NUR 670 FINAL EXAM AND PRACTICE EXAM
NEWEST 2026 TEST BANK| NUR670 PSYCHIATRIC
MENTAL HEALTH NURSE PRACTITIONER (PMHNP)
FINAL EXAM REVIEW WITH COMPLETE 400 REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
Which of the following terms is most associated with generalized
anxiety disorder (GAD)
a. Fear
b. Worry
c. Panic
d. Emotion - Correct Answer - b. Worry
Anytime a young woman is aboard a bus or subway, stands in line in a
crowded supermarket or crossed a bridge she develops a rapid heartbeat,
difficulty breathing, sweating, nausea, and dizziness. She soon stops
leaving the house for fear or developing the symptoms.
a. Generalized anxiety
b. Delirium
c. Panic
d. Agoraphobia - Correct Answer - d. Agoraphobia
A 25-year-old man comes to the psychiatrist with a chief complaint of
depressed mood for one month. His mother to whom he was very close,
died one month ago and since that time he has felt sad and been very
tearful. He has difficulty concentrating, lost three pounds, and is not
pg. 1
,sleeping soundly through the night. Which of the following is the most
likely diagnosis?
a. Adjustment disorder
b. Uncomplicated bereavement*
c. PTSD
d. MDD - Correct Answer - a. Adjustment disorder
During a mood episode, the patient experiences irritability anger sadness
loss of pleasure and ruminating thoughts that keep them up at night for
two weeks. The patient bites his nails because he worries all the time.
What is his diagnosis?
a. GAD
b. MDD
c. OCD
d. Schizophrenia - Correct Answer - b. MDD
The patient will be started on fluoxetine (Prozac). What is the lowest
starting dose of this medication?
a. 20mg daily
b. 5mg twice daily
c. 10mg daily
d. 20mg twice daily - Correct Answer - c. 10mg daily
A 30-year-old man comes to the office for evaluation of depressed
mood. He states that at least since his mid-20's he has felt depressed. He
notes poor self-esteem and low energy and feels hopeless about his
situation. Though he denies suicidal ideation he states he does not use
pg. 2
,drugs and alcohol and has no medical problems. His last physical exam
by his physician one month ago was entirely normal. According to the
clinical care guidelines, which of the following treatment options should
be tried first
a. aripiprazole (Abilify)
b. SSRIs
c. Psychotherapy
d. ECT - Correct Answer - c. Psychotherapy
Which medication is most associated with metabolic syndrome of
dyslipidemia, hyperglycemia, and weight gain.
a. Risperidone (Risperdal)
b. Haloperidol (Haldol)
c. Olanzapine (Zyprexa)
d. Clozapine (Clozaril) - Correct Answer - c. Olanzapine (Zyprexa)
A 26-year-old female with schizoaffective disorder complains of missing
her period and having milk discharge from her breasts. She has no signs
of pregnancy, including a negative pregnancy test. Which of the
following might have caused these findings?
a. Aripiprazole (ability)
b. Risperidone (Risperdal)
c. Escitalopram (Lexapro)
d. Assenapine (Saphris) - Correct Answer - b. Risperidone (Risperdal)
The patient will be started on antidepressants but worries about sexual
side effects. What is the most appropriate medication for this patient?
pg. 3
, a. Duloxetine (Cymbalta)
b. Vortioxetine (Brintellix)
c. Fluoxetine (Prozac)
d. Escitalopram (Lexapro) - Correct Answer - b. Vortioxetine (Brintellix)
A patient complains of side effects each day after taking the selective
serotonin reuptake inhibitor (SSRI) for three weeks. What should the NP
practitioner do next?
a. Change to another selective serotonin reuptake inhibitor (SSRI)
b. Change to a serotonin norepinephrine reuptake inhibitor (SNRI)
c. Stop the medication for 4-6 weeks
d. Admit the patient to the hospital. - Correct Answer - a. Change to
another selective serotonin reuptake inhibitor (SSRI)
A 77 years old woman has been diagnosed with major depressive
disorder. Most recently, she has been lying immobile for long periods. If
someone moves one of her arms to a different position, it just stays
there. Kattie has stopped speaking and does not appear to hear what is
being said to her. What specifier would you apply to her diagnosis of
major depressive disorder?
