NR 607
FINAL EXAM1 NEWEST
2026/ 2027
ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT
DETAILED ANSWERS(VERIFIED
ANSWERS ) ALREADY GRADED A+//
BRAND NEW VERSION
A 10-year-old boy is referred by the school nurse because of
persistent stomachache every morning in school. In evaluating
the boy, the pmhnp learned that he does not like to go to school
and insists on coming home immediately, and that he sleeps in
his parent's bed at night. His clinical description is most
characteristic of which of the following conditions?
a. -social phobia
b. Posttraumatic stress disorder (ptsd)
c. -separation anxiety
d. Reactive attachment disorder
A 10-year-old girl is referred for evaluation of behavioral
difficulties. Her teachers report that she is easily distracted and
fails to complete any class work, and often stares off into space
,or tries to chat with her neighbor. Her mother reports that
mornings are the most difficult because of her general
disorganization and forgetfulness. Otherwise she is socially
engaged and enjoys many activities. Which of the following is the
most likely diagnosis?
a. -attention deficit disorder
b. Oppositional defiant disorder
c. Conduct disorder
d. Disruptive behavior
A 21-year-old man had his first drink at his birthday party with
friends last night. He presented the following morning to the
emergency department with psychomotor agitation, cognitive
impairment, depressed mood, flat affect, and anhedonia. His heart
rate is 110, his blood pressure is 90/60, and he complains of
abdominal pain. He received 2 l of normal saline iv and is referred
to psychiatry for evaluation of mood disorder. Which of the
following tests should the consulting pmhnp order given these
symptoms?
a. Urinalysis
b. Acetaminophen level
,c. Urinary porphobilinogen
d. Blood alcohol level
A 30-year-old g1p0,1 has become increasingly oddly related,
neglecting self-care, sleeping much of the day, eating minimally,
crying easily, and despite reassurance that her pregnancy is
progressing normally, worries that she will lose the pregnancy.
Which of the following medications is considered least harmful
in pregnancy?
-sertraline
-lithium
-haloperidol
-divalproex
A 30-year-old male who was started on sertraline for generalized
anxiety disorder was also started on lorazepam 1 mg for sleep
during the first 2 weeks as he was adjusting to the medication.
At the 2-week follow-up visit his psychiatrist increased the
sertraline, but the dose of lorazepam does not seem to be
helping with sleep and the patient is requesting a higher dose.
Which of the following best describes the patient's condition?
-addiction
, -dependence
-withdrawal
-tolerance
A 30-year-old man with three past psychiatric hospitalizations
for schizoaffective disorder presents for follow-up care with the
pmhnp. Before discharge, the patient received court ordered
zyprexa relprevv 300 mg im x 1. The patient tells the pmhnp that
he is aware that smoking can "Make him need more medication."
Which stage of change is the patient in?
-contemplation
-maintenance
-precontemplation
-action
A 32-year-old woman who is 6-months postpartum requests a
psychiatric house call while her husband is at work. Upon
entering the home, the pmhnp notices a well-cared for infant
playing in a crib, and the patient sitting in her breakfast nook
overlooking the nearby park. She is requesting a medication to
help her relax because she feels as if she is walking on eggshells
around her husband for fear of him "Getting physical with me" If
the baby cries too much. Which of the following best describes
this woman's circumstance?
FINAL EXAM1 NEWEST
2026/ 2027
ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT
DETAILED ANSWERS(VERIFIED
ANSWERS ) ALREADY GRADED A+//
BRAND NEW VERSION
A 10-year-old boy is referred by the school nurse because of
persistent stomachache every morning in school. In evaluating
the boy, the pmhnp learned that he does not like to go to school
and insists on coming home immediately, and that he sleeps in
his parent's bed at night. His clinical description is most
characteristic of which of the following conditions?
a. -social phobia
b. Posttraumatic stress disorder (ptsd)
c. -separation anxiety
d. Reactive attachment disorder
A 10-year-old girl is referred for evaluation of behavioral
difficulties. Her teachers report that she is easily distracted and
fails to complete any class work, and often stares off into space
,or tries to chat with her neighbor. Her mother reports that
mornings are the most difficult because of her general
disorganization and forgetfulness. Otherwise she is socially
engaged and enjoys many activities. Which of the following is the
most likely diagnosis?
a. -attention deficit disorder
b. Oppositional defiant disorder
c. Conduct disorder
d. Disruptive behavior
A 21-year-old man had his first drink at his birthday party with
friends last night. He presented the following morning to the
emergency department with psychomotor agitation, cognitive
impairment, depressed mood, flat affect, and anhedonia. His heart
rate is 110, his blood pressure is 90/60, and he complains of
abdominal pain. He received 2 l of normal saline iv and is referred
to psychiatry for evaluation of mood disorder. Which of the
following tests should the consulting pmhnp order given these
symptoms?
a. Urinalysis
b. Acetaminophen level
,c. Urinary porphobilinogen
d. Blood alcohol level
A 30-year-old g1p0,1 has become increasingly oddly related,
neglecting self-care, sleeping much of the day, eating minimally,
crying easily, and despite reassurance that her pregnancy is
progressing normally, worries that she will lose the pregnancy.
Which of the following medications is considered least harmful
in pregnancy?
-sertraline
-lithium
-haloperidol
-divalproex
A 30-year-old male who was started on sertraline for generalized
anxiety disorder was also started on lorazepam 1 mg for sleep
during the first 2 weeks as he was adjusting to the medication.
At the 2-week follow-up visit his psychiatrist increased the
sertraline, but the dose of lorazepam does not seem to be
helping with sleep and the patient is requesting a higher dose.
Which of the following best describes the patient's condition?
-addiction
, -dependence
-withdrawal
-tolerance
A 30-year-old man with three past psychiatric hospitalizations
for schizoaffective disorder presents for follow-up care with the
pmhnp. Before discharge, the patient received court ordered
zyprexa relprevv 300 mg im x 1. The patient tells the pmhnp that
he is aware that smoking can "Make him need more medication."
Which stage of change is the patient in?
-contemplation
-maintenance
-precontemplation
-action
A 32-year-old woman who is 6-months postpartum requests a
psychiatric house call while her husband is at work. Upon
entering the home, the pmhnp notices a well-cared for infant
playing in a crib, and the patient sitting in her breakfast nook
overlooking the nearby park. She is requesting a medication to
help her relax because she feels as if she is walking on eggshells
around her husband for fear of him "Getting physical with me" If
the baby cries too much. Which of the following best describes
this woman's circumstance?
