1
NU 664C / NU664C Final Exam Actual
Exam 2026/2027 | Family Psychiatric
Mental Health I | Regis | Questions
with Verified Answers | 100% Correct |
Pass Guaranteed
Q001: A 12-year-old boy is brought to clinic for disruptive behavior in school. His
mother reports he argues with teachers and refuses homework. Teachers’
questionnaires show similar behaviors for 6 months, no impairment in social
activities. Which diagnosis is most likely?
Options:
A. Conduct Disorder
B. Oppositional Defiant Disorder - CORRECT
C. Attention-Deficit/Hyperactivity Disorder
D. Adjustment Disorder
ANSWER: B
Q002: A mother of a 9-year-old girl with ADHD asks about behavioral strategies.
The child interrupts and leaves seat during homework. Which first-line parent-
training approach is evidence-based?
Options:
A. Time-out for 1 hour
B. Differential attention and token economy - CORRECT
C. Strict physical punishment
, 2
D. Unrestricted screen time as reward
ANSWER: B
Q003: A 15-year-old male reports 3 weeks of depressed mood, anhedonia, fatigue,
and weight loss after romantic breakup. He denies suicidal ideation, has intact
school performance. Which initial intervention is appropriate?
Options:
A. Start fluoxetine 20 mg daily
B. Schedule 2-week supportive counseling follow-up - CORRECT
C. Immediate psychiatric hospitalization
D. Order thyroid panel only
ANSWER: B
Q004: A family of four presents for therapy. The identified patient is an 8-year-old
with encopresis. Parents argue about discipline and often contradict each other.
Which family therapy model focuses on hierarchical structure and boundaries?
Options:
A. Cognitive-Behavioral Family Therapy
B. Structural Family Therapy - CORRECT
C. Solution-Focused Therapy
D. Narrative Therapy
ANSWER: B
Q005: A 6-year-old girl with autism spectrum disorder repeats phrases and has
difficulty with transitions. Parents ask about medication. Which pharmacologic
class has the strongest evidence for irritability in ASD?
Options:
A. Selective serotonin reuptake inhibitors
B. Atypical antipsychotics (e.g., risperidone) - CORRECT
, 3
C. Stimulants
D. Alpha-2 agonists
ANSWER: B
Q006: A 17-year-old female reports 4 weeks of insomnia, weight loss, and
increased energy, sleeping 3 hours nightly, talking rapidly, and starting three new
clubs. She denies substance use. Which diagnosis should be ruled out first?
Options:
A. Major depressive disorder
B. Bipolar I disorder - CORRECT
C. Generalized anxiety disorder
D. Borderline personality disorder
ANSWER: B
Q007: A father of a 14-year-old with major depression asks about family
psychoeducation. Which component is most effective in reducing relapse?
Options:
A. Teaching family to ignore mood symptoms
B. Recognizing early warning signs and crisis planning - CORRECT
C. Assigning blame for family dysfunction
D. Restricting adolescent autonomy
ANSWER: B
Q008: A 10-year-old boy on methylphenidate 10 mg BID for ADHD develops
weight loss of 2 kg and difficulty sleeping. Growth velocity is normal. Which
initial adjustment is appropriate?
Options:
A. Discontinue stimulant immediately
B. Switch to evening dose only
NU 664C / NU664C Final Exam Actual
Exam 2026/2027 | Family Psychiatric
Mental Health I | Regis | Questions
with Verified Answers | 100% Correct |
Pass Guaranteed
Q001: A 12-year-old boy is brought to clinic for disruptive behavior in school. His
mother reports he argues with teachers and refuses homework. Teachers’
questionnaires show similar behaviors for 6 months, no impairment in social
activities. Which diagnosis is most likely?
Options:
A. Conduct Disorder
B. Oppositional Defiant Disorder - CORRECT
C. Attention-Deficit/Hyperactivity Disorder
D. Adjustment Disorder
ANSWER: B
Q002: A mother of a 9-year-old girl with ADHD asks about behavioral strategies.
The child interrupts and leaves seat during homework. Which first-line parent-
training approach is evidence-based?
Options:
A. Time-out for 1 hour
B. Differential attention and token economy - CORRECT
C. Strict physical punishment
, 2
D. Unrestricted screen time as reward
ANSWER: B
Q003: A 15-year-old male reports 3 weeks of depressed mood, anhedonia, fatigue,
and weight loss after romantic breakup. He denies suicidal ideation, has intact
school performance. Which initial intervention is appropriate?
Options:
A. Start fluoxetine 20 mg daily
B. Schedule 2-week supportive counseling follow-up - CORRECT
C. Immediate psychiatric hospitalization
D. Order thyroid panel only
ANSWER: B
Q004: A family of four presents for therapy. The identified patient is an 8-year-old
with encopresis. Parents argue about discipline and often contradict each other.
Which family therapy model focuses on hierarchical structure and boundaries?
Options:
A. Cognitive-Behavioral Family Therapy
B. Structural Family Therapy - CORRECT
C. Solution-Focused Therapy
D. Narrative Therapy
ANSWER: B
Q005: A 6-year-old girl with autism spectrum disorder repeats phrases and has
difficulty with transitions. Parents ask about medication. Which pharmacologic
class has the strongest evidence for irritability in ASD?
Options:
A. Selective serotonin reuptake inhibitors
B. Atypical antipsychotics (e.g., risperidone) - CORRECT
, 3
C. Stimulants
D. Alpha-2 agonists
ANSWER: B
Q006: A 17-year-old female reports 4 weeks of insomnia, weight loss, and
increased energy, sleeping 3 hours nightly, talking rapidly, and starting three new
clubs. She denies substance use. Which diagnosis should be ruled out first?
Options:
A. Major depressive disorder
B. Bipolar I disorder - CORRECT
C. Generalized anxiety disorder
D. Borderline personality disorder
ANSWER: B
Q007: A father of a 14-year-old with major depression asks about family
psychoeducation. Which component is most effective in reducing relapse?
Options:
A. Teaching family to ignore mood symptoms
B. Recognizing early warning signs and crisis planning - CORRECT
C. Assigning blame for family dysfunction
D. Restricting adolescent autonomy
ANSWER: B
Q008: A 10-year-old boy on methylphenidate 10 mg BID for ADHD develops
weight loss of 2 kg and difficulty sleeping. Growth velocity is normal. Which
initial adjustment is appropriate?
Options:
A. Discontinue stimulant immediately
B. Switch to evening dose only
