Description

1. Question: Which characteristic is most indicative of narcissistic personality disorder?
2. Question: A 25-year-old client presents with irritability, insomnia, and excessive energy. She states she has felt this way for about a week. Last month, she reports that she felt “really down” and slept most of the time. She endorses a pattern of “ups and downs” in her mood at least half of the time over the past few years. Which diagnosis is most consistent with the client’s symptoms?
3. Question: Select an appropriate initial medication choice for a 75-year-old with a new diagnosis of major depressive disorder.
4. Question: An inpatient client has a CIWA-AR score of 12. What is the most appropriate action by the nurse practitioner?
5. Question: A client presents herself with difficulties following her divorce from an abusive spouse. She states that she is afraid of being on her own because she is worried that she won’t be able to take care of herself. She is currently living with her sister because she can’t decide whether to get an apartment or buy a house. Though she’s only been divorced for a few weeks, she’s been on several dates through a dating website in the hopes of finding another partner soon. The client’s symptoms are consistent with which diagnosis?
6. Question: Which of the following are characteristics of borderline personality disorder?
7. Question: When conducting a cognitive assessment, what does the question “what did you have for dinner last night” assess?
8. Question: A client is concerned that he won’t pass a urine drug screen at his new job because he used marijuana three days ago. What is the most appropriate response by the psychiatric mental health nurse practitioner?
9. Question: Which symptoms are associated with the anxious distress DSM specifier for major depressive disorder?
10. Question: A client is interested in therapies to augment his medication treatment for mild major depressive disorder. What are appropriate recommendations?
11. Question: A client presents with ataxia, short-term memory loss, and nystagmus. The client has a history of prolonged, heavy alcohol use. What is the most likely diagnosis?
12. Question: A client diagnosed with major neurocognitive disorder due to Alzheimer’s disease. What pharmacological therapy would be anticipated?
13. Question: A client presents for treatment following a break-up with her girlfriend. She is dressed in a short skirt and low-cut blouse. She is very friendly and dramatically provides intimate details about several past relationships. The client’s presentation is consistent with which personality disorder?
14. Question: Which statement indicates that a client understands education regarding the treatment Lithium?
15. Question: A 50-year-old client presents with fatigue and poor motivation to the point that she is avoiding work. She reports poor appetite, sleeps over 14 hours per day, and last month had high energy with impulsive spending. Which diagnosis is most consistent with the client’s symptoms?
16. Question: A client with substance use disorder is experiencing cravings and withdrawal symptoms while receiving inpatient therapy. Which is the most appropriate diagnosis?
17. Question: Which of the following best describes substance use disorder?
18. Question: An inpatient client has a CIWA-AR score of 7. What is the most appropriate action by the nurse practitioner?
19. Question: Which client is most likely to experience delirium?
20. Question: Which sign is commonly seen in clients experiencing mild alcohol withdrawal?
21. Question: A client presents to the emergency department with increasing anxiety, dry mouth, and rapid heartbeat about two hours after consuming several marijuana edibles. What is the most likely diagnosis?
22. Question: A 74-year-old client presents with difficulty finding words. A MoCA assessment was performed with a total score of 27. What is the most appropriate next assessment?
23. Question: A 44-year-old client presents for court-mandated treatment after attempting to extort money from a politician. What is the client’s most likely diagnosis?
24. Question: A client wishing to use medication-assisted treatment for opioid use disorder expresses concerns that her roommates may try to steal her medication. Which medication is most appropriate?
25. Question: Which of the following is the best predictor for antisocial personality disorder?
26. Question: Which of the following is a tool that may be used to screen for any type of substance use disorder?
27. Question: Which of the following would be included in the treatment plan for a client with antisocial personality disorder?
28. Question: Which description best describes cluster A personality disorders?
29. Question: A 17-year-old reports decreased energy and loss of interest in activities following an episode of racing thoughts and decreased need for sleep. Which screening tool is most appropriate for the PMHNP to use?
30. Question: A client presents to the emergency department with anxiety, panic, and unpleasant hallucinations after consuming LSD. What is the most appropriate action by the nurse practitioner?
31. Question: A client diagnosed with a personality disorder insists that an uncle has been reincarnated as a puppy and believes he can communicate with it telepathically. Which type of personality disorder is most likely?
32. Question: Which symptoms are more likely to be present in a client with bipolar I disorder than in bipolar II disorder?
