NRNP 6675 Midterm Exam Care Across the
Lifespan II 2026/2027 Actual Exam
Questions with 100% Verified Answers &
Detailed Explanations – Walden University
PMHNP Program – Graded A+
NRNP 6675 Midterm Exam: Care Across the Lifespan II
Walden University PMHNP Program
Academic Year: 2026/2027
Total Questions: 200
Format: Multiple Choice
Status: Verified Answers with Explanations
Section 1: Foundational Theories & Neurobiology (Questions 1-25)
Question 1
According to Freud, a child who does not exhibit gender-appropriate behavior
has likely not completed which stage of psychosexual development?
A) Oral Stage
B) Anal Stage
C) Latency Stage
D) Phallic Stage
Answer:D
1
,Explanation: The Phallic Stage (ages 3-6) is when the Oedipus/Electra complex
occurs, and children identify with the same-sex parent to develop gender
identity .
Question 2
Introjection, the process of adopting the characteristics of others, primarily
occurs during which psychosexual phase?
A) Oral Stage
B) Anal Stage
C) Phallic Stage
D) Genital Stage
Answer:A
Explanation: During the Oral Stage, infants "incorporate" the outside world by
taking things in (feeding). Introjection is the psychological extension of this .
Question 3
A 5-year-old child struggles to tie his shoes but violently refuses his parents’
help. According to Erikson, this behavior demonstrates:
A) Defiance for attention.
B) Latent stage behaviors.
C) Signs of mistrust.
D) Exploring his autonomy.
Answer:D
Explanation: At age 5, the child is in the "Initiative vs. Guilt" stage but still
building on "Autonomy vs. Shame." Resisting help is a healthy drive for self-
sufficiency .
Question 4
Erikson’s "Trust vs. Mistrust" stage (Birth to 18 months) is associated with
which basic virtue?
2
,A) Will
B) Hope
C) Purpose
D) Care
Answer:B
Explanation: Consistent caregiving in infancy leads to the development of
Hope—the belief that the world is safe and needs will be met .
Question 5
Which age range and virtue correspond to Erikson’s "Autonomy vs. Shame &
Doubt" stage?
A) 3–5 years; Purpose
B) 18 months–3 years; Will
C) 5–13 years; Competence
D) 65+ years; Wisdom
Answer:B
Explanation: Toddlers (18 months–3 years) develop "Will" as they assert control
over their bodies and choices (e.g., toilet training) .
Question 6
A PMHNP explains the mechanism of SSRIs to a patient. Which statement is
most accurate?
A) Blockade of norepinephrine reuptake.
B) Antagonism of dopamine D2 receptors.
C) Inhibition of serotonin reuptake, increasing synaptic serotonin.
D) Enhancement of GABA activity.
Answer:C
3
, Explanation: SSRIs (Selective Serotonin Reuptake Inhibitors) block the SERT
transporter, preventing serotonin reabsorption, which increases available
serotonin .
Question 7
The biopsychosocial model, standard in PMHNP practice, posits that mental
disorders result from:
A) Genetic factors only.
B) Unresolved unconscious conflicts.
C) The interaction of biological, psychological, and social factors.
D) Environmental stressors exclusively.
Answer:C
Explanation: This model integrates biological (genetics/neurochemistry),
psychological (mood/personality), and social (culture/family) domains for
holistic treatment .
Question 8
A patient has a first-degree relative with major depressive disorder. This
suggests the patient is at higher risk due to:
A) A learned behavior.
B) Genetic vulnerability.
C) A viral infection.
D) Poor diet.
Answer:B
Explanation: MDD has a heritable component; first-degree relatives of
individuals with MDD have a 2-3x higher lifetime risk than the general population
.
Question 9
4
Lifespan II 2026/2027 Actual Exam
Questions with 100% Verified Answers &
Detailed Explanations – Walden University
PMHNP Program – Graded A+
NRNP 6675 Midterm Exam: Care Across the Lifespan II
Walden University PMHNP Program
Academic Year: 2026/2027
Total Questions: 200
Format: Multiple Choice
Status: Verified Answers with Explanations
Section 1: Foundational Theories & Neurobiology (Questions 1-25)
Question 1
According to Freud, a child who does not exhibit gender-appropriate behavior
has likely not completed which stage of psychosexual development?
A) Oral Stage
B) Anal Stage
C) Latency Stage
D) Phallic Stage
Answer:D
1
,Explanation: The Phallic Stage (ages 3-6) is when the Oedipus/Electra complex
occurs, and children identify with the same-sex parent to develop gender
identity .
Question 2
Introjection, the process of adopting the characteristics of others, primarily
occurs during which psychosexual phase?
A) Oral Stage
B) Anal Stage
C) Phallic Stage
D) Genital Stage
Answer:A
Explanation: During the Oral Stage, infants "incorporate" the outside world by
taking things in (feeding). Introjection is the psychological extension of this .
Question 3
A 5-year-old child struggles to tie his shoes but violently refuses his parents’
help. According to Erikson, this behavior demonstrates:
A) Defiance for attention.
B) Latent stage behaviors.
C) Signs of mistrust.
D) Exploring his autonomy.
Answer:D
Explanation: At age 5, the child is in the "Initiative vs. Guilt" stage but still
building on "Autonomy vs. Shame." Resisting help is a healthy drive for self-
sufficiency .
Question 4
Erikson’s "Trust vs. Mistrust" stage (Birth to 18 months) is associated with
which basic virtue?
2
,A) Will
B) Hope
C) Purpose
D) Care
Answer:B
Explanation: Consistent caregiving in infancy leads to the development of
Hope—the belief that the world is safe and needs will be met .
Question 5
Which age range and virtue correspond to Erikson’s "Autonomy vs. Shame &
Doubt" stage?
A) 3–5 years; Purpose
B) 18 months–3 years; Will
C) 5–13 years; Competence
D) 65+ years; Wisdom
Answer:B
Explanation: Toddlers (18 months–3 years) develop "Will" as they assert control
over their bodies and choices (e.g., toilet training) .
Question 6
A PMHNP explains the mechanism of SSRIs to a patient. Which statement is
most accurate?
A) Blockade of norepinephrine reuptake.
B) Antagonism of dopamine D2 receptors.
C) Inhibition of serotonin reuptake, increasing synaptic serotonin.
D) Enhancement of GABA activity.
Answer:C
3
, Explanation: SSRIs (Selective Serotonin Reuptake Inhibitors) block the SERT
transporter, preventing serotonin reabsorption, which increases available
serotonin .
Question 7
The biopsychosocial model, standard in PMHNP practice, posits that mental
disorders result from:
A) Genetic factors only.
B) Unresolved unconscious conflicts.
C) The interaction of biological, psychological, and social factors.
D) Environmental stressors exclusively.
Answer:C
Explanation: This model integrates biological (genetics/neurochemistry),
psychological (mood/personality), and social (culture/family) domains for
holistic treatment .
Question 8
A patient has a first-degree relative with major depressive disorder. This
suggests the patient is at higher risk due to:
A) A learned behavior.
B) Genetic vulnerability.
C) A viral infection.
D) Poor diet.
Answer:B
Explanation: MDD has a heritable component; first-degree relatives of
individuals with MDD have a 2-3x higher lifetime risk than the general population
.
Question 9
4