A. Hypersomnia
b. Loss of energy
c. Psychomotor agitation
d. Psychomotor retardation - Correct Answer – d. Psychomotor
retardation
pg. 4
NEWEST 2026 TEST BANK| NUR670 PSYCHIATRIC
MENTAL HEALTH NURSE PRACTITIONER (PMHNP)
FINAL EXAM REVIEW WITH COMPLETE 400 REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
Which of the following terms is most associated with generalized
anxiety disorder (GAD)
a. Fear
b. Worry
c. Panic
d. Emotion - Correct Answer - b. Worry
Anytime a young woman is aboard a bus or subway, stands in line in a
crowded supermarket or crossed a bridge she develops a rapid heartbeat,
difficulty breathing, sweating, nausea, and dizziness. She soon stops
leaving the house for fear or developing the symptoms.
a. Generalized anxiety
b. Delirium
c. Panic
d. Agoraphobia - Correct Answer - d. Agoraphobia
A 25-year-old man comes to the psychiatrist with a chief complaint of
depressed mood for one month. His mother to whom he was very close,
died one month ago and since that time he has felt sad and been very
tearful. He has difficulty concentrating, lost three pounds, and is not
pg. 1
,sleeping soundly through the night. Which of the following is the most
likely diagnosis?
a. Adjustment disorder
b. Uncomplicated bereavement*
c. PTSD
d. MDD - Correct Answer - a. Adjustment disorder
During a mood episode, the patient experiences irritability anger sadness
loss of pleasure and ruminating thoughts that keep them up at night for
two weeks. The patient bites his nails because he worries all the time.
What is his diagnosis?
a. GAD
b. MDD
c. OCD
d. Schizophrenia - Correct Answer - b. MDD
The patient will be started on fluoxetine (Prozac). What is the lowest
starting dose of this medication?
a. 20mg daily
b. 5mg twice daily
c. 10mg daily
d. 20mg twice daily - Correct Answer - c. 10mg daily
A 30-year-old man comes to the office for evaluation of depressed
mood. He states that at least since his mid-20's he has felt depressed. He
notes poor self-esteem and low energy and feels hopeless about his
situation. Though he denies suicidal ideation he states he does not use
pg. 2
,drugs and alcohol and has no medical problems. His last physical exam
by his physician one month ago was entirely normal. According to the
clinical care guidelines, which of the following treatment options should
be tried first
a. aripiprazole (Abilify)
b. SSRIs
c. Psychotherapy
d. ECT - Correct Answer - c. Psychotherapy
Which medication is most associated with metabolic syndrome of
dyslipidemia, hyperglycemia, and weight gain.
a. Risperidone (Risperdal)
b. Haloperidol (Haldol)
c. Olanzapine (Zyprexa)
d. Clozapine (Clozaril) - Correct Answer - c. Olanzapine (Zyprexa)
A 26-year-old female with schizoaffective disorder complains of missing
her period and having milk discharge from her breasts. She has no signs
of pregnancy, including a negative pregnancy test. Which of the
following might have caused these findings?
a. Aripiprazole (ability)
b. Risperidone (Risperdal)
c. Escitalopram (Lexapro)
d. Assenapine (Saphris) - Correct Answer - b. Risperidone (Risperdal)
The patient will be started on antidepressants but worries about sexual
side effects. What is the most appropriate medication for this patient?
pg. 3
, a. Duloxetine (Cymbalta)
b. Vortioxetine (Brintellix)
c. Fluoxetine (Prozac)
d. Escitalopram (Lexapro) - Correct Answer - b. Vortioxetine (Brintellix)
A patient complains of side effects each day after taking the selective
serotonin reuptake inhibitor (SSRI) for three weeks. What should the NP
practitioner do next?
a. Change to another selective serotonin reuptake inhibitor (SSRI)
b. Change to a serotonin norepinephrine reuptake inhibitor (SNRI)
c. Stop the medication for 4-6 weeks
d. Admit the patient to the hospital. - Correct Answer - a. Change to
another selective serotonin reuptake inhibitor (SSRI)
A 77 years old woman has been diagnosed with major depressive
disorder. Most recently, she has been lying immobile for long periods. If
someone moves one of her arms to a different position, it just stays
there. Kattie has stopped speaking and does not appear to hear what is
being said to her. What specifier would you apply to her diagnosis of
major depressive disorder?
A. Hypersomnia
b. Loss of energy
c. Psychomotor agitation
d. Psychomotor retardation - Correct Answer – d. Psychomotor
retardation
pg. 4
