NRNP 6665 PMHNP PSYCHOTHERAPY FINAL EXAM
CHAMBERLAIN UNIVERSITY ACTUAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS
WITH RATIONALES || 100% GUARANTEED PASS!!
<LATEST VERSION>
1. A 34-year-old patient reports that during periods of intense stress, the
environment suddenly seems unfamiliar and artificial. The patient states, “My
house looks like a movie set, but I know it is actually my house.” The patient
denies feeling detached from their own body. Which phenomenon best describes
this experience?
A. Depersonalization
B. Derealization
C. Dissociative amnesia
D. Dissociative fugue
Answer: B
Rationale: Derealization involves a persistent or recurrent sense that the external
environment is unreal, dreamlike, distorted, or unfamiliar. Depersonalization
involves detachment from one's own thoughts, body, or sense of self. The patient's
description specifically concerns the external world.
,2. A PMHNP evaluates a 42-year-old patient who developed sudden inability to
move the right leg following a highly distressing interpersonal event. Neurologic
examination findings are inconsistent with recognized neurologic pathways, and
diagnostic evaluation reveals no structural explanation. Which diagnosis should the
PMHNP consider most strongly?
A. Factitious disorder
B. Illness anxiety disorder
C. Functional neurological symptom disorder
D. Somatic symptom disorder
Answer: C
Rationale: Functional neurological symptom disorder involves altered voluntary
motor or sensory function with clinical findings that demonstrate incompatibility
with recognized neurologic or medical conditions. Symptoms may occur in
association with psychological stress but are not intentionally produced.
3. During family therapy, the PMHNP observes that a mother and daughter
frequently form a close alliance against the father whenever disagreements occur.
The therapist deliberately changes the interactional structure by strengthening the
parental subsystem and establishing clearer generational boundaries. Which
psychotherapy approach is being used?
A. Bowen family systems therapy
B. Structural family therapy
C. Strategic family therapy
D. Narrative therapy
Answer: B
Rationale: Structural family therapy focuses on family organization, boundaries,
subsystems, hierarchies, and interactional patterns. Strengthening the parental
subsystem and correcting diffuse or inappropriate boundaries are characteristic
interventions.
,4. A patient with chronic psychotic illness tells the PMHNP, “My illness is only
one part of my life. I want to work again and decide what kind of life I want.”
Which response best reflects the recovery model?
A. “Your symptoms must be eliminated before you can return to work.”
B. “We should focus primarily on preventing psychiatric hospitalization.”
C. “Your treatment should support the goals and life you identify as meaningful.”
D. “The safest approach is for your family to make major decisions for you.”
Answer: C
Rationale: The recovery model emphasizes hope, self-direction, empowerment,
meaningful roles, connectedness, and individualized goals. Recovery does not
necessarily mean complete absence of symptoms; rather, it emphasizes living a
meaningful life while managing illness.
5. A 76-year-old hospitalized patient becomes acutely disoriented overnight. The
patient alternates between periods of agitation and drowsiness, cannot maintain
attention during conversation, and was fully oriented two days earlier. Which
finding most strongly supports delirium rather than dementia?
A. Progressive impairment in recent memory
B. Fluctuating attention and level of consciousness
C. Difficulty managing finances for several years
D. Gradual decline in executive functioning
Answer: B
Rationale: Delirium is characterized by an acute change in attention and
awareness with fluctuating severity. Dementia generally develops gradually and
primarily involves progressive cognitive decline rather than an abrupt alteration in
consciousness.
, 6. A hospitalized older adult becomes confused after receiving several new
medications. The PMHNP suspects delirium. Which assessment tool is most
appropriate for systematically identifying the characteristic features of delirium?
A. Young Mania Rating Scale
B. Confusion Assessment Method
C. Hamilton Anxiety Rating Scale
D. Abnormal Involuntary Movement Scale
Answer: B
Rationale: The Confusion Assessment Method (CAM) is widely used to identify
delirium. It evaluates acute onset or fluctuating course, inattention, disorganized
thinking, and altered level of consciousness.
7. A 13-year-old patient has lived in five foster homes since early childhood
following repeated caregiver disruptions. The patient rarely seeks comfort from
caregivers, demonstrates limited emotional responsiveness, and appears unusually
withdrawn even when distressed. Which diagnosis should receive priority
consideration?
A. Reactive attachment disorder
B. Separation anxiety disorder
C. Social anxiety disorder
D. Oppositional defiant disorder
Answer: A
Rationale: Reactive attachment disorder can develop following severe insufficient
care, including repeated changes in caregivers and persistent neglect of emotional
needs. The child typically demonstrates markedly inhibited attachment behaviors
and limited responsiveness to comfort.
