(NU665C) Psychiatric Mental Health Care of the Family II –
Regis University (2026–2027 Update) Review Questions &
Verified Answers – Grade A (100% Correct Solutions)
Introduction:
This updated NU665C Psychiatric Mental Health Care of the
Family II review (Regis University, 2026–2027) provides a complete
set of verified questions and answers designed to support advanced
study in family psychiatric mental health nursing. It includes
detailed coverage of substance use disorders, DSM-5-TR diagnostic
criteria, medication-assisted treatments (MAT), alcohol and opioid
withdrawal management, and therapeutic approaches for families
across the lifespan. The material also reviews trauma-informed care,
family systems theory, cultural competence, ethical considerations,
and telehealth integration—making it ideal for PMHNP students
preparing for clinical practice and exams.
Exam Questions and Answers:
The initial dosage of naltrexone for the treatment of opioid or
alcohol dependence is --- correct answer ---50 mg a day,
Common side effects of buprenorphine include --- correct answer --
-constipation, nausea, headache, upset stomach, excessive
sweating, somnolence, and decreased interest in sex.
Treatment with buprenorphine is best suited for individuals who ---
correct answer ---present with at least mild withdrawal symptoms.
,Unlike methadone, there is little concern about overdose during
treatment initiation.
Buprenorphine has poor bioavailability and is usually administered
--- correct answer ---sublingually as a tablet or as a film.
In the United States, methadone can be dispensed only at --- correct
answer ---outpatient opioid treatment program (OTP) certified by
SAMHSA and registered with the DEA or to a hospitalized patient in
an emergency. SAMHSA-certified OTP facilities provide daily doses
of methadone under direct supervision until the patient is stable
enough to receive take-home
What are considerations for substance use disorders in LGBTQ
populations? --- correct answer ---Higher rates due to stigma,
discrimination, minority stress
Increased risk of opioid misuse and alcohol use disorders
Need for affirmative and inclusive care
What medications are FDA-approved for alcohol use disorder
(AUD)? --- correct answer ---Naltrexone - Reduces cravings and
blocks rewarding effects of alcohol
Acamprosate - Restores neurotransmitter balance to reduce
cravings
Disulfiram - Causes aversive reaction when alcohol is consumed
,What laboratory findings are associated with chronic alcohol use? --
- correct answer ---Elevated AST/ALT (AST > ALT) - Liver damage
Macrocytosis (MCV > 100 fL) - Due to vitamin B12/folate deficiency
Thiamine deficiency - Risk of Wernicke-Korsakoff syndrome
What lab abnormalities are common in opioid use disorder? ---
correct answer ---Elevated CK (creatine kinase) - Rhabdomyolysis
in overdose
Hypoxia - Due to respiratory depression
Low testosterone levels - Due to chronic opioid use
Opioid Risk Tool (ORT) - Assesses risk for opioid misuse in pain
patients. --- correct answer ---A score of <3 indicates low risk
A moderate risk score is 4 to 7
High risk scores are ≥8
The main drawback of the ORT is its susceptibility to deception.
COWS (Clinical Opiate Withdrawal Scale) - Evaluates withdrawal
severity. --- correct answer ---5-12: Mild withdrawal
13-24: Moderate withdrawal
25-36: Moderately severe withdrawal
More than 36: Severe withdrawal
, SOAPP-R (Screener and Opioid Assessment for Patients with Pain-
Revised) --- correct answer ---Identifies
patients at risk for opioid misuse.
> 18 considered high risk for opioid misuse
DAST (Drug Abuse Screening Test) - Screens for general substance
abuse, opioids --- correct answer ---0: none
1-2: mild
3-5: moderate
6-8: substantial issue
NIDA Quick Screen - Asks about past-year use of various
substances, including opioids. --- correct answer ---Assesses
frequency, cravings
Scoring methods may vary depending on the specific tool being
used. The scoring helps to identify potential
l areas of concern and determine the level of risk associated with
the individual's drug use.
