NR.110.577 PMHNP – Adult/Gero
Final Exam Review (Qns & Ans)
2025
1. Which of the following is the most appropriate screening tool
for generalized anxiety disorder in adult patients?
A. PHQ-9
B. GAD-7
C. CAGE questionnaire
D. MMSE
ANS: B. GAD-7
Rationale: The GAD-7 is specifically designed to assess the
severity of generalized anxiety disorder, while the PHQ-9 is for
depression, CAGE is for alcohol use, and MMSE screens for
cognitive function.
©2025
,2. A 68-year-old patient with dementia is experiencing agitation
and aggression. Which medication would be most appropriate to
manage these symptoms short-term?
A. Haloperidol
B. Sertraline
C. Quetiapine
D. Clonazepam
ANS: C. Quetiapine
Rationale: Quetiapine is an atypical antipsychotic often used
for agitation in dementia due to its lower risk of extrapyramidal
symptoms compared to haloperidol.
3. Which lab test is critical before prescribing lithium for bipolar
disorder?
A. Liver function tests
B. Complete blood count (CBC)
C. Thyroid panel
D. BUN and creatinine
ANS: D. BUN and creatinine
Rationale: Since lithium is renally excreted, kidney function
must be evaluated prior to initiation to avoid toxicity.
©2025
, 4. In older adults, what is the most commonly reported symptom
of depression?
A. Sadness
B. Fatigue and lack of energy
C. Appetite loss
D. Suicidal ideation
ANS: B. Fatigue and lack of energy
Rationale: Depression in older adults often manifests as
somatic complaints like fatigue, rather than overt sadness.
---
True/False Questions
5. Cognitive Behavioral Therapy (CBT) is effective for the
treatment of both depression and anxiety disorders.
ANS: True
Rationale: CBT is an evidence-based therapy that addresses
negative thought patterns, making it effective for a variety of
mental health disorders.
©2025
Final Exam Review (Qns & Ans)
2025
1. Which of the following is the most appropriate screening tool
for generalized anxiety disorder in adult patients?
A. PHQ-9
B. GAD-7
C. CAGE questionnaire
D. MMSE
ANS: B. GAD-7
Rationale: The GAD-7 is specifically designed to assess the
severity of generalized anxiety disorder, while the PHQ-9 is for
depression, CAGE is for alcohol use, and MMSE screens for
cognitive function.
©2025
,2. A 68-year-old patient with dementia is experiencing agitation
and aggression. Which medication would be most appropriate to
manage these symptoms short-term?
A. Haloperidol
B. Sertraline
C. Quetiapine
D. Clonazepam
ANS: C. Quetiapine
Rationale: Quetiapine is an atypical antipsychotic often used
for agitation in dementia due to its lower risk of extrapyramidal
symptoms compared to haloperidol.
3. Which lab test is critical before prescribing lithium for bipolar
disorder?
A. Liver function tests
B. Complete blood count (CBC)
C. Thyroid panel
D. BUN and creatinine
ANS: D. BUN and creatinine
Rationale: Since lithium is renally excreted, kidney function
must be evaluated prior to initiation to avoid toxicity.
©2025
, 4. In older adults, what is the most commonly reported symptom
of depression?
A. Sadness
B. Fatigue and lack of energy
C. Appetite loss
D. Suicidal ideation
ANS: B. Fatigue and lack of energy
Rationale: Depression in older adults often manifests as
somatic complaints like fatigue, rather than overt sadness.
---
True/False Questions
5. Cognitive Behavioral Therapy (CBT) is effective for the
treatment of both depression and anxiety disorders.
ANS: True
Rationale: CBT is an evidence-based therapy that addresses
negative thought patterns, making it effective for a variety of
mental health disorders.
©2025
