NRNP 6665 FINAL EXAM STUDY GUIDE – FULL CONCEPT
REVIEW & PREPARATION RESOURCE
Description (150 words):
The NRNP 6665 Final Exam Study Guide – Full Concept Review & Preparation Resource is a
professionally structured academic support document designed to help learners strengthen
their understanding of advanced psychiatric mental health concepts commonly emphasized
throughout the NRNP 6665 course. This study guide provides a well-organized overview of key
content areas such as psychotherapeutic approaches, differential diagnosis, neurobiological
foundations, psychopharmacology, crisis intervention, psychotherapy modalities, assessment
methods, and evidence-based treatment planning. It focuses on improving comprehension
through topic clarification, applied reasoning prompts, concept summaries, and clinically
relevant terminology that students routinely encounter in graduate-level psychiatric
coursework. The material emphasizes critical thinking, diagnostic decision-making, and clinical
application, helping learners reinforce knowledge in a structured and accessible format. While it
does not supply real exam questions, it provides strong conceptual support to guide preparation
and improve familiarity with the subject matter required for academic success.
Keywords (10):
1. Psychopharmacology
2. Differential diagnosis
3. Neurobiology
4. Psychotherapy modalities
5. Crisis intervention
6. Psychiatric assessment
7. Treatment planning
8. PMHNP concepts
9. Clinical reasoning
10. Evidence-based practice
NRNP 6665 Final Exam Concept Review (100 Questions)
,1. A 16-year-old patient presents with a persistently irritable mood, hypervigilance, avoidance
of social gatherings, and flashbacks following a car accident 6 months ago. What is the most
likely diagnosis?
A. Major Depressive Disorder
B. Generalized Anxiety Disorder
C. Posttraumatic Stress Disorder ✓
D. Oppositional Defiant Disorder
2. Which of the following is a first-line, FDA-approved pharmacotherapy for bulimia nervosa?
A. Sertraline (Zoloft)
B. Fluoxetine (Prozac) ✓
C. Olanzapine (Zyprexa)
D. Topiramate (Topamax)
3. According to the DSM-5, a necessary criterion for a diagnosis of Generalized Anxiety
Disorder (GAD) is excessive anxiety and worry occurring more days than not for at least:
A. 1 month
B. 3 months
C. 6 months ✓
D. 12 months
4. A 45-year-old male with schizophrenia has been stable on risperidone for 6 months but
now presents with rhythmic, involuntary protrusion of his tongue and facial grimacing. This is
most consistent with:
A. Acute dystonia
B. Akathisia
C. Tardive dyskinesia ✓
D. Parkinsonism
5. What is the single most robust predictor of future suicidal behavior?
A. Family history of suicide
B. A previous suicide attempt ✓
C. Co-morbid substance use
D. Access to firearms
6. The primary neurotransmitter system thought to be dysfunctional in the pathophysiology
of ADHD is:
A. Serotonin
B. GABA
,C. Dopamine and Norepinephrine ✓
D. Acetylcholine
7. A 22-year-old female presents with a 2-week history of elevated mood, pressured speech,
decreased need for sleep, and spending large sums of money. Her urine drug screen is
negative. The most appropriate initial diagnosis is:
A. Bipolar I Disorder, Current Episode Manic ✓
B. Bipolar II Disorder, Current Episode Hypomanic
C. Cyclothymic Disorder
D. Borderline Personality Disorder
8. Which medication requires baseline and periodic monitoring of liver function tests and is
associated with a risk of hepatotoxicity?
A. Lamotrigine (Lamictal)
B. Valproic Acid (Depakote) ✓
C. Lithium (Eskalith)
D. Quetiapine (Seroquel)
9. A patient with Borderline Personality Disorder who engages in self-harm (e.g., cutting)
often does so primarily to:
A. Manipulate staff
B. Relieve intense emotional pain ✓
C. Seek attention
D. Experience a "high"
10. The mental status examination component that assesses a patient's awareness of person,
place, time, and situation is:
A. Mood and Affect
B. Thought Process
C. Sensorium and Cognition ✓
D. Insight and Judgment
11. Which antipsychotic medication carries the highest risk for agranulocytosis and requires
absolute baseline and weekly WBC monitoring?