Methadone's optimal dose --- correct answer ---The optimal dose is
generally in the 80 to 120 mg/day range, with some patients
requiring higher doses to achieve an optimal clinical response
Regis University (2026–2027 Update) Review Questions &
Verified Answers – Grade A (100% Correct Solutions)
Introduction:
This updated NU665C Psychiatric Mental Health Care of the
Family II review (Regis University, 2026–2027) provides a complete
set of verified questions and answers designed to support advanced
study in family psychiatric mental health nursing. It includes
detailed coverage of substance use disorders, DSM-5-TR diagnostic
criteria, medication-assisted treatments (MAT), alcohol and opioid
withdrawal management, and therapeutic approaches for families
across the lifespan. The material also reviews trauma-informed care,
family systems theory, cultural competence, ethical considerations,
and telehealth integration—making it ideal for PMHNP students
preparing for clinical practice and exams.
Exam Questions and Answers:
The initial dosage of naltrexone for the treatment of opioid or
alcohol dependence is --- correct answer ---50 mg a day,
Common side effects of buprenorphine include --- correct answer --
-constipation, nausea, headache, upset stomach, excessive
sweating, somnolence, and decreased interest in sex.
Treatment with buprenorphine is best suited for individuals who ---
correct answer ---present with at least mild withdrawal symptoms.
,Unlike methadone, there is little concern about overdose during
treatment initiation.
Buprenorphine has poor bioavailability and is usually administered
--- correct answer ---sublingually as a tablet or as a film.
In the United States, methadone can be dispensed only at --- correct
answer ---outpatient opioid treatment program (OTP) certified by
SAMHSA and registered with the DEA or to a hospitalized patient in
an emergency. SAMHSA-certified OTP facilities provide daily doses
of methadone under direct supervision until the patient is stable
enough to receive take-home
What are considerations for substance use disorders in LGBTQ
populations? --- correct answer ---Higher rates due to stigma,
discrimination, minority stress
Increased risk of opioid misuse and alcohol use disorders
Need for affirmative and inclusive care
What medications are FDA-approved for alcohol use disorder
(AUD)? --- correct answer ---Naltrexone - Reduces cravings and
blocks rewarding effects of alcohol
Acamprosate - Restores neurotransmitter balance to reduce
cravings
Disulfiram - Causes aversive reaction when alcohol is consumed
,What laboratory findings are associated with chronic alcohol use? --
- correct answer ---Elevated AST/ALT (AST > ALT) - Liver damage
Macrocytosis (MCV > 100 fL) - Due to vitamin B12/folate deficiency
Thiamine deficiency - Risk of Wernicke-Korsakoff syndrome
What lab abnormalities are common in opioid use disorder? ---
correct answer ---Elevated CK (creatine kinase) - Rhabdomyolysis
in overdose
Hypoxia - Due to respiratory depression
Low testosterone levels - Due to chronic opioid use
Opioid Risk Tool (ORT) - Assesses risk for opioid misuse in pain
patients. --- correct answer ---A score of <3 indicates low risk
A moderate risk score is 4 to 7
High risk scores are ≥8
The main drawback of the ORT is its susceptibility to deception.
COWS (Clinical Opiate Withdrawal Scale) - Evaluates withdrawal
severity. --- correct answer ---5-12: Mild withdrawal
13-24: Moderate withdrawal
25-36: Moderately severe withdrawal
More than 36: Severe withdrawal
, SOAPP-R (Screener and Opioid Assessment for Patients with Pain-
Revised) --- correct answer ---Identifies
patients at risk for opioid misuse.
> 18 considered high risk for opioid misuse
DAST (Drug Abuse Screening Test) - Screens for general substance
abuse, opioids --- correct answer ---0: none
1-2: mild
3-5: moderate
6-8: substantial issue
NIDA Quick Screen - Asks about past-year use of various
substances, including opioids. --- correct answer ---Assesses
frequency, cravings
Scoring methods may vary depending on the specific tool being
used. The scoring helps to identify potential
l areas of concern and determine the level of risk associated with
the individual's drug use.
Methadone's optimal dose --- correct answer ---The optimal dose is
generally in the 80 to 120 mg/day range, with some patients
requiring higher doses to achieve an optimal clinical response
