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NUR 670 Exam 4 – 2026 Exam Questions & Detailed Answers | Advanced Psychiatric Nursing | Complete Exam

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This document is a comprehensive NUR 670 Exam 4 study resource containing detailed exam-style questions and answers focused on psychiatric disorders, pharmacologic treatments, and DSM-5 diagnostic criteria. It covers key topics such as anxiety disorders (GAD, panic disorder, OCD, phobias), mood disorders (MDD, bipolar I & II, cyclothymia), and appropriate first-line treatments and clinical decision-making (pages 1–17). The material further explores antidepressants, ECT, SIGECAPS criteria, and treatment planning for depression, including pharmacological strategies and psychotherapy (pages 21–37). Later sections emphasize bipolar disorder management, lithium therapy, mood stabilizers, rapid cycling, and diagnostic distinctions across mood disorders (pages 38–67). The question-and-answer format supports active recall and exam readiness, making it highly suitable for graduate-level nursing and PMHNP exam preparation. Keywords: psychiatric disorders anxiety disorders generalized anxiety disorder panic disorder obsessive compulsive disorder phobias major depressive disorder bipolar disorder cyclothymia antidepressants SSRIs mood stabilizers lithium therapy ECT SIGECAPS DSM 5 criteria psychotherapy psychopharmacology

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NUR 670 Exam 4 2026 Exam
Questions and Detailed Answers
| Get it 100% Correct Answers


1. An executive visit his PCP frequently with complaints of chest pain. After

examination the NP advises the executive that he is experiencing anxiety.

According to the clinical guidelines which medication should be ordered for

this patient first for long term treatment?

a. Benzodiazepines

b. SSRIs

,c. Tricyclic antidepressants


d. Opiates - 🧠 ANSWER ✔✔b. SSRIs


2. Which medication is not FDA approved for treatment of OCD?

a. Paroxetine (Paxil)

b. Citalopram (Celexa)

c. Fluoxetine (Prozac)


d. Sertraline (Zoloft) - 🧠 ANSWER ✔✔b. Citalopram (Celexa)


3. A 25-year-old man has thoughts about hating his younger brother and

wishing he would die. He becomes very anxious about these thoughts

because he has developed the idea that if anything really happened to his

brother, it would be his fault. For no explainable reason, Tony starts

mentally counting by odd numbers each time he walks past his brother's

room and discovers that this activity makes him less anxious. Tony's

behavior can be described as

a. A phobia of going into his brother's room because he is afraid his hatred

will actually hurt him

b.A compulsive ritual designed to make him like his brother

,c. c. A mental compulsion developed to neutralize his bad thoughts -

correct one

d. An attempt to be better in math than his brother to gain parental

acceptance - 🧠 ANSWER ✔✔b.A compulsive ritual designed to make him

like his brother

4. A teenage girl had recently been having panic attacks while shopping at

the mall. She was sitting in her room feeling very depressed. To cheer her

up, a friend suggested that they both go to an exercise class. Shortly after

the warm-up started, however, she had another panic attack. What is the

best explanation for this occurrence?

a. The exercise class was an unconditioned stimulus that resulted in a

panic attack

b. She was angry with the friend for insisting that she go out

c. The medication that had been prescribed for her was only treating the

depression, not the anxiety

d. The physical sensations experienced during exercise had become an

internal cue for panic to occur - 🧠 ANSWER ✔✔d. The physical sensations

experienced during exercise had become an internal cue for panic to occur


COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3

, 5. According to the DSM 5 which of the following terms is associated with

generalized anxiety disorder

a. Fear

b. Worry

c. Panic


d. Emotion - 🧠 ANSWER ✔✔b. Worry


6. A 25-year-old patient with a five-year history of generalized anxiety

disorder arrives at the ED. She complains of severe shortness of breath,

chest pain, sweating profusely and is crying uncontrollably. She just got

fired from her job and she has what would you do first.

a. Treat her for acute psychosis

b. Assess her for medical condition

c. Prescribe IV benzodiazepines stat


d. Treat her for generalized anxiety - 🧠 ANSWER ✔✔b. Assess her for

medical condition

7. Which herbal preparation is not associated with inducing symptoms of

anxiety

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