1|Page
NRNP 6665 Psychiatric Mental Health Final Exam (Versions
A, B & C) | PMHNP Certification Prep | DSM-5-TR,
Psychopharmacology, Psychotherapy, Mood Disorders,
Psychotic Disorders, Anxiety, Trauma, Personality
Disorders, Substance Use, Neurocognitive Disorders | Q&A
Exam Structure:
Subject: Psychiatric and Mental Health – Final Examination (Versions A, B, & C)
Source: Nurse Practitioner / Psychiatric-Mental Health Education (NRNP 6665) –
2025
Format: Q&A Guide
1. An illness of symptoms or deficits that affect voluntary motor or
sensory functions, which suggest another medical condition but that
is judged to be caused by psychological factors because the illness is
preceded by conflicts or other stressors, is known as which of the
following?
Correct Answer: A. functional neurological symptom disorder
Rationale:
1. Functional neurological symptom disorder (conversion disorder)
involves neurological symptoms without organic cause.
2. Psychological stressors precede or trigger the symptoms.
3. The patient does not consciously produce the symptoms.
4. This diagnosis requires ruling out medical and neurological conditions.
2. A condition characterized by the person giving approximate
answers, with clouding of consciousness, frequently accompanied by
hallucinations or other dissociative, somatoform, or conversion
symptoms, is called?
Correct Answer: A. Ganser Syndrome
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Rationale:
1. Ganser syndrome is a rare dissociative disorder.
2. "Approximate answers" (vorbeireden) are a hallmark feature.
3. Clouding of consciousness distinguishes it from malingering.
4. It often occurs in individuals under severe stress or incarceration.
3. Which of the following can cause delirium? (Check all that apply.)
Correct Answer: [Options not provided in original document]
Rationale:
1. Delirium has multiple etiologies including infections, medications,
metabolic disturbances, and withdrawal.
2. Common causes: urinary tract infection, pneumonia, electrolyte
imbalance, opioid use, alcohol withdrawal.
3. Hypoxia, hypoglycemia, and liver failure can also cause delirium.
4. The ARNP must identify and treat the underlying cause.
4. Acute withdrawal from alcohol represents which type of clinical
problem in psychosomatic medicine?
Correct Answer: A. Medical complications of psychiatric conditions or
treatments
Rationale:
1. Alcohol withdrawal is a medical complication of alcohol use disorder
(psychiatric condition).
2. Symptoms include seizures, delirium tremens, autonomic instability.
3. Withdrawal can be life-threatening and requires medical management.
4. This exemplifies the mind-body connection in psychosomatic medicine.
5. The principal theoretician to bring psyche and soma together was
which of the following?
Correct Answer: A. Sigmund Freud
Rationale:
1. Freud developed the concept of conversion hysteria.
2. He proposed that unconscious psychological conflict converts into
physical symptoms.
3. His work laid the foundation for psychosomatic medicine.
4. Breuer and Freud’s "Studies on Hysteria" (1895) was seminal.
, 3|Page
6. Which of the following would NOT be included in the treatment plan
for a patient with illness anxiety disorder?
Correct Answer: A. Exploratory invasive procedures to obtain diagnosis
Rationale:
1. Exploratory procedures are harmful and reinforce illness behavior.
2. They expose the patient to unnecessary medical risks.
3. Treatment focuses on psychotherapy, SSRIs, and limiting unnecessary
testing.
4. Reassurance and scheduled primary care visits are recommended.
7. Which of the following is consistent with current literature about
the relationship between obstetrical complications and autism
spectrum disorders (ASD)?
Correct Answer: A. Research proves there is a positive correlation between
obstetrical complications and ASD
Rationale:
1. Meta-analyses show obstetrical complications increase ASD risk.
2. Complications include prematurity, low birth weight, and perinatal
hypoxia.
3. Correlation does not prove causation; genetics also play a role.
4. The association is modest but statistically significant.
8. The epidemiology related to kleptomania includes which of the
following?
Correct Answer: A. Kleptomania is reported to occur in fewer than 5
percent of identified shoplifters.
Rationale:
1. Most shoplifters do not meet criteria for kleptomania.
2. Kleptomania is rare (estimated 0.3-0.6% of population).
3. The disorder is more common in females.
4. Onset is typically in late adolescence or early adulthood.
9. A frontotemporal dementia with onset in the fifth to sixth decade of
life, more common in men, marked by personality change and
cognitive decline, is known as which of the following?
