NU 665 Exam 1 2026 NU 665 Actual
Exam 2026 Questions and Correct
Answers Rated A+
What does Lazarus and Folkman's transactional model of stress and
coping emphasize? -Answer-Stress is a result of an individual's
appraisal of their resources in relation to environmental demands.
What is the main critique of traditional Motivational Interviewing (MI)
according to Angelini & Efran (2021)? -Answer-MI's effectiveness is
not solely dependent on change talk; the therapeutic relationship and
context are also crucial.
What is Anxious Attachment? -Answer-Anxious attachment arises
from inconsistent caregiving, leading to anxiety about abandonment.
Individuals with this style often crave closeness but fear rejection or
being left alone.
What does Secure Attachment look like in adults? -Answer-Adults with
secure attachment have stable, healthy relationships. They balance
independence with closeness, communicate effectively, and are
confident in seeking support when needed.
What is Secure Attachment? -Answer-Secure attachment forms when
caregivers are consistently responsive to a child's needs, fostering
safety and trust. These individuals feel comfortable with intimacy,
express emotions openly, and trust others.
A 25-year-old woman with bipolar disorder is newly pregnant. She is
currently stable on valproate. What should be done? -Answer-
,Discontinue valproate immediately due to its high risk of neural tube
defects. Consider switching to lamotrigine, which is safer in
pregnancy.
A 70-year-old woman with GAD and a history of falls is asking for
medication. Which medication should be avoided? -Answer-
Benzodiazepines (e.g., alprazolam, diazepam, lorazepam) - They
increase fall risk, cognitive impairment, and dependence in elderly
patients. Consider SSRIs or buspirone instead.
A 36-year-old male combat veteran with PTSD experiences
nightmares and hyperarousal. What medication should be
considered? -Answer-A 36-year-old male combat veteran with PTSD
experiences nightmares and hyperarousal. What medication should
be considered?
A 28-year-old female with generalized anxiety disorder (GAD) wants a
medication that is non-addictive and does not cause sedation. What is
a good option? -Answer-Buspirone - A non-benzodiazepine option that
does not cause sedation or dependence, but takes 2-4 weeks to work.
A 38-year-old male with depression and chronic pain (fibromyalgia)
needs an antidepressant. Which medication would be a good choice?
-Answer-Duloxetine - It treats both depression and neuropathic
pain/fibromyalgia.
A 45-year-old woman with treatment-resistant depression has tried
fluoxetine, sertraline, and venlafaxine with minimal improvement.
What is the next step? -Answer-Consider augmentation therapy with
lithium, atypical antipsychotics (e.g., aripiprazole), or triiodothyronine
(T3). Alternatively, MAOIs or electroconvulsive therapy (ECT) can be
considered.
, A 24-year-old man with major depressive disorder (MDD) and nicotine
dependence wants to quit smoking. He has no history of seizures.
What antidepressant might be a good option? -Answer-Bupropion - It
treats MDD and helps with smoking cessation. However, it is
contraindicated in seizure disorders or eating disorders.
A 32-year-old woman presents with depression, decreased appetite,
weight loss, and insomnia. She denies suicidal ideation but feels
hopeless. She is underweight (BMI 17.8). Which antidepressant is a
good choice? -Answer-Mirtazapine - It promotes weight gain and
improves sleep, making it ideal for underweight patients with
insomnia.
What is the black box warning for all antidepressants? -Answer-What
is the black box warning for all antidepressants?
Which antipsychotic has a black box warning for increased mortality in
elderly patients with dementia-related psychosis? -Answer-All
antipsychotics (especially second-generation).
Which benzodiazepine has the highest potential for abuse due to rapid
onset? -Answer-Alprazolam (Xanax).
Which sleep medication is most associated with complex sleep
behaviors like sleepwalking? -Answer-Zolpidem (Ambien).
What are the three hallmark symptoms of serotonin syndrome? -
Answer-Hyperreflexia, clonus, autonomic instability (fever, sweating,
tachycardia).
