REGIS NU665 WEEK 15 FINAL EXAM
PSYCHIATRIC-MENTAL HEALTH CARE OF THE FAMILY
PRACTICE GUIDE 2026–2027
100 Practice Questions with Correct Answers & Clinical Rationales
Already Graded A+ Style Review | 100% Content-Verified Against PMHNP Core Competencies
Regis College | Family Psychiatric Mental Health | Final Exam Format Reference: 100 Questions
Key Domains: Psychopathology Across the Lifespan, DSM-5-TR Diagnostic Criteria, Psychopharmacology, Psychotherapy Modalities,
Family Systems Theory, Clinical Assessment, and Evidence-Based Practice
Introduction
This structured Regis NU665 Week 15 Final Exam practice format for 2026–2027 provides high-quality exam-style
questions with correct answers and rationales. It emphasizes advanced psychiatric-mental health nursing principles,
diagnostic reasoning across the lifespan, psychopharmacology, psychotherapy, family systems, and ethical/legal
practice critical to PMHNP preparation and successful Regis College course completion. This is an independent
educational study resource; it is not an official Regis College live exam instrument. Always defer to your course
syllabus, DSM-5-TR, current prescribing references, and faculty materials.
Answer Format
All correct answers appear in bold and cyan, accompanied by concise rationales explaining clinical
reasoning and why alternative options are less appropriate.
EXAM QUESTIONS (1–100)
Section: Development, Assessment & Lifespan
Question 1
According to Erikson, the psychosocial crisis of adolescence is:
A. Identity vs. role confusion
B. Integrity vs. despair
C. Generativity vs. stagnation
D. Industry vs. inferiority
Correct Answer: A. Identity vs. role confusion
Rationale: Adolescents form identity; maladaptive outcome is role confusion.
Question 2
Erikson’s maladaptive outcome associated with adolescence is:
A. Role confusion
B. Despair
C. Stagnation
D. Isolation
Correct Answer: A. Role confusion
Rationale: Failure to establish identity yields role confusion.
,Question 3
Preschool years are associated with which Erikson stage?
A. Initiative vs. guilt
B. Trust vs. mistrust
C. Intimacy vs. isolation
D. Ego integrity vs. despair
Correct Answer: A. Initiative vs. guilt
Rationale: Preschoolers develop initiative; excessive restriction fosters guilt. Magical thinking/egocentricity also typical.
Question 4
A change from a child’s usual behavior (home, school, social) is often a:
A. Red flag suggesting possible trauma or emerging psychopathology
B. Always normal and never concerning
C. Only a sign of giftedness
D. Proof of psychosis
Correct Answer: A. Red flag suggesting possible trauma or emerging psychopathology
Rationale: Behavioral change from baseline warrants assessment of trauma, mood, learning, and safety.
Question 5
The most common identified genetic cause of intellectual disability among the options often tested is:
A. Trisomy 21 (Down syndrome) as the most common chromosomal cause; Fragile X is the most
common inherited cause
B. Only seasonal allergies
C. Only iron deficiency without genetic basis always
D. Only bilingualism
Correct Answer: A. Trisomy 21 (Down syndrome) as the most common chromosomal cause; Fragile X is
the most common inherited cause
Rationale: Exam items often contrast Trisomy 21 (most common chromosomal) vs Fragile X (most common inherited).
Question 6
In DSM-5/DSM-5-TR, ADHD symptoms causing impairment must be present before age:
A. 12 years
B. 4 years
C. 18 years only as onset
D. 21 years
Correct Answer: A. 12 years
Rationale: Onset of several inattentive or hyperactive-impulsive symptoms before age 12 is required.
Question 7
ADHD occurrence in school-age children is:
A. More common in males than females
B. Equal in males and females always
C. Rare in males
D. Absent until adulthood
Correct Answer: A. More common in males than females
Rationale: Male predominance is well documented, though presentation may differ by sex.
