NU 673 FINAL EXAM REVIEW LATEST 2026 GRADED A+.
Chapter 5
Which of the following statements is true concerning mental health disorders in primary care?
a) Alcohol and substance abuse are not considered mental health disorders.
b) Somatic symptom disorder (DSM‐5) is distinctly uncommon in this setting and
constitutes less than 5% of these disorders.
c) Mood disorders make up ~25% of all diagnoses.
d) The prevalence for mental disorders is estimated to be ~10%, of which only 25% arenot
diagnosed.
e) Anxiety disorders are the most prevalent of all diagnoses in this setting.
c) Mood disorders make up ~25% of all diagnoses.
Mood disorders make up ~25% of all diagnoses. Mental health disorders of
various types ranging from major mental illness to personality disorders
are very common diagnoses encountered in primary health care.
Approximately 20% of primary care patients are thought to suffer from
mental disorders, of which 50%-75% goes undetected. Somatoform
disorders are relatively common in the range of 10%-15%, while alcohol
and substance abuse are important contributors to patient dysfunction
and are considered under the broad designation of mental health
disorders
Which of the following complaints/findings is considered to be a patient identifier for mental
health screening?
a) High use of health services due to chronic unstable medical diagnoses
b) Acute pain syndromes of 10 days' duration that require opiates for relief
c) A patient with type I diabetes and neuropathic pain
d) Symptoms lasting for >2 weeks
e) Substance abuse
e) Substance abuse
The answer is substance abuse. High use of health services in an
unstable patient is frequently indicated; however, it is those without
demonstrable problems that may require further evaluation, that is,
mental health screening. Symptoms of a more chronic nature, namely 6
weeks, might warrant referral, but not 2 weeks. Acute pain should be
managed in the context of the patient presentation, and type I
diabetics frequently suffer from difficult to manage neuropathic pain,
which is not easily treated but medically based and well‐described
clinically.
, NU 673 FINAL EXAM REVIEW LATEST 2026 GRADED A+.
The CAGE questionnaire is a short screening examination administered in the office to evaluate
for which of the following?
a) Bipolar disorder
b) Risk for illicit substance abuse
c) Alcohol misuse
d) Major depressive disorder
e) Likelihood that the patient complaints are "psychosomatic"
c) Alcohol misuse
The CAGE questionnaire was developed to identify alcohol abuse. It
comprises questions concerning Cutting down, Annoyance, Guilty
feelings, and Eye‐openers. Although many patients may have dual
diagnoses or multiple substances that they abuse, it has been validated
, NU 673 FINAL EXAM REVIEW LATEST 2026 GRADED A+.
as an effective tool in initial screening for alcohol abuse. A separate less
widely used test is the Drug Abuse Screening Test (DAST) that focuses
on non‐alcohol-related substance abuse. Although alcohol abuse can be
seen in association with major depression, psychosomatic, and bipolar
disorders, the CAGE questionnaire is not diagnostic of any of these
conditions.
"Instability in interpersonal relations, self‐image, and affective regulation; impulsivity" describes
which personality disorder?
a) Antisocial personality
b) Avoidant personality
c) Histrionic personality
d) Narcissistic personality
e) Borderline personality
e) Borderline personality
The DSM‐5 is published by the American Psychiatric Association based
upon its professional definitions of mental disorders. Although at times
controversial, it is generally considered the authoritative publication in
the field. The example cited defines the borderline personality.
Although these persons may demonstrate some selected characteristics
of other disorders, this definition is the basis for the diagnosis. It is
important to remember that mental disorders as well as physical ones
may demonstrate substantial overlap making a definitive diagnosis
difficult. The incorrect answers all have specific criteria as set out by
the DSM‐5.
A 38‐year‐old accountant presents to the office with a series of generalized complaints. He
relates that he feels a loss of pleasure in daily activities, has difficulty sleeping, and is
experiencing problems making decisions. Which of the following best explains the patient's
presentation?
a) Histrionic personality
b) Antisocial personality
c) Substance abuse with anhedonia
d) Bipolar disorder in the early pre‐excitatory phase
e) Depression
e) Depression
, NU 673 FINAL EXAM REVIEW LATEST 2026 GRADED A+.
The complaints as presented are highly consistent with depression. It is
important to note that few patients will articulate that they feel
depressed. Rather, it is contingent upon the clinician to probe for more
information and keep an open mind coupled with an index of suspicion.
Because of the stigma associated with mental health problems, many
patients initially present with nonspecific complaints that point to a
nonmedical cause only with closer questioning. Anhedonia may be
associated with depression but tends to be milder in its symptoms. The
other entities demonstrate different complaints than those described
by this patient.
Concerning hallucinations, an abnormal perception experienced by a patient, which of the
following statements is true about this abnormality?
a) It may occur in association with a number of conditions including delirium and
dementia, posttraumatic stress disorder (PTSD), and schizophrenia.