Exam 2026 Questions and Correct
Answers Rated A+
What does Lazarus and Folkman's transactional model of stress and
coping emphasize? -Answer-Stress is a result of an individual's
appraisal of their resources in relation to environmental demands.
What is the main critique of traditional Motivational Interviewing (MI)
according to Angelini & Efran (2021)? -Answer-MI's effectiveness is
not solely dependent on change talk; the therapeutic relationship and
context are also crucial.
What is Anxious Attachment? -Answer-Anxious attachment arises
from inconsistent caregiving, leading to anxiety about abandonment.
Individuals with this style often crave closeness but fear rejection or
being left alone.
What does Secure Attachment look like in adults? -Answer-Adults with
secure attachment have stable, healthy relationships. They balance
independence with closeness, communicate effectively, and are
confident in seeking support when needed.
What is Secure Attachment? -Answer-Secure attachment forms when
caregivers are consistently responsive to a child's needs, fostering
safety and trust. These individuals feel comfortable with intimacy,
express emotions openly, and trust others.
A 25-year-old woman with bipolar disorder is newly pregnant. She is
currently stable on valproate. What should be done? -Answer-
,Discontinue valproate immediately due to its high risk of neural tube
defects. Consider switching to lamotrigine, which is safer in
pregnancy.
A 70-year-old woman with GAD and a history of falls is asking for
medication. Which medication should be avoided? -Answer-
Benzodiazepines (e.g., alprazolam, diazepam, lorazepam) - They
increase fall risk, cognitive impairment, and dependence in elderly
patients. Consider SSRIs or buspirone instead.
A 36-year-old male combat veteran with PTSD experiences
nightmares and hyperarousal. What medication should be
considered? -Answer-A 36-year-old male combat veteran with PTSD
experiences nightmares and hyperarousal. What medication should
be considered?
A 28-year-old female with generalized anxiety disorder (GAD) wants a
medication that is non-addictive and does not cause sedation. What is
a good option? -Answer-Buspirone - A non-benzodiazepine option that
does not cause sedation or dependence, but takes 2-4 weeks to work.
A 38-year-old male with depression and chronic pain (fibromyalgia)
needs an antidepressant. Which medication would be a good choice?
-Answer-Duloxetine - It treats both depression and neuropathic
pain/fibromyalgia.
A 45-year-old woman with treatment-resistant depression has tried
fluoxetine, sertraline, and venlafaxine with minimal improvement.
What is the next step? -Answer-Consider augmentation therapy with
lithium, atypical antipsychotics (e.g., aripiprazole), or triiodothyronine
(T3). Alternatively, MAOIs or electroconvulsive therapy (ECT) can be
considered.
, A 24-year-old man with major depressive disorder (MDD) and nicotine
dependence wants to quit smoking. He has no history of seizures.
What antidepressant might be a good option? -Answer-Bupropion - It
treats MDD and helps with smoking cessation. However, it is
contraindicated in seizure disorders or eating disorders.
A 32-year-old woman presents with depression, decreased appetite,
weight loss, and insomnia. She denies suicidal ideation but feels
hopeless. She is underweight (BMI 17.8). Which antidepressant is a
good choice? -Answer-Mirtazapine - It promotes weight gain and
improves sleep, making it ideal for underweight patients with
insomnia.
What is the black box warning for all antidepressants? -Answer-What
is the black box warning for all antidepressants?
Which antipsychotic has a black box warning for increased mortality in
elderly patients with dementia-related psychosis? -Answer-All
antipsychotics (especially second-generation).
Which benzodiazepine has the highest potential for abuse due to rapid
onset? -Answer-Alprazolam (Xanax).
Which sleep medication is most associated with complex sleep
behaviors like sleepwalking? -Answer-Zolpidem (Ambien).
What are the three hallmark symptoms of serotonin syndrome? -
Answer-Hyperreflexia, clonus, autonomic instability (fever, sweating,
tachycardia).