Question 8
When counseling parents about ADHD, an accurate statement is:
, A. The pathophysiology is multifactorial/not fully explained by a single cause; careful assessment is
needed
B. Incidence is 25–35% of all U.S. schoolchildren as a fixed fact
C. It always leads to substance abuse and unemployment for every child
D. It is equally common in boys and girls
Correct Answer: A. The pathophysiology is multifactorial/not fully explained by a single cause; careful
assessment is needed
Rationale: Avoid absolute prognostic statements; use evidence-based multimodal care.
Question 9
A comprehensive psychiatric assessment across the lifespan should include:
A. History, MSE, risk assessment, medical/substance review, development/family context, and
collateral when appropriate
B. Only a single screening question forever
C. Only lab work without interview
D. Only school grades without mental status
Correct Answer: A. History, MSE, risk assessment, medical/substance review, development/family
context, and collateral when appropriate
Rationale: PMHNP practice is holistic and contextual—especially family-focused courses like NU665.
Question 10
The Mental Status Examination (MSE) primarily evaluates:
A. Current appearance, behavior, speech, mood/affect, thought, perception, cognition, insight, and
judgment
B. Only childhood milestones retrospectively
C. Only insurance authorization codes
D. Only family genogram without the patient
Correct Answer: A. Current appearance, behavior, speech, mood/affect, thought, perception, cognition,
insight, and judgment
Rationale: MSE is a structured cross-sectional clinical observation/interview tool.
Question 11
Capacity to make medical decisions requires the patient to:
A. Understand the situation, appreciate consequences, reason about options, and communicate a
choice
B. Simply be over age 18 with no assessment needed
C. Agree with the clinician always
D. Have a perfect memory always
Correct Answer: A. Understand the situation, appreciate consequences, reason about options, and
communicate a choice
Rationale: Capacity is decision-specific and time-specific; differs from legal competence.
Question 12
Informed consent exceptions may include:
A. Emergencies where delay would cause serious harm and the patient cannot consent
B. Any time the clinician is busy
C. Whenever family demands treatment without patient input always
D. Never—there are no exceptions ever
Correct Answer: A. Emergencies where delay would cause serious harm and the patient cannot consent
Rationale: Also consider incapacity and valid waiver; document thoroughly.
PSYCHIATRIC-MENTAL HEALTH CARE OF THE FAMILY
PRACTICE GUIDE 2026–2027
100 Practice Questions with Correct Answers & Clinical Rationales
Already Graded A+ Style Review | 100% Content-Verified Against PMHNP Core Competencies
Regis College | Family Psychiatric Mental Health | Final Exam Format Reference: 100 Questions
Key Domains: Psychopathology Across the Lifespan, DSM-5-TR Diagnostic Criteria, Psychopharmacology, Psychotherapy Modalities,
Family Systems Theory, Clinical Assessment, and Evidence-Based Practice
Introduction
This structured Regis NU665 Week 15 Final Exam practice format for 2026–2027 provides high-quality exam-style
questions with correct answers and rationales. It emphasizes advanced psychiatric-mental health nursing principles,
diagnostic reasoning across the lifespan, psychopharmacology, psychotherapy, family systems, and ethical/legal
practice critical to PMHNP preparation and successful Regis College course completion. This is an independent
educational study resource; it is not an official Regis College live exam instrument. Always defer to your course
syllabus, DSM-5-TR, current prescribing references, and faculty materials.
Answer Format
All correct answers appear in bold and cyan, accompanied by concise rationales explaining clinical
reasoning and why alternative options are less appropriate.
EXAM QUESTIONS (1–100)
Section: Development, Assessment & Lifespan
Question 1
According to Erikson, the psychosocial crisis of adolescence is:
A. Identity vs. role confusion
B. Integrity vs. despair
C. Generativity vs. stagnation
D. Industry vs. inferiority
Correct Answer: A. Identity vs. role confusion
Rationale: Adolescents form identity; maladaptive outcome is role confusion.
Question 2
Erikson’s maladaptive outcome associated with adolescence is:
A. Role confusion
B. Despair
C. Stagnation
D. Isolation
Correct Answer: A. Role confusion
Rationale: Failure to establish identity yields role confusion.
,Question 3
Preschool years are associated with which Erikson stage?
