NR 607 Week 4 | Diagnosis &
Management in Psychiatric Mental
Health III Most Tested Questions
Collection & Verified Detailed Answers
With Rationales| Tutor Verified Success
Exam) Graded A+
1. A patient reports two weeks of depressed mood, anhedonia,
fatigue, insomnia, guilt, and difficulty concentrating. Which diagnosis
is most consistent with this presentation?
A. Adjustment disorder
B. Major depressive disorder
C. Persistent depressive disorder
D. Cyclothymic disorder
Answer: B. Major depressive disorder
Rationale: Major depressive disorder requires a depressive episode
lasting at least two weeks with sufficient symptoms and clinically
significant distress or impairment.
2. Which symptom is most characteristic of mania rather than
hypomania?
A. Increased energy
B. Decreased need for sleep
C. Marked functional impairment or hospitalization
D. Increased goal-directed activity
Answer: C. Marked functional impairment or hospitalization
,Rationale: Mania causes marked impairment, may require
hospitalization, or may include psychotic features. Hypomania is less
severe and does not cause marked functional impairment.
3. A patient has recurrent unexpected panic attacks and spends
considerable time worrying about having another attack. What
diagnosis should be considered?
A. Generalized anxiety disorder
B. Panic disorder
C. Social anxiety disorder
D. Illness anxiety disorder
Answer: B. Panic disorder
Rationale: Panic disorder involves recurrent unexpected panic attacks
followed by persistent concern or maladaptive behavioral changes
related to the attacks.
4. Which feature distinguishes generalized anxiety disorder from
panic disorder?
A. Anxiety symptoms
B. Muscle tension
C. Excessive anxiety occurring across multiple areas of life
D. Autonomic symptoms
Answer: C. Excessive anxiety occurring across multiple areas of life
Rationale: Generalized anxiety disorder is characterized by excessive,
difficult-to-control worry about multiple domains, typically
accompanied by physical and cognitive symptoms.
5. A patient experiences intrusive unwanted thoughts about
contamination and repeatedly washes their hands to reduce anxiety.
,Which diagnosis is most likely?
A. OCD
B. PTSD
C. GAD
D. Illness anxiety disorder
Answer: A. OCD
Rationale: OCD involves obsessions, compulsions, or both.
Compulsions are repetitive behaviors or mental acts performed to
reduce distress associated with obsessions.
6. Which is an example of an obsession?
A. Repeatedly checking a locked door
B. Repeated handwashing
C. Intrusive fear that one's hands are contaminated
D. Counting objects repeatedly
Answer: C. Intrusive fear that one's hands are contaminated
Rationale: An obsession is an intrusive, unwanted, recurrent thought,
urge, or image. Compulsions are repetitive behaviors or mental acts.
7. A patient reports nightmares, avoidance, hypervigilance, and
intrusive memories six months after a serious motor vehicle
accident. Which diagnosis is most appropriate?
A. Acute stress disorder
B. PTSD
C. Adjustment disorder
D. Panic disorder
Answer: B. PTSD
, Rationale: PTSD can develop after trauma and includes intrusion,
avoidance, negative alterations in cognition/mood, and alterations in
arousal/reactivity.
8. Which diagnosis is more appropriate when trauma-related
symptoms occur for only several days after the traumatic event?
A. PTSD
B. Acute stress disorder
C. Adjustment disorder
D. Persistent depressive disorder
Answer: B. Acute stress disorder
Rationale: Acute stress disorder involves trauma-related symptoms
beginning after the event and lasting from 3 days to 1 month.
9. Which symptom is particularly associated with schizophrenia?
A. Hallucinations
B. Elevated mood only
C. Panic attacks only
D. Obsessions without compulsions
Answer: A. Hallucinations
Rationale: Schizophrenia can involve hallucinations, delusions,
disorganized speech, disorganized behavior, and negative symptoms.