A. Haloperidol (Haldol)
B. Clozapine (Clozaril) ✓
C. Olanzapine (Zyprexa)
D. Aripiprazole (Abilify)
, 12. A 10-year-old child has multiple motor tics and one or more vocal tics that have been
present for over a year. This is diagnostic of:
A. Transient Tic Disorder
B. Persistent (Chronic) Motor or Vocal Tic Disorder
C. Tourette's Disorder ✓
D. Stereotypic Movement Disorder
13. The first-line psychological treatment for Posttraumatic Stress Disorder (PTSD) is:
A. Psychodynamic Psychotherapy
B. Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) ✓
C. Supportive Therapy
D. Interpersonal Therapy (IPT)
14. Which of the following is a negative symptom of schizophrenia?
A. Auditory hallucinations
B. Delusions of persecution
C. Disorganized speech
D. Avolition ✓
15. A patient taking an SSRI presents with confusion, agitation, hyperreflexia, and diaphoresis.
Their temperature is 102°F. This presentation is most suggestive of:
A. Neuroleptic Malignant Syndrome (NMS)
B. Serotonin Syndrome ✓
C. Anticholinergic Toxicity
D. Malignant Hyperthermia
16. The DSM-5 diagnostic criteria for Anorexia Nervosa includes all of the following EXCEPT:
A. Restriction of energy intake leading to significantly low body weight.
B. Intense fear of gaining weight.
C. Disturbance in the way one's body weight or shape is experienced.
D. Absence of menses for at least three consecutive cycles. ✓ (This is a specifier, not a core
criterion)
17. Which medication is an NMDA receptor antagonist used for treatment-resistant
depression?
A. Bupropion (Wellbutrin)
B. Esketamine (Spravato) ✓
C. Vilazodone (Viibryd)
D. Tranylcypromine (Parnate)
REVIEW & PREPARATION RESOURCE
Description (150 words):
The NRNP 6665 Final Exam Study Guide – Full Concept Review & Preparation Resource is a
professionally structured academic support document designed to help learners strengthen
their understanding of advanced psychiatric mental health concepts commonly emphasized
throughout the NRNP 6665 course. This study guide provides a well-organized overview of key
content areas such as psychotherapeutic approaches, differential diagnosis, neurobiological
foundations, psychopharmacology, crisis intervention, psychotherapy modalities, assessment
methods, and evidence-based treatment planning. It focuses on improving comprehension
through topic clarification, applied reasoning prompts, concept summaries, and clinically
relevant terminology that students routinely encounter in graduate-level psychiatric
coursework. The material emphasizes critical thinking, diagnostic decision-making, and clinical
application, helping learners reinforce knowledge in a structured and accessible format. While it
does not supply real exam questions, it provides strong conceptual support to guide preparation
and improve familiarity with the subject matter required for academic success.
Keywords (10):
1. Psychopharmacology
2. Differential diagnosis
3. Neurobiology
4. Psychotherapy modalities
5. Crisis intervention
6. Psychiatric assessment
7. Treatment planning
8. PMHNP concepts
9. Clinical reasoning
10. Evidence-based practice
NRNP 6665 Final Exam Concept Review (100 Questions)
,1. A 16-year-old patient presents with a persistently irritable mood, hypervigilance, avoidance
of social gatherings, and flashbacks following a car accident 6 months ago. What is the most
likely diagnosis?
