PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER EXAM
2025/2026 WITH 100% ACCURATE ANSWERS
1. Which personality disorders are classified under Cluster C?
Antisocial, avoidant, dependent
Narcissistic, histrionic, borderline
Paranoid, schizoid, schizotypal
Avoidant, dependent, obsessive-compulsive
2. What class of medications do nefazodone and trazodone belong to?
Selective serotonin reuptake inhibitors (SSRIs)
Monoamine oxidase inhibitors (MAOIs)
Tricyclic antidepressants (TCAs)
Serotonin-2 antagonists/reuptake inhibitors (SARIs)
3. Disturbance in the form of thought in which ideas shift from one subject to
another in a completely unrelated way is best described as:
Loosening of associations
Echolalia
None of the above
Obsessions
Blocking
4. Describe the significance of the Identity vs. Role Confusion stage in
Erikson's theory of psychosocial development.
, This stage deals with the challenges of generativity versus
stagnation.
This stage focuses on trust and mistrust in early relationships.
This stage emphasizes the importance of intimacy and relationships
in young adulthood.
This stage is crucial for developing a personal identity and
understanding one's role in society.
5. If a patient exhibits adiadochokinesia, which neurological condition might a
clinician suspect?
Cerebellar dysfunction
Generalized anxiety disorder
Major depressive disorder
Obsessive-compulsive disorder
6. What is typical for depressive mood?
Sad and depressive feeling with sleep and appetite disturbance
Sad and depressive feeling with disorientation in time
Sad and depressive feeling without sleep and appetite disturbance
Sad and depressive feeling with simultaneous energy increase
7. Describe the relationship between sundowning and medication
management in patients.
Sundowning is a sign of effective medication management.
Sundowning is often exacerbated by being over medicated,
leading to increased confusion and agitation in the evening.
, Sundowning occurs only in patients with anxiety disorders.
Sundowning is unrelated to medication and is purely a behavioral
issue.
8. What are the Cluster A personality disorders?
paranoid, schizoid, schizotypal
worried, avoidant, dependent
none of the above
antisocial, borderline, narcissistic
9. If a person with acrophobia is required to attend a meeting on the top floor
of a skyscraper, what strategies could they use to manage their anxiety?
Relying solely on deep breathing exercises.
Gradual exposure therapy and relaxation techniques.
Taking medication without consulting a doctor.
Avoiding the meeting altogether.
10. What term describes the loss of normal speech melody?
Apraxia
Dysprosody
Dysarthria
Aphasia
11. Describe how narcolepsy affects an individual's daily life.
, Narcolepsy results in excessive daytime fatigue without sudden
sleep attacks.
Narcolepsy can lead to sudden sleep attacks that disrupt daily
activities and can cause difficulties in maintaining alertness.
Narcolepsy primarily causes chronic insomnia, affecting sleep
quality.
Narcolepsy is characterized by frequent nightmares that disturb
sleep.
12. Which two antidepressants are known to affect both norepinephrine and
serotonin levels?
amitriptyline (Elavil) and nortriptyline (Pamelor)
venlafaxine (Effexor) and duloxetine (Cymbalta)
fluoxetine (Prozac) and sertraline (Zoloft)
bupropion (Wellbutrin) and trazodone (Desyrel)
13. What class of antidepressants includes medications such as Amitriptyline
(Elavil), Clomipramine (Anafranil), Imipramine (Tofranil), Amoxapine
(Asendin), Desipramine (Norpramine), Doxepin (Sinequan), and
Nortriptyline (Pamelor)?
MAOIs (Monoamine Oxidase Inhibitors)
SSRIs (Selective Serotonin Reuptake Inhibitors)
Tricyclic Antidepressants
Atypical Antidepressants
14. What are the two main components of Obsessive-Compulsive Disorder
(OCD)?
2025/2026 WITH 100% ACCURATE ANSWERS
1. Which personality disorders are classified under Cluster C?
Antisocial, avoidant, dependent
Narcissistic, histrionic, borderline
Paranoid, schizoid, schizotypal
Avoidant, dependent, obsessive-compulsive
2. What class of medications do nefazodone and trazodone belong to?
Selective serotonin reuptake inhibitors (SSRIs)
Monoamine oxidase inhibitors (MAOIs)
Tricyclic antidepressants (TCAs)
Serotonin-2 antagonists/reuptake inhibitors (SARIs)
3. Disturbance in the form of thought in which ideas shift from one subject to
another in a completely unrelated way is best described as:
Loosening of associations
Echolalia
None of the above
Obsessions
Blocking
4. Describe the significance of the Identity vs. Role Confusion stage in
Erikson's theory of psychosocial development.
, This stage deals with the challenges of generativity versus
stagnation.
This stage focuses on trust and mistrust in early relationships.
This stage emphasizes the importance of intimacy and relationships
in young adulthood.
This stage is crucial for developing a personal identity and
understanding one's role in society.
5. If a patient exhibits adiadochokinesia, which neurological condition might a
clinician suspect?
Cerebellar dysfunction
Generalized anxiety disorder
Major depressive disorder
Obsessive-compulsive disorder
6. What is typical for depressive mood?
Sad and depressive feeling with sleep and appetite disturbance
Sad and depressive feeling with disorientation in time
Sad and depressive feeling without sleep and appetite disturbance
Sad and depressive feeling with simultaneous energy increase
7. Describe the relationship between sundowning and medication
management in patients.
Sundowning is a sign of effective medication management.
Sundowning is often exacerbated by being over medicated,
leading to increased confusion and agitation in the evening.
, Sundowning occurs only in patients with anxiety disorders.
Sundowning is unrelated to medication and is purely a behavioral
issue.
8. What are the Cluster A personality disorders?
paranoid, schizoid, schizotypal
worried, avoidant, dependent
none of the above
antisocial, borderline, narcissistic
9. If a person with acrophobia is required to attend a meeting on the top floor
of a skyscraper, what strategies could they use to manage their anxiety?
Relying solely on deep breathing exercises.
Gradual exposure therapy and relaxation techniques.
Taking medication without consulting a doctor.
Avoiding the meeting altogether.
10. What term describes the loss of normal speech melody?
Apraxia
Dysprosody
Dysarthria
Aphasia
11. Describe how narcolepsy affects an individual's daily life.
, Narcolepsy results in excessive daytime fatigue without sudden
sleep attacks.
Narcolepsy can lead to sudden sleep attacks that disrupt daily
activities and can cause difficulties in maintaining alertness.
Narcolepsy primarily causes chronic insomnia, affecting sleep
quality.
Narcolepsy is characterized by frequent nightmares that disturb
sleep.
12. Which two antidepressants are known to affect both norepinephrine and
serotonin levels?
amitriptyline (Elavil) and nortriptyline (Pamelor)
venlafaxine (Effexor) and duloxetine (Cymbalta)
fluoxetine (Prozac) and sertraline (Zoloft)
bupropion (Wellbutrin) and trazodone (Desyrel)
13. What class of antidepressants includes medications such as Amitriptyline
(Elavil), Clomipramine (Anafranil), Imipramine (Tofranil), Amoxapine
(Asendin), Desipramine (Norpramine), Doxepin (Sinequan), and
Nortriptyline (Pamelor)?
MAOIs (Monoamine Oxidase Inhibitors)
SSRIs (Selective Serotonin Reuptake Inhibitors)
Tricyclic Antidepressants
Atypical Antidepressants
14. What are the two main components of Obsessive-Compulsive Disorder
(OCD)?
