NR 507 Week 8 Exam Advanced Pathophysiology 2025 | NR507 Final Exam
Projected Questions and Answers (Verified Answers), (2025/ 2026) Latest
Guide - Chamberlain College of Nursing
Bipolar 1
More severe one or more manic or mixed episodes leading to: Serious problems Hospitalization
Psychotic features
Bipolar 2
One or more hypomanic episodes (4 days or more), and no mania One or more major depressive
episodes (2 weeks or more)
Cyclothymia
Alternating between hypomanic symptoms, and mild or moderate depressive moods, like Bipolar II Less
severe, higher functioning
Examine the following case and identify the symptoms to determine if the diagnosis is Bipolar 1, Bipolar
2 or Cyclothymia. A man calls the primary care office to report concern about his wife exhibiting bizarre
behavior. He reports that she has had little sleep over the past week as she has been engaged in excessive
cleaning and calling family members throughout the night. Without his knowledge, she came home two
days ago after having purchased an expensive sports car and plans to drive it to Las Vegas next weekend.
She indicates that one of the casinos there needs her help decorating for the upcoming 4th of July. Her
spouse tells the primary care provider that she has become obsessed with going to Las Vegas since seeing
a commercial about the 4th of July events advertised. What is the best diagnosis for his wife?
Bipolar 1
In a mixed episode, the individual experiences symptoms of depression and mania simultaneously.
True
In rapid cycling, the individual has 4 or more episodes of depression and mania within one year.
True.
Lithium is best at treating both manic and depressive episodes.
False (only manic).
Talk therapy and cognitive behavioral therapy are not helpful in treating the manic episodes of bipolar
disorder.
True
Major depression is required to be present in order to diagnose Bipolar 1 and Bipolar 2 disorder.
False (Major depression may be present in both but not required for diagnosis).
Benzodiazepines are drugs that reduce depression associated with the individual's anxiety.
False (psychoactive drugs that reduce anxiety by providing calming effect on individual).
, Generalized Anxiety Disorder (GAD) is episodic in nature that is brought on by stressful situation
False (GAD is characterized by excessive, persistent, unreasonable anxiety about everyday situations)
Psychotherapy helps the individual to think and act in different ways to deal with stressful situation
True
Cognitive behavioral therapy has major advantages over medications in the long-term treatment of
anxiety
True.
Physical manifestations can also be associated with Generalized Anxiety Disorder
True
B. R. is a 20-year-old college student who reports feeling anxious "about everything", restlessness and
irritability. She reports no significant past medical or mental health history. She states that her anxiety
started about 6 months ago when she decided to change her major to pre-med and complete an application
to participate in a summer pre-med preparation program. During an open house meeting with the medical
school academic advisors attended by all students applying for the summer program, she learned that only
50 students would be selected out of 450 applications to participate in the summer program. Despite
wanting to enter the summer program, she felt that she would be unable to cope with the pressure
associated with a short summer program or the rejection if she was not selected. She told the NP that she
did not feel "good enough" to be selected as she compared herself to the other applicants. She said that
she was at a disadvantage since none of her other family members had been to college. Overall, her
anxiety has impacted her relationship with her significant other as she is always irritable. She made the
decision to not apply to the pre-med program.
Generalized anxiety disorder
J.J. is a 44-year-old male who works as a department head for a Fortune-500 company that is down-sizing
due to economic reasons. Top level management has announced that there will be restructuring of the
company where many of the management roles will be consolidated. Some department head positions
will be eliminated altogether. Each department head has been given the task of developing a presentation
to provide an overview of their department specifically sharing data to demonstrate productivity and the
meeting of company initiatives. From the moment J.J. read the email outlining the presentation
requirements, he started to feel fearful of the possibility of losing his job. On the day of delivering the
presentation, all department heads were present with top-level management. As he listened to the other
department heads deliver their presentations, he began to feel nausea. He even noticed his heart pounding.
When it was his turn to present, he stood before the room and as he started to speak, one of the top-level
managers asked him a question. J.J. immediately begin to feel nausea, dizziness, heart pounding, and the
inability to formulate an organized answer to the question. He quickly excused himself from the room in
order to pull himself together.
