NR607 FINAL EXAM NEWEST 2026/ 2027 ACTUAL
EXAM| COMPLETE 755 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+ (BRAND NEW!!)
Amir is a 28-year-old who was brought to the ED by law enforcement after his
mother called 911 due to his bizarre behaviors. When the police arrived, Amir was
agitated and wandering the street naked. He refused to follow directions and
became combative with officers when approached. He was handcuffed and
transported by a squad car. Before transfer, his mother told police that Amir had
a history of schizophrenia with treatment nonadherence and marijuana use.
During the ride to the ED, Amir was calm and cooperative. He was transferred to a
gurney in the triage area without incident, but after transfer to an exam room,
Amir began screaming and threatening the PMHNP and staff member. Amir tried
to punch and spit at them when they approached the bedside.
Which of the following are the most appropriate management strategies for
Amir? Select all that apply.
-begin the involuntary admission process
-use de-escalation techni - CORRECT ANSWER ✔✔ - -use de-escalation techniques
-request additional staff support
-medicate with intramuscular lorazepam 0.5 mg
-remove objects from the room, such as monitors, tray tables, or other
equipment, that the client may use to injure himself or others
Rationale: Amir presents a risk of harm to self and others due to his combative
behavior; therefore, the most appropriate management strategies for Amir
Pg. 1
,include the use of de-escalation techniques, request for additional staff support,
intramuscular lorazepam 0.5 mg, and the removal of objects from the room, such
as monitors, tray tables, or other equipment, that he may use to injure himself or
others. Chemical restraint may be necessary. Additional staff should be requested
to provide support, and de-escalation techniques should be attempted. Items the
client may be used to injure himself or others should be secured or removed.
Physical restraints may be necessary and should be applied by the emergency
department team, not law enforcement.
Antidepressants - CORRECT ANSWER ✔✔ - SSRIs
-inhibit 5-HT reuptake
SNRIs
-inhibit 5-HT reuptake
-inhibit NE reuptake (↑ energy, focus)
-increase DA in prefrontal cortex (↑ cognition)
NDRIs
-inhibit DA reuptake (↑alertness, motivation)
-inhibit NE reuptake (↑energy)
antipsychotic medications are often effective in managing _________ symptoms
of schizophrenia - CORRECT ANSWER ✔✔ - positive
Antonia agrees to voluntary admission for evaluation and treatment. After
searching the hospital system, the PMHNP finds that there is not an available
inpatient bed for Antonia and that a bed may not be available for 24 hours or
longer. Antonia states that she is not willing to remain in the emergency
Pg. 2
,department for that long, and she instead wants to schedule an appointment with
her counselor for the next day. Antonia states that she is willing to stay with her
brother and his family in their home and will give him her prescriptions so that
she does not have access to the bottles.
Which of the following is the most appropriate recommendation for Antonia?
-discharge to home with resources for crisis care and recommendation for follow-
up
-increase sertraline to 75 mg daily
-23-hour observation in the ED with Q15 minute checks
-involuntary admission - CORRECT ANSWER ✔✔ - discharge to home with
resources for crisis care and recommendation for follow-up
Rationale: Antonia's symptoms indicate that she might benefit from voluntary
admission; however, since there is no appropriate inpatient bed, keeping her
indefinitely in the ED for observation is not appropriate. Antonia can be
discharged to the care of her brother with a safety plan, crisis resources, and a
follow-up plan.
Antonia is a 26-year-old who presents to the ED with acute suicidal thoughts for
several days. She denies a plan at this time. She has a history of major depressive
disorder (MDD) and generalized anxiety disorder (GAD), for which she takes
paroxetine 20 mg daily and clonazepam 0.5 mg as needed. She endorses a suicide
attempt by taking "a handful" of medications at age 16. Antonia reports recent
stress in her life, including a breakup with her girlfriend and an unstable work
environment. She states that she came to the ED tonight because she "wasn't
feeling like I could trust myself 100%."
Which of the following is the most appropriate recommendation to the care team
for Antonia's treatment and disposition? Select all that apply.
Pg. 3
, -discharge to home with resources for crisis care & recommendation for follow-up
-increase sertraline to 75 mg daily
-23-hour observation in the ED with Q15 minute checks
-recom - CORRECT ANSWER ✔✔ - recommend voluntary admission
Rationale: Antonia has had suicidal thoughts, and she does not have a plan; she
has a history of suicide attempt and MDD and GAD. She is also under acute stress.
At this time, she may benefit from voluntary admission for evaluation and
treatment.
Antonia is discharged to the care of her adult brother and his family. Her girlfriend
broke up with her by text that night and posted comments about Antonia's
mental illness on social media. Antonia took her brother's car and left his house
unnoticed. After hours of binge drinking, she parked her car on the expressway
ramp and laid down on the highway. She took a video of herself lying on the
highway and sent it to her girlfriend just as she was fatally struck by two cars. The
care team is notified of the death by suicide, and the PMHNP is asked to lead a
crisis debriefing and postvention or intervention after the suicide to support
Antonia's family and friends. - CORRECT ANSWER ✔✔ - ...
Approximately ____% of clients with serious mental illness are committed
involuntarily each year after a psychiatric hold - CORRECT ANSWER ✔✔ - 0.1%
________ in treatment-resistant cases. - CORRECT ANSWER ✔✔ - clozapine
-Patients should be offered a clozapine trial if they have a partial or non-response
to two antipsychotic trials, assuming those antipsychotic trials are an adequate
dose and duration (four to eight weeks)
Pg. 4
EXAM| COMPLETE 755 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+ (BRAND NEW!!)
