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NR548 / NR 548 EXAM 1, EXAM 2, EXAM 3 & FINAL EXAM
(LATEST 2026) – PSYCHIATRIC ASSESSMENT STUDY BUNDLE
WITH COMPLETE SOLUTIONS,100% CORRECT ALREADY
GRADED A+
Question 1
A psychiatric-mental health nurse practitioner is assessing a client presenting
with disorganized thinking, auditory hallucinations, and flat affect. Which
disorder is most consistent with these findings?
A. Bipolar disorder
B. Schizophrenia
C. Major depressive disorder
D. Schizoaffective disorder
Answer: B. Schizophrenia
Rationale: Schizophrenia is characterized by hallucinations, delusions,
disorganized thought, and negative symptoms like flat affect. While
schizoaffective disorder includes mood components, the core psychotic
features align with schizophrenia here.
Question 2
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A client reports persistent sadness, loss of energy, and lack of interest in
activities for more than 2 weeks. Which diagnosis is most likely?
A. Generalized anxiety disorder
B. Major depressive disorder
C. Bipolar II disorder
D. Cyclothymia
Answer: B. Major depressive disorder
Rationale: MDD requires at least 2 weeks of depressed mood or anhedonia,
plus associated symptoms like low energy and poor concentration. Bipolar II
involves hypomania, which is not reported.
Question 3
During a psychiatric assessment, the nurse practitioner notes that the client
avoids eye contact, exhibits pressured speech, and reports feeling “on top of
the world.” Which phase of bipolar disorder is most consistent?
A. Depressive phase
B. Manic phase
C. Mixed episode
D. Hypomanic phase
Answer: B. Manic phase
Rationale: Manic phases involve elevated mood, pressured speech,
increased energy, and decreased need for sleep. Hypomania is similar but
less severe.
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Question 4
A 40-year-old client reports experiencing excessive worry about finances,
health, and work nearly every day for 8 months. What is the most likely
diagnosis?
A. Panic disorder
B. Generalized anxiety disorder
C. Social anxiety disorder
D. Somatic symptom disorder
Answer: B. Generalized anxiety disorder
Rationale: GAD requires 6+ months of excessive worry about multiple
aspects of life, often accompanied by restlessness, irritability, and poor
concentration.
Question 5
The nurse practitioner is performing a Mini-Mental State Examination
(MMSE). Which score suggests possible cognitive impairment?
A. 28
B. 25
C. 22
D. 30
Answer: C. 22
Rationale: MMSE scores below 24 typically indicate possible cognitive
impairment, warranting further evaluation for dementia or delirium.
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Question 6
A client presents with recurrent episodes of binge eating followed by
purging behaviors such as vomiting. Which disorder is most consistent with
these findings?
A. Bulimia nervosa
B. Anorexia nervosa
C. Binge-eating disorder
D. Somatic symptom disorder
Answer: A. Bulimia nervosa
Rationale: Bulimia involves binge eating with compensatory behaviors
(purging). Anorexia involves restriction and low body weight without
binge/purge cycles in all cases.
Question 7
A client reports excessive sleep, overeating, low energy, and
hypersensitivity to rejection. Which subtype of depression does this
presentation indicate?
A. Melancholic depression
B. Atypical depression
C. Seasonal affective disorder
D. Persistent depressive disorder
Answer: B. Atypical depression
Rationale: Atypical depression features hypersomnia, hyperphagia, leaden
paralysis, and rejection sensitivity.
NR548 / NR 548 EXAM 1, EXAM 2, EXAM 3 & FINAL EXAM
(LATEST 2026) – PSYCHIATRIC ASSESSMENT STUDY BUNDLE
WITH COMPLETE SOLUTIONS,100% CORRECT ALREADY
GRADED A+
Question 1
A psychiatric-mental health nurse practitioner is assessing a client presenting
with disorganized thinking, auditory hallucinations, and flat affect. Which
disorder is most consistent with these findings?
A. Bipolar disorder
B. Schizophrenia
C. Major depressive disorder
D. Schizoaffective disorder
Answer: B. Schizophrenia
Rationale: Schizophrenia is characterized by hallucinations, delusions,
disorganized thought, and negative symptoms like flat affect. While
schizoaffective disorder includes mood components, the core psychotic
features align with schizophrenia here.
Question 2
,2|Page
A client reports persistent sadness, loss of energy, and lack of interest in
activities for more than 2 weeks. Which diagnosis is most likely?
A. Generalized anxiety disorder
B. Major depressive disorder
C. Bipolar II disorder
D. Cyclothymia
Answer: B. Major depressive disorder
Rationale: MDD requires at least 2 weeks of depressed mood or anhedonia,
plus associated symptoms like low energy and poor concentration. Bipolar II
involves hypomania, which is not reported.
Question 3
During a psychiatric assessment, the nurse practitioner notes that the client
avoids eye contact, exhibits pressured speech, and reports feeling “on top of
the world.” Which phase of bipolar disorder is most consistent?
A. Depressive phase
B. Manic phase
C. Mixed episode
D. Hypomanic phase
Answer: B. Manic phase
Rationale: Manic phases involve elevated mood, pressured speech,
increased energy, and decreased need for sleep. Hypomania is similar but
less severe.
,3|Page
Question 4
A 40-year-old client reports experiencing excessive worry about finances,
health, and work nearly every day for 8 months. What is the most likely
diagnosis?
A. Panic disorder
B. Generalized anxiety disorder
C. Social anxiety disorder
D. Somatic symptom disorder
Answer: B. Generalized anxiety disorder
Rationale: GAD requires 6+ months of excessive worry about multiple
aspects of life, often accompanied by restlessness, irritability, and poor
concentration.
Question 5
The nurse practitioner is performing a Mini-Mental State Examination
(MMSE). Which score suggests possible cognitive impairment?
A. 28
B. 25
C. 22
D. 30
Answer: C. 22
Rationale: MMSE scores below 24 typically indicate possible cognitive
impairment, warranting further evaluation for dementia or delirium.
, 4|Page
Question 6
A client presents with recurrent episodes of binge eating followed by
purging behaviors such as vomiting. Which disorder is most consistent with
these findings?
A. Bulimia nervosa
B. Anorexia nervosa
C. Binge-eating disorder
D. Somatic symptom disorder
Answer: A. Bulimia nervosa
Rationale: Bulimia involves binge eating with compensatory behaviors
(purging). Anorexia involves restriction and low body weight without
binge/purge cycles in all cases.
Question 7
A client reports excessive sleep, overeating, low energy, and
hypersensitivity to rejection. Which subtype of depression does this
presentation indicate?
A. Melancholic depression
B. Atypical depression
C. Seasonal affective disorder
D. Persistent depressive disorder
Answer: B. Atypical depression
Rationale: Atypical depression features hypersomnia, hyperphagia, leaden
paralysis, and rejection sensitivity.
