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NRNP 6645 MIDTERM EXAM LATEST EXAM 2 LATEST
VERSIONS 200 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES/NRNP6645
PSYCHOTHERAPY WITH MULTIPLE MODALITIES
MIDTERM EXAM PREPARATION/NRNP 6645 MIDTERM
EXAM PRACTICE EXAM |AGRADE A+
Question 1
A 32-year-old patient reports excessive worry occurring more days than not for
over 6 months. The patient also reports fatigue, muscle tension, and sleep
disturbance. Which diagnosis is most appropriate?
A. Panic disorder
B. Generalized anxiety disorder
C. Social anxiety disorder
D. Obsessive-compulsive disorder
Answer: B. Generalized anxiety disorder
Rationale: GAD involves excessive anxiety and worry for at least 6 months with
physical symptoms.
Question 2
Which neurotransmitter is most associated with the pathophysiology of
depression?
A. Acetylcholine
B. Dopamine
C. Serotonin
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D. Histamine
Answer: C. Serotonin
Rationale: Low serotonin levels are strongly linked to depressive disorders.
Question 3
A patient taking lithium reports severe diarrhea, tremors, and confusion. What
is the priority action?
A. Continue medication
B. Increase fluid intake only
C. Evaluate for lithium toxicity
D. Administer benzodiazepines
Answer: C. Evaluate for lithium toxicity
Rationale: GI symptoms and neurologic changes suggest lithium toxicity.
Question 4
Which defense mechanism involves redirecting emotions toward a safer target?
A. Projection
B. Displacement
C. Regression
D. Rationalization
Answer: B. Displacement
Rationale: Displacement transfers emotions from a threatening source to a safer
one.
Question 5
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A patient experiences sudden episodes of intense fear, palpitations, chest pain,
and shortness of breath lasting several minutes. Which diagnosis is most likely?
A. Generalized anxiety disorder
B. Panic disorder
C. PTSD
D. OCD
Answer: B. Panic disorder
Rationale: Panic disorder involves recurrent unexpected panic attacks.
Question 6
Which medication is classified as a selective serotonin reuptake inhibitor (SSRI)?
A. Venlafaxine
B. Fluoxetine
C. Bupropion
D. Amitriptyline
Answer: B. Fluoxetine
Rationale: Fluoxetine is an SSRI commonly used for depression and anxiety.
Question 7
What is the primary goal during the initial phase of a therapeutic nurse-patient
relationship?
A. Encourage independence
B. Establish trust and rapport
C. Terminate treatment goals
D. Analyze transference
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Answer: B. Establish trust and rapport
Rationale: Trust is essential during the orientation phase.
Question 8
Which symptom is considered positive in schizophrenia?
A. Flat affect
B. Social withdrawal
C. Hallucinations
D. Lack of motivation
Answer: C. Hallucinations
Rationale: Positive symptoms add abnormal experiences such as hallucinations.
Question 9
A patient with bipolar disorder presents with elevated mood, decreased need
for sleep, and grandiosity for 1 week. Which episode is occurring?
A. Hypomanic episode
B. Major depressive episode
C. Manic episode
D. Cyclothymic episode
Answer: C. Manic episode
Rationale: Mania lasts at least 1 week and significantly impairs functioning.
Question 10
Which laboratory test should be monitored routinely in patients taking
clozapine?
pg. 4
NRNP 6645 MIDTERM EXAM LATEST EXAM 2 LATEST
VERSIONS 200 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES/NRNP6645
PSYCHOTHERAPY WITH MULTIPLE MODALITIES
MIDTERM EXAM PREPARATION/NRNP 6645 MIDTERM
EXAM PRACTICE EXAM |AGRADE A+
Question 1
A 32-year-old patient reports excessive worry occurring more days than not for
over 6 months. The patient also reports fatigue, muscle tension, and sleep
disturbance. Which diagnosis is most appropriate?
A. Panic disorder
B. Generalized anxiety disorder
C. Social anxiety disorder
D. Obsessive-compulsive disorder
Answer: B. Generalized anxiety disorder
Rationale: GAD involves excessive anxiety and worry for at least 6 months with
physical symptoms.
Question 2
Which neurotransmitter is most associated with the pathophysiology of
depression?
A. Acetylcholine
B. Dopamine
C. Serotonin
pg. 1
,2|Page
D. Histamine
Answer: C. Serotonin
Rationale: Low serotonin levels are strongly linked to depressive disorders.
Question 3
A patient taking lithium reports severe diarrhea, tremors, and confusion. What
is the priority action?
A. Continue medication
B. Increase fluid intake only
C. Evaluate for lithium toxicity
D. Administer benzodiazepines
Answer: C. Evaluate for lithium toxicity
Rationale: GI symptoms and neurologic changes suggest lithium toxicity.
Question 4
Which defense mechanism involves redirecting emotions toward a safer target?
A. Projection
B. Displacement
C. Regression
D. Rationalization
Answer: B. Displacement
Rationale: Displacement transfers emotions from a threatening source to a safer
one.
Question 5
pg. 2
,3|Page
A patient experiences sudden episodes of intense fear, palpitations, chest pain,
and shortness of breath lasting several minutes. Which diagnosis is most likely?
A. Generalized anxiety disorder
B. Panic disorder
C. PTSD
D. OCD
Answer: B. Panic disorder
Rationale: Panic disorder involves recurrent unexpected panic attacks.
Question 6
Which medication is classified as a selective serotonin reuptake inhibitor (SSRI)?
A. Venlafaxine
B. Fluoxetine
C. Bupropion
D. Amitriptyline
Answer: B. Fluoxetine
Rationale: Fluoxetine is an SSRI commonly used for depression and anxiety.
Question 7
What is the primary goal during the initial phase of a therapeutic nurse-patient
relationship?
A. Encourage independence
B. Establish trust and rapport
C. Terminate treatment goals
D. Analyze transference
pg. 3
, 4|Page
Answer: B. Establish trust and rapport
Rationale: Trust is essential during the orientation phase.
Question 8
Which symptom is considered positive in schizophrenia?
A. Flat affect
B. Social withdrawal
C. Hallucinations
D. Lack of motivation
Answer: C. Hallucinations
Rationale: Positive symptoms add abnormal experiences such as hallucinations.
Question 9
A patient with bipolar disorder presents with elevated mood, decreased need
for sleep, and grandiosity for 1 week. Which episode is occurring?
A. Hypomanic episode
B. Major depressive episode
C. Manic episode
D. Cyclothymic episode
Answer: C. Manic episode
Rationale: Mania lasts at least 1 week and significantly impairs functioning.
Question 10
Which laboratory test should be monitored routinely in patients taking
clozapine?
pg. 4