10. Which is considered a negative symptom of schizophrenia?
A. Delusion
B. Hallucination
C. Avolition
D. Disorganized speech
Answer: C. Avolition
Management in Psychiatric Mental
Health III Most Tested Questions
Collection & Verified Detailed Answers
With Rationales| Tutor Verified Success
Exam) Graded A+
1. A patient reports two weeks of depressed mood, anhedonia,
fatigue, insomnia, guilt, and difficulty concentrating. Which diagnosis
is most consistent with this presentation?
A. Adjustment disorder
B. Major depressive disorder
C. Persistent depressive disorder
D. Cyclothymic disorder
Answer: B. Major depressive disorder
Rationale: Major depressive disorder requires a depressive episode
lasting at least two weeks with sufficient symptoms and clinically
significant distress or impairment.
2. Which symptom is most characteristic of mania rather than
hypomania?
A. Increased energy
B. Decreased need for sleep
C. Marked functional impairment or hospitalization
D. Increased goal-directed activity
Answer: C. Marked functional impairment or hospitalization
,Rationale: Mania causes marked impairment, may require
hospitalization, or may include psychotic features. Hypomania is less
severe and does not cause marked functional impairment.
3. A patient has recurrent unexpected panic attacks and spends
considerable time worrying about having another attack. What
diagnosis should be considered?
A. Generalized anxiety disorder
B. Panic disorder
C. Social anxiety disorder
D. Illness anxiety disorder
Answer: B. Panic disorder
Rationale: Panic disorder involves recurrent unexpected panic attacks
followed by persistent concern or maladaptive behavioral changes
related to the attacks.
4. Which feature distinguishes generalized anxiety disorder from
panic disorder?
A. Anxiety symptoms
B. Muscle tension
C. Excessive anxiety occurring across multiple areas of life
D. Autonomic symptoms
Answer: C. Excessive anxiety occurring across multiple areas of life
Rationale: Generalized anxiety disorder is characterized by excessive,
difficult-to-control worry about multiple domains, typically
accompanied by physical and cognitive symptoms.
5. A patient experiences intrusive unwanted thoughts about
contamination and repeatedly washes their hands to reduce anxiety.
,Which diagnosis is most likely?
A. OCD
B. PTSD
C. GAD
D. Illness anxiety disorder
Answer: A. OCD
Rationale: OCD involves obsessions, compulsions, or both.
Compulsions are repetitive behaviors or mental acts performed to
reduce distress associated with obsessions.
6. Which is an example of an obsession?
A. Repeatedly checking a locked door
B. Repeated handwashing
C. Intrusive fear that one's hands are contaminated
D. Counting objects repeatedly
Answer: C. Intrusive fear that one's hands are contaminated
Rationale: An obsession is an intrusive, unwanted, recurrent thought,
urge, or image. Compulsions are repetitive behaviors or mental acts.
7. A patient reports nightmares, avoidance, hypervigilance, and
intrusive memories six months after a serious motor vehicle
accident. Which diagnosis is most appropriate?
A. Acute stress disorder
B. PTSD
C. Adjustment disorder
D. Panic disorder
Answer: B. PTSD
, Rationale: PTSD can develop after trauma and includes intrusion,
avoidance, negative alterations in cognition/mood, and alterations in
arousal/reactivity.
8. Which diagnosis is more appropriate when trauma-related
symptoms occur for only several days after the traumatic event?
A. PTSD
B. Acute stress disorder
C. Adjustment disorder
D. Persistent depressive disorder
Answer: B. Acute stress disorder
Rationale: Acute stress disorder involves trauma-related symptoms
beginning after the event and lasting from 3 days to 1 month.
9. Which symptom is particularly associated with schizophrenia?
A. Hallucinations
B. Elevated mood only
C. Panic attacks only
D. Obsessions without compulsions
Answer: A. Hallucinations
Rationale: Schizophrenia can involve hallucinations, delusions,
disorganized speech, disorganized behavior, and negative symptoms.
10. Which is considered a negative symptom of schizophrenia?
A. Delusion
B. Hallucination
C. Avolition
D. Disorganized speech
Answer: C. Avolition
