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NRNP 6665 FINAL EXAM 3 LATEST VERSIONS A, B & C
2026,EACH VERSION CONTAINS 180+ QUESTIONS AND
CORRECT DETAILED ANSWERS/ WALDEN UNIVERSITY
Question 1
Which neurotransmitter is most commonly associated with depression?
A. Acetylcholine
B. Dopamine
C. Serotonin
D. Histamine
Answer: C. Serotonin
Rationale: Low serotonin levels are strongly linked to depressive disorders.
Question 2
Which disorder is characterized by excessive, uncontrollable worry for at least 6
months?
A. Panic disorder
B. Generalized anxiety disorder
C. Social anxiety disorder
D. Obsessive-compulsive disorder
Answer: B. Generalized anxiety disorder
Rationale: GAD involves persistent and excessive anxiety occurring most days for
6 months or longer.
Question 3
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Which medication class is considered first-line treatment for major depressive
disorder?
A. Benzodiazepines
B. SSRIs
C. Antipsychotics
D. Mood stabilizers
Answer: B. SSRIs
Rationale: Selective serotonin reuptake inhibitors are commonly first-line
because of effectiveness and safety.
Question 4
Which symptom is most associated with mania?
A. Flat affect
B. Hypersomnia
C. Grandiosity
D. Social withdrawal
Answer: C. Grandiosity
Rationale: Inflated self-esteem and grandiosity are hallmark symptoms of
mania.
Question 5
Which defense mechanism involves refusing to accept reality?
A. Projection
B. Regression
C. Denial
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D. Displacement
Answer: C. Denial
Rationale: Denial protects the ego by rejecting unpleasant realities.
Question 6
What is the primary purpose of the mental status examination?
A. Measure IQ
B. Diagnose medical illnesses
C. Assess cognitive and emotional functioning
D. Determine insurance eligibility
Answer: C. Assess cognitive and emotional functioning
Rationale: The MSE evaluates appearance, mood, cognition, perception, and
behavior.
Question 7
Which medication is commonly used to treat acute panic attacks?
A. Lithium
B. Lorazepam
C. Fluoxetine
D. Haloperidol
Answer: B. Lorazepam
Rationale: Benzodiazepines rapidly reduce acute anxiety and panic symptoms.
Question 8
Which disorder involves intrusive thoughts and repetitive behaviors?
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A. PTSD
B. Bipolar disorder
C. OCD
D. ADHD
Answer: C. OCD
Rationale: Obsessive-compulsive disorder includes obsessions and compulsions.
Question 9
Which symptom is considered positive in schizophrenia?
A. Flat affect
B. Social withdrawal
C. Hallucinations
D. Avolition
Answer: C. Hallucinations
Rationale: Positive symptoms add abnormal experiences such as hallucinations
and delusions.
Question 10
Which medication requires monitoring of lithium blood levels?
A. Sertraline
B. Buspirone
C. Lithium carbonate
D. Alprazolam
Answer: C. Lithium carbonate
Rationale: Lithium has a narrow therapeutic range requiring close monitoring.
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NRNP 6665 FINAL EXAM 3 LATEST VERSIONS A, B & C
2026,EACH VERSION CONTAINS 180+ QUESTIONS AND
CORRECT DETAILED ANSWERS/ WALDEN UNIVERSITY
Question 1
Which neurotransmitter is most commonly associated with depression?
A. Acetylcholine
B. Dopamine
C. Serotonin
D. Histamine
Answer: C. Serotonin
Rationale: Low serotonin levels are strongly linked to depressive disorders.
Question 2
Which disorder is characterized by excessive, uncontrollable worry for at least 6
months?
A. Panic disorder
B. Generalized anxiety disorder
C. Social anxiety disorder
D. Obsessive-compulsive disorder
Answer: B. Generalized anxiety disorder
Rationale: GAD involves persistent and excessive anxiety occurring most days for
6 months or longer.
Question 3
pg. 1
,2|Page
Which medication class is considered first-line treatment for major depressive
disorder?
A. Benzodiazepines
B. SSRIs
C. Antipsychotics
D. Mood stabilizers
Answer: B. SSRIs
Rationale: Selective serotonin reuptake inhibitors are commonly first-line
because of effectiveness and safety.
Question 4
Which symptom is most associated with mania?
A. Flat affect
B. Hypersomnia
C. Grandiosity
D. Social withdrawal
Answer: C. Grandiosity
Rationale: Inflated self-esteem and grandiosity are hallmark symptoms of
mania.
Question 5
Which defense mechanism involves refusing to accept reality?
A. Projection
B. Regression
C. Denial
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D. Displacement
Answer: C. Denial
Rationale: Denial protects the ego by rejecting unpleasant realities.
Question 6
What is the primary purpose of the mental status examination?
A. Measure IQ
B. Diagnose medical illnesses
C. Assess cognitive and emotional functioning
D. Determine insurance eligibility
Answer: C. Assess cognitive and emotional functioning
Rationale: The MSE evaluates appearance, mood, cognition, perception, and
behavior.
Question 7
Which medication is commonly used to treat acute panic attacks?
A. Lithium
B. Lorazepam
C. Fluoxetine
D. Haloperidol
Answer: B. Lorazepam
Rationale: Benzodiazepines rapidly reduce acute anxiety and panic symptoms.
Question 8
Which disorder involves intrusive thoughts and repetitive behaviors?
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A. PTSD
B. Bipolar disorder
C. OCD
D. ADHD
Answer: C. OCD
Rationale: Obsessive-compulsive disorder includes obsessions and compulsions.
Question 9
Which symptom is considered positive in schizophrenia?
A. Flat affect
B. Social withdrawal
C. Hallucinations
D. Avolition
Answer: C. Hallucinations
Rationale: Positive symptoms add abnormal experiences such as hallucinations
and delusions.
Question 10
Which medication requires monitoring of lithium blood levels?
A. Sertraline
B. Buspirone
C. Lithium carbonate
D. Alprazolam
Answer: C. Lithium carbonate
Rationale: Lithium has a narrow therapeutic range requiring close monitoring.
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