NR 668 CEA FINAL EXAM CHAMBERLAIN
PRACTICUM 2026/2027 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |CURRENTLY
TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST |BRAND NEW VERSION|JUST
RELEASED!!
1.A 44 year old female presents with a heart rate of 101, nervousness, insomnia and weight
loss, brittle hair. Which test would be most helpful given the findings?
a. TSH
b. Echocardiogram
c. Serum iron
d. PHQ9
TSH
Hyperthyroidism can present with nervousness, irritability, increased heart rate, palpitations,
sweating, tremors, weight loss, exophthalmos and insomnia
2,A 26-year-old female with a 6-year history of Opioid use disorder presents for follow up. She
has been on buprenorphine for 4 months and is considered in early remission according to the
DSM-5 definition. She continues to work full time as a medical assistant and can provide for her
child. She is confused as to the benefit of continuing buprenorphine given her ability to "remain
clean". What is the best course of action for this patient?
a. Discontinue the buprenorphine and follow serial urine drug screens over the next 3-6 months
b. Explore the option to change from buprenorphine to methadone, given the longer half life of
1|Page
,methadone
c. Educate the patient on the benefit of continuing buprenorphine for 1-2 more years.
d. Agree with the patient request and taper the buprenorphine over 2 months
c. Educate the patient on the benefit of continuing buprenorphine for 1-2 more years.
3.A 30-year-old man with three past psychiatric hospitalizations for schizoaffective disorder
presents for follow-up care with the PMHNP. Before discharge, the patient received court
ordered Zyprexa Relprevv 300 mg IM X 1. The patient tells the PMHNP that he is aware that
smoking can "make him need more medication." Which stage of change is the patient in?
a. Action
b. Preparation
c. Contemplation
d. Maintenance
e. Precontemplation
c. Contemplation
4.A 16 year old client Jamie presents to your office and begins with "I might be transgender".
You respond, My name is James, and my pronouns are he/him. How do you Jamie, describe
your gender identity? What are your preferred pronouns? Jamie answers, "My pronouns are
"They". As a PMHNP you recognize that Jamie...
a. Identifies as cisgender
b. Identifies as none of these
c. Identifies as gender binary
d. Identifies as non-binary
d. Identifies as non-binary
Some people do not identify with a specific gender. Persons whose gender is not female or
male may use several terms to describe themselves including "non-binary" as one of them.
5.Which of the following immediate determinants related to relapse prevention is the biggest
predictor of relapse?
2|Page
,a. Negative emotional state
b. Ineffective coping skills
c. Previous history of lapse
d. Outcome expectancy
Negative emotional state
6.The mental status exam includes all of the following except:
a. Cranial nerves and reflexes
b. Mood and affect
c. Appearance and behavior
d. Insight and judgment
Cranial nerves and reflexes
7.A 29-year-old woman with a history of panic disorder requests a psychiatric home visit
because she continues to experience feelings that her environment is not real. She states that
this is very unsettling and, as a result, has stopped going out of her home. In formulating her
case, the PMHNP would describe this symptom as the persistence of:
a. Psychosis
b. Derealization
c. Depersonalization
d. Depressive symptoms
b. Derealization
8.Which of the following is the best example of secondary prevention?
a. A suicide hotline
b. All these listed are great examples
c. Social skills training and vocational rehabilitation
d. Stress management classes
3|Page
, A suicide hotline
A suicide hotline aims to detect or screen and treat ASAP with a goal of returning
people to their original function and wellbeing.
9.Jake described his brother's death stemming from a horrific car accident with minimal
discomfort in his expression. Jake's affect would best be described as?
a. Normal
b. Restricted
c. Flat
d. Labile
b. Restricted
Restricted Affect - Jake displayed little emotion describing the accident which would be
considered a restricted or constricted affect. The next best answer would be flat affect.
However, a flat affect describes a complete lack of emotional expression.
10.A 26-year-old woman presents with a history since her teen years of dramatic mood swings
and quickly becoming depressed for hours to days in response to a separation from a loved one.
She also reports rage attacks where she breaks things and screams or superficially scratches
herself. Sometimes she binge drinks 1 L of hard liquor and has as many as 10 sexual partners
without using condoms. Which defense mechanism is used primarily with this patient?
a. Intellectualization
b. Altruism
c. Sublimation
d. Splitting
d. Splitting
11.What is the name of the thought process where a client calmly begins with one statement,
makes another related statement in a different direction, another statement in yet another
direction and never returns to the original question?
a. Tangential
b. Obsessional
4|Page
PRACTICUM 2026/2027 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |CURRENTLY
TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST |BRAND NEW VERSION|JUST
RELEASED!!
