NU673 Midterm PMHNP – 200 Most Tested Questions &
100% Correct Answers | Latest Update 2026 | Nursing
Exam Prep
1. In a case where a patient shows significant cognitive deficits during
evaluation, what should be the next step in their treatment planning?
Refer the patient to a physical therapist.
Increase the frequency of therapy sessions without adjustments.
Develop a tailored treatment plan addressing the identified deficits.
Focus solely on medication management.
2. ______ refers to mental health providers basing what they do on research and
also demonstrating that treatments are effective.
Rational practice
Evidence-based practice
Decision-tree practice
Tested-solutions practice
3. Describe how functional and cognitive evaluations contribute to treatment
planning in mental health care.
They assess emotional responses to therapy.
They evaluate the patient's social interactions.
They measure the effectiveness of medication.
They provide insights into cognitive deficits that guide the
development of tailored treatment plans.
,4. Describe the significance of recognizing extrapyramidal symptoms in
patients treated with 1st generation antipsychotics.
EPS is a sign that the patient is responding well to therapy.
EPS indicates the effectiveness of the antipsychotic medication.
Recognizing EPS is crucial for adjusting treatment and ensuring
patient safety.
EPS should be ignored as it does not affect treatment outcomes.
5. How do open-ended questions facilitate the therapeutic process?
They allow clients to express their thoughts and feelings freely,
promoting deeper exploration of their issues.
They restrict the conversation to specific themes, making it easier for
the therapist to guide the session.
They help therapists to quickly diagnose the client's condition.
They encourage clients to focus on solutions rather than problems.
6. What are considered negative symptoms of schizophrenia?
apathy, withdrawal, and lack of motivation/pleasure
delusions and hallucinations
7. A student nurse was asked which of the following best describes dementia.
Which is the best answer?
A declining loss of cognitive abilities, eventually impairing the
ability to complete activities of daily living
Difficulty coping with physical and psychological change
Severe cognitive impairment that comes on extremely rapidly
An acute condition brought on by a medical condition
,8. Describe how excessive dopamine blockage contributes to the symptoms of
neuromalignant syndrome.
Excessive dopamine blockage causes increased appetite and weight
gain.
Excessive dopamine blockage leads to symptoms such as increased
muscle tone and agitation due to disrupted neurotransmission.
Excessive dopamine blockage has no effect on muscle tone or
agitation.
Excessive dopamine blockage results in improved mood and reduced
anxiety.
9. What is a common symptom associated with neuromalignant syndrome?
High fever
Low blood pressure
Increased appetite
Weight loss
10. Which of the following problems can be present in a schizophrenic patient
with negative symptoms?
Auditory hallucination
Loss of motivation for activities
Ideas of reference
Bizarre behavior
11. In a scenario where a patient expresses suicidal thoughts, how should a
PMHNP utilize risk assessment?
To conduct a family therapy session.
, To evaluate the severity of the risk and develop a safety plan.
To refer the patient to a psychiatrist without further assessment.
To prescribe medication immediately.
12. Describe how the inability to recall an important aspect of a traumatic event
can impact a person's mental health.
It can lead to increased anxiety and difficulty in processing the
trauma.
It enhances the person's ability to cope with stress.
It has no significant impact on mental health.
It improves memory recall for other events.
13. A DSM-5 diagnosis of schizophrenia requires the presence of two or more
active-phase symptoms during a one-month period with at least one
symptom being ____________ plus continuous signs of disturbance for at least six
months.
Delusions or hallucinations
Delusions, hallucinations, or disorganized speech
Negative symptoms
Disorganized speech or disorganized behavior
14. What is the preferred approach for managing insomnia?
Stimulants
Opioid medications
Prescription sedatives
Non-pharmacological treatments
100% Correct Answers | Latest Update 2026 | Nursing
Exam Prep
1. In a case where a patient shows significant cognitive deficits during
evaluation, what should be the next step in their treatment planning?
Refer the patient to a physical therapist.
Increase the frequency of therapy sessions without adjustments.
Develop a tailored treatment plan addressing the identified deficits.
Focus solely on medication management.
2. ______ refers to mental health providers basing what they do on research and
also demonstrating that treatments are effective.
Rational practice
Evidence-based practice
Decision-tree practice
Tested-solutions practice
3. Describe how functional and cognitive evaluations contribute to treatment
planning in mental health care.
They assess emotional responses to therapy.
They evaluate the patient's social interactions.
They measure the effectiveness of medication.
They provide insights into cognitive deficits that guide the
development of tailored treatment plans.
,4. Describe the significance of recognizing extrapyramidal symptoms in
patients treated with 1st generation antipsychotics.
EPS is a sign that the patient is responding well to therapy.
EPS indicates the effectiveness of the antipsychotic medication.
Recognizing EPS is crucial for adjusting treatment and ensuring
patient safety.
EPS should be ignored as it does not affect treatment outcomes.
5. How do open-ended questions facilitate the therapeutic process?
They allow clients to express their thoughts and feelings freely,
promoting deeper exploration of their issues.
They restrict the conversation to specific themes, making it easier for
the therapist to guide the session.
They help therapists to quickly diagnose the client's condition.
They encourage clients to focus on solutions rather than problems.
6. What are considered negative symptoms of schizophrenia?
apathy, withdrawal, and lack of motivation/pleasure
delusions and hallucinations
7. A student nurse was asked which of the following best describes dementia.
Which is the best answer?
A declining loss of cognitive abilities, eventually impairing the
ability to complete activities of daily living
Difficulty coping with physical and psychological change
Severe cognitive impairment that comes on extremely rapidly
An acute condition brought on by a medical condition
,8. Describe how excessive dopamine blockage contributes to the symptoms of
neuromalignant syndrome.
Excessive dopamine blockage causes increased appetite and weight
gain.
Excessive dopamine blockage leads to symptoms such as increased
muscle tone and agitation due to disrupted neurotransmission.
Excessive dopamine blockage has no effect on muscle tone or
agitation.
Excessive dopamine blockage results in improved mood and reduced
anxiety.
9. What is a common symptom associated with neuromalignant syndrome?
High fever
Low blood pressure
Increased appetite
Weight loss
10. Which of the following problems can be present in a schizophrenic patient
with negative symptoms?
Auditory hallucination
Loss of motivation for activities
Ideas of reference
Bizarre behavior
11. In a scenario where a patient expresses suicidal thoughts, how should a
PMHNP utilize risk assessment?
To conduct a family therapy session.
, To evaluate the severity of the risk and develop a safety plan.
To refer the patient to a psychiatrist without further assessment.
To prescribe medication immediately.
12. Describe how the inability to recall an important aspect of a traumatic event
can impact a person's mental health.
It can lead to increased anxiety and difficulty in processing the
trauma.
It enhances the person's ability to cope with stress.
It has no significant impact on mental health.
It improves memory recall for other events.
13. A DSM-5 diagnosis of schizophrenia requires the presence of two or more
active-phase symptoms during a one-month period with at least one
symptom being ____________ plus continuous signs of disturbance for at least six
months.
Delusions or hallucinations
Delusions, hallucinations, or disorganized speech
Negative symptoms
Disorganized speech or disorganized behavior
14. What is the preferred approach for managing insomnia?
Stimulants
Opioid medications
Prescription sedatives
Non-pharmacological treatments
