NR-607 Final Exam Reviewer
Diagnosis & Management in Psychiatric Mental
Health III
Chamberlain University PMHNP Program
2025/2026 Update
Exam Structure
Total Questions: 100
Format: Multiple Choice / Clinical Application
Topics: Advanced Psychiatric Assessment, Differential Diagnosis,
Psychopharmacology, Psychotherapy Modalities, Crisis Intervention, Trauma-
Informed Care, Child/Adolescent Psychiatry, and Professional Issues.
Section 1: Trauma, PTSD, and Evidence-Based Psychotherapy (Questions 1-20)
Question 1
A 35-year-old female veteran with a history of childhood abuse and military sexual
trauma presents with symptoms of hypervigilance, emotional dysregulation, and difficulty
,maintaining relationships. She reports persistent negative beliefs about herself. Which evidence-
based psychotherapy is specifically designed to address "stuck points" (negative thoughts about
the trauma) and typically takes about 3 months of weekly sessions?
A) STAIR (Skills Training in Affective & Interpersonal Regulation)
B) Cognitive Processing Therapy (CPT)
C) Prolonged Exposure Therapy (PE)
D) Eye Movement Desensitization and Reprocessing (EMDR)
Answer: B) Cognitive Processing Therapy (CPT)
Rationale: CPT is an evidence-based psychotherapy designed to help individuals build
skills to deal with the effects of trauma in other areas of life. It specifically focuses on identifying
and challenging "stuck points"—negative thoughts about the trauma that have become rigid and
are preventing recovery. The therapy involves practicing strategies to change or challenge these
stuck points and typically takes about 3 months of weekly sessions. -2
Question 2
A 45-year-old patient with Complex PTSD (CPTSD) reports difficulty with emotional
regulation and interpersonal relationships. Which evidence-based psychotherapy approach
focuses specifically on helping patients struggling with emotions and relationships after trauma?
A) Cognitive Processing Therapy (CPT)
B) STAIR (Skills Training in Affective & Interpersonal Regulation)
, C) Dialectical Behavior Therapy (DBT)
D) Prolonged Exposure Therapy (PE)
Answer: B) STAIR (Skills Training in Affective & Interpersonal Regulation)
Rationale: STAIR is an evidence-based psychotherapy specifically designed for people
struggling with the aftereffects of trauma. It focuses on helping patients with emotional
regulation and improving interpersonal relationships. The therapy includes a training plan with
suggested activities to help learn and practice skills, self-care goal setting, tools for mood
tracking, and progress assessment. STAIR Coach is also available as a mobile application to
support therapy. -2
Question 3
A 52-year-old male veteran presents with symptoms of hyperarousal, intrusive memories,
and avoidance behaviors. He reports significant social isolation and sleep difficulties. He has a
history of childhood adversity and experienced emotional bullying during his military career.
Which condition is most likely more common than PTSD in veterans seeking treatment who
present with these complex symptoms?
A) Generalized Anxiety Disorder
B) Major Depressive Disorder
C) Complex PTSD (CPTSD)
D) Bipolar Disorder
, Answer: C) Complex PTSD (CPTSD)
Rationale: CPTSD may be more common than PTSD in veterans who seek treatment,
particularly in those with a history of childhood adversity or who experienced increased
emotional or physical bullying during their military careers. Veterans with CPTSD often report
higher rates of psychiatric comorbidities, including depressive disorders, panic disorder,
generalized anxiety disorder, and substance use disorders. They also report greater functional
impairment, including social isolation and sleep difficulties. Understanding military culture is
critical to addressing these complex presentations. -2
Question 4
A 28-year-old patient with a history of trauma is considering treatment options. She is
interested in non-pharmacological approaches. Which of the following is considered a
Complementary and Alternative Medicine (CAM) treatment for CPTSD?
