NSG 6320 AGNP Board Exam – Psychiatry Assessment Exam
1. Question:
A 48-year-old woman states that she began smoking about 10 cigarettes per day at 20
years of age. How should this subjective history be documented?
10 pack year history
14 pack year history Correct
18 pack year history
20 pack year history
Explanation:
The pack year history is calculated by the number of pack years = (number of cigarettes
smoked per day/20, the number of cigarettes in a pack) × number of years smoked.
This patient smokes 10 cigarettes per day / 20 x 28 years smoked = 14 pack year history.
2. Question:
An example of an alcohol assessment screening tool is the:
Kessler 6.
PHQ-9.
CAGE. Correct
A-SSRS.
Explanation:
The CAGE Assessment is a quick questionnaire to help determine if an alcohol
assessment is needed. If a person answers yes to two or more questions, a complete
assessment is advised. The Kessler 6 & Kessler 10 are mental health screening tools used
with a general adult population. Patient Health Questionnaire (PHQ-9) is the most
common screening tool to identify depression. The Columbia-Suicide Severity Rating
Scale (C-SSRS) is a questionnaire used for suicide assessment.
3. Question:
A seven- year -old is suspected of having conduct disorder. Which one of the following
topics should the nurse practitioner include in the assessment history?
Stuttering
Animal abuse Correct
Worrying excessively about mother
Refusing to perform chores
Explanation:
Animal abuse is often seen in children who display conduct disorder behaviors and
would be a topic of concern if the child was abusing animals. Stuttering, worrying
,excessively about mother, and refusing to perform chores fall into other behavioral
disorders.
4. Question:
The personality disorder characterized by patterns of attention-seeking, often dramatic
behavior to gain the approval of others is:
histrionic. Correct
antisocial.
borderline.
narcissistic.
Explanation:
Histrionic personality disorder is a diagnosis assigned to patients who display patterns
of attention-seeking, often dramatic behavior to gain the approval of others.
Characteristics of histrionic personality disorder include: over-the-top behavior, such as
emotional outbursts, noisy displays of temper, compulsive attention seeking and self-
centered actions. Antisocial personality disorder is a diagnosis given to patients who
habitually and pervasively disregard or violate the rights and considerations of others
without remorse. Borderline personality disorder is defined as a pervasive pattern of
instability with interpersonal relationships, self-image, and affect, and marked
impulsivity.
5. Question:
What is the leading cause of serious injury among U.S. women of reproductive age?
Alcohol and illicit drug use
Motor vehicle accidents
Suicide
Intimate partner and domestic violence Correct
Explanation:
Intimate partner and domestic violence is the leading cause of serious injury and the
second leading cause of death among U.S. women of reproductive age. The U.S.
Preventive Services Task Force recommends routine screening of all women of
childbearing age for intimate partner violence and referring those who screen positive
to intervention services.
6. Question:
Which of the following statements made by a parent would alert the nurse practitioner
to suspect autism spectrum disorder?
He is negative, disobedient and defiant.
, He acts very impulsively and speaks out of turn.
He seems to be speaking less and less. Correct
He can't sit still for a short story.
Explanation:
Communication difficulties are common in the child with autism spectrum disorder.
They often speak very little or lose language abilities if early interventions are not
started that encourage and build language/communication abilities. The other choices
are consistent in children with Attention Deficit Hyperactivity Disorder (ADHD).
7. Question:
Which mental health disorder is characterized by reoccurring thoughts, feelings,
images, and sensations that lead to repetitive behaviors?
Major depressive disorder (MDD)
Generalized anxiety disorder (GAD)
Obsessive-compulsive disorder (OCD) Correct
Somatic symptom disorder (SSD)
Explanation:
Obsessive-compulsive disorder (OCD) is an anxiety disorder that causes unwanted
repeated thoughts, feelings, images, and sensations (obsessions) and prompts patients
to engage in behaviors or mental acts in response to these thoughts or obsessions. Major
depressive disorder (MDD) is characterized by an overwhelming feeling of sadness,
isolation, and despair lasting 2 weeks or longer. Generalized anxiety disorder (GAD) is
characterized by persistent and excessive worry about a number of different things.
People with generalized anxiety disorder (GAD) may anticipate disaster and may be
overly concerned about money, health, family, work, or other issues. Patients with GAD
find it difficult to control their worry. Somatic symptom disorder (SSD) causes extreme
anxiety about physical symptoms such as pain or fatigue. The person has intense
thoughts, feelings, and behaviors about the symptoms that interfere with daily life.
