NRNP 6665 MIDTERM EXAM / NRNP 6665 FINAL EXAM PSYCHIATRIC
MENTAL HEALTH NURSE PRACTITIONER ACTUAL EXAMS
2025/2026 EACH EXAM CONTAINS COMPLETE ACCURATE EXAM
REAL QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED SOLUTIONS) A NEW UPDATED VERSION |GUARANTEED
PASS A+. (BRAND NEW!!) FULL REVISED EXAM
Question 1:
When considering a diagnosis of developmental coordination
disorder, the PMHNP knows that the diagnosis may be
associated with:
A. Above-average scores on performance subtests of
standardized intelligence testing
B. Below-average scores on verbal subtests of standardized
intelligence testing
Answer- C. Soft neurologic signs on physical examination such
as slight reflex abnormalities
D. Physical findings consistent with neuromuscular disease such
as muscular dystrophy
Question 8:
Children with gender dysphoria typically have higher rates of all
the following except:
A. Depression
B. Impulse control disorders
C. Anxiety disorders
Answer- D. Eating disorder
Question 2:
Eileen is a 23-month-old girl who is being evaluated for autism
spectrum disorder because her pediatrician is concerned about
the presence of developmental red flags. She has just a few
,words of speech and has not put together any meaningful two-
word phrases. While taking a history from Eileen's mother the
PMHNP learns that for approximately the last 2 months Eileen
has been seen eating paint chips that are peeling off the
baseboard and window sills in the family home; when she sees
one she puts it in her mouth. This is a concern because they live
in an old farmhouse and there may be lead-based paint in some
of the paint layers. The PMHNP considers that which of the
following is not consistent with a diagnosis of pica?
A. A diagnosis of autism spectrum disorder
B. Symptoms < 6 months duration
Answer- C. The pattern of eating
D. Lack of potential consequences
Question 3
Which of the following symptom clusters is most likely in a 16-
year-old male with major depressive disorder?
A. Disturbance of mood, loss of interest, and mood-congruent
hallucinations
B. Irritability, persistent abdominal complaints, and insomnia
C. Decreased concentration, social withdrawal, and substance
abuse
Answer- D. Pervasive anhedonia, hopelessness, and severe
psychomotor retardation
Question 4:
The current scholarly consensus is that the etiology of bulimia
nervosa is multifactorial to include biological, sociocultural,
family, cognitive-behavioral, and psychodynamic factors. When
,considering the etiology of bulimia nervosa, the PMHNP
understands that:
A. Family factors contributing to bulimia nervosa include
emotional restraint, tight parental control of behavior, and
avoidance of conflict.
Answer- B. Lowered serotonin activity is seen in the brains of
patients with bulimia nervosa.
C. There is a disproportionate incidence in childhood sexual
abuse in patients with bulimia nervosa.
D. Cultural influences are much less implicit in the development
of bulimia nervosa as compared to anorexia nervosa.
Question 5
Standardized instructional programs used in the management of
reading disorders include all the following except:
A. The Orton Gillingham and Direct Instructional System for
Teaching and Remediation
B. Science Research Associates, Inc. Basic Reading Program
C. Bridge Reading Program
Answer- D. Woodcock-Johnson Psychoeducational Battery
Question 6
The PMHNP is working with rural primary care providers to
increase awareness of mental health disorders in infancy and
early childhood. The program includes a session on screening
for feeding disorders in infants. If an infant is either observed by
the provider or reported by the parent to frequently suck the
tongue rhythmically or appear to strain with his or her back
arched and then swallow, the examiner should consider the
possibility of:
, A. Gastroesophageal reflux disease
B. Failure to thrive
C. Iron deficiency
Answer- D. Inadequate emotional attachment
Question 7
An astute pediatrician has referred Kyle, a 5-month-old infant,
for evaluation of rumination disorder. His mother was concerned
because he seemed to "want" to regurgitate every time he ate
and would even seem to "put his hand down his throat" in order
to stimulate regurgitation. Kyle had a thorough evaluation and
according to the pediatrician did not have gastroesophageal
reflux or hiatal hernia. The mother-infant relationship appeared
to be healthy and, via assessment, the PMHNP could not
identify any clear emotional issues. The primary treatment
strategy for Kyle will likely focus on:
A. Aversive therapies, e.g., squirting lemon juice into Kyle's
mouth when he ruminates
B. Medication therapies to include trials of first-line agents such
as metoclopramide, cimetidine, or haloperidol
C. Psychotherapy for the parents
Answer- D. Habit-reversal therapies
Question 8:
The literature indicates that boys whose fathers died before the
age of 13 are at a greater risk for the development of depression
as compared to controls. This is consistent with which general
theory of depression etiology?
