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

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Ace your Walden University NRNP 6675 Final 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 psychosexual and psychosocial development—Freud's phallic stage (gender behavior, introjection), Erikson's eight stages with virtues (Trust vs. Mistrust/Hope, Autonomy vs. Shame/Will, Initiative vs. Guilt/Purpose, Industry vs. Inferiority/Competence, Identity vs. Role Confusion/Fidelity, Intimacy vs. Isolation/Love, Generativity vs. Stagnation/Care, Integrity vs. Despair/Wisdom)—plus core psychiatric topics: ANA Code of Ethics (NOT a rigid situational guide), narcolepsy treatment (pitolisant Wakix), melancholic depression (anhedonia, lack of mood reactivity), hypnagogic vs hypnopompic hallucinations, Applied Behavioral Analysis for autism spectrum disorder, ADHD diagnosis in school-age children (6-12), Bipolar I Disorder equal prevalence in men and women, psychotherapy for children (coping skills, emotional regulation), bupropion XL for Seasonal Affective Disorder, mixed episode in Bipolar I (≥1 week of both mania and depression), APA ethical principle of Integrity, beneficence in child welfare, Binge Eating Disorder (no purging), cross-cutting symptom measures for pediatric assessment, sertraline FDA-approved for OCD age 6+, Dialectical Behavior Therapy (DBT) with skills group, Persistent Depressive Disorder (dysthymia) in adolescents (≥1 year), sleep state misperception (paradoxical insomnia), clomipramine for pediatric OCD (age 10+), elevated CRH in anorexia nervosa, chronic lithium toxicity requiring BUN/creatinine monitoring, NSAIDs increasing lithium levels, night terrors in N3 deep sleep, child autonomy ethical principle, atypical depression features (overeating/oversleeping), somnambulism (sleepwalking) in N3 sleep, anorexia nervosa restrictive eating with fear of weight gain, fluoxetine FDA-approved for pediatric depression age 8+, adolescent substance use assessment prioritizing safety, NMS risk factors (antipsychotics, rapid dose escalation), mesocortical dopamine pathway (cognition, executive function), dopamine blockade worsening negative/cognitive symptoms, light therapy for SAD, dopamine agonists for RLS (nausea, lightheadedness, fatigue), IM ziprasidone for acute agitation (max 40mg/day), mirtazapine for older adults (lower doses more sedating), quetiapine for psychotic symptoms/ruminations, olanzapine for bipolar I psychosis, NMS treatment (dantrolene + bromocriptine), cisgender (identifying with assigned sex at birth), transgender identity (crossing from birth-assigned sex), amantadine for antipsychotic-induced EPS (fewer anticholinergic side effects than benztropine, but can worsen psychosis at high doses), memantine as NMDA antagonist analogue of amantadine, benztropine (Cogentin) for short-term EPS management, Russell's sign (knuckle calluses from self-induced vomiting), Alzheimer's disease (progressive memory decline, inability to recognize relatives), dementia with Lewy Bodies (visual hallucinations + parkinsonism), Huntington's disease (choreiform movements), and frontotemporal dementia (early personality/language changes)—this resource mirrors the actual exam format. Whether you're preparing for your final 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 WALDEN

FINAL EXAM
Actual Questions and Answers
Expert-Verified Explanation


This Exam contains:


❖ Guarantee passing score

❖ 100 Questions and Answers

❖ format set of multiple-choice

❖ Expert-Verified Explanation

❖ Verified with trusted textbooks

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

301. According to Freud, those who do not exhibit gender-appropriate behavior
have not completed which stage of psychosexual development?
A. Oral Stage
B. Anal Stage
C. Latency Stage
D. Phallic Stage


Answer: D. Phallic Stage


Expert-Verified Explanation:
Freud’s psychosexual stages (Oral, Anal, Phallic, Latency, and Genital) propose
that children progress through distinct periods in the development of
personality and sexual identity. During the Phallic Stage (approximately ages 3
to 6), children first become aware of anatomical sex differences and begin to
identify with the same-sex parent—this is famously tied to the Oedipus or
Electra complex in Freudian theory. Completion of the Phallic Stage involves
successfully resolving these early childhood identifications and curiosities,
thereby acquiring a stable understanding of one’s gender behavior. If a child
does not work through these identifications, Freud believed they may struggle
later with conforming to societal norms of “gender-appropriate” behavior and
may exhibit conflicts related to authority figures or general identity.


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

303. Introjection occurs at what phase of psychosexual development?
A. Oral Stage
B. Anal Stage

,C. Phallic Stage
D. Genital Stage


Answer: C. Phallic Stage


Expert-Verified Explanation:
Introjection is a process in which an individual internalizes the ideas, values, or
attitudes of others—often parents, caregivers, or society—making those ideas
part of their own belief system. In classical Freudian theory, this process
becomes especially pronounced during the Phallic Stage (ages 3–6). Children at
this age become attentive to gender roles, social rules, and parental
expectations. By introjecting these norms and values, they begin forming their
superego (or conscience). Freud argued that successful completion of this
process—balancing the internalized standards—helps children adopt socially
acceptable behaviors and moral judgments.


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

304. The development of play is an important milestone in early childhood
because:
A. It helps children perfect advanced academic skills.
B. It distracts children from everyday routines.
C. It is a great way for children to express their thoughts, emotions, fears, and
anxieties.
D. It reinforces solitary behavior without social interaction.


Answer: C. It is a great way for children to express their thoughts, emotions,
fears, and anxieties.


Expert-Verified Explanation:

, Play is a critical component of early childhood development, essential to
emotional, cognitive, and social growth. Through play, children learn to express
complex feelings, explore social roles, and practice coping with fear and
anxiety. This can manifest in role-play scenarios, imaginative games, or
symbolic activities such as drawing and storytelling. Psychologically, play acts
as a child’s natural medium of communication: it reveals inner thoughts and
unresolved conflicts in a context that feels safe and child-centered. Hence, play
is also invaluable as a therapeutic tool for pediatric counselors and
developmental specialists.


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

306. Johann is five years old and, though he struggles with tying his shoes, he
protests whenever his parents try to help him. According to Erikson, Johann
does this because:
A. Johann is being defiant for attention.
B. Johann is exhibiting latent-stage behaviors.
C. Johann is showing signs of mistrust versus trust.
D. Johann is exploring his autonomy.


Answer: D. Johann is exploring his autonomy.


Expert-Verified Explanation:
In Erik Erikson’s psychosocial theory, autonomy vs. shame and doubt (Stage 2,
roughly 18 months to 3 years) and initiative vs. guilt (Stage 3, roughly ages 3 to
5) both involve children learning to assert control over their environment and
develop a sense of independence. By age 5, a child who resists parental help,
even if struggling, is typically demonstrating a strong desire for self-
sufficiency—an important part of developing autonomy and initiative. These

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