Chapter 5
Which of the following statements is true concerning mental health disorders in primary care?
a) Alcohol and substance abuse are not considered mental health disorders.
b) Somatic symptom disorder (DSM‐5) is distinctly uncommon in this setting and
constitutes less than 5% of these disorders.
c) Mood disorders make up ~25% of all diagnoses.
d) The prevalence for mental disorders is estimated to be ~10%, of which only 25% arenot
diagnosed.
e) Anxiety disorders are the most prevalent of all diagnoses in this setting.
c) Mood disorders make up ~25% of all diagnoses.
Mood disorders make up ~25% of all diagnoses. Mental health disorders of
various types ranging from major mental illness to personality disorders
are very common diagnoses encountered in primary health care.
Approximately 20% of primary care patients are thought to suffer from
mental disorders, of which 50%-75% goes undetected. Somatoform
disorders are relatively common in the range of 10%-15%, while alcohol
and substance abuse are important contributors to patient dysfunction
and are considered under the broad designation of mental health
disorders
Which of the following complaints/findings is considered to be a patient identifier for mental
health screening?
a) High use of health services due to chronic unstable medical diagnoses
b) Acute pain syndromes of 10 days' duration that require opiates for relief
c) A patient with type I diabetes and neuropathic pain
d) Symptoms lasting for >2 weeks
e) Substance abuse
e) Substance abuse
The answer is substance abuse. High use of health services in an
unstable patient is frequently indicated; however, it is those without
demonstrable problems that may require further evaluation, that is,
mental health screening. Symptoms of a more chronic nature, namely 6
weeks, might warrant referral, but not 2 weeks. Acute pain should be
managed in the context of the patient presentation, and type I
diabetics frequently suffer from difficult to manage neuropathic pain,
which is not easily treated but medically based and well‐described
clinically.
, NU 673 FINAL EXAM REVIEW LATEST 2026 GRADED A+.
The CAGE questionnaire is a short screening examination administered in the office to evaluate
for which of the following?
a) Bipolar disorder
b) Risk for illicit substance abuse
c) Alcohol misuse
d) Major depressive disorder
e) Likelihood that the patient complaints are "psychosomatic"
c) Alcohol misuse
The CAGE questionnaire was developed to identify alcohol abuse. It
comprises questions concerning Cutting down, Annoyance, Guilty
feelings, and Eye‐openers. Although many patients may have dual
diagnoses or multiple substances that they abuse, it has been validated
, NU 673 FINAL EXAM REVIEW LATEST 2026 GRADED A+.
as an effective tool in initial screening for alcohol abuse. A separate less
widely used test is the Drug Abuse Screening Test (DAST) that focuses
on non‐alcohol-related substance abuse. Although alcohol abuse can be
seen in association with major depression, psychosomatic, and bipolar
disorders, the CAGE questionnaire is not diagnostic of any of these
conditions.
"Instability in interpersonal relations, self‐image, and affective regulation; impulsivity" describes
which personality disorder?
a) Antisocial personality
b) Avoidant personality
c) Histrionic personality
d) Narcissistic personality
e) Borderline personality
e) Borderline personality
The DSM‐5 is published by the American Psychiatric Association based
upon its professional definitions of mental disorders. Although at times
controversial, it is generally considered the authoritative publication in
the field. The example cited defines the borderline personality.
Although these persons may demonstrate some selected characteristics
of other disorders, this definition is the basis for the diagnosis. It is
important to remember that mental disorders as well as physical ones
may demonstrate substantial overlap making a definitive diagnosis
difficult. The incorrect answers all have specific criteria as set out by
the DSM‐5.
A 38‐year‐old accountant presents to the office with a series of generalized complaints. He
relates that he feels a loss of pleasure in daily activities, has difficulty sleeping, and is
experiencing problems making decisions. Which of the following best explains the patient's
presentation?
a) Histrionic personality
b) Antisocial personality
c) Substance abuse with anhedonia
d) Bipolar disorder in the early pre‐excitatory phase
e) Depression
e) Depression
, NU 673 FINAL EXAM REVIEW LATEST 2026 GRADED A+.
The complaints as presented are highly consistent with depression. It is
important to note that few patients will articulate that they feel
depressed. Rather, it is contingent upon the clinician to probe for more
information and keep an open mind coupled with an index of suspicion.
Because of the stigma associated with mental health problems, many
patients initially present with nonspecific complaints that point to a
nonmedical cause only with closer questioning. Anhedonia may be
associated with depression but tends to be milder in its symptoms. The
other entities demonstrate different complaints than those described
by this patient.
Concerning hallucinations, an abnormal perception experienced by a patient, which of the
following statements is true about this abnormality?
a) It may occur in association with a number of conditions including delirium and
dementia, posttraumatic stress disorder (PTSD), and schizophrenia.
