NR607 Exam 2 Actual Exam Style V1 | NR
607 Diagnosis & Management in
Psychiatric-Mental Health III Practicum |
Chamberlain
1. Which of the following is a primary characteristic of Borderline Personality Disorder
according to the DSM-5?
A. A pattern of grandiosity and need for admiration
B. Persistent social inhibition and feelings of inadequacy
C. A pervasive pattern of instability in interpersonal relationships and self-image
D. Excessive emotionality and attention-seeking behavior
Correct Answer: C
Expert Explanation: Borderline Personality Disorder is characterized by instability in
mood, behavior, and relationships. Patients often experience intense episodes of anger,
depression, and anxiety that can last from a few hours to days. This diagnosis requires a
pattern of instability that begins by early adulthood and is present in a variety of contexts.
2. When prescribing Lithium for a patient with Bipolar I Disorder, which lab value is most
critical to monitor regularly?
A. Complete blood count with differential
B. Liver function tests
C. Amylase and lipase
,D. Serum creatinine and BUN
Correct Answer: D
Expert Explanation: Lithium is primarily excreted by the kidneys, making renal function
monitoring essential for safety. Elevated levels of serum creatinine can indicate renal
impairment, which increases the risk of lithium toxicity. Practitioners must evaluate kidney
function at baseline and periodically throughout treatment to prevent long-term damage.
3. A 24-year-old female presents with symptoms of panic attacks. Which class of medication
is considered first-line for long-term management?
A. Benzodiazepines
B. Selective Serotonin Reuptake Inhibitors (SSRIs)
C. Beta-blockers
D. Monoamine Oxidase Inhibitors (MAOIs)
Correct Answer: B
Expert Explanation: SSRIs are considered the first-line treatment for panic disorder due
to their safety profile and efficacy. While benzodiazepines provide rapid relief, they carry a
high risk for dependence and withdrawal. Long-term management focuses on SSRIs or
SNRIs to reduce the frequency and intensity of panic episodes over time.
4. In the treatment of Opioid Use Disorder, which medication acts as a full mu-opioid agonist?
A. Methadone
, B. Naltrexone
C. Buprenorphine
D. Naloxone
Correct Answer: A
Expert Explanation: Methadone is a long-acting full mu-opioid agonist used to prevent
withdrawal symptoms and reduce cravings. Unlike buprenorphine, which is a partial
agonist, methadone activates the receptors fully but has a slow onset to avoid euphoria.
This medication is typically dispensed through highly regulated opioid treatment
programs.
5. What is the duration requirement for symptoms to diagnose Generalized Anxiety Disorder
(GAD)?
A. At least 2 weeks
B. At least 1 month
C. At least 6 months
D. At least 3 months
Correct Answer: C
Expert Explanation: According to the DSM-5, symptoms of GAD must be present for at
least 6 months on more days than not. The anxiety must be associated with three or more
physical or cognitive symptoms, such as restlessness or muscle tension. This time
607 Diagnosis & Management in
Psychiatric-Mental Health III Practicum |
Chamberlain
1. Which of the following is a primary characteristic of Borderline Personality Disorder
according to the DSM-5?
A. A pattern of grandiosity and need for admiration
B. Persistent social inhibition and feelings of inadequacy
C. A pervasive pattern of instability in interpersonal relationships and self-image
D. Excessive emotionality and attention-seeking behavior
Correct Answer: C
Expert Explanation: Borderline Personality Disorder is characterized by instability in
mood, behavior, and relationships. Patients often experience intense episodes of anger,
depression, and anxiety that can last from a few hours to days. This diagnosis requires a
pattern of instability that begins by early adulthood and is present in a variety of contexts.
2. When prescribing Lithium for a patient with Bipolar I Disorder, which lab value is most
critical to monitor regularly?
A. Complete blood count with differential
B. Liver function tests
C. Amylase and lipase
,D. Serum creatinine and BUN
Correct Answer: D
Expert Explanation: Lithium is primarily excreted by the kidneys, making renal function
monitoring essential for safety. Elevated levels of serum creatinine can indicate renal
impairment, which increases the risk of lithium toxicity. Practitioners must evaluate kidney
function at baseline and periodically throughout treatment to prevent long-term damage.
3. A 24-year-old female presents with symptoms of panic attacks. Which class of medication
is considered first-line for long-term management?
A. Benzodiazepines
B. Selective Serotonin Reuptake Inhibitors (SSRIs)
C. Beta-blockers
D. Monoamine Oxidase Inhibitors (MAOIs)
Correct Answer: B
Expert Explanation: SSRIs are considered the first-line treatment for panic disorder due
to their safety profile and efficacy. While benzodiazepines provide rapid relief, they carry a
high risk for dependence and withdrawal. Long-term management focuses on SSRIs or
SNRIs to reduce the frequency and intensity of panic episodes over time.
4. In the treatment of Opioid Use Disorder, which medication acts as a full mu-opioid agonist?
A. Methadone
, B. Naltrexone
C. Buprenorphine
D. Naloxone
Correct Answer: A
Expert Explanation: Methadone is a long-acting full mu-opioid agonist used to prevent
withdrawal symptoms and reduce cravings. Unlike buprenorphine, which is a partial
agonist, methadone activates the receptors fully but has a slow onset to avoid euphoria.
This medication is typically dispensed through highly regulated opioid treatment
programs.
5. What is the duration requirement for symptoms to diagnose Generalized Anxiety Disorder
(GAD)?
A. At least 2 weeks
B. At least 1 month
C. At least 6 months
D. At least 3 months
Correct Answer: C
Expert Explanation: According to the DSM-5, symptoms of GAD must be present for at
least 6 months on more days than not. The anxiety must be associated with three or more
physical or cognitive symptoms, such as restlessness or muscle tension. This time