Correct Answer: A. Pick's Disease
Rationale:
NRNP 6665 Psychiatric Mental Health Final Exam (Versions
A, B & C) | PMHNP Certification Prep | DSM-5-TR,
Psychopharmacology, Psychotherapy, Mood Disorders,
Psychotic Disorders, Anxiety, Trauma, Personality
Disorders, Substance Use, Neurocognitive Disorders | Q&A
Exam Structure:
Subject: Psychiatric and Mental Health – Final Examination (Versions A, B, & C)
Source: Nurse Practitioner / Psychiatric-Mental Health Education (NRNP 6665) –
2025
Format: Q&A Guide
1. An illness of symptoms or deficits that affect voluntary motor or
sensory functions, which suggest another medical condition but that
is judged to be caused by psychological factors because the illness is
preceded by conflicts or other stressors, is known as which of the
following?
Correct Answer: A. functional neurological symptom disorder
Rationale:
1. Functional neurological symptom disorder (conversion disorder)
involves neurological symptoms without organic cause.
2. Psychological stressors precede or trigger the symptoms.
3. The patient does not consciously produce the symptoms.
4. This diagnosis requires ruling out medical and neurological conditions.
2. A condition characterized by the person giving approximate
answers, with clouding of consciousness, frequently accompanied by
hallucinations or other dissociative, somatoform, or conversion
symptoms, is called?
Correct Answer: A. Ganser Syndrome
, 2|Page
Rationale:
1. Ganser syndrome is a rare dissociative disorder.
2. "Approximate answers" (vorbeireden) are a hallmark feature.
3. Clouding of consciousness distinguishes it from malingering.
4. It often occurs in individuals under severe stress or incarceration.
3. Which of the following can cause delirium? (Check all that apply.)
Correct Answer: [Options not provided in original document]
Rationale:
1. Delirium has multiple etiologies including infections, medications,
metabolic disturbances, and withdrawal.
2. Common causes: urinary tract infection, pneumonia, electrolyte
imbalance, opioid use, alcohol withdrawal.
3. Hypoxia, hypoglycemia, and liver failure can also cause delirium.
4. The ARNP must identify and treat the underlying cause.
4. Acute withdrawal from alcohol represents which type of clinical
problem in psychosomatic medicine?
Correct Answer: A. Medical complications of psychiatric conditions or
treatments
Rationale:
1. Alcohol withdrawal is a medical complication of alcohol use disorder
(psychiatric condition).
2. Symptoms include seizures, delirium tremens, autonomic instability.
3. Withdrawal can be life-threatening and requires medical management.
4. This exemplifies the mind-body connection in psychosomatic medicine.
5. The principal theoretician to bring psyche and soma together was
which of the following?
Correct Answer: A. Sigmund Freud
Rationale:
1. Freud developed the concept of conversion hysteria.
2. He proposed that unconscious psychological conflict converts into
physical symptoms.
3. His work laid the foundation for psychosomatic medicine.
4. Breuer and Freud’s "Studies on Hysteria" (1895) was seminal.
, 3|Page
6. Which of the following would NOT be included in the treatment plan
for a patient with illness anxiety disorder?
Correct Answer: A. Exploratory invasive procedures to obtain diagnosis
Rationale:
1. Exploratory procedures are harmful and reinforce illness behavior.
2. They expose the patient to unnecessary medical risks.
3. Treatment focuses on psychotherapy, SSRIs, and limiting unnecessary
testing.
4. Reassurance and scheduled primary care visits are recommended.
7. Which of the following is consistent with current literature about
the relationship between obstetrical complications and autism
spectrum disorders (ASD)?
Correct Answer: A. Research proves there is a positive correlation between
obstetrical complications and ASD
Rationale:
1. Meta-analyses show obstetrical complications increase ASD risk.
2. Complications include prematurity, low birth weight, and perinatal
hypoxia.
3. Correlation does not prove causation; genetics also play a role.
4. The association is modest but statistically significant.
8. The epidemiology related to kleptomania includes which of the
following?
Correct Answer: A. Kleptomania is reported to occur in fewer than 5
percent of identified shoplifters.
Rationale:
1. Most shoplifters do not meet criteria for kleptomania.
2. Kleptomania is rare (estimated 0.3-0.6% of population).
3. The disorder is more common in females.
4. Onset is typically in late adolescence or early adulthood.
9. A frontotemporal dementia with onset in the fifth to sixth decade of
life, more common in men, marked by personality change and
cognitive decline, is known as which of the following?
Correct Answer: A. Pick's Disease
Rationale:
