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NU 665C Regis College (PMHNP) Complete Exam Questions with Correct Answers GRADED A+

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This document contains the complete and updated NU 665C Psychiatric Mental Health Nurse Practitioner (PMHNP) Clinical Competency Exam from Regis College for the 2025/26 academic year. It includes comprehensive question-and-answer sets on substance use disorders, diagnostic criteria, pharmacologic treatments, and clinical management. Topics cover DSM-5-TR criteria for alcohol and opioid use disorders, withdrawal management, MAT (Medication-Assisted Treatment), screening tools, and neurobiological mechanisms of addiction. The material is structured for study and exam preparation, with clear and accurate answers aligned with the latest DSM-5-TR guidelines.

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Uploaded on
October 18, 2025
Number of pages
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Written in
2025/2026
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NU 665C Regis College Exam – Psychiatric
Mental Health Nurse Practitioner (PMHNP) |
GRADED A+ (2025/2026)

What criteria are used to diagnose alcohol use disorder (AUD) in the DSM-5-TR? -

CORRECT ANSWER The DSM-5-TR uses 11 criteria, including impaired control, social

impairment, risky use, and pharmacologic indicators (tolerance/withdrawal). A diagnosis

is made based on:

Mild: 2-3 symptoms

Moderate: 4-5 symptoms

Severe: 6 or more symptoms



What are common behavioral signs of alcohol use disorder? -CORRECT ANSWER

Cravings for alcohol

Continued use despite consequences

Drinking larger amounts or for longer than intended

Failed attempts to cut down

Neglect of responsibilities



What are the symptoms of alcohol intoxication? -CORRECT ANSWER Slurred speech

Incoordination

Unsteady gait

Nystagmus

, Impaired attention or memory

Stupor or coma (in severe cases)



What are the symptoms of alcohol withdrawal? -CORRECT ANSWER Tremors (6-12

hours after last drink)

Anxiety, agitation

Tachycardia, hypertension

Insomnia

Seizures (12-48 hours after last drink)

Delirium tremens (DTs) - Hallucinations, confusion, autonomic instability (48-72 hours

after last drink)



What is delirium tremens (DTs), and when does it occur? -CORRECT ANSWER A

severe alcohol withdrawal syndrome with confusion, hallucinations, and autonomic

hyperactivity (tachycardia, hypertension). Occurs 48-72 hours after last drink.



What is the first-line treatment for acute alcohol withdrawal? -CORRECT ANSWER

Benzodiazepines (e.g., lorazepam, diazepam, chlordiazepoxide) to prevent seizures

and DTs.



What medications are FDA-approved for alcohol use disorder? -CORRECT ANSWER

Naltrexone - Blocks opioid receptors, reduces cravings

Acamprosate - Modulates glutamate, reduces cravings

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