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NU 664 MID TERM EXAM REGIS COLLEGE LATEST
VERSION SPECIFIC TO 2025-26 REAL EXAM
Question 1. A 35-year-old man diagnosed with bipolar disorder mentions to his
PMHNP that he had felt a lump on his left testicle. He is concerned he has not had
a physical exam in 10 years. What is the best action by the PMHNP?
a. Perform a urogenital exam and order an ultrasound.
b. Explore the reason for not having had a physical in so long.
c. Refer him to his primary care provider.
d. Refer him to urology.
Question 2. A 48-year-old divorced Caucasian woman is admitted to the inpatient
psychiatric unit after a serious suicide attempt by overdosing on acetaminophen.
She has been admitted seven times with similar presentations after failing
multiple treatments with antidepressants. She has been unable to work and has
lost interest in all activities she once enjoyed. For the last 2 weeks she has had
increased sleep latency, early morning awakening, fatigue, hopelessness, and
poor appetite. Which of the following factors would make the PMHNP
recommend electroconvulsive therapy (ECT) in lieu of other medication trials?
a. Poor adherence with medications
b. History of bipolar illness
c. Melancholic depression with a history of poor response to medications
d. Persistent depression with psychotic symptoms.
Question 3. A patient is requesting the PMHNP to complete his disability
application for schizophrenia because he got fired for disruptive behavior. He
states the constant voices ask him questions and interfere with his sleep, so he
has started smoking marijuana to help him relax. Which of the following
statements is true regarding auditory hallucinations.
a. Auditory hallucinations coincide with a delusion.
,2
b. Auditory hallucinations are contrary to delusion.
c. Auditory hallucinations are constant in nature.
d. Auditory hallucinations usually ask the patients questions.
Question 4. A patient with co-occurring major depression, PTSD and early
morning awakening is likely to have which of the following hormonal states
accounting for this symptom?
a. Elevated testosterone
b. Elevated cortisol
c. Elevated catecholamine
d. Decreased cortisol.
Question 5. A systematic inquiry that elaborates on the chief complaint while
eliciting pertinent positive and pertinent negative factors from the history is
known as which of the following.
a. The mental status exam
b. Review of system
c. Physical exam
d. Diagnostic formulation
Question 6: A tool for suicide assessment call Suicide Safe App includes key
features such as patient and provider education materials. SAMHSA’s behavioral
health treatment services locator, interactive sample cases, and conversation
starters. Suicide Safe App is based on SAMHSA’s which of the following?
a. SAFE-T Card
b. Suicide-C App
c. U.S. Prevention and Safety Tool
d. Samaritan’s Link
Question 7: A trauma-informed approach reflects adherence to six key principles
rather than a prescribed set of practices or procedures. These principles may be
generalizable across multiple types of settings, although terminology and
application may be setting or sector specific. What are the six key principles of a
trauma-informed approach?
, 3
a. Safety, Trustworthiness and Transparency, Peer Support, Collaborations and
Mutuality, Empowerment, Voice, and choice, Cultural, Historical and
Gender Issues.
b. Empowerment, Empathy, Effectiveness, Excellence, English, and Elements
c. Trust, Willingness, Collaboration, Fun, language, and Body
d. Safety, Activity, Harm-reduction, Choice, Openness, and Affirming.
Question 8. Any court of law that evaluates the standard of care provided by a
PMHNP.
a. Compares the actions of the standard of care provided by a psychiatrist.
b. Considers what a reasonably prudent healthcare provider would do.
c. Evaluates patient satisfactions data.
d. Reviews the nurse practitioner’s charts for similar patients.
e. All of the answers.
Question 9. Feelings countertransference is which of the following?
a. Are rarely based on the nurse practitioner’s expectations.
b. Never occur if the patient is emotionally controlled.
c. Are always detrimental to creating good rapport.
d. Can accentuate a patient’s hostility.
Question 10. If there’s an early disturbance in attachment, it has a wide-ranging
effect and that’s why people with borderline personality disorder (BPD) have a
number of co-occurring disorders. What are the most common co-occurring
disorders with BPD?
a. ADHD, substance use disorders, impulse control disorders, mood disorders,
and anxiety disorders.
b. OCD, alcohol use disorder, hoarding disorder.
c. ADHD, intermittent explosive disorder
d. Anxiety disorders, encopresis. OCD, gambling disorder.
Question 11: Laboratory findings for a patient with an alcohol use disorder
indicate increased liver function values and which of the following?