1.A 44 year old female presents with a heart rate of 101, nervousness, insomnia and weight
loss, brittle hair. Which test would be most helpful given the findings?
a. TSH
b. Echocardiogram
c. Serum iron
d. PHQ9
TSH
Hyperthyroidism can present with nervousness, irritability, increased heart rate, palpitations,
sweating, tremors, weight loss, exophthalmos and insomnia
2,A 26-year-old female with a 6-year history of Opioid use disorder presents for follow up. She
has been on buprenorphine for 4 months and is considered in early remission according to the
DSM-5 definition. She continues to work full time as a medical assistant and can provide for her
child. She is confused as to the benefit of continuing buprenorphine given her ability to "remain
clean". What is the best course of action for this patient?
a. Discontinue the buprenorphine and follow serial urine drug screens over the next 3-6 months
b. Explore the option to change from buprenorphine to methadone, given the longer half life of
1|Page
,methadone
c. Educate the patient on the benefit of continuing buprenorphine for 1-2 more years.
d. Agree with the patient request and taper the buprenorphine over 2 months
c. Educate the patient on the benefit of continuing buprenorphine for 1-2 more years.
3.A 30-year-old man with three past psychiatric hospitalizations for schizoaffective disorder
presents for follow-up care with the PMHNP. Before discharge, the patient received court
ordered Zyprexa Relprevv 300 mg IM X 1. The patient tells the PMHNP that he is aware that
smoking can "make him need more medication." Which stage of change is the patient in?
a. Action
b. Preparation
c. Contemplation
d. Maintenance
e. Precontemplation
c. Contemplation
4.A 16 year old client Jamie presents to your office and begins with "I might be transgender".
You respond, My name is James, and my pronouns are he/him. How do you Jamie, describe
your gender identity? What are your preferred pronouns? Jamie answers, "My pronouns are
"They". As a PMHNP you recognize that Jamie...
a. Identifies as cisgender
b. Identifies as none of these
c. Identifies as gender binary
d. Identifies as non-binary
d. Identifies as non-binary
Some people do not identify with a specific gender. Persons whose gender is not female or
male may use several terms to describe themselves including "non-binary" as one of them.
5.Which of the following immediate determinants related to relapse prevention is the biggest
predictor of relapse?
2|Page
,a. Negative emotional state
b. Ineffective coping skills
c. Previous history of lapse
d. Outcome expectancy
Negative emotional state
6.The mental status exam includes all of the following except:
a. Cranial nerves and reflexes
b. Mood and affect
c. Appearance and behavior
d. Insight and judgment
Cranial nerves and reflexes
7.A 29-year-old woman with a history of panic disorder requests a psychiatric home visit
because she continues to experience feelings that her environment is not real. She states that
this is very unsettling and, as a result, has stopped going out of her home. In formulating her
case, the PMHNP would describe this symptom as the persistence of:
a. Psychosis
b. Derealization
c. Depersonalization
d. Depressive symptoms
b. Derealization
8.Which of the following is the best example of secondary prevention?
a. A suicide hotline
b. All these listed are great examples
c. Social skills training and vocational rehabilitation
d. Stress management classes
3|Page
, A suicide hotline
A suicide hotline aims to detect or screen and treat ASAP with a goal of returning
people to their original function and wellbeing.
9.Jake described his brother's death stemming from a horrific car accident with minimal
discomfort in his expression. Jake's affect would best be described as?
a. Normal
b. Restricted
c. Flat
d. Labile
b. Restricted
Restricted Affect - Jake displayed little emotion describing the accident which would be
considered a restricted or constricted affect. The next best answer would be flat affect.
However, a flat affect describes a complete lack of emotional expression.
10.A 26-year-old woman presents with a history since her teen years of dramatic mood swings
and quickly becoming depressed for hours to days in response to a separation from a loved one.
She also reports rage attacks where she breaks things and screams or superficially scratches
herself. Sometimes she binge drinks 1 L of hard liquor and has as many as 10 sexual partners
without using condoms. Which defense mechanism is used primarily with this patient?
a. Intellectualization
b. Altruism
c. Sublimation
d. Splitting
d. Splitting
11.What is the name of the thought process where a client calmly begins with one statement,
makes another related statement in a different direction, another statement in yet another
direction and never returns to the original question?
a. Tangential
b. Obsessional
4|Page
