LATEST UPDATED NU 641 WEEK 2 QUIZ -
PSYCHIATRIC MENTAL HEALTH EXAM |
COMPLETE EXAM WITH CORRECT
ANSWERS AND RATIONALES. A+
GUARANTEED SUCCESS
1. A 32-year-old female presents with a 2-week
history of depressed mood, anhedonia, fatigue,
insomnia, and difficulty concentrating. She denies
suicidal ideation. PHQ-9 score is 16 (moderate
depression). Which is most appropriate initial
treatment?
A) Selective serotonin reuptake inhibitor (SSRI)
and/or psychotherapy (CBT)
B) Tricyclic antidepressant (amitriptyline)
C) Monoamine oxidase inhibitor (MAOI)
D) Benzodiazepine monotherapy
Correct answer: A
Rationale: First-line treatment for major depressive
disorder (moderate) includes SSRI/SNRI and/or
evidence-based psychotherapy (CBT, IPT). TCAs and
MAOIs have more side effects and are not first-line.
,2. A 45-year-old male presents with a 6-month history
of persistent, excessive worry about work, finances,
and health. He reports restlessness, fatigue, difficulty
concentrating, irritability, muscle tension, and sleep
disturbance. Which diagnosis is most likely?
A) Generalized anxiety disorder (GAD)
B) Panic disorder
C) Social anxiety disorder
D) Major depressive disorder
Correct answer: A
Rationale: GAD is characterized by excessive anxiety
and worry occurring more days than not for at least 6
months, with at least three of: restlessness, fatigue,
difficulty concentrating, irritability, muscle tension,
sleep disturbance.
3. A 32-year-old female presents with recurrent,
unexpected panic attacks (palpitations, sweating,
trembling, shortness of breath, fear of dying). She
has developed persistent worry about having
additional attacks and has changed her behavior
(avoiding exercise). Which diagnosis is most likely?
A) Panic disorder
,B) Generalized anxiety disorder
C) Specific phobia
D) PTSD
Correct answer: A
Rationale: Panic disorder is characterized by
recurrent unexpected panic attacks followed by ≥1
month of persistent worry about future attacks or
maladaptive behavioral changes (avoidance).
4. A 35-year-old male presents with a 2-week history
of elevated mood, decreased need for sleep,
grandiosity, rapid speech, flight of ideas,
distractibility, and increased goal-directed activity.
He has spent large amounts of money and engaged in
risky sexual behavior. Which diagnosis is most likely?
A) Major depressive disorder
B) Bipolar I disorder, current episode manic
C) Cyclothymic disorder
D) Schizoaffective disorder
Correct answer: B
Rationale: Manic episode requires a distinct period of
abnormally and persistently elevated, expansive, or
irritable mood and increased goal-directed activity
lasting at least 1 week (or any duration if
, hospitalization required). Symptoms include
grandiosity, decreased need for sleep, talkativeness,
flight of ideas, distractibility, increased activity, and
excessive involvement in risky activities.
5. A 28-year-old female reports hearing voices
commenting on her behavior and believes that the
CIA is monitoring her thoughts. She has disorganized
speech and flat affect. Symptoms have been present
for 6 months. Which diagnosis is most likely?
A) Major depressive disorder with psychotic features
B) Bipolar I disorder with psychotic features
C) Schizophrenia
D) Schizophreniform disorder
Correct answer: C
Rationale: Schizophrenia requires two or more of the
following for a significant portion of time during a 1-
month period: delusions, hallucinations, disorganized
speech, grossly disorganized or catatonic behavior,
negative symptoms. Continuous signs of disturbance
must persist for at least 6 months.
6. A 22-year-old female presents with a 3-week
history of depressed mood, anhedonia, weight loss,
insomnia, fatigue, feelings of worthlessness, and
PSYCHIATRIC MENTAL HEALTH EXAM |
COMPLETE EXAM WITH CORRECT
ANSWERS AND RATIONALES. A+
GUARANTEED SUCCESS
1. A 32-year-old female presents with a 2-week
history of depressed mood, anhedonia, fatigue,
insomnia, and difficulty concentrating. She denies
suicidal ideation. PHQ-9 score is 16 (moderate
depression). Which is most appropriate initial
treatment?
A) Selective serotonin reuptake inhibitor (SSRI)
and/or psychotherapy (CBT)
B) Tricyclic antidepressant (amitriptyline)
C) Monoamine oxidase inhibitor (MAOI)
D) Benzodiazepine monotherapy
Correct answer: A
Rationale: First-line treatment for major depressive
disorder (moderate) includes SSRI/SNRI and/or
evidence-based psychotherapy (CBT, IPT). TCAs and
MAOIs have more side effects and are not first-line.
,2. A 45-year-old male presents with a 6-month history
of persistent, excessive worry about work, finances,
and health. He reports restlessness, fatigue, difficulty
concentrating, irritability, muscle tension, and sleep
disturbance. Which diagnosis is most likely?
A) Generalized anxiety disorder (GAD)
B) Panic disorder
C) Social anxiety disorder
D) Major depressive disorder
Correct answer: A
Rationale: GAD is characterized by excessive anxiety
and worry occurring more days than not for at least 6
months, with at least three of: restlessness, fatigue,
difficulty concentrating, irritability, muscle tension,
sleep disturbance.
3. A 32-year-old female presents with recurrent,
unexpected panic attacks (palpitations, sweating,
trembling, shortness of breath, fear of dying). She
has developed persistent worry about having
additional attacks and has changed her behavior
(avoiding exercise). Which diagnosis is most likely?
A) Panic disorder
,B) Generalized anxiety disorder
C) Specific phobia
D) PTSD
Correct answer: A
Rationale: Panic disorder is characterized by
recurrent unexpected panic attacks followed by ≥1
month of persistent worry about future attacks or
maladaptive behavioral changes (avoidance).
4. A 35-year-old male presents with a 2-week history
of elevated mood, decreased need for sleep,
grandiosity, rapid speech, flight of ideas,
distractibility, and increased goal-directed activity.
He has spent large amounts of money and engaged in
risky sexual behavior. Which diagnosis is most likely?
A) Major depressive disorder
B) Bipolar I disorder, current episode manic
C) Cyclothymic disorder
D) Schizoaffective disorder
Correct answer: B
Rationale: Manic episode requires a distinct period of
abnormally and persistently elevated, expansive, or
irritable mood and increased goal-directed activity
lasting at least 1 week (or any duration if
, hospitalization required). Symptoms include
grandiosity, decreased need for sleep, talkativeness,
flight of ideas, distractibility, increased activity, and
excessive involvement in risky activities.
5. A 28-year-old female reports hearing voices
commenting on her behavior and believes that the
CIA is monitoring her thoughts. She has disorganized
speech and flat affect. Symptoms have been present
for 6 months. Which diagnosis is most likely?
A) Major depressive disorder with psychotic features
B) Bipolar I disorder with psychotic features
C) Schizophrenia
D) Schizophreniform disorder
Correct answer: C
Rationale: Schizophrenia requires two or more of the
following for a significant portion of time during a 1-
month period: delusions, hallucinations, disorganized
speech, grossly disorganized or catatonic behavior,
negative symptoms. Continuous signs of disturbance
must persist for at least 6 months.
6. A 22-year-old female presents with a 3-week
history of depressed mood, anhedonia, weight loss,
insomnia, fatigue, feelings of worthlessness, and
