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A 55-year-old female recently accepted a severance package for early retirement from her job as a fashion
buyer for a major retail store. Over the past 6 months she has increasingly become isolated, neglecting
her self-care, and collecting various things of no real value. Her appearance is unkempt, and her affect is
flat. Before being called back to the consultation room the PMHNP notices that the patient seems to be
talking to herself audibly. During the consultation the patient makes poor eye contact and wants frequent
reassurance that no one is listening in. Which of the following would be the best action for the PMHNP to
take?
A. Send the patient to the psychiatric emergency department
B. Speak in a calm reassuring voice and evaluate for comorbid conditions
C. Prescribe an antipsychotic medication for atypical psychosis
D. Order an MRI of the brain to rule out a mass
B. Speak in a calm reassuring voice and evaluate for comorbid conditions (ch. 9. p. 147, Q. 5)
NS LATEST
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A 55 y/o woman has been referred for a psychiatric evaluation for a change in personality, lack of impulse
control, and increasingly reckless decision-making. Which area of the brain would be responsible for these
symptoms?
A. Parietal lobe
B. Broca's area
C. Wernicke's area
D. Frontal lobe
D. Frontal lobe (ch. 4. p. 73, Q. 2)
A 72 y/o man with a comorbid history of uncontrolled hypertension is referred to the PMHNP for dementia
secondary to depression. The mental status exam reveals difficulty speaking fluently, inappropriate and
confabulated responses, incongruent affect, and poor judgement. A cerebrovascular accident in which
region of the brain would better explain these symptoms?
A. Parietal lobe
B. Wernicke's area
C. Broca's area
D. Occipital lobe
C. Broca's area (ch. 4. p. 73, Q. 5)
Which region of the brain is associated with sensory integration, spatial awareness, and conscious
awareness of the opposite side of the body?
A. Occipital lobe
B. Wernicke's area
C. Broca's area
D. Parietal lobe
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D. Parietal lobe (ch. 4. p. 73, Q. 6)
A patient appears internally preoccupied and responding to auditory hallucination. This patient may have
a pathology affecting which lobe of the brain?
A. Temporal lobe
B. Occipital lobe
C. Parietal lobe
D. Cerebellum
A. Temporal lobe (ch. 4. p. 73, Q. 7)
A patient presents with atypical symptoms of psychosis that include inconsistent auditory hallucinations
without disorganization. What is the best definition of an EEG and its utility?
A. Radiologic test utilizing magnets and radio waves to provide detailed image of the structures of the
brain
B. Electrophysiologic test that depicts electrical activity on the surface of the brain
C. A serum test to indicate nutritional deficiencies that inhibit the formation of neurotransmitters
D. A neuropsychological test to distinguish psychosis from a psychosomatic illness
B. Electrophysiologic test that depicts electrical activity on the surface of the brain (ch. 4. p. 73, Q. 8)
A patient is diagnosed with major depressive disorder with the most prominent features f apathy,
anhedonia, and isolation. Which neurotransmitter is associated with the symptoms?
A. Serotonin
B. Gamma-aminobenzoic acid (GABA)
C. Dopamine
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D. Cannabinoids
C. Dopamine (ch. 4. p. 74, Q. 15)
The PMHNP in the ED is evaluating a 68 y/o woman who recently diagnosed with mild cognitive
impairment patient and cannot remember the name of the medication that she has recently started 1
week ago. The patient is complaining of increased heart rate, sweating, and muscle spasms progressively
worsening for the last 3 days. Which neurotransmitter is associated with this adverse effect?
A. Serotonin
B. Acetylcholine
C. Gamma-aminobenzoic acid (GABA)
D. Dopamine
B. Acetylcholine (ch. 4. p. 75, Q. 17)
Which of the following neurotransmitters exert inhibition over neuronal function?
A. Acetylcholine
B. Cannabinoids
C. Gamma-aminobenzoic acid (GABA)
D. Dopamine
C. Gamma-aminobenzoic acid (GABA) (ch. 4. p. 75, Q. 18)
A 45 y/o man presents for a follow-up visit after starting on an SSRI 2 weeks ago for major depressive
disorder. Which assessment tool would be the best indicator of progress?