CHAMBERLAIN UNIVERSITY ACTUAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS
WITH RATIONALES || 100% GUARANTEED PASS!!
<LATEST VERSION>
1. A 34-year-old patient reports that during periods of intense stress, the
environment suddenly seems unfamiliar and artificial. The patient states, “My
house looks like a movie set, but I know it is actually my house.” The patient
denies feeling detached from their own body. Which phenomenon best describes
this experience?
A. Depersonalization
B. Derealization
C. Dissociative amnesia
D. Dissociative fugue
Answer: B
Rationale: Derealization involves a persistent or recurrent sense that the external
environment is unreal, dreamlike, distorted, or unfamiliar. Depersonalization
involves detachment from one's own thoughts, body, or sense of self. The patient's
description specifically concerns the external world.
,2. A PMHNP evaluates a 42-year-old patient who developed sudden inability to
move the right leg following a highly distressing interpersonal event. Neurologic
examination findings are inconsistent with recognized neurologic pathways, and
diagnostic evaluation reveals no structural explanation. Which diagnosis should the
PMHNP consider most strongly?
A. Factitious disorder
B. Illness anxiety disorder
C. Functional neurological symptom disorder
D. Somatic symptom disorder
Answer: C
Rationale: Functional neurological symptom disorder involves altered voluntary
motor or sensory function with clinical findings that demonstrate incompatibility
with recognized neurologic or medical conditions. Symptoms may occur in
association with psychological stress but are not intentionally produced.
3. During family therapy, the PMHNP observes that a mother and daughter
frequently form a close alliance against the father whenever disagreements occur.
The therapist deliberately changes the interactional structure by strengthening the
parental subsystem and establishing clearer generational boundaries. Which
psychotherapy approach is being used?
A. Bowen family systems therapy
B. Structural family therapy
C. Strategic family therapy
D. Narrative therapy
Answer: B
Rationale: Structural family therapy focuses on family organization, boundaries,
subsystems, hierarchies, and interactional patterns. Strengthening the parental
subsystem and correcting diffuse or inappropriate boundaries are characteristic
interventions.
,4. A patient with chronic psychotic illness tells the PMHNP, “My illness is only
one part of my life. I want to work again and decide what kind of life I want.”
Which response best reflects the recovery model?
A. “Your symptoms must be eliminated before you can return to work.”
B. “We should focus primarily on preventing psychiatric hospitalization.”
C. “Your treatment should support the goals and life you identify as meaningful.”
D. “The safest approach is for your family to make major decisions for you.”
Answer: C
Rationale: The recovery model emphasizes hope, self-direction, empowerment,
meaningful roles, connectedness, and individualized goals. Recovery does not
necessarily mean complete absence of symptoms; rather, it emphasizes living a
meaningful life while managing illness.
5. A 76-year-old hospitalized patient becomes acutely disoriented overnight. The
patient alternates between periods of agitation and drowsiness, cannot maintain
attention during conversation, and was fully oriented two days earlier. Which
finding most strongly supports delirium rather than dementia?
A. Progressive impairment in recent memory
B. Fluctuating attention and level of consciousness
C. Difficulty managing finances for several years
D. Gradual decline in executive functioning
Answer: B
Rationale: Delirium is characterized by an acute change in attention and
awareness with fluctuating severity. Dementia generally develops gradually and
primarily involves progressive cognitive decline rather than an abrupt alteration in
consciousness.
, 6. A hospitalized older adult becomes confused after receiving several new
medications. The PMHNP suspects delirium. Which assessment tool is most
appropriate for systematically identifying the characteristic features of delirium?
A. Young Mania Rating Scale
B. Confusion Assessment Method
C. Hamilton Anxiety Rating Scale
D. Abnormal Involuntary Movement Scale
Answer: B
Rationale: The Confusion Assessment Method (CAM) is widely used to identify
delirium. It evaluates acute onset or fluctuating course, inattention, disorganized
thinking, and altered level of consciousness.
7. A 13-year-old patient has lived in five foster homes since early childhood
following repeated caregiver disruptions. The patient rarely seeks comfort from
caregivers, demonstrates limited emotional responsiveness, and appears unusually
withdrawn even when distressed. Which diagnosis should receive priority
consideration?
A. Reactive attachment disorder
B. Separation anxiety disorder
C. Social anxiety disorder
D. Oppositional defiant disorder
Answer: A
Rationale: Reactive attachment disorder can develop following severe insufficient
care, including repeated changes in caregivers and persistent neglect of emotional
needs. The child typically demonstrates markedly inhibited attachment behaviors
and limited responsiveness to comfort.