Amir is a 28-year-old who was brought to the ED by law enforcement after his
mother called 911 due to his bizarre behaviors. When the police arrived, Amir was
agitated and wandering the street naked. He refused to follow directions and
became combative with officers when approached. He was handcuffed and
transported by a squad car. Before transfer, his mother told police that Amir had
a history of schizophrenia with treatment nonadherence and marijuana use.
During the ride to the ED, Amir was calm and cooperative. He was transferred to a
gurney in the triage area without incident, but after transfer to an exam room,
Amir began screaming and threatening the PMHNP and staff member. Amir tried
to punch and spit at them when they approached the bedside.
Which of the following are the most appropriate management strategies for
Amir? Select all that apply.
-begin the involuntary admission process
-use de-escalation techni - CORRECT ANSWER ✔✔ - -use de-escalation techniques
-request additional staff support
-medicate with intramuscular lorazepam 0.5 mg
-remove objects from the room, such as monitors, tray tables, or other
equipment, that the client may use to injure himself or others
Rationale: Amir presents a risk of harm to self and others due to his combative
behavior; therefore, the most appropriate management strategies for Amir
Pg. 1
,include the use of de-escalation techniques, request for additional staff support,
intramuscular lorazepam 0.5 mg, and the removal of objects from the room, such
as monitors, tray tables, or other equipment, that he may use to injure himself or
others. Chemical restraint may be necessary. Additional staff should be requested
to provide support, and de-escalation techniques should be attempted. Items the
client may be used to injure himself or others should be secured or removed.
Physical restraints may be necessary and should be applied by the emergency
department team, not law enforcement.
Antidepressants - CORRECT ANSWER ✔✔ - SSRIs
-inhibit 5-HT reuptake
SNRIs
-inhibit 5-HT reuptake
-inhibit NE reuptake (↑ energy, focus)
-increase DA in prefrontal cortex (↑ cognition)
NDRIs
-inhibit DA reuptake (↑alertness, motivation)
-inhibit NE reuptake (↑energy)
antipsychotic medications are often effective in managing _________ symptoms
of schizophrenia - CORRECT ANSWER ✔✔ - positive
Antonia agrees to voluntary admission for evaluation and treatment. After
searching the hospital system, the PMHNP finds that there is not an available
inpatient bed for Antonia and that a bed may not be available for 24 hours or
longer. Antonia states that she is not willing to remain in the emergency
Pg. 2
,department for that long, and she instead wants to schedule an appointment with
her counselor for the next day. Antonia states that she is willing to stay with her
brother and his family in their home and will give him her prescriptions so that
she does not have access to the bottles.
Which of the following is the most appropriate recommendation for Antonia?
-discharge to home with resources for crisis care and recommendation for follow-
up
-increase sertraline to 75 mg daily
-23-hour observation in the ED with Q15 minute checks
-involuntary admission - CORRECT ANSWER ✔✔ - discharge to home with
resources for crisis care and recommendation for follow-up
Rationale: Antonia's symptoms indicate that she might benefit from voluntary
admission; however, since there is no appropriate inpatient bed, keeping her
indefinitely in the ED for observation is not appropriate. Antonia can be
discharged to the care of her brother with a safety plan, crisis resources, and a
follow-up plan.
Antonia is a 26-year-old who presents to the ED with acute suicidal thoughts for
several days. She denies a plan at this time. She has a history of major depressive
disorder (MDD) and generalized anxiety disorder (GAD), for which she takes
paroxetine 20 mg daily and clonazepam 0.5 mg as needed. She endorses a suicide
attempt by taking "a handful" of medications at age 16. Antonia reports recent
stress in her life, including a breakup with her girlfriend and an unstable work
environment. She states that she came to the ED tonight because she "wasn't
feeling like I could trust myself 100%."
Which of the following is the most appropriate recommendation to the care team
for Antonia's treatment and disposition? Select all that apply.
Pg. 3
, -discharge to home with resources for crisis care & recommendation for follow-up
-increase sertraline to 75 mg daily
-23-hour observation in the ED with Q15 minute checks
-recom - CORRECT ANSWER ✔✔ - recommend voluntary admission
Rationale: Antonia has had suicidal thoughts, and she does not have a plan; she
has a history of suicide attempt and MDD and GAD. She is also under acute stress.
At this time, she may benefit from voluntary admission for evaluation and
treatment.
Antonia is discharged to the care of her adult brother and his family. Her girlfriend
broke up with her by text that night and posted comments about Antonia's
mental illness on social media. Antonia took her brother's car and left his house
unnoticed. After hours of binge drinking, she parked her car on the expressway
ramp and laid down on the highway. She took a video of herself lying on the
highway and sent it to her girlfriend just as she was fatally struck by two cars. The
care team is notified of the death by suicide, and the PMHNP is asked to lead a
crisis debriefing and postvention or intervention after the suicide to support
Antonia's family and friends. - CORRECT ANSWER ✔✔ - ...
Approximately ____% of clients with serious mental illness are committed
involuntarily each year after a psychiatric hold - CORRECT ANSWER ✔✔ - 0.1%
________ in treatment-resistant cases. - CORRECT ANSWER ✔✔ - clozapine
-Patients should be offered a clozapine trial if they have a partial or non-response
to two antipsychotic trials, assuming those antipsychotic trials are an adequate
dose and duration (four to eight weeks)
Pg. 4