A. Geriatric Depression Scale
B. The Young Mania Rating Scale
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LATEST 2025 REVISED EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED COMPLETE SOLUTION) ALREADY
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A 55-year-old female recently accepted a severance package for early retirement from her job as a fashion
buyer for a major retail store. Over the past 6 months she has increasingly become isolated, neglecting
her self-care, and collecting various things of no real value. Her appearance is unkempt, and her affect is
flat. Before being called back to the consultation room the PMHNP notices that the patient seems to be
talking to herself audibly. During the consultation the patient makes poor eye contact and wants frequent
reassurance that no one is listening in. Which of the following would be the best action for the PMHNP to
take?
A. Send the patient to the psychiatric emergency department
B. Speak in a calm reassuring voice and evaluate for comorbid conditions
C. Prescribe an antipsychotic medication for atypical psychosis
D. Order an MRI of the brain to rule out a mass
B. Speak in a calm reassuring voice and evaluate for comorbid conditions (ch. 9. p. 147, Q. 5)
NS LATEST
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141
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A 55 y/o woman has been referred for a psychiatric evaluation for a change in personality, lack of impulse
control, and increasingly reckless decision-making. Which area of the brain would be responsible for these
symptoms?
A. Parietal lobe
B. Broca's area
C. Wernicke's area
D. Frontal lobe
D. Frontal lobe (ch. 4. p. 73, Q. 2)
A 72 y/o man with a comorbid history of uncontrolled hypertension is referred to the PMHNP for dementia
secondary to depression. The mental status exam reveals difficulty speaking fluently, inappropriate and
confabulated responses, incongruent affect, and poor judgement. A cerebrovascular accident in which
region of the brain would better explain these symptoms?
A. Parietal lobe
B. Wernicke's area
C. Broca's area
D. Occipital lobe
C. Broca's area (ch. 4. p. 73, Q. 5)
Which region of the brain is associated with sensory integration, spatial awareness, and conscious
awareness of the opposite side of the body?
A. Occipital lobe
B. Wernicke's area
C. Broca's area
D. Parietal lobe
NS LATEST
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2025 REVISED
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D. Parietal lobe (ch. 4. p. 73, Q. 6)
A patient appears internally preoccupied and responding to auditory hallucination. This patient may have
a pathology affecting which lobe of the brain?
A. Temporal lobe
B. Occipital lobe
C. Parietal lobe
D. Cerebellum
A. Temporal lobe (ch. 4. p. 73, Q. 7)
A patient presents with atypical symptoms of psychosis that include inconsistent auditory hallucinations
without disorganization. What is the best definition of an EEG and its utility?
A. Radiologic test utilizing magnets and radio waves to provide detailed image of the structures of the
brain
B. Electrophysiologic test that depicts electrical activity on the surface of the brain
C. A serum test to indicate nutritional deficiencies that inhibit the formation of neurotransmitters
D. A neuropsychological test to distinguish psychosis from a psychosomatic illness
B. Electrophysiologic test that depicts electrical activity on the surface of the brain (ch. 4. p. 73, Q. 8)
A patient is diagnosed with major depressive disorder with the most prominent features f apathy,
anhedonia, and isolation. Which neurotransmitter is associated with the symptoms?
A. Serotonin
B. Gamma-aminobenzoic acid (GABA)
C. Dopamine
NS LATEST
NURS6311
2025 REVISED
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D. Cannabinoids
C. Dopamine (ch. 4. p. 74, Q. 15)
The PMHNP in the ED is evaluating a 68 y/o woman who recently diagnosed with mild cognitive
impairment patient and cannot remember the name of the medication that she has recently started 1
week ago. The patient is complaining of increased heart rate, sweating, and muscle spasms progressively
worsening for the last 3 days. Which neurotransmitter is associated with this adverse effect?
A. Serotonin
B. Acetylcholine
C. Gamma-aminobenzoic acid (GABA)
D. Dopamine
B. Acetylcholine (ch. 4. p. 75, Q. 17)
Which of the following neurotransmitters exert inhibition over neuronal function?
A. Acetylcholine
B. Cannabinoids
C. Gamma-aminobenzoic acid (GABA)
D. Dopamine
C. Gamma-aminobenzoic acid (GABA) (ch. 4. p. 75, Q. 18)
A 45 y/o man presents for a follow-up visit after starting on an SSRI 2 weeks ago for major depressive
disorder. Which assessment tool would be the best indicator of progress?
A. Geriatric Depression Scale
B. The Young Mania Rating Scale
NS LATEST
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2025 REVISED
FINAL- EXAM
PREVIOUS
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