A. Initiative vs. guilt
B. Trust vs. mistrust
C. Intimacy vs. isolation
D. Ego integrity vs. despair
Correct Answer: A. Initiative vs. guilt
Rationale: Preschoolers develop initiative; excessive restriction fosters guilt. Magical thinking/egocentricity also typical.
Question 4
A change from a child’s usual behavior (home, school, social) is often a:
A. Red flag suggesting possible trauma or emerging psychopathology
B. Always normal and never concerning
C. Only a sign of giftedness
D. Proof of psychosis
Correct Answer: A. Red flag suggesting possible trauma or emerging psychopathology
Rationale: Behavioral change from baseline warrants assessment of trauma, mood, learning, and safety.
Question 5
The most common identified genetic cause of intellectual disability among the options often tested is:
A. Trisomy 21 (Down syndrome) as the most common chromosomal cause; Fragile X is the most
common inherited cause
B. Only seasonal allergies
C. Only iron deficiency without genetic basis always
D. Only bilingualism
Correct Answer: A. Trisomy 21 (Down syndrome) as the most common chromosomal cause; Fragile X is
the most common inherited cause
Rationale: Exam items often contrast Trisomy 21 (most common chromosomal) vs Fragile X (most common inherited).
Question 6
In DSM-5/DSM-5-TR, ADHD symptoms causing impairment must be present before age:
A. 12 years
B. 4 years
C. 18 years only as onset
D. 21 years
Correct Answer: A. 12 years
Rationale: Onset of several inattentive or hyperactive-impulsive symptoms before age 12 is required.
Question 7
ADHD occurrence in school-age children is:
A. More common in males than females
B. Equal in males and females always
C. Rare in males
D. Absent until adulthood
Correct Answer: A. More common in males than females
Rationale: Male predominance is well documented, though presentation may differ by sex.
Question 8
When counseling parents about ADHD, an accurate statement is:
, A. The pathophysiology is multifactorial/not fully explained by a single cause; careful assessment is
needed
B. Incidence is 25–35% of all U.S. schoolchildren as a fixed fact
C. It always leads to substance abuse and unemployment for every child
D. It is equally common in boys and girls
Correct Answer: A. The pathophysiology is multifactorial/not fully explained by a single cause; careful
assessment is needed
Rationale: Avoid absolute prognostic statements; use evidence-based multimodal care.
Question 9
A comprehensive psychiatric assessment across the lifespan should include:
A. History, MSE, risk assessment, medical/substance review, development/family context, and
collateral when appropriate
B. Only a single screening question forever
C. Only lab work without interview
D. Only school grades without mental status
Correct Answer: A. History, MSE, risk assessment, medical/substance review, development/family
context, and collateral when appropriate
Rationale: PMHNP practice is holistic and contextual—especially family-focused courses like NU665.
Question 10
The Mental Status Examination (MSE) primarily evaluates:
A. Current appearance, behavior, speech, mood/affect, thought, perception, cognition, insight, and
judgment
B. Only childhood milestones retrospectively
C. Only insurance authorization codes
D. Only family genogram without the patient
Correct Answer: A. Current appearance, behavior, speech, mood/affect, thought, perception, cognition,
insight, and judgment
Rationale: MSE is a structured cross-sectional clinical observation/interview tool.
Question 11
Capacity to make medical decisions requires the patient to:
A. Understand the situation, appreciate consequences, reason about options, and communicate a
choice
B. Simply be over age 18 with no assessment needed
C. Agree with the clinician always
D. Have a perfect memory always
Correct Answer: A. Understand the situation, appreciate consequences, reason about options, and
communicate a choice
Rationale: Capacity is decision-specific and time-specific; differs from legal competence.
Question 12
Informed consent exceptions may include:
A. Emergencies where delay would cause serious harm and the patient cannot consent
B. Any time the clinician is busy
C. Whenever family demands treatment without patient input always
D. Never—there are no exceptions ever
Correct Answer: A. Emergencies where delay would cause serious harm and the patient cannot consent
Rationale: Also consider incapacity and valid waiver; document thoroughly.
