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NRNP 6675 Midterm Exam 2025–2026 – Walden PMHNP Care Across the Lifespan II (Verified Q&A)

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Ace your Walden University NRNP 6675 Midterm Exam (PMHNP Care Across the Lifespan II) with this comprehensive 100-question guide featuring verified answers and expert explanations for the 2025–2026 academic year. Covering essential content—domestic violence cycle (tension-building → incident → reconciliation → calm), personality disorders across all three clusters (Cluster A: paranoid, schizoid, schizotypal; Cluster B: antisocial, borderline, histrionic, narcissistic; Cluster C: avoidant, dependent, obsessive-compulsive), memantine (Namenda) for moderate-to-severe Alzheimer's, gender dysphoria criteria, lithium pharmacology (therapeutic range 0.6–1.2 mEq/L, toxicity levels: mild 1.2–1.5, moderate 2.0–2.5, severe 2.5, drug interactions with diuretics/ACE inhibitors/NSAIDs/caffeine), Ebstein anomaly with lithium, valproic acid neural tube defects, Freud's psychosexual stages (oral → anal → phallic → latent → genital), Canterbury v. Spence disclosure requirements, malpractice elements (duty, breach, causation, damages), health literacy and health disparities, cultural awareness vs. ethnocentrism, LIAASE model, Hofstede's cultural dimensions, postpartum psychosis recurrence risk, geriatric psychopharmacology considerations, akathisia treatment (beta-blockers/benzodiazepines), pseudoparkinsonism, catatonic schizophrenia, contingency management for substance use disorders, and NP preceptor qualifications—this resource mirrors the actual exam format. Whether you're preparing for your midterm or board certification, these expert-verified Q&As build the clinical reasoning and test-taking confidence you need to succeed

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Institution
NRNP 6675
Course
NRNP 6675

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NRNP 6675 MIDTERM EXAM
PMHNP Care Across the Lifespan II - Walden University

Actual Qs and Ans Expert-Verified Explanation



This Exam contains:


❖ Guarantee passing score

❖ 100 Questions and Answers

❖ format set of multiple-choice

❖ Expert-Verified Explanation

,───────────────────────────────────────────────────────

QUESTION 1
───────────────────────────────────────────────────────

What is the typical sequence of phases in the cycle of domestic violence (DV)?

A. Tension Building → Calm → Reconciliation → Incident
B. Incident → Tension Building → Reconciliation → Calm
C. Tension Building → Incident → Reconciliation → Calm
D. Tension Building → Reconciliation → Calm → Incident

Correct Answer: C. Tension Building → Incident → Reconciliation → Calm

Rationale:
• The DV cycle traditionally follows four stages: Tension Building, the actual
Incident (battering or abuse), the Reconciliation/Honeymoon phase, and a Calm
period.
• This cycle often repeats until there is intervention or separation.

───────────────────────────────────────────────────────

QUESTION 2
───────────────────────────────────────────────────────

The only medication specifically approved in the United States for moderate to
severe Alzheimer’s disease is:

A. Donepezil
B. Memantine
C. Rivastigmine
D. Galantamine

Correct Answer: B. Memantine

Rationale:
• Memantine (Namenda) is an NMDA receptor antagonist approved for
moderate to severe Alzheimer’s. Cholinesterase inhibitors (e.g., donepezil,
rivastigmine, galantamine) are indicated primarily for mild to moderate stages.

,───────────────────────────────────────────────────────

QUESTION 3
───────────────────────────────────────────────────────

Memantine is known by which of the following common brand names?

A. Namenda
B. Aricept
C. Exelon
D. Razadyne

Correct Answer: A. Namenda

Rationale:
• Memantine is marketed as Namenda in the U.S.
• Aricept = donepezil; Exelon = rivastigmine; Razadyne = galantamine.

───────────────────────────────────────────────────────

QUESTION 4
───────────────────────────────────────────────────────

A term defining a person who experiences distress when their gender identity
does not align with their sex assigned at birth is:

A. Homosexual orientation
B. Transvestic disorder
C. Gender nonconformity
D. Gender Dysphoria

Correct Answer: D. Gender Dysphoria

Rationale:
• Gender Dysphoria (DSM-5) describes clinically significant distress caused by
incongruence between one’s experienced/expressed gender and assigned sex.
• “Homosexual orientation” refers to sexual orientation. “Transvestic disorder”
involves cross-dressing tied to sexual arousal. “Gender nonconformity” itself
lacks distress.

, ───────────────────────────────────────────────────────

QUESTION 5
───────────────────────────────────────────────────────

Narcissistic, Borderline, Antisocial, and Histrionic personality subtypes belong
to which cluster?

A. Cluster A
B. Cluster B
C. Cluster C
D. None of the above

Correct Answer: B. Cluster B

Rationale:
• Cluster B personality disorders are described as “dramatic, emotional, or
erratic” and include Antisocial, Borderline, Histrionic, and Narcissistic PDs.

───────────────────────────────────────────────────────

QUESTION 6
───────────────────────────────────────────────────────

Which personality disorder cluster is characterized by odd or eccentric
behavior?

A. Cluster A
B. Cluster B
C. Cluster C
D. No established cluster

Correct Answer: A. Cluster A

Rationale:
• Cluster A includes Paranoid, Schizoid, and Schizotypal PDs, characterized by
odd or eccentric traits.
• Cluster B = dramatic/emotional; Cluster C = anxious/fearful.

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