,NRNP 6635 WEEK 6 MIDTERM EXAM –
ACTUAL 2026-2027
Psychiatric Mental Health Nurse
Practitioner (PMHNP) | Graded A+ |
Complete 100-Question Exam &
Rationales
.
SECTION 1: MOOD DISORDERS
(Questions 1–25)
1. A 45-year-old patient presents with
depressed mood, anhedonia, significant
weight loss (15 lbs in 2 months), insomnia,
psychomotor agitation, fatigue, feelings of
worthlessness, diminished concentration,
,and recurrent thoughts of death. Symptoms
have been present daily for 6 weeks. Which
diagnosis is most appropriate?
A) Major Depressive Disorder, Single
Episode
B) Persistent Depressive Disorder
(Dysthymia)
C) Adjustment Disorder with Depressed
Mood
D) Bipolar II Disorder, Depressed Episode
Answer: A) Major Depressive Disorder,
Single Episode
Rationale: MDD requires ≥5 of 9 symptoms
(including depressed mood or anhedonia)
present for ≥2 weeks. This patient has 8
symptoms for 6 weeks. Dysthymia (B)
requires ≥2 years; Adjustment Disorder (C)
follows identifiable stressor and is <6
, months; Bipolar II (D) would require a history of
k k k k k k k k
hypomanic episodes.
k k
2. A patient with MDD has been on sertraline
k k k k k k k k
50 mg daily for 6 weeks. The patient reports
k k k k k k k k k
"feeling a little better" but still has significant
k k k k k k k k
anhedonia and low energy. The PHQ-9 score
k k k k k k k
has decreased from 22 to 16. What is the most
k k k k k k k k k k
appropriate next step?
k k k
A) Add aripiprazole (Abilify) for augmentation
k k k k k
B) Increase sertraline to 100 mg daily
k k k k k k
C) Switch to bupropion (Wellbutrin)
k k k k
D) Start electroconvulsive therapy (ECT)
k k k k
Answer: B) Increase sertraline to 100 mg daily k k k k k k k
Rationale: The patient has had a partial k k k k k k
response at 6 weeks. The next step is to titrate
k k k k k k k k k k
the SSRI upward (sertraline usual dose 50–200
k k k k k k k
mg). Augmentation (A) is used after multiple
k k k k k k k
ACTUAL 2026-2027
Psychiatric Mental Health Nurse
Practitioner (PMHNP) | Graded A+ |
Complete 100-Question Exam &
Rationales
.
SECTION 1: MOOD DISORDERS
(Questions 1–25)
1. A 45-year-old patient presents with
depressed mood, anhedonia, significant
weight loss (15 lbs in 2 months), insomnia,
psychomotor agitation, fatigue, feelings of
worthlessness, diminished concentration,
,and recurrent thoughts of death. Symptoms
have been present daily for 6 weeks. Which
diagnosis is most appropriate?
A) Major Depressive Disorder, Single
Episode
B) Persistent Depressive Disorder
(Dysthymia)
C) Adjustment Disorder with Depressed
Mood
D) Bipolar II Disorder, Depressed Episode
Answer: A) Major Depressive Disorder,
Single Episode
Rationale: MDD requires ≥5 of 9 symptoms
(including depressed mood or anhedonia)
present for ≥2 weeks. This patient has 8
symptoms for 6 weeks. Dysthymia (B)
requires ≥2 years; Adjustment Disorder (C)
follows identifiable stressor and is <6
, months; Bipolar II (D) would require a history of
k k k k k k k k
hypomanic episodes.
k k
2. A patient with MDD has been on sertraline
k k k k k k k k
50 mg daily for 6 weeks. The patient reports
k k k k k k k k k
"feeling a little better" but still has significant
k k k k k k k k
anhedonia and low energy. The PHQ-9 score
k k k k k k k
has decreased from 22 to 16. What is the most
k k k k k k k k k k
appropriate next step?
k k k
A) Add aripiprazole (Abilify) for augmentation
k k k k k
B) Increase sertraline to 100 mg daily
k k k k k k
C) Switch to bupropion (Wellbutrin)
k k k k
D) Start electroconvulsive therapy (ECT)
k k k k
Answer: B) Increase sertraline to 100 mg daily k k k k k k k
Rationale: The patient has had a partial k k k k k k
response at 6 weeks. The next step is to titrate
k k k k k k k k k k
the SSRI upward (sertraline usual dose 50–200
k k k k k k k
mg). Augmentation (A) is used after multiple
k k k k k k k
