NU 665C FAMILY PSYCHIATRIC MENTAL
HEALTH NURSE PRACTITIONER EXAMS 1 2
AND FINAL BUNDLED NEW UPDATE
COMPREHENSIVE TEST PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⫸ What factors increase the risk of developing PTSD after trauma
exposure? Answer: Pre-trauma: Childhood abuse, genetic predisposition,
pre-existing mental illness
Peri-trauma: Severity of trauma, perceived threat to life, dissociation
during trauma
Post-trauma: Lack of social support, additional life stress, maladaptive
coping
⫸ How do PTSD symptoms differ between children and adults?
Answer: Children: More likely to experience nightmares without clear
trauma content, re-enact trauma in play, show new fears, and have
behavioral regression.
Adults: More verbal about distress, experience avoidance and
hyperarousal, and have higher risk of comorbid conditions like
substance use and depression.
⫸ What screening tools are commonly used for diagnosing PTSD?
Answer: Primary Care PTSD Screen (PC-PTSD-5) - Short 5-item
screener
PTSD Checklist for DSM-5 (PCL-5) - Self-report symptom measure
, Clinician-Administered PTSD Scale (CAPS-5) - Gold standard for
diagnosis
⫸ What are the primary treatment options for PTSD, and how effective
are they? Answer: Psychotherapy:Trauma-Focused CBT (TF-CBT) -
Highly effective for reducing symptomsProlonged Exposure Therapy
(PE) - Helps with avoidance symptomsEMDR (Eye Movement
Desensitization and Reprocessing) - Reduces distress
Medications:SSRIs/SNRIs - First-line pharmacological
treatmentPrazosin - Helps with nightmares and hyperarousal
Effectiveness: Psychotherapy + medications often provide best
outcomes
⫸ What is the clinical presentation of DID, and how does it differ from
PTSD? Answer: DID Symptoms:Presence of two or more distinct
identity statesAmnesia (gaps in memory not explained by normal
forgetting)Identity disruption (marked changes in affect, behavior,
perception)
Differences from PTSD:DID involves identity fragmentation, whereas
PTSD focuses on trauma-related fear and hyperarousalDID has more
severe dissociation and amnesia than PTSD
⫸ What are the three phases of DID treatment, and what is the goal of
each phase? Answer: Phase 1: Stabilization - Safety, symptom
management, emotional regulation
Phase 2: Trauma Processing - Gradual integration of traumatic memories
Phase 3: Integration - Strengthening identity, improving daily
functioning
HEALTH NURSE PRACTITIONER EXAMS 1 2
AND FINAL BUNDLED NEW UPDATE
COMPREHENSIVE TEST PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⫸ What factors increase the risk of developing PTSD after trauma
exposure? Answer: Pre-trauma: Childhood abuse, genetic predisposition,
pre-existing mental illness
Peri-trauma: Severity of trauma, perceived threat to life, dissociation
during trauma
Post-trauma: Lack of social support, additional life stress, maladaptive
coping
⫸ How do PTSD symptoms differ between children and adults?
Answer: Children: More likely to experience nightmares without clear
trauma content, re-enact trauma in play, show new fears, and have
behavioral regression.
Adults: More verbal about distress, experience avoidance and
hyperarousal, and have higher risk of comorbid conditions like
substance use and depression.
⫸ What screening tools are commonly used for diagnosing PTSD?
Answer: Primary Care PTSD Screen (PC-PTSD-5) - Short 5-item
screener
PTSD Checklist for DSM-5 (PCL-5) - Self-report symptom measure
, Clinician-Administered PTSD Scale (CAPS-5) - Gold standard for
diagnosis
⫸ What are the primary treatment options for PTSD, and how effective
are they? Answer: Psychotherapy:Trauma-Focused CBT (TF-CBT) -
Highly effective for reducing symptomsProlonged Exposure Therapy
(PE) - Helps with avoidance symptomsEMDR (Eye Movement
Desensitization and Reprocessing) - Reduces distress
Medications:SSRIs/SNRIs - First-line pharmacological
treatmentPrazosin - Helps with nightmares and hyperarousal
Effectiveness: Psychotherapy + medications often provide best
outcomes
⫸ What is the clinical presentation of DID, and how does it differ from
PTSD? Answer: DID Symptoms:Presence of two or more distinct
identity statesAmnesia (gaps in memory not explained by normal
forgetting)Identity disruption (marked changes in affect, behavior,
perception)
Differences from PTSD:DID involves identity fragmentation, whereas
PTSD focuses on trauma-related fear and hyperarousalDID has more
severe dissociation and amnesia than PTSD
⫸ What are the three phases of DID treatment, and what is the goal of
each phase? Answer: Phase 1: Stabilization - Safety, symptom
management, emotional regulation
Phase 2: Trauma Processing - Gradual integration of traumatic memories
Phase 3: Integration - Strengthening identity, improving daily
functioning
