Description

1. Question: The PMHNP is providing psychoeducation and anticipatory guidance to concerned parents regarding their child’s night terrors. At which stage of sleep is this most likely to occur?

2. Question: A 48-year-old obese woman experiences excessive daytime sleepiness, fatigue, anhedonia, and apathy. Her husband reports that she snores loudly and often wakes up drenched in sweat. She denies any psychiatric history or substance abuse. What is the most likely cause of her symptoms?

3. Question: A 25-year-old woman reports frequently falling asleep during the day for the last 6 months. This has affected her work as a computer help desk agent. She says she consistently sleeps 8 hours each night. What is the most consistent diagnosis?

4. Question: John is a 22-year-old RN who started his first job working three 12-hour night shifts per week. He reports excessive fatigue on his days off and has fallen asleep while driving. What is the most likely diagnosis?

5. Question: A male patient reports difficulty falling asleep and early morning awakening. He experiences excessive daytime sleepiness as a result of his unrestful sleep. What should the PMHNP do first?

6. Question: The PMHNP is conducting a follow-up exam with a 24-year-old male patient diagnosed with major depressive disorder on sertraline 50 mg daily. Which sleep pattern may the patient report while on this medication?

7. Question: A male patient reports excessive daytime sleepiness for the last 2 weeks related to job restructuring. He sometimes wakes up at 4 a.m. and cannot fall back asleep. What should the PMHNP do first?

8. Question: In which stage of the sleep cycle is sleepwalking common?

9. Question: A patient presents with complaints of initiating sleep, poor concentration, and poor work performance. What diagnostic criteria must be present to confirm insomnia?

10. Question: A patient working night shifts reports trouble sleeping and excessive daytime sleepiness. Which screening tool should the PMHNP use?

11. Question: Which of the following medications is not a long-term option for sleep disorders?

12. Question: Which medication would be useful in a patient who has insomnia and concurrent depression?

13. Question: A patient with narcolepsy is currently taking armodafinil 150 mg to promote wakefulness but reports weakness and loss of muscle control when laughing. Which action by the PMHNP is most appropriate?

14. Question: Which medication should be prescribed for a patient with non-24-hour sleep-wake disorder due to blindness?

15. Question: Which screening tool would best measure a patient’s sex drive, arousal, ability to orgasm, and satisfaction with orgasm?

16. Question: Which disorder must be ruled out before confirming a diagnosis of male erectile disorder?

17. Question: A patient requests medication for premature ejaculation. Which medication should the PMHNP prescribe?

18. Question: A patient presents with persistent anxiety about driving his daughter in the car since her birth 8 months ago. He feels restless, irritable, and fatigued. What is the best diagnosis?

19. Question: Penelope reports palpitations, shortness of breath, shaking, and “out-of-body experiences.” Symptoms began after losing her job and house. What is the most appropriate diagnosis?

20. Question: A patient presents with nervousness and worry after her house burned down. What is the most appropriate diagnosis?

21. Question: A patient scores 18 on the GAD-7 scale. What level of anxiety does this indicate?

22. Question: A patient presents with suspected anxiety disorder. Which assessments would help confirm the diagnosis?

23. Question: Which medication is indicated for first-line treatment of generalized anxiety disorder (GAD)?

24. Question: A patient with performance anxiety requests medication before a work presentation. Which medication would be best as a short-term option?

25. Question: Which of the following is an example of a compulsion?

26. Question: A client with newly diagnosed OCD is prescribed fluoxetine 80 mg daily. Which therapy would best benefit this patient?

27. Question: A patient with psychosis presents with shuffling gait, alogia, motor delay, and asociality. Which symptoms are being described?

28. Question: A psychotic patient believes the TV news anchor sends personal messages predicting he’ll become CEO of Microsoft. What type of delusion is this?

29. Question: A patient with psychosis exhibits incoherent speech, perseveration, and loose associations. Which type of symptoms are these?

30. Question: A 13-year-old boy presents withdrawn, obsessed with “freedom,” and isolating from friends. What is a possible explanation?

31. Question: A 26-year-old woman presents to the ED with depression and anxiety, believing someone is following her despite lack of evidence. What is the proper diagnosis?

32. Question: A husband had disorganized speech and paranoia for 2 weeks after job loss; symptoms resolved. What is the likely diagnosis?

33. Question: Which screening tool would best assess symptom severity over time in moderate-to-severe psychosis?

34. Question: Which disorder should be ruled out before diagnosing psychosis?

35. Question: Which second-generation antipsychotic (SGA) is considered best tolerated?

36. Question: Which medication is used for treatment-resistant schizophrenia but should not be used in acute presentations?

37. Question: Which demonstrates proper reassessment after prescribing ziprasidone?

38. Question: A 56-year-old patient with schizophrenia and comorbid diabetes, heart disease, and hypothyroidism requires medication. Which is most appropriate?