NRNP 6675 MIDTERM EXAM UPDATED
2026/NRNP6675 WEEK 6 MIDTERM | ALL
100 QUESTIONS AND VERIFIED ANSWERS||
BRAND NEW!
1. The primary goal of psychiatric mental health nursing is to:
Answer: Promote mental health and prevent mental illness
Rationale: PMHNP practice focuses on prevention, treatment, and recovery.
2. Which model emphasizes biological causes of mental illness?
Answer: Medical model
Rationale: Focuses on neurochemistry, genetics, and pharmacologic treatment.
3. Evidence-based practice integrates:
Answer: Research evidence, clinical expertise, and patient preferences
Rationale: All three are required for best outcomes.
4. Recovery-oriented care emphasizes:
Answer: Patient empowerment and functional improvement
Rationale: Recovery is individualized and not symptom-only focused.
5. Therapeutic use of self requires the PMHNP to:
Answer: Be self-aware and intentional in interactions
Rationale: Self-awareness prevents countertransference.
,SECTION 2: Neurobiology & Psychopharmacology Basics
6. Which neurotransmitter is most associated with depression?
Answer: Serotonin
Rationale: Low serotonin levels are linked to depressive symptoms.
7. Dopamine dysregulation is most closely linked to:
Answer: Schizophrenia
Rationale: Excess dopamine in mesolimbic pathways causes positive symptoms.
8. SSRIs primarily increase which neurotransmitter?
Answer: Serotonin
Rationale: They block serotonin reuptake.
9. Which brain structure regulates emotions and memory?
Answer: Limbic system
Rationale: Includes amygdala and hippocampus.
10. The hypothalamic-pituitary-adrenal (HPA) axis is involved in:
Answer: Stress response
Rationale: Dysregulation contributes to mood and anxiety disorders.
SECTION 3: Psychiatric Assessment & Diagnosis
11. The gold standard for psychiatric diagnosis is:
Answer: DSM-5-TR
Rationale: Used for standardized diagnosis.
, 12. A mental status exam assesses all EXCEPT:
Answer: Laboratory values
Rationale: MSE evaluates appearance, mood, cognition, etc.
13. Which finding suggests mania?
Answer: Decreased need for sleep
Rationale: Core symptom of manic episodes.
14. Thought blocking is most associated with:
Answer: Schizophrenia
Rationale: Interruption in thought flow.
15. A client reporting “voices commenting on my behavior” is experiencing:
Answer: Auditory hallucinations
Rationale: Hallucinations are sensory perceptions without stimuli.
SECTION 4: Mood Disorders
16. Major depressive disorder requires symptoms for at least:
Answer: 2 weeks
Rationale: DSM-5-TR diagnostic criteria.
17. Bipolar I disorder includes:
Answer: At least one manic episode
Rationale: Depression is not required for diagnosis.
2026/NRNP6675 WEEK 6 MIDTERM | ALL
100 QUESTIONS AND VERIFIED ANSWERS||
BRAND NEW!
1. The primary goal of psychiatric mental health nursing is to:
Answer: Promote mental health and prevent mental illness
Rationale: PMHNP practice focuses on prevention, treatment, and recovery.
2. Which model emphasizes biological causes of mental illness?
Answer: Medical model
Rationale: Focuses on neurochemistry, genetics, and pharmacologic treatment.
3. Evidence-based practice integrates:
Answer: Research evidence, clinical expertise, and patient preferences
Rationale: All three are required for best outcomes.
4. Recovery-oriented care emphasizes:
Answer: Patient empowerment and functional improvement
Rationale: Recovery is individualized and not symptom-only focused.
5. Therapeutic use of self requires the PMHNP to:
Answer: Be self-aware and intentional in interactions
Rationale: Self-awareness prevents countertransference.
,SECTION 2: Neurobiology & Psychopharmacology Basics
6. Which neurotransmitter is most associated with depression?
Answer: Serotonin
Rationale: Low serotonin levels are linked to depressive symptoms.
7. Dopamine dysregulation is most closely linked to:
Answer: Schizophrenia
Rationale: Excess dopamine in mesolimbic pathways causes positive symptoms.
8. SSRIs primarily increase which neurotransmitter?
Answer: Serotonin
Rationale: They block serotonin reuptake.
9. Which brain structure regulates emotions and memory?
Answer: Limbic system
Rationale: Includes amygdala and hippocampus.
10. The hypothalamic-pituitary-adrenal (HPA) axis is involved in:
Answer: Stress response
Rationale: Dysregulation contributes to mood and anxiety disorders.
SECTION 3: Psychiatric Assessment & Diagnosis
11. The gold standard for psychiatric diagnosis is:
Answer: DSM-5-TR
Rationale: Used for standardized diagnosis.
, 12. A mental status exam assesses all EXCEPT:
Answer: Laboratory values
Rationale: MSE evaluates appearance, mood, cognition, etc.
13. Which finding suggests mania?
Answer: Decreased need for sleep
Rationale: Core symptom of manic episodes.
14. Thought blocking is most associated with:
Answer: Schizophrenia
Rationale: Interruption in thought flow.
15. A client reporting “voices commenting on my behavior” is experiencing:
Answer: Auditory hallucinations
Rationale: Hallucinations are sensory perceptions without stimuli.
SECTION 4: Mood Disorders
16. Major depressive disorder requires symptoms for at least:
Answer: 2 weeks
Rationale: DSM-5-TR diagnostic criteria.
17. Bipolar I disorder includes:
Answer: At least one manic episode
Rationale: Depression is not required for diagnosis.