A. Molecular-genetic
MENTAL HEALTH NURSE PRACTITIONER ACTUAL EXAMS
2025/2026 EACH EXAM CONTAINS COMPLETE ACCURATE EXAM
REAL QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED SOLUTIONS) A NEW UPDATED VERSION |GUARANTEED
PASS A+. (BRAND NEW!!) FULL REVISED EXAM
Question 1:
When considering a diagnosis of developmental coordination
disorder, the PMHNP knows that the diagnosis may be
associated with:
A. Above-average scores on performance subtests of
standardized intelligence testing
B. Below-average scores on verbal subtests of standardized
intelligence testing
Answer- C. Soft neurologic signs on physical examination such
as slight reflex abnormalities
D. Physical findings consistent with neuromuscular disease such
as muscular dystrophy
Question 8:
Children with gender dysphoria typically have higher rates of all
the following except:
A. Depression
B. Impulse control disorders
C. Anxiety disorders
Answer- D. Eating disorder
Question 2:
Eileen is a 23-month-old girl who is being evaluated for autism
spectrum disorder because her pediatrician is concerned about
the presence of developmental red flags. She has just a few
,words of speech and has not put together any meaningful two-
word phrases. While taking a history from Eileen's mother the
PMHNP learns that for approximately the last 2 months Eileen
has been seen eating paint chips that are peeling off the
baseboard and window sills in the family home; when she sees
one she puts it in her mouth. This is a concern because they live
in an old farmhouse and there may be lead-based paint in some
of the paint layers. The PMHNP considers that which of the
following is not consistent with a diagnosis of pica?
A. A diagnosis of autism spectrum disorder
B. Symptoms < 6 months duration
Answer- C. The pattern of eating
D. Lack of potential consequences
Question 3
Which of the following symptom clusters is most likely in a 16-
year-old male with major depressive disorder?
A. Disturbance of mood, loss of interest, and mood-congruent
hallucinations
B. Irritability, persistent abdominal complaints, and insomnia
C. Decreased concentration, social withdrawal, and substance
abuse
Answer- D. Pervasive anhedonia, hopelessness, and severe
psychomotor retardation
Question 4:
The current scholarly consensus is that the etiology of bulimia
nervosa is multifactorial to include biological, sociocultural,
family, cognitive-behavioral, and psychodynamic factors. When
,considering the etiology of bulimia nervosa, the PMHNP
understands that:
A. Family factors contributing to bulimia nervosa include
emotional restraint, tight parental control of behavior, and
avoidance of conflict.
Answer- B. Lowered serotonin activity is seen in the brains of
patients with bulimia nervosa.
C. There is a disproportionate incidence in childhood sexual
abuse in patients with bulimia nervosa.
D. Cultural influences are much less implicit in the development
of bulimia nervosa as compared to anorexia nervosa.
Question 5
Standardized instructional programs used in the management of
reading disorders include all the following except:
A. The Orton Gillingham and Direct Instructional System for
Teaching and Remediation
B. Science Research Associates, Inc. Basic Reading Program
C. Bridge Reading Program
Answer- D. Woodcock-Johnson Psychoeducational Battery
Question 6
The PMHNP is working with rural primary care providers to
increase awareness of mental health disorders in infancy and
early childhood. The program includes a session on screening
for feeding disorders in infants. If an infant is either observed by
the provider or reported by the parent to frequently suck the
tongue rhythmically or appear to strain with his or her back
arched and then swallow, the examiner should consider the
possibility of:
, A. Gastroesophageal reflux disease
B. Failure to thrive
C. Iron deficiency
Answer- D. Inadequate emotional attachment
Question 7
An astute pediatrician has referred Kyle, a 5-month-old infant,
for evaluation of rumination disorder. His mother was concerned
because he seemed to "want" to regurgitate every time he ate
and would even seem to "put his hand down his throat" in order
to stimulate regurgitation. Kyle had a thorough evaluation and
according to the pediatrician did not have gastroesophageal
reflux or hiatal hernia. The mother-infant relationship appeared
to be healthy and, via assessment, the PMHNP could not
identify any clear emotional issues. The primary treatment
strategy for Kyle will likely focus on:
A. Aversive therapies, e.g., squirting lemon juice into Kyle's
mouth when he ruminates
B. Medication therapies to include trials of first-line agents such
as metoclopramide, cimetidine, or haloperidol
C. Psychotherapy for the parents
Answer- D. Habit-reversal therapies
Question 8:
The literature indicates that boys whose fathers died before the
age of 13 are at a greater risk for the development of depression
as compared to controls. This is consistent with which general
theory of depression etiology?
A. Molecular-genetic