8. Question:
Physical manifestations of anxiety disorder would include all of the following except:
increased blood pressure.
increased heart rate.
dilated pupils.
drowsiness. Correct
Explanation:
1. Question:
A 48-year-old woman states that she began smoking about 10 cigarettes per day at 20
years of age. How should this subjective history be documented?
10 pack year history
14 pack year history Correct
18 pack year history
20 pack year history
Explanation:
The pack year history is calculated by the number of pack years = (number of cigarettes
smoked per day/20, the number of cigarettes in a pack) × number of years smoked.
This patient smokes 10 cigarettes per day / 20 x 28 years smoked = 14 pack year history.
2. Question:
An example of an alcohol assessment screening tool is the:
Kessler 6.
PHQ-9.
CAGE. Correct
A-SSRS.
Explanation:
The CAGE Assessment is a quick questionnaire to help determine if an alcohol
assessment is needed. If a person answers yes to two or more questions, a complete
assessment is advised. The Kessler 6 & Kessler 10 are mental health screening tools used
with a general adult population. Patient Health Questionnaire (PHQ-9) is the most
common screening tool to identify depression. The Columbia-Suicide Severity Rating
Scale (C-SSRS) is a questionnaire used for suicide assessment.
3. Question:
A seven- year -old is suspected of having conduct disorder. Which one of the following
topics should the nurse practitioner include in the assessment history?
Stuttering
Animal abuse Correct
Worrying excessively about mother
Refusing to perform chores
Explanation:
Animal abuse is often seen in children who display conduct disorder behaviors and
would be a topic of concern if the child was abusing animals. Stuttering, worrying
,excessively about mother, and refusing to perform chores fall into other behavioral
disorders.
4. Question:
The personality disorder characterized by patterns of attention-seeking, often dramatic
behavior to gain the approval of others is:
histrionic. Correct
antisocial.
borderline.
narcissistic.
Explanation:
Histrionic personality disorder is a diagnosis assigned to patients who display patterns
of attention-seeking, often dramatic behavior to gain the approval of others.
Characteristics of histrionic personality disorder include: over-the-top behavior, such as
emotional outbursts, noisy displays of temper, compulsive attention seeking and self-
centered actions. Antisocial personality disorder is a diagnosis given to patients who
habitually and pervasively disregard or violate the rights and considerations of others
without remorse. Borderline personality disorder is defined as a pervasive pattern of
instability with interpersonal relationships, self-image, and affect, and marked
impulsivity.
5. Question:
What is the leading cause of serious injury among U.S. women of reproductive age?
Alcohol and illicit drug use
Motor vehicle accidents
Suicide
Intimate partner and domestic violence Correct
Explanation:
Intimate partner and domestic violence is the leading cause of serious injury and the
second leading cause of death among U.S. women of reproductive age. The U.S.
Preventive Services Task Force recommends routine screening of all women of
childbearing age for intimate partner violence and referring those who screen positive
to intervention services.
6. Question:
Which of the following statements made by a parent would alert the nurse practitioner
to suspect autism spectrum disorder?
He is negative, disobedient and defiant.
, He acts very impulsively and speaks out of turn.
He seems to be speaking less and less. Correct
He can't sit still for a short story.
Explanation:
Communication difficulties are common in the child with autism spectrum disorder.
They often speak very little or lose language abilities if early interventions are not
started that encourage and build language/communication abilities. The other choices
are consistent in children with Attention Deficit Hyperactivity Disorder (ADHD).
7. Question:
Which mental health disorder is characterized by reoccurring thoughts, feelings,
images, and sensations that lead to repetitive behaviors?
Major depressive disorder (MDD)
Generalized anxiety disorder (GAD)
Obsessive-compulsive disorder (OCD) Correct
Somatic symptom disorder (SSD)
Explanation:
Obsessive-compulsive disorder (OCD) is an anxiety disorder that causes unwanted
repeated thoughts, feelings, images, and sensations (obsessions) and prompts patients
to engage in behaviors or mental acts in response to these thoughts or obsessions. Major
depressive disorder (MDD) is characterized by an overwhelming feeling of sadness,
isolation, and despair lasting 2 weeks or longer. Generalized anxiety disorder (GAD) is
characterized by persistent and excessive worry about a number of different things.
People with generalized anxiety disorder (GAD) may anticipate disaster and may be
overly concerned about money, health, family, work, or other issues. Patients with GAD
find it difficult to control their worry. Somatic symptom disorder (SSD) causes extreme
anxiety about physical symptoms such as pain or fatigue. The person has intense
thoughts, feelings, and behaviors about the symptoms that interfere with daily life.
8. Question:
Physical manifestations of anxiety disorder would include all of the following except:
increased blood pressure.
increased heart rate.
dilated pupils.
drowsiness. Correct
Explanation:
