NURS 6670 Midterm Exam 2026 update
Question 1 n,
Alexa is a 27-year-old female who has come to group therapy while she is in the city jail. She was arrested for
vagrancy because she was sleeping in her car in a parking lot at a local shopping center. She could not post bail, so
she is sentenced to 14 days in jail. During group, she contributes that none of this is her fault. Her mother is totally
evil because she would not let Alexa stay in the family home. She has some other family. but they are all jerks
because they won’t help her. Alexa’s friend Melanie is the absolute best person in the world, but she can’t help
because her boss fired her for no reason. Alexa has a history of arrests for buying illegal drugs and prostitution.
The last time she was in jail, her sentence was extended for 30 days because she got into a fight with another
inmate and beat her up so badly she had to be admitted to the hospital for 6 days. The PMHNP considers which of
the following personality disorders?
Histrionic
Narcissistic
Borderline
Schizoid
Question 2 n,
Anne is a 32-year-old female who presented to care after a random drug screening at work was positive for
cocaine. She was initially resistant to therapy, maintaining that her use is not a problem and she could stop at any
time. Upon further discussion in session, it appears that she uses cocaine every day at work, sometimes 2–3 times,
other days more. She also uses it occasionally at home and most weekends. During her third session, she admitted
that it is a financial burden, and she basically cannot afford any other form of recreation. She understands that if
she uses again she will lose her job, and she admits that she loves her job and that cocaine is not worth losing it.
When counseling her about cessation strategies, the PMHNP advises all the following except:
n, n, The n,physiologic n,symptoms n,of n,withdrawal n,may n,require n,a n,short-term n,hospitalization
n , Unlike n,other n,substances n,of n,abuse, n,there n,are n,no n,medications n,to n,help n,reduce n,the n,intensity n,of n,withdrawal
n , She n,will n,need n,to n,be n,monitored n,for n,depression
Overcoming n,the n,intense n,craving n,for n,cocaine n,is n,the n,biggest n,issue
Question 3
Clare’s n,history n,of n,personal n,relationships n,is n,characterized n,by n,complete n,intolerance n,of n,being n,alone.
n,Whether n,it n,is n,an n,intimate-partner n,relationship n,or n,a n,close n,friend, n,Clare n,appears n,to n,always n,need
n,someone n,in n,her n,life. n,She n,had n,a
1
, livein n,boyfriend n,of n,3 n,years, n,and n,while n,they n,were n,together, n,he n,took n,care n,of n,everything. n,The n,PMHNP
n,expects n,all n,of n,the n,following n,to n,be n,additional n,features n,of n,Clare’s n,history n,except:
Has n,disproportionate n,anger n,toward n,an n,abusive n,spouse
Question 4 n,
The PMHNP is conducting an initial interview with a patient whose history is consistent with avoidant personality
disorder. The PMHNP understands that one of the most striking features of this interview is likely to be centered
upon the patient’s:
Clothing
n , Speech n,pattern
Anger
Anxiety
Question 5 n,
A PMHNP student is reviewing his notes from his clinical experience over the past week to prepare his first
required case presentation on a patient suffering a major depressive episode. Which of the following patients best
represents the DSM-5 criteria for major depressive episode?
A n,27-year-old n,female n,with n,a n,1-month n,history n,of n,social n,withdrawal, n,anorexia, n,hypersomnia,
n,unprovoked n,outbursts n,of n,anger, n,and n,a n,strong n,family n,history n,of n,endogenous n,depression
A n,41-year-old n,male n,with n,a n,history n,of n,childhood n,sexual n,abuse, n,loss n,of n,interest n,in n,both n,his
n,professional n,and n,personal n,life, n,an n,unplanned n,10 n,lb. n,weight n,loss n,in n,the n,last n,3 n,months, n,and
n,perceptual n,disturbances
A n,65-year-old n,male n,whose n,wife n,died n,2 n,months n,ago n,and n,he n,reports n,a n,3-week n,history n,of n,generally
mood, guilt about his wife’s death, insomnia, difficulty focusing on daily tasks, with increasing thoughts of
depressed
n,
dying
A n,72-year-old n,female n,who n,just n,relocated n,across n,country n,to n,live n,with n,her n,adult n,son n,and n,daughter-in-law
n,who n,is n,despondent n,about n,leaving n,her n,home n,and n,reports n,forgetfulness, n,loss n,of n,appetite, n,new n,onset
2
Question 1 n,
Alexa is a 27-year-old female who has come to group therapy while she is in the city jail. She was arrested for
vagrancy because she was sleeping in her car in a parking lot at a local shopping center. She could not post bail, so
she is sentenced to 14 days in jail. During group, she contributes that none of this is her fault. Her mother is totally
evil because she would not let Alexa stay in the family home. She has some other family. but they are all jerks
because they won’t help her. Alexa’s friend Melanie is the absolute best person in the world, but she can’t help
because her boss fired her for no reason. Alexa has a history of arrests for buying illegal drugs and prostitution.
The last time she was in jail, her sentence was extended for 30 days because she got into a fight with another
inmate and beat her up so badly she had to be admitted to the hospital for 6 days. The PMHNP considers which of
the following personality disorders?
Histrionic
Narcissistic
Borderline
Schizoid
Question 2 n,
Anne is a 32-year-old female who presented to care after a random drug screening at work was positive for
cocaine. She was initially resistant to therapy, maintaining that her use is not a problem and she could stop at any
time. Upon further discussion in session, it appears that she uses cocaine every day at work, sometimes 2–3 times,
other days more. She also uses it occasionally at home and most weekends. During her third session, she admitted
that it is a financial burden, and she basically cannot afford any other form of recreation. She understands that if
she uses again she will lose her job, and she admits that she loves her job and that cocaine is not worth losing it.
When counseling her about cessation strategies, the PMHNP advises all the following except:
n, n, The n,physiologic n,symptoms n,of n,withdrawal n,may n,require n,a n,short-term n,hospitalization
n , Unlike n,other n,substances n,of n,abuse, n,there n,are n,no n,medications n,to n,help n,reduce n,the n,intensity n,of n,withdrawal
n , She n,will n,need n,to n,be n,monitored n,for n,depression
Overcoming n,the n,intense n,craving n,for n,cocaine n,is n,the n,biggest n,issue
Question 3
Clare’s n,history n,of n,personal n,relationships n,is n,characterized n,by n,complete n,intolerance n,of n,being n,alone.
n,Whether n,it n,is n,an n,intimate-partner n,relationship n,or n,a n,close n,friend, n,Clare n,appears n,to n,always n,need
n,someone n,in n,her n,life. n,She n,had n,a
1
, livein n,boyfriend n,of n,3 n,years, n,and n,while n,they n,were n,together, n,he n,took n,care n,of n,everything. n,The n,PMHNP
n,expects n,all n,of n,the n,following n,to n,be n,additional n,features n,of n,Clare’s n,history n,except:
Has n,disproportionate n,anger n,toward n,an n,abusive n,spouse
Question 4 n,
The PMHNP is conducting an initial interview with a patient whose history is consistent with avoidant personality
disorder. The PMHNP understands that one of the most striking features of this interview is likely to be centered
upon the patient’s:
Clothing
n , Speech n,pattern
Anger
Anxiety
Question 5 n,
A PMHNP student is reviewing his notes from his clinical experience over the past week to prepare his first
required case presentation on a patient suffering a major depressive episode. Which of the following patients best
represents the DSM-5 criteria for major depressive episode?
A n,27-year-old n,female n,with n,a n,1-month n,history n,of n,social n,withdrawal, n,anorexia, n,hypersomnia,
n,unprovoked n,outbursts n,of n,anger, n,and n,a n,strong n,family n,history n,of n,endogenous n,depression
A n,41-year-old n,male n,with n,a n,history n,of n,childhood n,sexual n,abuse, n,loss n,of n,interest n,in n,both n,his
n,professional n,and n,personal n,life, n,an n,unplanned n,10 n,lb. n,weight n,loss n,in n,the n,last n,3 n,months, n,and
n,perceptual n,disturbances
A n,65-year-old n,male n,whose n,wife n,died n,2 n,months n,ago n,and n,he n,reports n,a n,3-week n,history n,of n,generally
mood, guilt about his wife’s death, insomnia, difficulty focusing on daily tasks, with increasing thoughts of
depressed
n,
dying
A n,72-year-old n,female n,who n,just n,relocated n,across n,country n,to n,live n,with n,her n,adult n,son n,and n,daughter-in-law
n,who n,is n,despondent n,about n,leaving n,her n,home n,and n,reports n,forgetfulness, n,loss n,of n,appetite, n,new n,onset
2
