NR 607 FINAL EXAM 2025/2026 TESTBANK | ALL QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES | ALREADY GRADED A+ | VERIFIED ANSWERS | NEWEST VERSION | JUST
RELEASED
Question 1
A 32-year-old client presents with a persistent preoccupation with having a serious undiagnosed
illness. Despite having no physical symptoms and receiving multiple negative medical
evaluations, the client remains highly anxious and avoids doctors for fear of what they might
find. Which diagnosis is most appropriate?
A) Somatic Symptom Disorder
B) Conversion Disorder
C) Illness Anxiety Disorder
D) Factitious Disorder
E) Malingering
Correct Answer: C) Illness Anxiety Disorder
Rationale: Illness Anxiety Disorder (formerly Hypochondriasis) is characterized by a
preoccupation with having or acquiring a serious illness in the absence of significant
somatic symptoms. This is distinguished from Somatic Symptom Disorder, where physical
symptoms are present but the person’s reaction to them is excessive. Symptoms must
persist for at least 6 months.
Question 2
What is the primary diagnostic requirement regarding the duration of symptoms for Somatic
Symptom Disorder?
A) At least 1 month
B) At least 3 months
C) At least 6 months
D) At least 12 months
E) No specific duration is required
Correct Answer: C) At least 6 months
Rationale: According to the DSM-5, although any one somatic symptom may not be
continuously present, the state of being symptomatic is persistent, typically lasting more
than 6 months. These symptoms cause significant distress or disruption of daily life.
Question 3
A client is admitted to a locked psychiatric unit after agreeing with the provider that their
symptoms meet inpatient criteria. The client signs a consent form. This is known as:
A) Involuntary commitment
B) Civil admission
C) Voluntary admission
D) Psychiatric hold
E) Emergency detention
, 2
Correct Answer: C) A voluntary admission
Rationale: Voluntary admission occurs when a client and provider agree on the benefit of
hospitalization. It is preferred because it grants the patient a sense of control. However, if a
voluntary patient requests discharge but is deemed unsafe, the provider can then initiate an
emergency involuntary hold.
Question 4
Involuntary civil commitment is typically directed by a judge for individuals exhibiting which of
the following?
A) A desire to quit smoking
B) Mild social anxiety
C) Grave disability or continued danger to self or others
D) Refusal to take daily vitamins
E) Grief related to a recent job loss
Correct Answer: C) grave disability, or serious deterioration
Rationale: Involuntary admission is a legal intervention for those who, due to mental illness,
pose an immediate danger to themselves or others, are unable to provide for their own
basic needs (grave disability), or are experiencing serious clinical deterioration.
Question 5
When is the use of seclusion or physical restraints ethically and legally permissible in a
psychiatric setting?
A) As a form of punishment for breaking unit rules
B) For the convenience of the nursing staff during shift change
C) Only to ensure the immediate physical safety of the client or others
D) When a client refuses their morning medication
E) To prevent a client from using the telephone excessively
Correct Answer: C) Seclusion or restraints should only be used to ensure the IMMEDIATE
physical safety of the client and others
Rationale: Seclusion and restraint are the most restrictive interventions and are only used
as a last resort when less restrictive measures (de-escalation) have failed and there is an
imminent risk of physical harm.
Question 6
Which of the following is considered a valid exception to the requirement for informed consent?
A) The patient is rude to the provider
B) The patient's family disagrees with the treatment
C) Life-threatening emergencies
D) The patient has a history of Somatic Symptom Disorder
E) The patient wants a second opinion
Correct Answer: C) life threatening emergencies
RATIONALES | ALREADY GRADED A+ | VERIFIED ANSWERS | NEWEST VERSION | JUST
RELEASED
Question 1
A 32-year-old client presents with a persistent preoccupation with having a serious undiagnosed
illness. Despite having no physical symptoms and receiving multiple negative medical
evaluations, the client remains highly anxious and avoids doctors for fear of what they might
find. Which diagnosis is most appropriate?
A) Somatic Symptom Disorder
B) Conversion Disorder
C) Illness Anxiety Disorder
D) Factitious Disorder
E) Malingering
Correct Answer: C) Illness Anxiety Disorder
Rationale: Illness Anxiety Disorder (formerly Hypochondriasis) is characterized by a
preoccupation with having or acquiring a serious illness in the absence of significant
somatic symptoms. This is distinguished from Somatic Symptom Disorder, where physical
symptoms are present but the person’s reaction to them is excessive. Symptoms must
persist for at least 6 months.
Question 2
What is the primary diagnostic requirement regarding the duration of symptoms for Somatic
Symptom Disorder?
A) At least 1 month
B) At least 3 months
C) At least 6 months
D) At least 12 months
E) No specific duration is required
Correct Answer: C) At least 6 months
Rationale: According to the DSM-5, although any one somatic symptom may not be
continuously present, the state of being symptomatic is persistent, typically lasting more
than 6 months. These symptoms cause significant distress or disruption of daily life.
Question 3
A client is admitted to a locked psychiatric unit after agreeing with the provider that their
symptoms meet inpatient criteria. The client signs a consent form. This is known as:
A) Involuntary commitment
B) Civil admission
C) Voluntary admission
D) Psychiatric hold
E) Emergency detention
, 2
Correct Answer: C) A voluntary admission
Rationale: Voluntary admission occurs when a client and provider agree on the benefit of
hospitalization. It is preferred because it grants the patient a sense of control. However, if a
voluntary patient requests discharge but is deemed unsafe, the provider can then initiate an
emergency involuntary hold.
Question 4
Involuntary civil commitment is typically directed by a judge for individuals exhibiting which of
the following?
A) A desire to quit smoking
B) Mild social anxiety
C) Grave disability or continued danger to self or others
D) Refusal to take daily vitamins
E) Grief related to a recent job loss
Correct Answer: C) grave disability, or serious deterioration
Rationale: Involuntary admission is a legal intervention for those who, due to mental illness,
pose an immediate danger to themselves or others, are unable to provide for their own
basic needs (grave disability), or are experiencing serious clinical deterioration.
Question 5
When is the use of seclusion or physical restraints ethically and legally permissible in a
psychiatric setting?
A) As a form of punishment for breaking unit rules
B) For the convenience of the nursing staff during shift change
C) Only to ensure the immediate physical safety of the client or others
D) When a client refuses their morning medication
E) To prevent a client from using the telephone excessively
Correct Answer: C) Seclusion or restraints should only be used to ensure the IMMEDIATE
physical safety of the client and others
Rationale: Seclusion and restraint are the most restrictive interventions and are only used
as a last resort when less restrictive measures (de-escalation) have failed and there is an
imminent risk of physical harm.
Question 6
Which of the following is considered a valid exception to the requirement for informed consent?
A) The patient is rude to the provider
B) The patient's family disagrees with the treatment
C) Life-threatening emergencies
D) The patient has a history of Somatic Symptom Disorder
E) The patient wants a second opinion
Correct Answer: C) life threatening emergencies
