Description

Exam comprises of 75 Questions. All correct answers are available in download !

1. Question: A client presents to the provider with symptoms of obsessive-compulsive disorder. In determining whether the client’s symptoms are subclinical or clinical, which factor should the psychiatric mental health nurse practitioner consider?
2. Question: A 21-year old presents with symptoms of obsessive-compulsive disorder. Which factor is the best predictor for positive prognosis?
3. Question: A screening tool is available to the psychiatric-mental health advanced practice registered nurse to rate a client’s six domains which includes memory, orientation problem-solving, community affairs, home and hobbies, and personal care. Select the name of this tool.
4. Question: A client presents with symptoms of female sexual interest/arousal disorder. What information collected in the interview may indicate a potential cause?
5. Question: A 52-year-old client presents to the emergency department following a car accident. Based on the client’s ASQ score, what is the most appropriate response?
6. Question: A 85-year-old patient with Alzheimer’s Disease starts to become agitated in the afternoon (sundowning), refuses to eat, and is losing weight. Which medication should be given?
7. Question: Which of the following should be included when providing client education about medication regimens?
8. Question: Callie is an 18-year-old college student who reports anxiety “about everything.” Which is the most appropriate anxiety disorder diagnosis for Callie?
9. Question: Jeremy, a 44-year-old male, experiences nausea and heart pounding when giving bad news to staff. Which is the most appropriate anxiety disorder diagnosis for Jeremy?
10. Question: Apply the Ask Suicide-Screening Questions (ASQ) tool to a 52-year-old client following a car accident. Based on her responses, what is the most appropriate action?
11. Question: A relative of yours has been diagnosed with Bipolar II disorder. What is the preferred drug for this condition?
12. Question: A screening tool is available to rate six domains of cognition and daily function. Select the name of this tool.
13. Question: After identifying her automatic thought, a patient documents information that supports and refutes her thinking. Which technique does this represent?
14. Question: Select an appropriate initial medication choice for a 75-year-old with new onset major depressive disorder.
15. Question: What is the practitioner’s first step when developing a DSM-5 differential diagnosis?
16. Question: Why does First (2014) state that ruling out a general medical etiology is one of the most important and difficult distinctions in psychiatric differential diagnosis?
17. Question: A client’s urine drug screen is negative for benzodiazepines and positive for cocaine. How should this be interpreted?
18. Question: Why are social determinants of health (SDOH) important in mental health?
19. Question: Which statement is true regarding sleep-wake disorders?
20. Question: A client presents with chest pain and irritability. What medication would be the best option to prescribe?
21. Question: A 52-year-old man with depression presents to the ER behaving differently than during past episodes. What is the best initial step?
22. Question: Which of the following are positive symptoms of psychotic disorders?
23. Question: What is the most common breathing sleep disorder?
24. Question: A client communicates using short one- or two-word responses. The provider recognizes this as what?
25. Question: A client presents to the office requesting a refill of Adderall. The urine drug screen is negative for amphetamines. What does this mean?
26. Question: Which statement is true regarding enuresis?
27. Question: All the clients below have a family history of schizophrenia. Which client would be most likely to experience symptoms?
28. Question: Which disorder commonly occurs secondary to agoraphobia?
29. Question: Which factor would rule out a diagnosis of schizophreniform disorder?
30. Question: The PMHNP is interviewing a 27-year-old client with anxiety symptoms. How long must symptoms be present to support a diagnosis of GAD?
31. Question: Which of the following are common comorbidities?
32. Question: A client presents with fatigue. Which lab test indicates a possible medical cause of symptoms?
33. Question: A client presents with modafinil on their medication list. What is the most likely diagnosis?
34. Question: The PMHNP is treating a client with anxiety. Which SDOH may be exacerbating her symptoms?
35. Question: Why is ruling out a medical etiology important when developing a psychiatric differential diagnosis?
36. Question: A 43-year-old client presents with excessive daytime sleepiness and cataplexy. Which diagnostic test should be completed?
37. Question: A client has difficulty sleeping and takes all medications at night. Which medication should be taken in the morning instead?
38. Question: A 40-year-old client fears public speaking and experiences tachycardia. Which medication can be prescribed as needed?
39. Question: Which diagnosis presents with minimal spontaneous sexual thinking or desire before sexual experiences?
40. Question: Which symptom is most likely to be present in a client with catatonia?
41. Question: A client presents with auditory hallucinations. Which medication can cause this as an adverse effect?
42. Question: A 32-year-old presents with recurrent episodes of intense anxiety. Which diagnosis fits best?
43. Question: Which health indicators are important to monitor for clients on second-generation antipsychotics?
44. Question: A client presents with fatigue, anhedonia, and hypersomnolence. What is the PMHNP’s priority action?
45. Question: As many as two-thirds of patients with which disorder meet the diagnostic criteria for OCD?
46. Question: A client presents with OCD symptoms. Which factor determines whether symptoms are subclinical or clinical?
47. Question: Why are diagnostic instruments and psychiatric rating scales beneficial?
48. Question: A 21-year-old with OCD—what factor is best for positive prognosis?
49. Question: Which benzodiazepine is FDA-approved solely for treatment of insomnia?
50. Question: Which statement is true regarding OCD with compulsions?
51. Question: A client is referred to the PMHNP for anxiety evaluation with headaches, queasy stomach, insomnia, and fatigue. Which client fits this description?
52. Question: A client with GAD reports no relief after taking paroxetine 20 mg daily for one month. What is the next step?
53. Question: Which symptoms are most likely seen during the prodromal phase of schizophrenia?
54. Question: Which approach is best for gathering sexual history from a female client?
55. Question: A client scores 10 on the GAD-7. How should this score be interpreted?
56. Question: Select appropriate modalities for a client with circadian rhythm sleep-wake disorder.
57. Question: A client presents with recurrent episodes of punching and kicking while asleep. What is the likely sleep disorder?
58. Question: When is a physical exam most critical during a psychiatric diagnostic assessment?
59. Question: A client reports lack of natural vaginal lubrication and pain with penetration. What is the most likely diagnosis?
60. Question: A client reports distress following a racist confrontation. This represents which factor in mental health and illness?
61. Question: Which are considered essential features of sexual dysfunction?
62. Question: Which client statement is an example of the most common hallucination type in schizophrenia?
63. Question: During an initial interview, which client endorsement is considered a social determinant of health?
64. Question: The PMHNP wants to rule out anemia as a cause for fatigue. Which lab should be ordered?
65. Question: Which disorder shows increased amygdala activation and decreased prefrontal activation?
66. Question: What is the DSM-5 diagnostic criteria for GAD?
67. Question: What is another adjunct or PRN treatment used for GAD?
68. Question: What is the first-line treatment for panic disorder?
69. Question: What is the first-line treatment for social anxiety disorder (SAD)?
70. Question: What is the treatment for performance-based anxiety or physiological symptoms like tremor?
71. Question: What is the main treatment for catatonia?
72. Question: What is schizophreniform disorder?
73. Question: Name different types of psychosis.
74. Question: What tool can be used to assess severity of a patient’s obsessions/compulsions?
75. Question: When a person with an obsession believes that a compulsion must be completed or family will die, what is this called?