******These people are not experiencing any symptoms, just anxiety behind it the
THOUGHT of getting the illness.******
Page 3
, RESPONSE
illness Anxiety Disorder
RATIONALE
This condition is characterized by persistent worry about having or developing a serious illness,
marked by minimal to absent somatic symptoms. The anxiety is driven by the *thought* of illness,
not by physical complaints, and is not relieved by medical reassurance. This differentiates it from
somatic symptom disorder where physical symptoms are prominent.
Q6 QUESTION 6 OF 96
_________ involves the presentation of a loss of a voluntary motor or sensory function that is
incompatible with physiological findings (APA, 2022). Specifiers include symptom types.
Common symptoms include PARALYSIS, BLINDNESS, DEAFNESS, or SEIZURES , fainting
spells, amnesia, dysphagia, abnormal movements, deafness, TORTICOLLIS(tunnel vision).
The symptoms can be ACUTE less than 6 months OR CHRONIC which is more than 6 months.
(Wheeler, 2022).
Symptoms may be acute or persistent, and onset may be associated with TRAUMA/STRESS.
Functional neurological symptom disorder is also associated with dissociative symptoms
during attacks-TORTICOLLIS
It is differentiated from illness anxiety disorder by the fact that it is ACUTE, generally
TRANSIENT and usually INVOLVES A SYMPTOMS rather than a particular disease.
RESPONSE
Conversion aka Functional Neurological Symptom Disorder
Another symptom of this is la belle indifference. The person is not very concerned with the
deficit.
RATIONALE
This condition is characterized by neurological symptoms like paralysis or blindness that are
inconsistent with known physiological processes. Onset is often linked to stress or trauma, and a
key diagnostic feature is a notable lack of concern regarding the functional deficit.
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 607 Diagnosis and
Management in Psychiatric
Mental Health III Practicum
Final Exam Questions and
Answers Detailed Updated
2026/2027 Chamberlain
University (Rationales)
Verified Answers Exam Ready With Rationales 96 QUESTIONS
DOCUMENT OVERVIEW
This document provides 96 detailed questions with correct answers and comprehensive
rationales for psychiatric mental health nursing. It covers core diagnostic and management
principles within the field. This resource is an ideal tool for students to study, review, and
prepare for certification exams.
TOPICS
Somatic and Dissociative Disorders Q1–Q25
Psychiatric Emergencies and Safety Q26–Q32
Adverse Medication Effects Q33–Q67
Trauma and Stressor-Related Disorders Q68–Q79
Schizophrenia and Treatment Resistance Q80–Q85
Page 1
,Depression and Geriatric Considerations Q86–Q96
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 96
What is Somatic Symptom Disorder characterized by?
RESPONSE
An individual's significant focus on one or more physical symptoms such as pain, fatigue,
weakness, or shortness of breath.
RATIONALE
This disorder is defined by excessive thoughts, feelings, or behaviors related to somatic symptoms.
The focus is disproportionate to the actual physical complaint, leading to significant distress and
functional impairment. This preoccupation with physical sensations is a hallmark diagnostic
feature.
Q2 QUESTION 2 OF 96
How long must symptoms persist for a diagnosis of Somatic Symptom Disorder?
RESPONSE
More than 6 months.
RATIONALE
Diagnostic criteria for Somatic Symptom Disorder stipulate that the distressing somatic symptoms
and the associated excessive thoughts, feelings, or behaviors must be present for a minimum
duration. This persistent symptomology, exceeding a six-month period, is a key diagnostic marker
for the disorder.
Q3 QUESTION 3 OF 96
What impact do the symptoms of Somatic Symptom Disorder have on an individual?
RESPONSE
They cause major distress and/or disruption of daily life.
Page 2
, RATIONALE
Somatic Symptom Disorder is characterized by excessive thoughts, feelings, or behaviors related
to somatic symptoms. These manifestations significantly impair functioning, causing substantial
emotional distress and interfering with an individual's daily activities and social interactions. This
disruption is a core diagnostic criterion.
Q4 QUESTION 4 OF 96
________ is characterized by an individual's significant focus on one or more PHYSICAL
symptoms such as pain, fatigue, weakness, or shortness of breath to the extent that it
causes major distress and/or disruption of daily life FOR MORE THAN 6 MONTHS. These
people are frequenty flyers in the hospital and have had multiple interventions with no relief!
These people are ALWAYS looking up their symptoms ONLINE.
RESPONSE
SOMATIC SYMPTOM DISORDER
RATIONALE
This condition involves persistent, distressing physical symptoms that dominate an individual's
thoughts and behaviors. The focus on somatic complaints for over six months, leading to
significant functional impairment and frequent healthcare seeking, are hallmark diagnostic
features. This pattern reflects a maladaptive preoccupation with bodily sensations.
Q5 QUESTION 5 OF 96
_____________ (formerly HYPOCHONDRIASIS) involves a PREOCCUPUATION WITH HAVING
OR GETTING AN ILNESS, leading to high anxiety about one's health and performance of
excessive health-related behaviors or maladaptive avoidance of medical care FOR MORE
THAN 6 MONTHS. (APA, 2022).
It differs from somatic symptom disorder in that individuals experience extensive WORRIES
about health with few or NO SOMATIC SYMPTOMS.
Illness may become a central part of the individual's identity and lead to substantial strain
on social and family relationships.
Reassurance by medical professionals does not alleviate the anxiety and may even increase
it.
******These people are not experiencing any symptoms, just anxiety behind it the
THOUGHT of getting the illness.******
Page 3
, RESPONSE
illness Anxiety Disorder
RATIONALE
This condition is characterized by persistent worry about having or developing a serious illness,
marked by minimal to absent somatic symptoms. The anxiety is driven by the *thought* of illness,
not by physical complaints, and is not relieved by medical reassurance. This differentiates it from
somatic symptom disorder where physical symptoms are prominent.
Q6 QUESTION 6 OF 96
_________ involves the presentation of a loss of a voluntary motor or sensory function that is
incompatible with physiological findings (APA, 2022). Specifiers include symptom types.
Common symptoms include PARALYSIS, BLINDNESS, DEAFNESS, or SEIZURES , fainting
spells, amnesia, dysphagia, abnormal movements, deafness, TORTICOLLIS(tunnel vision).
The symptoms can be ACUTE less than 6 months OR CHRONIC which is more than 6 months.
(Wheeler, 2022).
Symptoms may be acute or persistent, and onset may be associated with TRAUMA/STRESS.
Functional neurological symptom disorder is also associated with dissociative symptoms
during attacks-TORTICOLLIS
It is differentiated from illness anxiety disorder by the fact that it is ACUTE, generally
TRANSIENT and usually INVOLVES A SYMPTOMS rather than a particular disease.
RESPONSE
Conversion aka Functional Neurological Symptom Disorder
Another symptom of this is la belle indifference. The person is not very concerned with the
deficit.
RATIONALE
This condition is characterized by neurological symptoms like paralysis or blindness that are
inconsistent with known physiological processes. Onset is often linked to stress or trauma, and a
key diagnostic feature is a notable lack of concern regarding the functional deficit.
Page 4