NU 664 MID TERM EXAM REGIS COLLEGE LATEST
VERSION SPECIFIC TO 2025-26 REAL EXAM
Question 1. A 35-year-old man diagnosed with bipolar disorder mentions to his
PMHNP that he had felt a lump on his left testicle. He is concerned he has not had
a physical exam in 10 years. What is the best action by the PMHNP?
a. Perform a urogenital exam and order an ultrasound.
b. Explore the reason for not having had a physical in so long.
c. Refer him to his primary care provider.
d. Refer him to urology.
Question 2. A 48-year-old divorced Caucasian woman is admitted to the inpatient
psychiatric unit after a serious suicide attempt by overdosing on acetaminophen.
She has been admitted seven times with similar presentations after failing
multiple treatments with antidepressants. She has been unable to work and has
lost interest in all activities she once enjoyed. For the last 2 weeks she has had
increased sleep latency, early morning awakening, fatigue, hopelessness, and
poor appetite. Which of the following factors would make the PMHNP
recommend electroconvulsive therapy (ECT) in lieu of other medication trials?
a. Poor adherence with medications
b. History of bipolar illness
c. Melancholic depression with a history of poor response to medications
d. Persistent depression with psychotic symptoms.
Question 3. A patient is requesting the PMHNP to complete his disability
application for schizophrenia because he got fired for disruptive behavior. He
states the constant voices ask him questions and interfere with his sleep, so he
has started smoking marijuana to help him relax. Which of the following
statements is true regarding auditory hallucinations.
a. Auditory hallucinations coincide with a delusion.
,2
b. Auditory hallucinations are contrary to delusion.
c. Auditory hallucinations are constant in nature.
d. Auditory hallucinations usually ask the patients questions.
Question 4. A patient with co-occurring major depression, PTSD and early
morning awakening is likely to have which of the following hormonal states
accounting for this symptom?
a. Elevated testosterone
b. Elevated cortisol
c. Elevated catecholamine
d. Decreased cortisol.
Question 5. A systematic inquiry that elaborates on the chief complaint while
eliciting pertinent positive and pertinent negative factors from the history is
known as which of the following.
a. The mental status exam
b. Review of system
c. Physical exam
d. Diagnostic formulation
Question 6: A tool for suicide assessment call Suicide Safe App includes key
features such as patient and provider education materials. SAMHSA’s behavioral
health treatment services locator, interactive sample cases, and conversation
starters. Suicide Safe App is based on SAMHSA’s which of the following?
a. SAFE-T Card
b. Suicide-C App
c. U.S. Prevention and Safety Tool
d. Samaritan’s Link
Question 7: A trauma-informed approach reflects adherence to six key principles
rather than a prescribed set of practices or procedures. These principles may be
generalizable across multiple types of settings, although terminology and
application may be setting or sector specific. What are the six key principles of a
trauma-informed approach?
, 3
a. Safety, Trustworthiness and Transparency, Peer Support, Collaborations and
Mutuality, Empowerment, Voice, and choice, Cultural, Historical and
Gender Issues.
b. Empowerment, Empathy, Effectiveness, Excellence, English, and Elements
c. Trust, Willingness, Collaboration, Fun, language, and Body
d. Safety, Activity, Harm-reduction, Choice, Openness, and Affirming.
Question 8. Any court of law that evaluates the standard of care provided by a
PMHNP.
a. Compares the actions of the standard of care provided by a psychiatrist.
b. Considers what a reasonably prudent healthcare provider would do.
c. Evaluates patient satisfactions data.
d. Reviews the nurse practitioner’s charts for similar patients.
e. All of the answers.
Question 9. Feelings countertransference is which of the following?
a. Are rarely based on the nurse practitioner’s expectations.
b. Never occur if the patient is emotionally controlled.
c. Are always detrimental to creating good rapport.
d. Can accentuate a patient’s hostility.
Question 10. If there’s an early disturbance in attachment, it has a wide-ranging
effect and that’s why people with borderline personality disorder (BPD) have a
number of co-occurring disorders. What are the most common co-occurring
disorders with BPD?
a. ADHD, substance use disorders, impulse control disorders, mood disorders,
and anxiety disorders.
b. OCD, alcohol use disorder, hoarding disorder.
c. ADHD, intermittent explosive disorder
d. Anxiety disorders, encopresis. OCD, gambling disorder.
Question 11: Laboratory findings for a patient with an alcohol use disorder
indicate increased liver function values and which of the following?
