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 42-year-old mother presents with severe anxiety following her 16-year-
old daughter's recent suicide attempt. The mother reports feeling responsible,
constantly checking on her daughter, and unable to sleep. Family assessment
reveals enmeshed boundaries, with the mother having difficulty separating her own
emotional state from her daughter's. According to structural family therapy
principles, which intervention should the psychiatric-mental health nurse
practitioner prioritize to promote healthier family functioning?
Options:
A. Encourage the mother to spend more time monitoring her daughter's activities to
ensure safety
B. Strengthen the parental subsystem by coaching the mother and father to present
a united front with consistent boundaries
C. Focus exclusively on the daughter's individual therapy without addressing
family dynamics
D. Advise the mother to suppress her anxiety to avoid burdening her daughter
further
ANSWER: B
Q002: The Henderson family presents for therapy with their 8-year-old son who
has been diagnosed with Oppositional Defiant Disorder. Assessment reveals a
permissive parenting style, inconsistent discipline between parents, and high levels
of marital conflict that the child witnesses. The PMHNP is implementing Parent
Management Training (PMT). Which initial intervention is most evidence-based
for this family system?
Options:
, 2
A. Begin teaching the child anger management techniques in individual sessions
B. Prescribe stimulant medication for the child's defiant behaviors
C. Establish consistent behavioral expectations and a token economy system with
both parents actively participating
D. Focus therapy on resolving the parents' marital issues before addressing the
child's behaviors
ANSWER: C
Q003: A 15-year-old transgender male (assigned female at birth) presents with
depressive symptoms and family conflict. His parents report confusion about his
gender identity and have been using his deadname. The adolescent has begun self-
harming. Which family-based intervention best aligns with affirmative care
principles and current practice standards?
Options:
A. Recommend family therapy focused on helping the adolescent accept their
assigned gender at birth
B. Connect the family with family-based gender-affirming therapy and
psychoeducation about gender identity development
C. Focus exclusively on the adolescent's self-harm without addressing family
dynamics
D. Suggest the family limit discussions about gender to avoid further conflict
ANSWER: B
Q004: The Martinez family includes a 72-year-old grandmother with vascular
dementia, her daughter who is the primary caregiver, and two adolescent
grandchildren living in the home. The caregiver daughter presents with caregiver
burnout, depressive symptoms, and reports family conflict about care
responsibilities. Which assessment tool specifically measures family caregiver
burden and should be prioritized?
Options:
, 3
A. Beck Depression Inventory-II
B. Zarit Burden Interview
C. Generalized Anxiety Disorder-7
D. Columbia Suicide Severity Rating Scale
ANSWER: B
Q005: A 35-year-old father with bipolar I disorder is in the maintenance phase of
treatment with lithium. His wife reports concerns about his medication adherence
and wants to know how she can help. The couple has two young children.
Regarding family-focused psychoeducation, which teaching point is most critical
for the wife to understand?
Options:
A. She should hide his medication to prevent overdose during manic episodes
B. She should learn to recognize early warning signs of relapse and develop a
family action plan
C. She should manage all medication administration to ensure compliance
D. She should avoid discussing the diagnosis with the children to prevent stigma
ANSWER: B
Q006: A 19-year-old college freshman with a history of ADHD (combined
presentation) returns home for winter break. Family reports he seems "different"—
disorganized, talking rapidly, and sleeping only 3-4 hours nightly but functioning
well. Parents question if his stimulant medication is causing this change. Mental
status exam reveals pressured speech, elevated mood, and grandiose ideas. Which
diagnostic consideration should the PMHNP prioritize given the new symptom
presentation?
Options:
A. Stimulant side effects requiring dose reduction
B. Emerging bipolar disorder versus ADHD symptom exacerbation
C. Cannabis-induced psychotic disorder
, 4
D. Personality disorder trait specified
ANSWER: B
Q007: The Johnson family presents after their 6-year-old son was diagnosed with
Autism Spectrum Disorder Level 2. Parents are overwhelmed by behavioral
challenges and disagree on intervention approaches. Mother favors intensive ABA
therapy; father wants to "let him be himself." Using a family systems lens, which
intervention addresses the parental subsystem dysfunction?
Options:
A. Immediately refer the child to ABA therapy without further family discussion
B. Mediate the parental disagreement by exploring values, fears, and developing a
unified intervention plan
C. Support the father's perspective to avoid pathologizing the child
D. Recommend separate therapies for each parent's preference
ANSWER: B
Q008: A 28-year-old mother postpartum 8 weeks presents with intrusive thoughts
about harming her infant, severe anxiety, and insomnia. She has isolated herself
from family supports due to shame. Her husband is concerned but unsure how to
help. The infant is thriving. Which diagnosis and family-based intervention pair is
most appropriate?
