NR 605 – Diagnosis & Management in
Psychiatric Mental Health Across the Lifespan I
(Chamberlain University, 2025/2026) – Final
Exam Review with Verified Questions & Answers
DIAGNOSTIC FRAMEWORKS & ASSESSMENT (1–15)
1. The DSM-5-TR (2022) is used for:Standardized psychiatric diagnosis
Rationale: Criterion-based; Kenya uses ICD-11 in parallel.
2. The primary difference between DSM-5 and ICD-11:DSM-5 = categorical; ICD-11 =
dimensional + cultural
Rationale: ICD-11 includes “complex PTSD” and gaming disorder.
3. Cultural formulation interview (CFI) assesses:Cultural identity, stressors, help-
seeking, clinician-patient relationship
Rationale: 16 questions; essential in Kenya’s multicultural context.
4. The mental status exam (MSE) component “affect” describes:Observable emotional
expression
Rationale: Mood = subjective; affect = objective (flat, blunted, labile).
5. Thought process “circumstantial” means:Eventually reaches point but with excessive
detail
Rationale: Tangential = never returns; loosening = illogical.
, 6. Flight of ideas is classic in:Mania
Rationale: Rapid, topic-to-topic via clang/pun.
7. Suicide risk assessment uses:SAD PERSONS (Sex, Age, Depression, Previous,
Ethanol, Rational loss, Social support, Organized plan, No spouse, Sickness)
Rationale: High risk ≥7; Kenya: add financial stress.
8. The PHQ-9 score ≥15 indicates:Moderately severe depression
Rationale: 0–4 none; 5–9 mild; 10–14 moderate.
9. GAD-7 score ≥10 suggests:Generalized anxiety disorder
Rationale: Screen; confirm with clinical interview.
10. Mini-Mental State Exam (MMSE) cutoff for dementia:<24/30
Rationale: Education-adjusted; MoCA more sensitive.
11. The CAGE questionnaire screens for:Alcohol use disorder (≥2 positive)
Rationale: Cut down, Annoyed, Guilty, Eye-opener.
12. CIWA-Ar is used for:Alcohol withdrawal monitoring
Rationale: Score >15 = severe; give benzodiazepines.
13. Positive PANSS score indicates:Psychotic symptoms (positive > negative)
Rationale: Positive: hallucinations, delusions; Negative: flat affect, avolition.
Psychiatric Mental Health Across the Lifespan I
(Chamberlain University, 2025/2026) – Final
Exam Review with Verified Questions & Answers
DIAGNOSTIC FRAMEWORKS & ASSESSMENT (1–15)
1. The DSM-5-TR (2022) is used for:Standardized psychiatric diagnosis
Rationale: Criterion-based; Kenya uses ICD-11 in parallel.
2. The primary difference between DSM-5 and ICD-11:DSM-5 = categorical; ICD-11 =
dimensional + cultural
Rationale: ICD-11 includes “complex PTSD” and gaming disorder.
3. Cultural formulation interview (CFI) assesses:Cultural identity, stressors, help-
seeking, clinician-patient relationship
Rationale: 16 questions; essential in Kenya’s multicultural context.
4. The mental status exam (MSE) component “affect” describes:Observable emotional
expression
Rationale: Mood = subjective; affect = objective (flat, blunted, labile).
5. Thought process “circumstantial” means:Eventually reaches point but with excessive
detail
Rationale: Tangential = never returns; loosening = illogical.
, 6. Flight of ideas is classic in:Mania
Rationale: Rapid, topic-to-topic via clang/pun.
7. Suicide risk assessment uses:SAD PERSONS (Sex, Age, Depression, Previous,
Ethanol, Rational loss, Social support, Organized plan, No spouse, Sickness)
Rationale: High risk ≥7; Kenya: add financial stress.
8. The PHQ-9 score ≥15 indicates:Moderately severe depression
Rationale: 0–4 none; 5–9 mild; 10–14 moderate.
9. GAD-7 score ≥10 suggests:Generalized anxiety disorder
Rationale: Screen; confirm with clinical interview.
10. Mini-Mental State Exam (MMSE) cutoff for dementia:<24/30
Rationale: Education-adjusted; MoCA more sensitive.
11. The CAGE questionnaire screens for:Alcohol use disorder (≥2 positive)
Rationale: Cut down, Annoyed, Guilty, Eye-opener.
12. CIWA-Ar is used for:Alcohol withdrawal monitoring
Rationale: Score >15 = severe; give benzodiazepines.
13. Positive PANSS score indicates:Psychotic symptoms (positive > negative)
Rationale: Positive: hallucinations, delusions; Negative: flat affect, avolition.