A. Major Depressive Disorder
B. Generalized Anxiety Disorder
C. Posttraumatic Stress Disorder ✓
D. Oppositional Defiant Disorder
2. Which of the following is a first-line, FDA-approved pharmacotherapy for bulimia nervosa?
A. Sertraline (Zoloft)
B. Fluoxetine (Prozac) ✓
C. Olanzapine (Zyprexa)
D. Topiramate (Topamax)
3. According to the DSM-5, a necessary criterion for a diagnosis of Generalized Anxiety
Disorder (GAD) is excessive anxiety and worry occurring more days than not for at least:
A. 1 month
B. 3 months
C. 6 months ✓
D. 12 months
4. A 45-year-old male with schizophrenia has been stable on risperidone for 6 months but
now presents with rhythmic, involuntary protrusion of his tongue and facial grimacing. This is
most consistent with:
A. Acute dystonia
B. Akathisia
C. Tardive dyskinesia ✓
D. Parkinsonism
5. What is the single most robust predictor of future suicidal behavior?
A. Family history of suicide
B. A previous suicide attempt ✓
C. Co-morbid substance use
D. Access to firearms
6. The primary neurotransmitter system thought to be dysfunctional in the pathophysiology
of ADHD is:
A. Serotonin
B. GABA
,C. Dopamine and Norepinephrine ✓
D. Acetylcholine
7. A 22-year-old female presents with a 2-week history of elevated mood, pressured speech,
decreased need for sleep, and spending large sums of money. Her urine drug screen is
negative. The most appropriate initial diagnosis is:
A. Bipolar I Disorder, Current Episode Manic ✓
B. Bipolar II Disorder, Current Episode Hypomanic
C. Cyclothymic Disorder
D. Borderline Personality Disorder
8. Which medication requires baseline and periodic monitoring of liver function tests and is
associated with a risk of hepatotoxicity?
A. Lamotrigine (Lamictal)
B. Valproic Acid (Depakote) ✓
C. Lithium (Eskalith)
D. Quetiapine (Seroquel)
9. A patient with Borderline Personality Disorder who engages in self-harm (e.g., cutting)
often does so primarily to:
A. Manipulate staff
B. Relieve intense emotional pain ✓
C. Seek attention
D. Experience a "high"
10. The mental status examination component that assesses a patient's awareness of person,
place, time, and situation is:
A. Mood and Affect
B. Thought Process
C. Sensorium and Cognition ✓
D. Insight and Judgment
11. Which antipsychotic medication carries the highest risk for agranulocytosis and requires
absolute baseline and weekly WBC monitoring?
A. Haloperidol (Haldol)
B. Clozapine (Clozaril) ✓
C. Olanzapine (Zyprexa)
D. Aripiprazole (Abilify)
, 12. A 10-year-old child has multiple motor tics and one or more vocal tics that have been
present for over a year. This is diagnostic of:
A. Transient Tic Disorder
B. Persistent (Chronic) Motor or Vocal Tic Disorder
C. Tourette's Disorder ✓
D. Stereotypic Movement Disorder
13. The first-line psychological treatment for Posttraumatic Stress Disorder (PTSD) is:
A. Psychodynamic Psychotherapy
B. Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) ✓
C. Supportive Therapy
D. Interpersonal Therapy (IPT)
14. Which of the following is a negative symptom of schizophrenia?
A. Auditory hallucinations
B. Delusions of persecution
C. Disorganized speech
D. Avolition ✓
15. A patient taking an SSRI presents with confusion, agitation, hyperreflexia, and diaphoresis.
Their temperature is 102°F. This presentation is most suggestive of:
A. Neuroleptic Malignant Syndrome (NMS)
B. Serotonin Syndrome ✓
C. Anticholinergic Toxicity
D. Malignant Hyperthermia
16. The DSM-5 diagnostic criteria for Anorexia Nervosa includes all of the following EXCEPT:
A. Restriction of energy intake leading to significantly low body weight.
B. Intense fear of gaining weight.
C. Disturbance in the way one's body weight or shape is experienced.
D. Absence of menses for at least three consecutive cycles. ✓ (This is a specifier, not a core
criterion)
17. Which medication is an NMDA receptor antagonist used for treatment-resistant
depression?
A. Bupropion (Wellbutrin)
B. Esketamine (Spravato) ✓
C. Vilazodone (Viibryd)
D. Tranylcypromine (Parnate)
