NR 606 Midterm Exam 2026
Chamberlain College of Nursing
Diagnosis and Management in Psychiatric-Mental Health II
Practicum
75 Multiple-Choice Questions with Correct Answers Highlighted
Instructions:
1. A 22-year-old client with type 2 diabetes was recently diagnosed with schizophrenia and needs a prescription for
an antipsychotic medication. She is currently pregnant. Which medication would be most appropriate for the client?
A. Risperidone
B. Carbamazepine
C. Olanzapine
D. Quetiapine ✓
2. Which is a priority assessment for a pregnant client who takes quetiapine for schizophrenia?
A. Glucose tolerance test ✓
B. Quetiapine levels
C. Lipid level
D. Height and weight
3. A child presents with symptoms of irritability, fatigue, and difficulty sleeping. What additional symptom would
help differentiate separation anxiety as the appropriate diagnosis?
A. Reports of nightmares about being kidnapped ✓
B. Lack of eye contact
C. Difficulty speaking in the classroom
D. Blushing and trembling when spoken to
4. A client who is 36 weeks pregnant with her second child presents with symptoms including fear, dread, and panic related
to the upcoming birth. The client had an emergency C-section with her first and plans to deliver this child vaginally. Which
is the most likely diagnosis for this client?
A. Post-traumatic stress disorder ✓
B. Obsessive-compulsive disorder with peripartum onset
C. Generalized anxiety disorder with peripartum onset
D. Panic disorder with peripartum onset
5. Under what circumstances may a provider withhold a child’s mental health treatment records from a parent or guardian?
B. When the insurance company requests that the provider withhold records
A. When there is concern of parental neglect ✓
C. When the client is 16 or older
D. When the child requests that the provider withhold records
6. A 12-year-old client presents with motor and verbal tics. What is the most appropriate initial treatment for the client?
B. Comprehensive behavioral intervention for tics (CBIT) ✓
A. Exercise therapy
NR 606 Midterm Exam – Diagnosis & Management | Page 1
, C. Antipsychotic medications
D. Psychoeducation only
7. Which client diagnosed with Tourette syndrome is displaying a complex vocal tic?
A. A child who grunts frequently
B. A child who barks while playing with others
D. A child who repeats the last word spoken by someone else (echolalia) ✓
C. A child who frequently shrugs shoulders
8. A client who has delivered her first child endorses loss of appetite, mood swings, and difficulty sleeping. What additional
information would help the provider differentiate between “baby blues” and maternal depression?
A. Length of time since the delivery ✓
B. Whether she delivered via vaginal or C-section birth
C. Whether she has assistance in the home
D. Whether she is successfully breastfeeding
9. What is a contributing factor for increased maternal health disorders among Black women?
A. Lack of Black providers ✓
B. State-mandated parental leave
C. Full-time employment with overtime
D. Increased number of offspring
10. A 16-year-old client presents with visual hallucinations. What information would support a diagnosis of early-
onset schizophrenia?
A. The child reports using multiple substances over the weekend
B. The child has a developmental disability
D. The child has increasing social isolation and withdrawal over the past year ✓
C. The child has had psychomotor agitation and significant insomnia over the past year
11. Which must be included in the initial discussion with a client who becomes pregnant while taking psychiatric medications?
A. Risks of discontinuing treatment ✓
B. A list of alternate medications to consider
C. General discussion of potential common adverse effects
D. Referral to a perinatal psychiatrist
12. A 24-month-old’s parents present with concerns about possible regression of social skills and attachment. Which
A. The child flaps hands repeatedly ✓
additional symptom would validate the need for autism screening?
B. The child has frequent tantrums
C. The child cannot follow multiple-step commands
D. The child does not speak in complete sentences
13. A 4-year-old child has difficulty with peers at preschool. Which additional behavior supports a diagnosis of
autism spectrum disorder?
A. Limited vocabulary ✓
B. Having frequent nightmares
C. Hiding behind his mother when meeting new people
D. Speaking in sentences at home
14. Which symptoms of depression are more common in adolescents than adults?
A. Irritability and crankiness ✓
B. Feelings of powerlessness and anxiety
C. Sad, flat affect, and difficulty sleeping
D. Loneliness and anhedonia
NR 606 Midterm Exam – Diagnosis & Management | Page 2
Chamberlain College of Nursing
Diagnosis and Management in Psychiatric-Mental Health II
Practicum
75 Multiple-Choice Questions with Correct Answers Highlighted
Instructions:
1. A 22-year-old client with type 2 diabetes was recently diagnosed with schizophrenia and needs a prescription for
an antipsychotic medication. She is currently pregnant. Which medication would be most appropriate for the client?
