CMN 552 – Psychiatric Mental Health
Nursing | Exam 1 | Complete Exam
Review and Practice Questions
Introduction:
This document contains comprehensive exam review notes and
practice questions with correct answers for CMN 552 Exam 1.
It covers anxiety disorders, mood disorders, bipolar disorders,
sleep disorders, eating disorders, PTSD, dissociative disorders,
pediatric mood disorders, and pharmacological management
including SSRIs, SNRIs, TCAs, mood stabilizers,
benzodiazepines, and antipsychotics.
The material includes diagnostic criteria (DSM-based),
medication mechanisms of action, side effects, treatment
algorithms, differential diagnoses, and key mnemonics such as
SIGECAPS and DIGFAST. It is structured as question-and-
answer format to support exam preparation and rapid content
review.
Exam Questions and Detailed Answers:
Pam a 26 year old college students presents with s/s of anxiety
attacks lasting 10-20 min with diaphoresis, palpitations
palpitations, tremor, dizziness and inability to
,concentrate at school. The PMHNP has diagnosed her w/ panic
disorder without
agoraphobia. What medication will the PMHNP consider for
Pamela?
A.Clonazepam
B.Bupropion
C.Lithium
D. Fluoxetine ---Correct Precise Answer---D fluoxetine
George, a patient with PTSD presents to the outpatient clinic
today w/ reports of middle
insomnia secondary to increased nightmares. The PMHNP
knows that this class of
medication is used specifically to treat these symptoms.
A. Benzodiazepines
B. Beta blockers
C. SSRIs
D. Alpha blockers ---Correct Precise Answer---D alpha blocker
What class of drugs are commonly used in OTC sleep aids?
A. Antihistamine
,B. Beta blockers
C. Benzodiazepines
D. NMDA antagonists ---Correct Precise Answer---A
antihistamine
why give SSRI rather than rapid acting ---Correct Precise
Answer---longer duration
average ssri half life ---Correct Precise Answer---2 weeks is
wash out period
fluoxetine is longer 4-5 weeks
if pt is on 200 mg Zoloft with mdd and 2 ssri ---Correct Precise
Answer---this is max dose
try 2nd gen antipsycho
watch for serotonin syndrome
Paxil and effexor ---Correct Precise Answer---shorter half life
pt made pt gain 40 bs and wants to stop med ---Correct
Precise Answer---wean off to prevent d/c s/s
, the shorter the half life ---Correct Precise Answer---more
sever s/s
hypertensive crisis ---Correct Precise Answer---always have
Procardia
30 yo male with OCD, MDD started on fluoxetine low dose and
does not feel meds are
working. ---Correct Precise Answer---increase to max dose
dementia pt with increased s/s at night, wandering, poor
sleep, sleep during day ---Correct Precise Answer---trazodone
26 yr college student with panic disorder without agoraphobia
---Correct Precise Answer---try fluoxetine
ocd class with high doses ---Correct Precise Answer---ssri
33 yo male with gad starts prozac 1 week ago complain of
worse s/s ---Correct Precise Answer---continue and add
alprazolam due to need 4-6 week before improvement on ssri
Nursing | Exam 1 | Complete Exam
Review and Practice Questions
Introduction:
This document contains comprehensive exam review notes and
practice questions with correct answers for CMN 552 Exam 1.
It covers anxiety disorders, mood disorders, bipolar disorders,
sleep disorders, eating disorders, PTSD, dissociative disorders,
pediatric mood disorders, and pharmacological management
including SSRIs, SNRIs, TCAs, mood stabilizers,
benzodiazepines, and antipsychotics.
The material includes diagnostic criteria (DSM-based),
medication mechanisms of action, side effects, treatment
algorithms, differential diagnoses, and key mnemonics such as
SIGECAPS and DIGFAST. It is structured as question-and-
answer format to support exam preparation and rapid content
review.
Exam Questions and Detailed Answers:
Pam a 26 year old college students presents with s/s of anxiety
attacks lasting 10-20 min with diaphoresis, palpitations
palpitations, tremor, dizziness and inability to
,concentrate at school. The PMHNP has diagnosed her w/ panic
disorder without
agoraphobia. What medication will the PMHNP consider for
Pamela?
A.Clonazepam
B.Bupropion
C.Lithium
D. Fluoxetine ---Correct Precise Answer---D fluoxetine
George, a patient with PTSD presents to the outpatient clinic
today w/ reports of middle
insomnia secondary to increased nightmares. The PMHNP
knows that this class of
medication is used specifically to treat these symptoms.
A. Benzodiazepines
B. Beta blockers
C. SSRIs
D. Alpha blockers ---Correct Precise Answer---D alpha blocker
What class of drugs are commonly used in OTC sleep aids?
A. Antihistamine
,B. Beta blockers
C. Benzodiazepines
D. NMDA antagonists ---Correct Precise Answer---A
antihistamine
why give SSRI rather than rapid acting ---Correct Precise
Answer---longer duration
average ssri half life ---Correct Precise Answer---2 weeks is
wash out period
fluoxetine is longer 4-5 weeks
if pt is on 200 mg Zoloft with mdd and 2 ssri ---Correct Precise
Answer---this is max dose
try 2nd gen antipsycho
watch for serotonin syndrome
Paxil and effexor ---Correct Precise Answer---shorter half life
pt made pt gain 40 bs and wants to stop med ---Correct
Precise Answer---wean off to prevent d/c s/s
, the shorter the half life ---Correct Precise Answer---more
sever s/s
hypertensive crisis ---Correct Precise Answer---always have
Procardia
30 yo male with OCD, MDD started on fluoxetine low dose and
does not feel meds are
working. ---Correct Precise Answer---increase to max dose
dementia pt with increased s/s at night, wandering, poor
sleep, sleep during day ---Correct Precise Answer---trazodone
26 yr college student with panic disorder without agoraphobia
---Correct Precise Answer---try fluoxetine
ocd class with high doses ---Correct Precise Answer---ssri
33 yo male with gad starts prozac 1 week ago complain of
worse s/s ---Correct Precise Answer---continue and add
alprazolam due to need 4-6 week before improvement on ssri