A) Selective Serotonin Reuptake Inhibitors (SSRIs)
B) Cognitive Processing Therapy (CPT)
C) Yoga and mindfulness
D) Prazosin
Answer: C) Yoga and mindfulness
Rationale: Complementary and Alternative Medicine (CAM) treatments for CPTSD
include mindfulness practices, acupuncture, yoga, relaxation techniques, transcendental
meditation treatment, and equine-assisted therapy. These approaches are often used in
Diagnosis & Management in Psychiatric Mental
Health III
Chamberlain University PMHNP Program
2025/2026 Update
Exam Structure
Total Questions: 100
Format: Multiple Choice / Clinical Application
Topics: Advanced Psychiatric Assessment, Differential Diagnosis,
Psychopharmacology, Psychotherapy Modalities, Crisis Intervention, Trauma-
Informed Care, Child/Adolescent Psychiatry, and Professional Issues.
Section 1: Trauma, PTSD, and Evidence-Based Psychotherapy (Questions 1-20)
Question 1
A 35-year-old female veteran with a history of childhood abuse and military sexual
trauma presents with symptoms of hypervigilance, emotional dysregulation, and difficulty
,maintaining relationships. She reports persistent negative beliefs about herself. Which evidence-
based psychotherapy is specifically designed to address "stuck points" (negative thoughts about
the trauma) and typically takes about 3 months of weekly sessions?
A) STAIR (Skills Training in Affective & Interpersonal Regulation)
B) Cognitive Processing Therapy (CPT)
C) Prolonged Exposure Therapy (PE)
D) Eye Movement Desensitization and Reprocessing (EMDR)
Answer: B) Cognitive Processing Therapy (CPT)
Rationale: CPT is an evidence-based psychotherapy designed to help individuals build
skills to deal with the effects of trauma in other areas of life. It specifically focuses on identifying
and challenging "stuck points"—negative thoughts about the trauma that have become rigid and
are preventing recovery. The therapy involves practicing strategies to change or challenge these
stuck points and typically takes about 3 months of weekly sessions. -2
Question 2
A 45-year-old patient with Complex PTSD (CPTSD) reports difficulty with emotional
regulation and interpersonal relationships. Which evidence-based psychotherapy approach
focuses specifically on helping patients struggling with emotions and relationships after trauma?
A) Cognitive Processing Therapy (CPT)
B) STAIR (Skills Training in Affective & Interpersonal Regulation)
, C) Dialectical Behavior Therapy (DBT)
D) Prolonged Exposure Therapy (PE)
Answer: B) STAIR (Skills Training in Affective & Interpersonal Regulation)
Rationale: STAIR is an evidence-based psychotherapy specifically designed for people
struggling with the aftereffects of trauma. It focuses on helping patients with emotional
regulation and improving interpersonal relationships. The therapy includes a training plan with
suggested activities to help learn and practice skills, self-care goal setting, tools for mood
tracking, and progress assessment. STAIR Coach is also available as a mobile application to
support therapy. -2
Question 3
A 52-year-old male veteran presents with symptoms of hyperarousal, intrusive memories,
and avoidance behaviors. He reports significant social isolation and sleep difficulties. He has a
history of childhood adversity and experienced emotional bullying during his military career.
Which condition is most likely more common than PTSD in veterans seeking treatment who
present with these complex symptoms?
A) Generalized Anxiety Disorder
B) Major Depressive Disorder
C) Complex PTSD (CPTSD)
D) Bipolar Disorder
, Answer: C) Complex PTSD (CPTSD)
Rationale: CPTSD may be more common than PTSD in veterans who seek treatment,
particularly in those with a history of childhood adversity or who experienced increased
emotional or physical bullying during their military careers. Veterans with CPTSD often report
higher rates of psychiatric comorbidities, including depressive disorders, panic disorder,
generalized anxiety disorder, and substance use disorders. They also report greater functional
impairment, including social isolation and sleep difficulties. Understanding military culture is
critical to addressing these complex presentations. -2
Question 4
A 28-year-old patient with a history of trauma is considering treatment options. She is
interested in non-pharmacological approaches. Which of the following is considered a
Complementary and Alternative Medicine (CAM) treatment for CPTSD?
A) Selective Serotonin Reuptake Inhibitors (SSRIs)
B) Cognitive Processing Therapy (CPT)
C) Yoga and mindfulness
D) Prazosin
Answer: C) Yoga and mindfulness
Rationale: Complementary and Alternative Medicine (CAM) treatments for CPTSD
include mindfulness practices, acupuncture, yoga, relaxation techniques, transcendental
meditation treatment, and equine-assisted therapy. These approaches are often used in