Panic attack
Projected Questions and Answers (Verified Answers), (2025/ 2026) Latest
Guide - Chamberlain College of Nursing
Bipolar 1
More severe one or more manic or mixed episodes leading to: Serious problems Hospitalization
Psychotic features
Bipolar 2
One or more hypomanic episodes (4 days or more), and no mania One or more major depressive
episodes (2 weeks or more)
Cyclothymia
Alternating between hypomanic symptoms, and mild or moderate depressive moods, like Bipolar II Less
severe, higher functioning
Examine the following case and identify the symptoms to determine if the diagnosis is Bipolar 1, Bipolar
2 or Cyclothymia. A man calls the primary care office to report concern about his wife exhibiting bizarre
behavior. He reports that she has had little sleep over the past week as she has been engaged in excessive
cleaning and calling family members throughout the night. Without his knowledge, she came home two
days ago after having purchased an expensive sports car and plans to drive it to Las Vegas next weekend.
She indicates that one of the casinos there needs her help decorating for the upcoming 4th of July. Her
spouse tells the primary care provider that she has become obsessed with going to Las Vegas since seeing
a commercial about the 4th of July events advertised. What is the best diagnosis for his wife?
Bipolar 1
In a mixed episode, the individual experiences symptoms of depression and mania simultaneously.
True
In rapid cycling, the individual has 4 or more episodes of depression and mania within one year.
True.
Lithium is best at treating both manic and depressive episodes.
False (only manic).
Talk therapy and cognitive behavioral therapy are not helpful in treating the manic episodes of bipolar
disorder.
True
Major depression is required to be present in order to diagnose Bipolar 1 and Bipolar 2 disorder.
False (Major depression may be present in both but not required for diagnosis).
Benzodiazepines are drugs that reduce depression associated with the individual's anxiety.
False (psychoactive drugs that reduce anxiety by providing calming effect on individual).
, Generalized Anxiety Disorder (GAD) is episodic in nature that is brought on by stressful situation
False (GAD is characterized by excessive, persistent, unreasonable anxiety about everyday situations)
Psychotherapy helps the individual to think and act in different ways to deal with stressful situation
True
Cognitive behavioral therapy has major advantages over medications in the long-term treatment of
anxiety
True.
Physical manifestations can also be associated with Generalized Anxiety Disorder
True
B. R. is a 20-year-old college student who reports feeling anxious "about everything", restlessness and
irritability. She reports no significant past medical or mental health history. She states that her anxiety
started about 6 months ago when she decided to change her major to pre-med and complete an application
to participate in a summer pre-med preparation program. During an open house meeting with the medical
school academic advisors attended by all students applying for the summer program, she learned that only
50 students would be selected out of 450 applications to participate in the summer program. Despite
wanting to enter the summer program, she felt that she would be unable to cope with the pressure
associated with a short summer program or the rejection if she was not selected. She told the NP that she
did not feel "good enough" to be selected as she compared herself to the other applicants. She said that
she was at a disadvantage since none of her other family members had been to college. Overall, her
anxiety has impacted her relationship with her significant other as she is always irritable. She made the
decision to not apply to the pre-med program.
Generalized anxiety disorder
J.J. is a 44-year-old male who works as a department head for a Fortune-500 company that is down-sizing
due to economic reasons. Top level management has announced that there will be restructuring of the
company where many of the management roles will be consolidated. Some department head positions
will be eliminated altogether. Each department head has been given the task of developing a presentation
to provide an overview of their department specifically sharing data to demonstrate productivity and the
meeting of company initiatives. From the moment J.J. read the email outlining the presentation
requirements, he started to feel fearful of the possibility of losing his job. On the day of delivering the
presentation, all department heads were present with top-level management. As he listened to the other
department heads deliver their presentations, he began to feel nausea. He even noticed his heart pounding.
When it was his turn to present, he stood before the room and as he started to speak, one of the top-level
managers asked him a question. J.J. immediately begin to feel nausea, dizziness, heart pounding, and the
inability to formulate an organized answer to the question. He quickly excused himself from the room in
order to pull himself together.
Panic attack