33. Question: Which statement is true regarding the treatment of personality disorders?
34. Question: Which statement is the most accurate about the rapid cycling of type I bipolar disorder?
35. Question: Which client with delirium would most likely require pharmacotherapeutic treatment?
36. Question: A client presents to the emergency department following a nonfatal suicide attempt. Her forearms and thighs show thin cuts and scars. What is the client’s most likely diagnosis?
37. Question: Which personality disorder is characterized by attention-seeking behavior, dramatic speech, and extreme emotionality?
38. Question: A 50-year-old client presents with a depressed mood, insomnia, and anhedonia after divorce. What is the most appropriate diagnosis?
39. Question: The use of which substance may mimic symptoms of depressive disorder?
40. Question: What is the primary principle of dementia treatment?
41. Question: A 79-year-old client presents with complaints of low mood. Her GDS score is 3. What is the most appropriate treatment?
42. Question: A 22-year-old client with MDD is prescribed amitriptyline 100 mg daily. Which condition in her history would contraindicate this prescription as monotherapy?
43. Question: Which drug class is most likely prescribed upon diagnosis of Alzheimer’s disease?
44. Question: A client diagnosed with a personality disorder expresses distrust of coworkers and accuses his wife of infidelity. What is the most likely diagnosis?
45. Question: How long does an untreated manic episode typically last?
46. Question: Which description best describes Cluster A personality disorders?
47. Question: A psychiatric mental health NP treating a client with a personality disorder should expect which characteristic?
48. Question: Which diagnostic test could be used to support a diagnosis of Alzheimer’s disease in a client with cognitive decline?
49. Question: Which action should be included in a treatment plan for a client with borderline personality disorder?
50. Question: A newly incarcerated individual presents with withdrawal symptoms including yawning, cramps, and tachycardia. Withdrawal from which substance is most likely causing this?
51. Question: Which diagnosis describes the syndrome characterized by specific signs and symptoms resulting from ingestion or exposure to a substance?
52. Question: Which finding supports a diagnosis of neurocognitive disorder with Lewy bodies?
53. Question: What is the anticipated outcome for a client with dementia who has been prescribed Memantine?
54. Question: Inattention and a variable level of consciousness are hallmark signs of which condition?
55. Question: Which client is the best candidate for electroconvulsive therapy (ECT) for major depressive disorder?
56. Question: A 77-year-old client’s adult child reports the client has gotten lost in familiar areas and unpaid bills. What is the most appropriate diagnosis?
57. Question: What is the anticipated outcome for a client with dementia who has been prescribed Memantine?
58. Question: A client who uses recreational oxycodone presents for treatment and reports difficulty controlling use. What is the most likely diagnosis?
59. Question: A 17-year-old with depressive symptoms reports a prior episode of racing thoughts and decreased need for sleep. Which screening tool is most appropriate for the PMHNP to use?
60. Question: Which action should be included in a treatment plan for a client with borderline personality disorder?
61. Question: A client presents to the emergency department with anxiety, panic, and hallucinations after consuming LSD. What is the most appropriate action by the nurse practitioner?
62. Question: A client diagnosed with a personality disorder believes an uncle was reincarnated as a puppy and avoids mirrors for fear of bad luck. Which type of personality disorder is most likely?
63. Question: A 77-year-old client’s child reports memory problems and irritability. What is the most appropriate diagnosis?
64. Question: Which symptoms are more likely in a client with bipolar I disorder than in bipolar II disorder?
65. Question: Which statement is true regarding the treatment of personality disorders?
66. Question: Which statement is most accurate about the rapid cycling of type I bipolar disorder?
67. Question: Which client with delirium would most likely require pharmacotherapeutic treatment?
68. Question: A client presents to the ED following a nonfatal suicide attempt. What is the client’s most likely diagnosis?
69. Question: Which personality disorder is characterized by attention-seeking behavior, dramatic speech, and extreme emotionality?
70. Question: A 50-year-old client presents with depressed mood, insomnia, and anhedonia after a breakup. What is the most appropriate diagnosis?
71. Question: The use of which substance may mimic symptoms of depressive disorder?
72. Question: What is the primary principle of dementia treatment?
73. Question: A 79-year-old client presents with low mood and a Geriatric Depression Scale score of 3. What is the most appropriate treatment?
74. Question: A 22-year-old client with MDD was prescribed amitriptyline. Which condition in her history would contraindicate this as monotherapy?
75. Question: Which drug class is most likely to be prescribed upon diagnosis of Alzheimer’s disease?