NU664C | NU664C Family Psychiatric Mental
Health Exam 4 Version 1 | Questions with Correct
Answers and Expert Explanation for Each Question
| Regis
1. A 72-year-old patient presents with sudden onset of confusion, fluctuating levels of
consciousness, and visual hallucinations. Which of the following is the most likely
diagnosis?
A. Alzheimer’s Disease
B. Delirium
C. Major Depressive Disorder
D. Vascular Dementia
Correct Answer: B
Expert Explanation: Delirium is characterized by an acute onset and a fluctuating
course of symptoms. In contrast, dementias like Alzheimer’s typically have a slow,
progressive decline over years. The presence of visual hallucinations and altered
consciousness strongly points toward delirium rather than a primary mood or
neurocognitive disorder.
2. Which of the following personality disorders is characterized by a pervasive pattern
of grandiosity, a need for admiration, and a lack of empathy?
A. Narcissistic Personality Disorder
,B. Antisocial Personality Disorder
C. Borderline Personality Disorder
D. Histrionic Personality Disorder
Correct Answer: A
Expert Explanation: Narcissistic Personality Disorder involves a long-standing
pattern of abnormal behavior characterized by exaggerated feelings of self-
importance. These individuals often have an excessive need for admiration and a
distinct lack of understanding for others’ feelings. While other Cluster B disorders
share impulsivity, the specific focus on grandiosity is unique to narcissism.
3. In the treatment of ADHD in children, which side effect is most commonly
associated with stimulant medications like Methylphenidate?
A. Increased appetite
B. Weight gain
C. Insomnia
D. Bradycardia
Correct Answer: C
Expert Explanation: Stimulant medications frequently cause side effects such as
insomnia, decreased appetite, and potential growth suppression. Parents should be
,educated on timing the dose to avoid sleep disturbances in the evening. Monitoring
height and weight at every visit is crucial for children on these long-term
medications.
4. A child is diagnosed with Oppositional Defiant Disorder (ODD). What is the primary
difference between ODD and Conduct Disorder?
A. ODD involves physical aggression toward animals.
B. There is no significant difference between the two.
C. ODD is only diagnosed after the age of 18.
D. Conduct Disorder involves the violation of the basic rights of others.
Correct Answer: D
Expert Explanation: Conduct Disorder is a more severe diagnosis that includes the
violation of the rights of others, such as theft, arson, or cruelty to animals.
Oppositional Defiant Disorder focuses more on irritability, defiance, and
vindictiveness without the severe antisocial behaviors. Accurate differentiation is
essential for determining the intensity of the required intervention.
5. Which medication is FDA-approved for the treatment of irritability associated with
Autism Spectrum Disorder in children and adolescents?
A. Risperidone
B. Fluoxetine
, C. Lithium
D. Methylphenidate
Correct Answer: A
Expert Explanation: Risperidone and Aripiprazole are both FDA-approved for
treating irritability, including symptoms of aggression and self-injury, in pediatric
patients with Autism. These atypical antipsychotics help manage behavioral
outbursts that may interfere with educational or social functioning. Monitoring for
metabolic side effects like weight gain and dyslipidemia is mandatory during
treatment.
6. Which legal concept refers to the PMHNP’s duty to protect a third party from a
patient’s threat of violence?
A. Habeas Corpus
B. Beneficence
C. Autonomy
D. Tarasoff Principle
Correct Answer: D
Expert Explanation: The Tarasoff Principle established that mental health
professionals have a duty to warn or protect individuals who are being specifically
Health Exam 4 Version 1 | Questions with Correct
Answers and Expert Explanation for Each Question
| Regis
1. A 72-year-old patient presents with sudden onset of confusion, fluctuating levels of
consciousness, and visual hallucinations. Which of the following is the most likely
diagnosis?
A. Alzheimer’s Disease
B. Delirium
C. Major Depressive Disorder
D. Vascular Dementia
Correct Answer: B
Expert Explanation: Delirium is characterized by an acute onset and a fluctuating
course of symptoms. In contrast, dementias like Alzheimer’s typically have a slow,
progressive decline over years. The presence of visual hallucinations and altered
consciousness strongly points toward delirium rather than a primary mood or
neurocognitive disorder.
2. Which of the following personality disorders is characterized by a pervasive pattern
of grandiosity, a need for admiration, and a lack of empathy?
A. Narcissistic Personality Disorder
,B. Antisocial Personality Disorder
C. Borderline Personality Disorder
D. Histrionic Personality Disorder
Correct Answer: A
Expert Explanation: Narcissistic Personality Disorder involves a long-standing
pattern of abnormal behavior characterized by exaggerated feelings of self-
importance. These individuals often have an excessive need for admiration and a
distinct lack of understanding for others’ feelings. While other Cluster B disorders
share impulsivity, the specific focus on grandiosity is unique to narcissism.
3. In the treatment of ADHD in children, which side effect is most commonly
associated with stimulant medications like Methylphenidate?
A. Increased appetite
B. Weight gain
C. Insomnia
D. Bradycardia
Correct Answer: C
Expert Explanation: Stimulant medications frequently cause side effects such as
insomnia, decreased appetite, and potential growth suppression. Parents should be
,educated on timing the dose to avoid sleep disturbances in the evening. Monitoring
height and weight at every visit is crucial for children on these long-term
medications.
4. A child is diagnosed with Oppositional Defiant Disorder (ODD). What is the primary
difference between ODD and Conduct Disorder?
A. ODD involves physical aggression toward animals.
B. There is no significant difference between the two.
C. ODD is only diagnosed after the age of 18.
D. Conduct Disorder involves the violation of the basic rights of others.
Correct Answer: D
Expert Explanation: Conduct Disorder is a more severe diagnosis that includes the
violation of the rights of others, such as theft, arson, or cruelty to animals.
Oppositional Defiant Disorder focuses more on irritability, defiance, and
vindictiveness without the severe antisocial behaviors. Accurate differentiation is
essential for determining the intensity of the required intervention.
5. Which medication is FDA-approved for the treatment of irritability associated with
Autism Spectrum Disorder in children and adolescents?
A. Risperidone
B. Fluoxetine
, C. Lithium
D. Methylphenidate
Correct Answer: A
Expert Explanation: Risperidone and Aripiprazole are both FDA-approved for
treating irritability, including symptoms of aggression and self-injury, in pediatric
patients with Autism. These atypical antipsychotics help manage behavioral
outbursts that may interfere with educational or social functioning. Monitoring for
metabolic side effects like weight gain and dyslipidemia is mandatory during
treatment.
6. Which legal concept refers to the PMHNP’s duty to protect a third party from a
patient’s threat of violence?
A. Habeas Corpus
B. Beneficence
C. Autonomy
D. Tarasoff Principle
Correct Answer: D
Expert Explanation: The Tarasoff Principle established that mental health
professionals have a duty to warn or protect individuals who are being specifically
