NR668 CEA – Psychiatric-Mental Health Capstone: Study Guide &
Original Q&A Bank (300+ Questions) Questions and Answers with Complete
Verified Rationales) A+ ASSURED 100% COMFORMED PASS!!!!!!!!!!
Key Content Areas
1. Advanced Psychiatric Assessment
• Mental status examination (MSE) components
• Differentiating delirium, dementia, and depression
• Suicide and violence risk assessment
• Substance use screening (CAGE, AUDIT, DAST)
• Cultural formulation and health beliefs
2. DSM-5 Diagnostic Criteria
• Major depressive disorder, bipolar disorders
• Schizophrenia spectrum
• Anxiety disorders, OCD, PTSD
• Personality disorders
• Neurocognitive disorders
• Somatic symptom and related disorders
3. Psychopharmacology
• Antidepressants (SSRIs, SNRIs, TCAs, MAOIs, atypical)
, • Antipsychotics (first- and second-generation, clozapine,
LAIs)
• Mood stabilizers (lithium, valproate, carbamazepine,
lamotrigine)
• Anxiolytics and sedative-hypnotics
• Stimulants and non-stimulants for ADHD
• Medication side effects and management (EPS, NMS,
serotonin syndrome, metabolic syndrome, QTc
prolongation)
4. Psychotherapy and Psychosocial Interventions
• Cognitive-behavioral therapy (CBT)
• Dialectical behavior therapy (DBT)
• Motivational interviewing
• Supportive therapy, psychodynamic principles
• Group and family therapy
• Trauma-informed care
5. Psychiatric Emergencies
• Suicidal ideation and behavior
• Agitation and violence management
• Neuroleptic malignant syndrome
, • Serotonin syndrome
• Lithium toxicity
• Catatonia
• Acute psychosis
6. Legal and Ethical Issues
• Informed consent and capacity
• Involuntary commitment (civil commitment)
• Duty to warn/protect (Tarasoff)
• Confidentiality and HIPAA
• Seclusion and restraint
• Advance directives in mental health
7. Substance Use Disorders
• Alcohol withdrawal and delirium tremens
• Opioid use disorder and overdose
• Stimulant intoxication/withdrawal
• Benzodiazepine withdrawal
• Medication-assisted treatment (MAT)
8. Special Populations
• Geriatric psychiatry (depression, dementia, polypharmacy)
, • Child and adolescent psychiatry
• Perinatal psychiatry
• Intellectual disability and autism
9. Professional Practice
• Interprofessional collaboration
• Documentation in psychiatric settings
• Quality improvement and patient safety
• Scope of practice for PMHNP
Original Questions
1. A 24-year-old male presents with auditory hallucinations,
disorganized speech, and flat affect for 6 months. He has no
significant mood episodes. Which diagnosis is most likely?
A. Schizoaffective disorder
B. Schizophrenia
C. Bipolar I disorder with psychotic features
D. Major depressive disorder with psychotic features
Answer: B
Rationale: Schizophrenia requires ≥6 months of symptoms,
including at least 1 month of active-phase symptoms
(hallucinations, delusions, disorganized speech, etc.) without
prominent mood episodes. Schizoaffective disorder requires a
Original Q&A Bank (300+ Questions) Questions and Answers with Complete
Verified Rationales) A+ ASSURED 100% COMFORMED PASS!!!!!!!!!!
Key Content Areas
1. Advanced Psychiatric Assessment
• Mental status examination (MSE) components
• Differentiating delirium, dementia, and depression
• Suicide and violence risk assessment
• Substance use screening (CAGE, AUDIT, DAST)
• Cultural formulation and health beliefs
2. DSM-5 Diagnostic Criteria
• Major depressive disorder, bipolar disorders
• Schizophrenia spectrum
• Anxiety disorders, OCD, PTSD
• Personality disorders
• Neurocognitive disorders
• Somatic symptom and related disorders
3. Psychopharmacology
• Antidepressants (SSRIs, SNRIs, TCAs, MAOIs, atypical)
, • Antipsychotics (first- and second-generation, clozapine,
LAIs)
• Mood stabilizers (lithium, valproate, carbamazepine,
lamotrigine)
• Anxiolytics and sedative-hypnotics
• Stimulants and non-stimulants for ADHD
• Medication side effects and management (EPS, NMS,
serotonin syndrome, metabolic syndrome, QTc
prolongation)
4. Psychotherapy and Psychosocial Interventions
• Cognitive-behavioral therapy (CBT)
• Dialectical behavior therapy (DBT)
• Motivational interviewing
• Supportive therapy, psychodynamic principles
• Group and family therapy
• Trauma-informed care
5. Psychiatric Emergencies
• Suicidal ideation and behavior
• Agitation and violence management
• Neuroleptic malignant syndrome
, • Serotonin syndrome
• Lithium toxicity
• Catatonia
• Acute psychosis
6. Legal and Ethical Issues
• Informed consent and capacity
• Involuntary commitment (civil commitment)
• Duty to warn/protect (Tarasoff)
• Confidentiality and HIPAA
• Seclusion and restraint
• Advance directives in mental health
7. Substance Use Disorders
• Alcohol withdrawal and delirium tremens
• Opioid use disorder and overdose
• Stimulant intoxication/withdrawal
• Benzodiazepine withdrawal
• Medication-assisted treatment (MAT)
8. Special Populations
• Geriatric psychiatry (depression, dementia, polypharmacy)
, • Child and adolescent psychiatry
• Perinatal psychiatry
• Intellectual disability and autism
9. Professional Practice
• Interprofessional collaboration
• Documentation in psychiatric settings
• Quality improvement and patient safety
• Scope of practice for PMHNP
Original Questions
1. A 24-year-old male presents with auditory hallucinations,
disorganized speech, and flat affect for 6 months. He has no
significant mood episodes. Which diagnosis is most likely?
A. Schizoaffective disorder
B. Schizophrenia
C. Bipolar I disorder with psychotic features
D. Major depressive disorder with psychotic features
Answer: B
Rationale: Schizophrenia requires ≥6 months of symptoms,
including at least 1 month of active-phase symptoms
(hallucinations, delusions, disorganized speech, etc.) without
prominent mood episodes. Schizoaffective disorder requires a
