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.
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.