Options:
A. Postpartum psychosis requiring immediate psychiatric hospitalization without
family involvement
B. Postpartum OCD with family psychoeducation about symptom nature and
rebuilding support system
C. Postpartum blues with watchful waiting
D. Generalized anxiety disorder with individual therapy only
ANSWER: B
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 42-year-old mother presents with severe anxiety following her 16-year-
old daughter's recent suicide attempt. The mother reports feeling responsible,
constantly checking on her daughter, and unable to sleep. Family assessment
reveals enmeshed boundaries, with the mother having difficulty separating her own
emotional state from her daughter's. According to structural family therapy
principles, which intervention should the psychiatric-mental health nurse
practitioner prioritize to promote healthier family functioning?
Options:
A. Encourage the mother to spend more time monitoring her daughter's activities to
ensure safety
B. Strengthen the parental subsystem by coaching the mother and father to present
a united front with consistent boundaries
C. Focus exclusively on the daughter's individual therapy without addressing
family dynamics
D. Advise the mother to suppress her anxiety to avoid burdening her daughter
further
ANSWER: B
Q002: The Henderson family presents for therapy with their 8-year-old son who
has been diagnosed with Oppositional Defiant Disorder. Assessment reveals a
permissive parenting style, inconsistent discipline between parents, and high levels
of marital conflict that the child witnesses. The PMHNP is implementing Parent
Management Training (PMT). Which initial intervention is most evidence-based
for this family system?
Options:
, 2
A. Begin teaching the child anger management techniques in individual sessions
B. Prescribe stimulant medication for the child's defiant behaviors
C. Establish consistent behavioral expectations and a token economy system with
both parents actively participating
D. Focus therapy on resolving the parents' marital issues before addressing the
child's behaviors
ANSWER: C
Q003: A 15-year-old transgender male (assigned female at birth) presents with
depressive symptoms and family conflict. His parents report confusion about his
gender identity and have been using his deadname. The adolescent has begun self-
harming. Which family-based intervention best aligns with affirmative care
principles and current practice standards?
Options:
A. Recommend family therapy focused on helping the adolescent accept their
assigned gender at birth
B. Connect the family with family-based gender-affirming therapy and
psychoeducation about gender identity development
C. Focus exclusively on the adolescent's self-harm without addressing family
dynamics
D. Suggest the family limit discussions about gender to avoid further conflict
ANSWER: B
Q004: The Martinez family includes a 72-year-old grandmother with vascular
dementia, her daughter who is the primary caregiver, and two adolescent
grandchildren living in the home. The caregiver daughter presents with caregiver
burnout, depressive symptoms, and reports family conflict about care
responsibilities. Which assessment tool specifically measures family caregiver
burden and should be prioritized?
Options:
, 3
A. Beck Depression Inventory-II
B. Zarit Burden Interview
C. Generalized Anxiety Disorder-7
D. Columbia Suicide Severity Rating Scale
ANSWER: B
Q005: A 35-year-old father with bipolar I disorder is in the maintenance phase of
treatment with lithium. His wife reports concerns about his medication adherence
and wants to know how she can help. The couple has two young children.
Regarding family-focused psychoeducation, which teaching point is most critical
for the wife to understand?
Options:
A. She should hide his medication to prevent overdose during manic episodes
B. She should learn to recognize early warning signs of relapse and develop a
family action plan
C. She should manage all medication administration to ensure compliance
D. She should avoid discussing the diagnosis with the children to prevent stigma
ANSWER: B
Q006: A 19-year-old college freshman with a history of ADHD (combined
presentation) returns home for winter break. Family reports he seems "different"—
disorganized, talking rapidly, and sleeping only 3-4 hours nightly but functioning
well. Parents question if his stimulant medication is causing this change. Mental
status exam reveals pressured speech, elevated mood, and grandiose ideas. Which
diagnostic consideration should the PMHNP prioritize given the new symptom
presentation?
Options:
A. Stimulant side effects requiring dose reduction
B. Emerging bipolar disorder versus ADHD symptom exacerbation
C. Cannabis-induced psychotic disorder
, 4
D. Personality disorder trait specified
ANSWER: B
Q007: The Johnson family presents after their 6-year-old son was diagnosed with
Autism Spectrum Disorder Level 2. Parents are overwhelmed by behavioral
challenges and disagree on intervention approaches. Mother favors intensive ABA
therapy; father wants to "let him be himself." Using a family systems lens, which
intervention addresses the parental subsystem dysfunction?
Options:
A. Immediately refer the child to ABA therapy without further family discussion
B. Mediate the parental disagreement by exploring values, fears, and developing a
unified intervention plan
C. Support the father's perspective to avoid pathologizing the child
D. Recommend separate therapies for each parent's preference
ANSWER: B
Q008: A 28-year-old mother postpartum 8 weeks presents with intrusive thoughts
about harming her infant, severe anxiety, and insomnia. She has isolated herself
from family supports due to shame. Her husband is concerned but unsure how to
help. The infant is thriving. Which diagnosis and family-based intervention pair is
most appropriate?
Options:
A. Postpartum psychosis requiring immediate psychiatric hospitalization without
family involvement
B. Postpartum OCD with family psychoeducation about symptom nature and
rebuilding support system
C. Postpartum blues with watchful waiting
D. Generalized anxiety disorder with individual therapy only
ANSWER: B