A. Risperidone
B. Carbamazepine
C. Olanzapine
D. Quetiapine ✓
2. Which is a priority assessment for a pregnant client who takes quetiapine for schizophrenia?
A. Glucose tolerance test ✓
B. Quetiapine levels
C. Lipid level
D. Height and weight
3. A child presents with symptoms of irritability, fatigue, and difficulty sleeping. What additional symptom would
help differentiate separation anxiety as the appropriate diagnosis?
A. Reports of nightmares about being kidnapped ✓
B. Lack of eye contact
C. Difficulty speaking in the classroom
D. Blushing and trembling when spoken to
4. A client who is 36 weeks pregnant with her second child presents with symptoms including fear, dread, and panic related
to the upcoming birth. The client had an emergency C-section with her first and plans to deliver this child vaginally. Which
is the most likely diagnosis for this client?
A. Post-traumatic stress disorder ✓
B. Obsessive-compulsive disorder with peripartum onset
C. Generalized anxiety disorder with peripartum onset
D. Panic disorder with peripartum onset
5. Under what circumstances may a provider withhold a child’s mental health treatment records from a parent or guardian?
B. When the insurance company requests that the provider withhold records
A. When there is concern of parental neglect ✓
C. When the client is 16 or older
D. When the child requests that the provider withhold records
6. A 12-year-old client presents with motor and verbal tics. What is the most appropriate initial treatment for the client?
B. Comprehensive behavioral intervention for tics (CBIT) ✓
A. Exercise therapy
NR 606 Midterm Exam – Diagnosis & Management | Page 1
, C. Antipsychotic medications
D. Psychoeducation only
7. Which client diagnosed with Tourette syndrome is displaying a complex vocal tic?
A. A child who grunts frequently
B. A child who barks while playing with others
D. A child who repeats the last word spoken by someone else (echolalia) ✓
C. A child who frequently shrugs shoulders
8. A client who has delivered her first child endorses loss of appetite, mood swings, and difficulty sleeping. What additional
information would help the provider differentiate between “baby blues” and maternal depression?
A. Length of time since the delivery ✓
B. Whether she delivered via vaginal or C-section birth
C. Whether she has assistance in the home
D. Whether she is successfully breastfeeding
9. What is a contributing factor for increased maternal health disorders among Black women?
A. Lack of Black providers ✓
B. State-mandated parental leave
C. Full-time employment with overtime
D. Increased number of offspring
10. A 16-year-old client presents with visual hallucinations. What information would support a diagnosis of early-
onset schizophrenia?
A. The child reports using multiple substances over the weekend
B. The child has a developmental disability
D. The child has increasing social isolation and withdrawal over the past year ✓
C. The child has had psychomotor agitation and significant insomnia over the past year
11. Which must be included in the initial discussion with a client who becomes pregnant while taking psychiatric medications?
A. Risks of discontinuing treatment ✓
B. A list of alternate medications to consider
C. General discussion of potential common adverse effects
D. Referral to a perinatal psychiatrist
12. A 24-month-old’s parents present with concerns about possible regression of social skills and attachment. Which
A. The child flaps hands repeatedly ✓
additional symptom would validate the need for autism screening?
B. The child has frequent tantrums
C. The child cannot follow multiple-step commands
D. The child does not speak in complete sentences
13. A 4-year-old child has difficulty with peers at preschool. Which additional behavior supports a diagnosis of
autism spectrum disorder?
A. Limited vocabulary ✓
B. Having frequent nightmares
C. Hiding behind his mother when meeting new people
D. Speaking in sentences at home
14. Which symptoms of depression are more common in adolescents than adults?
A. Irritability and crankiness ✓
B. Feelings of powerlessness and anxiety
C. Sad, flat affect, and difficulty sleeping
D. Loneliness and anhedonia
NR 606 Midterm Exam – Diagnosis & Management | Page 2
