NR547 MIDTERM PRACTICE EXAM 300 QUESTIONS &
CORRECT ANSWERS LATEST 2025
Which dopamine pathway is associated with positive symptoms of psychosis?
Mesolimbic
Which dopamine pathway is associated with negative symptoms of psychosis?
Mesocortical
What is the main NTM involved in psychosis?
Is the issue too much or too little of this NTM?
Dopamine (too much)
When providing psychoeducation to the parents of a 20 year old male with
psychosis, which of the following is considered a good prognostic indicator?
A Early onset
B Substance induced
C First degree relative with schizophrenia
D Delayed treatment with antipsychotics
B Substance Induced
when the substance is cleared from the body the patient can return to baseline.
The rest are all poor prognostic indicators
5 types of symptoms of psychosis
Positive symptoms
Negative symptoms
Motor symptoms
Cognitive symptoms
Affective symptoms
,A 28year old female is referred from here employee assistance program from a
tech company for poor hygiene and erratic behaviors interfering with her work.
The patient states her company is spying on her and setting her up to fail for the
last 9 months. While speaking, she stops herself and begins to talk back to
someone who is not present. These symptoms are most consistent with:
Psychosis
Delusions
Hallucinations
Depression
Psychosis
A 61 year old female is referred to the psychiatric emergency department with
complaints of abdominal pain, nausea, and bloody stools. Despite an extensive
evaluation, no underlying cause for her symptoms can be identified and her
hemoglobin is normal. The patient insists there is something physically wrong
with here. Which of the following best describes her condition?
Persecutory delusion
Grandiose delusion
Jealous delusion
Somatic delusion
Somatic Delusion
content is focused on bodily functions in somatic delusions and perceived
ailments exist despite no objective evidence of the physical complaint
Are hallucinations a positive, negative, cognitive, motor, or affective symptoms of
schizophrenia:
positive
Are depression and anxiety positive, negative, cognitive, motor, or affective
symptoms of schizophrenia:
affective
,are EPS positive, negative, cognitive, motor, or affective symptoms of
schizophrenia:
motor
Is Inattention positive, negative, cognitive, motor, or affective symptoms of
schizophrenia:
Cognitive
Is alogia positive, negative, cognitive, motor, or affective symptoms of
schizophrenia:
negative
Is visual memory positive, negative, cognitive, motor, or affective symptoms of
schizophrenia:
cognitive
Are delusions positive, negative, cognitive, motor, or affective symptoms of
schizophrenia:
positive
Is asociality positive, negative, cognitive, motor, or affective symptoms of
schizophrenia:
negative
Is motor delay positive, negative, cognitive, motor, or affective symptoms of
schizophrenia:
motor
Affective flattening
Lack of an emotional response
Alogia
lack of speech
Anhedonia
, lack of pleasure
Amotivation
lack of motivation
Asociality
lacking desire for social interaction
A male patient taking olanzapine 5mg twice daily for psychosis reports a
perpetual sense of restlessness and an inability to sit still. He says "sometimes it
gets so bad I want to jump out of my own skin." Which of the following is the
most likely explanation?
§Dystonia
§Akinesia
§Akathisia
§Tardive dyskinesia
Akathisia
inability to sit still, includes motor restlessness, and is often mistaken as anxiety
The PMHNP is evaluating a 30 year old female who reports intermittent auditory
hallucinations in which a familiar female voice is commenting on her as she eats.
In an effort to deal with the voices she has been using her headphones and listens
to podcasts and music all the time, but it's interfering with her ability to do here
work. Which of the following questions would help in formulating a diagnosis?
§How long have you been experiencing these voices?
§Do the voices bother you?
§Are you able to ignore the voices?
§What has helped you deal with the voices?
How long have you been experiencing these voices?
the timing allows the PMHNP to differentiate between different diagnostic
criteria
CORRECT ANSWERS LATEST 2025
Which dopamine pathway is associated with positive symptoms of psychosis?
Mesolimbic
Which dopamine pathway is associated with negative symptoms of psychosis?
Mesocortical
What is the main NTM involved in psychosis?
Is the issue too much or too little of this NTM?
Dopamine (too much)
When providing psychoeducation to the parents of a 20 year old male with
psychosis, which of the following is considered a good prognostic indicator?
A Early onset
B Substance induced
C First degree relative with schizophrenia
D Delayed treatment with antipsychotics
B Substance Induced
when the substance is cleared from the body the patient can return to baseline.
The rest are all poor prognostic indicators
5 types of symptoms of psychosis
Positive symptoms
Negative symptoms
Motor symptoms
Cognitive symptoms
Affective symptoms
,A 28year old female is referred from here employee assistance program from a
tech company for poor hygiene and erratic behaviors interfering with her work.
The patient states her company is spying on her and setting her up to fail for the
last 9 months. While speaking, she stops herself and begins to talk back to
someone who is not present. These symptoms are most consistent with:
Psychosis
Delusions
Hallucinations
Depression
Psychosis
A 61 year old female is referred to the psychiatric emergency department with
complaints of abdominal pain, nausea, and bloody stools. Despite an extensive
evaluation, no underlying cause for her symptoms can be identified and her
hemoglobin is normal. The patient insists there is something physically wrong
with here. Which of the following best describes her condition?
Persecutory delusion
Grandiose delusion
Jealous delusion
Somatic delusion
Somatic Delusion
content is focused on bodily functions in somatic delusions and perceived
ailments exist despite no objective evidence of the physical complaint
Are hallucinations a positive, negative, cognitive, motor, or affective symptoms of
schizophrenia:
positive
Are depression and anxiety positive, negative, cognitive, motor, or affective
symptoms of schizophrenia:
affective
,are EPS positive, negative, cognitive, motor, or affective symptoms of
schizophrenia:
motor
Is Inattention positive, negative, cognitive, motor, or affective symptoms of
schizophrenia:
Cognitive
Is alogia positive, negative, cognitive, motor, or affective symptoms of
schizophrenia:
negative
Is visual memory positive, negative, cognitive, motor, or affective symptoms of
schizophrenia:
cognitive
Are delusions positive, negative, cognitive, motor, or affective symptoms of
schizophrenia:
positive
Is asociality positive, negative, cognitive, motor, or affective symptoms of
schizophrenia:
negative
Is motor delay positive, negative, cognitive, motor, or affective symptoms of
schizophrenia:
motor
Affective flattening
Lack of an emotional response
Alogia
lack of speech
Anhedonia
, lack of pleasure
Amotivation
lack of motivation
Asociality
lacking desire for social interaction
A male patient taking olanzapine 5mg twice daily for psychosis reports a
perpetual sense of restlessness and an inability to sit still. He says "sometimes it
gets so bad I want to jump out of my own skin." Which of the following is the
most likely explanation?
§Dystonia
§Akinesia
§Akathisia
§Tardive dyskinesia
Akathisia
inability to sit still, includes motor restlessness, and is often mistaken as anxiety
The PMHNP is evaluating a 30 year old female who reports intermittent auditory
hallucinations in which a familiar female voice is commenting on her as she eats.
In an effort to deal with the voices she has been using her headphones and listens
to podcasts and music all the time, but it's interfering with her ability to do here
work. Which of the following questions would help in formulating a diagnosis?
§How long have you been experiencing these voices?
§Do the voices bother you?
§Are you able to ignore the voices?
§What has helped you deal with the voices?
How long have you been experiencing these voices?
the timing allows the PMHNP to differentiate between different diagnostic
criteria
