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NRNP 6675 Midterm Psychiatric Mental Health
Nurse Practitioner 2026/2027 with correct Exam
Questions and Detailed Rationales
Question 1
What is substance intoxication?
• A. Chronic pattern of problematic substance use
• B. Syndrome from recent ingestion or exposure to a substance
• C. Withdrawal symptoms after stopping substance use
• D. Genetic predisposition to substance abuse
Correct Answer: B. Syndrome from recent ingestion or exposure to a
substance
Rationale:
1. Substance intoxication is a reversible syndrome caused by recent
substance ingestion.
2. Symptoms are directly related to the pharmacological effects of the
substance.
3. The syndrome resolves as the substance is metabolized.
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4. This is distinct from substance use disorder (chronic pattern) and
withdrawal (upon cessation).
Question 2
What is tardive dyskinesia?
• A. Acute muscle stiffness from antipsychotic initiation
• B. Motor restlessness and inability to sit still
• C. Abnormal involuntary movements affecting face, mouth, tongue
• D. Sustained muscle contractions causing abnormal postures
Correct Answer: C. Abnormal involuntary movements affecting face, mouth,
tongue
Rationale:
1. Tardive dyskinesia involves involuntary, repetitive movements.
2. It most commonly affects the face, mouth, and tongue (e.g., lip smacking,
tongue protrusion).
3. It is caused by long-term dopamine receptor blockade from
antipsychotics.
4. Unlike acute EPS, tardive dyskinesia appears after months to years of
treatment.
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Question 3
What is delusional disorder?
• A. Disorganized speech and behavior lasting over 6 months
• B. Brief psychotic episode lasting less than 1 month
• C. Deeply held belief lasting at least one month without prominent
hallucinations
• D. Mood episodes with psychotic features
Correct Answer: C. Deeply held belief lasting at least one month without
prominent hallucinations
Rationale:
1. Delusional disorder involves fixed, false beliefs lasting at least one
month.
2. Hallucinations are not prominent or are absent.
3. Functioning is not markedly impaired apart from the delusion.
4. This distinguishes it from schizophrenia (which has multiple symptom
domains).
Question 4
Why is preoccupation with castration considered serious?
• A. It is a normal developmental phase
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• B. It always indicates a paraphilic disorder
• C. Serious if carried out without medical supervision, consistent with
specific disorders
• D. It resolves spontaneously without intervention
Correct Answer: C. Serious if carried out without medical supervision,
consistent with specific disorders
Rationale:
1. Castration preoccupation can lead to self-harm if untreated.
2. Medical supervision is essential if castration is considered.
3. This preoccupation is associated with psychotic disorders and body
dysmorphic disorder.
4. It is not a normal developmental phase and requires professional
evaluation.
Question 5
What does CPT stand for in medical coding?
• A. Current Procedural Terminology
• B. Clinical Practice Tool
• C. Comprehensive Patient Tracker
• D. Centralized Payment System
NRNP 6675 Midterm Psychiatric Mental Health
Nurse Practitioner 2026/2027 with correct Exam
Questions and Detailed Rationales
Question 1
What is substance intoxication?
• A. Chronic pattern of problematic substance use
• B. Syndrome from recent ingestion or exposure to a substance
• C. Withdrawal symptoms after stopping substance use
• D. Genetic predisposition to substance abuse
Correct Answer: B. Syndrome from recent ingestion or exposure to a
substance
Rationale:
1. Substance intoxication is a reversible syndrome caused by recent
substance ingestion.
2. Symptoms are directly related to the pharmacological effects of the
substance.
3. The syndrome resolves as the substance is metabolized.
,2|Page
4. This is distinct from substance use disorder (chronic pattern) and
withdrawal (upon cessation).
Question 2
What is tardive dyskinesia?
• A. Acute muscle stiffness from antipsychotic initiation
• B. Motor restlessness and inability to sit still
• C. Abnormal involuntary movements affecting face, mouth, tongue
• D. Sustained muscle contractions causing abnormal postures
Correct Answer: C. Abnormal involuntary movements affecting face, mouth,
tongue
Rationale:
1. Tardive dyskinesia involves involuntary, repetitive movements.
2. It most commonly affects the face, mouth, and tongue (e.g., lip smacking,
tongue protrusion).
3. It is caused by long-term dopamine receptor blockade from
antipsychotics.
4. Unlike acute EPS, tardive dyskinesia appears after months to years of
treatment.
,3|Page
Question 3
What is delusional disorder?
• A. Disorganized speech and behavior lasting over 6 months
• B. Brief psychotic episode lasting less than 1 month
• C. Deeply held belief lasting at least one month without prominent
hallucinations
• D. Mood episodes with psychotic features
Correct Answer: C. Deeply held belief lasting at least one month without
prominent hallucinations
Rationale:
1. Delusional disorder involves fixed, false beliefs lasting at least one
month.
2. Hallucinations are not prominent or are absent.
3. Functioning is not markedly impaired apart from the delusion.
4. This distinguishes it from schizophrenia (which has multiple symptom
domains).
Question 4
Why is preoccupation with castration considered serious?
• A. It is a normal developmental phase
, 4|Page
• B. It always indicates a paraphilic disorder
• C. Serious if carried out without medical supervision, consistent with
specific disorders
• D. It resolves spontaneously without intervention
Correct Answer: C. Serious if carried out without medical supervision,
consistent with specific disorders
Rationale:
1. Castration preoccupation can lead to self-harm if untreated.
2. Medical supervision is essential if castration is considered.
3. This preoccupation is associated with psychotic disorders and body
dysmorphic disorder.
4. It is not a normal developmental phase and requires professional
evaluation.
Question 5
What does CPT stand for in medical coding?
• A. Current Procedural Terminology
• B. Clinical Practice Tool
• C. Comprehensive Patient Tracker
• D. Centralized Payment System
