Questions, Correct Answers & Rationales (PMHNP,
Psychopharmacology, Trauma, Child Psychiatry) Instant
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Exam Overview
The NR607 Final Exam is the culminating assessment for the Diagnosis & Management
in Psychiatric-Mental Health III Practicum at Chamberlain University. This course is part
of the PMHNP (Psychiatric Mental Health Nurse Practitioner) program and focuses on
complex mental health diagnoses, psychiatric emergencies, and advanced management
strategies across the lifespan.
Exam Details at a Glance:
Course: NR607 Diagnosis & Management in Psychiatric-Mental Health III Practicum
Institution: Chamberlain University
Format: Multiple-choice questions
Question Type: Single best answer; may include Select All That Apply (SATA)
Exam Focus: Weeks 1–8 content with emphasis on Weeks 5–8
Core Content Areas Covered
Week 1: PMHNP Role with Complex Mental Health Disorders
Developing therapeutic relationships with patients
, Psychiatric emergency management
Suicide assessment and intervention
Use of restraints and seclusion
Inpatient treatment criteria
Voluntary vs. involuntary admission criteria
Psychiatric hold criteria
Ethical considerations in psychiatric care
Informed consent (acceptance, exemptions, refusal)
Decision-making capacity guidelines
Civil commitment laws
Week 2: Psychiatric Emergencies
Risk assessment (physical, environmental, psychiatric)
Aggressive behavior identification and early signs
AEIO risk assessment categories
De-escalation techniques
Suicidal ideation and self-harm management
Lithium toxicity recognition and management
Clozapine initiation and monitoring requirements
Serotonin Syndrome vs. Neuroleptic Malignant Syndrome differentiation
Psychiatric emergency management strategies
,Week 3: Complex Diagnoses and Treatment Resistance
Schizophrenia: support programs, medication adverse effects
Medication AE management (Parkinsonism, tardive dyskinesia)
Metabolic concerns related to antipsychotic medications
Treatment failure strategies
Long-acting injectable (LAI) antipsychotics
Treatment-Resistant Depression (TRD)
STAR*D criteria and recommendations
Nonpharmacological treatments (TMS, ECT, DBS)
Dementia: identification, comorbidities, symptom management
Week 5: Social Determinants of Mental Health
Social Determinants of Mental Health (SDOMH)
Structural Racism and Racial Trauma
Stigma in mental health
COVID-19 effects on SDOMH
Racial Trauma assessment and intervention
Week 6: Dissociative and Psychosomatic Disorders
Dissociative disorders (amnesia, fugue, identity disorder)
Somatic symptom disorder
Illness anxiety disorder
, Conversion disorder
Factitious disorder
Treatment approaches for trauma and dissociation
Resilience zone and goals of trauma treatment
Outcome scales for dissociation
Week 7: Violence and Trauma
Polyvagal theory and neural pathways
Violence protective and risk factors
Perpetrator common factors
Legal aspects: Duty to warn
PTSD assessment and management
Practice Questions: Psychiatric Emergencies & Crisis Management (Questions 1-40)
1. Art is a 52-year-old with a history of schizophrenia, lack of insight, impulsivity, and
previous violent behavior. During an interview, he states he has had homicidal
ideations toward his brother and nephew, claiming they have "disrupted his
thinking." He is calm, cooperative, with disorganized thought content and fixed
delusions. He stopped taking his medications two weeks ago. He denies a specific
plan or access to firearms. Which of the following is the most appropriate action?
A) Arrange for a family meeting to discuss safety
B) Prescribe a long-acting injectable antipsychotic