NR 605 – MIDTERM EXAM DIAGNOSIS &
MANAGEMENT IN PSYCHIATRIC MENTAL
HEALTH ACROSS THE LIFESPAN QUESTIONS
AND VERIFIED ANSWERS WITH RATIONALES
GRADED A+ LATEST
1.
A 9-year-old child presents with persistent inattention, distractibility, and difficulty
completing schoolwork in both home and school settings for over 1 year. Which
diagnosis is most appropriate?
A. Oppositional defiant disorder
B. Attention-deficit/hyperactivity disorder
C. Autism spectrum disorder
D. Disruptive mood dysregulation disorder
Correct Answer: B
Rationale: ADHD requires symptoms before age 12, persistence for at least 6
months, and impairment in more than one setting.
2.
Which medication is considered first-line for ADHD in school-aged children?
A. Atomoxetine
B. Guanfacine
C. Methylphenidate
D. Bupropion
Correct Answer: C
Rationale: Stimulants are first-line due to superior efficacy in reducing core
ADHD symptoms.
,3.
A 15-year-old presents with chronic irritability and frequent temper outbursts
occurring for over 12 months. Which diagnosis best fits?
A. Bipolar disorder
B. Oppositional defiant disorder
C. Disruptive mood dysregulation disorder
D. Conduct disorder
Correct Answer: C
Rationale: DMDD involves persistent irritability with severe, recurrent temper
outbursts.
4.
Which feature distinguishes conduct disorder from oppositional defiant disorder?
A. Defiance
B. Aggression toward others
C. Irritability
D. Argumentative behavior
Correct Answer: B
Rationale: Conduct disorder includes violation of societal norms and the rights of
others.
5.
A patient reports excessive worry occurring most days for the past 8 months with
muscle tension and poor sleep. Which diagnosis is most likely?
A. Panic disorder
B. Generalized anxiety disorder
C. Adjustment disorder
D. PTSD
,Correct Answer: B
Rationale: GAD requires excessive worry for at least 6 months with associated
symptoms.
6.
Which medication is first-line pharmacologic treatment for generalized anxiety
disorder?
A. Alprazolam
B. Propranolol
C. Sertraline
D. Hydroxyzine
Correct Answer: C
Rationale: SSRIs are first-line for GAD due to efficacy and long-term safety.
7.
A patient experiences recurrent, unexpected panic attacks followed by fear of
additional attacks. Which diagnosis applies?
A. Panic disorder
B. Social anxiety disorder
C. GAD
D. Acute stress disorder
Correct Answer: A
Rationale: Panic disorder includes recurrent panic attacks with behavioral or
cognitive changes.
, 8.
Which symptom is most characteristic of panic attacks?
A. Persistent sadness
B. Gradual onset anxiety
C. Sudden intense fear with physical symptoms
D. Flashbacks
Correct Answer: C
Rationale: Panic attacks involve abrupt surges of intense fear.
9.
A patient presents with intrusive thoughts of contamination and repetitive
handwashing rituals. The patient recognizes the thoughts as unreasonable. Which
diagnosis fits best?
A. Delusional disorder
B. OCD
C. GAD
D. Somatic symptom disorder
Correct Answer: B
Rationale: OCD involves obsessions and compulsions with preserved insight.
10.
Which medication is first-line for obsessive-compulsive disorder?
A. Buspirone
B. Benzodiazepines
C. SSRIs
D. Antipsychotics
Correct Answer: C
Rationale: SSRIs at higher doses are first-line for OCD.
MANAGEMENT IN PSYCHIATRIC MENTAL
HEALTH ACROSS THE LIFESPAN QUESTIONS
AND VERIFIED ANSWERS WITH RATIONALES
GRADED A+ LATEST
1.
A 9-year-old child presents with persistent inattention, distractibility, and difficulty
completing schoolwork in both home and school settings for over 1 year. Which
diagnosis is most appropriate?
A. Oppositional defiant disorder
B. Attention-deficit/hyperactivity disorder
C. Autism spectrum disorder
D. Disruptive mood dysregulation disorder
Correct Answer: B
Rationale: ADHD requires symptoms before age 12, persistence for at least 6
months, and impairment in more than one setting.
2.
Which medication is considered first-line for ADHD in school-aged children?
A. Atomoxetine
B. Guanfacine
C. Methylphenidate
D. Bupropion
Correct Answer: C
Rationale: Stimulants are first-line due to superior efficacy in reducing core
ADHD symptoms.
,3.
A 15-year-old presents with chronic irritability and frequent temper outbursts
occurring for over 12 months. Which diagnosis best fits?
A. Bipolar disorder
B. Oppositional defiant disorder
C. Disruptive mood dysregulation disorder
D. Conduct disorder
Correct Answer: C
Rationale: DMDD involves persistent irritability with severe, recurrent temper
outbursts.
4.
Which feature distinguishes conduct disorder from oppositional defiant disorder?
A. Defiance
B. Aggression toward others
C. Irritability
D. Argumentative behavior
Correct Answer: B
Rationale: Conduct disorder includes violation of societal norms and the rights of
others.
5.
A patient reports excessive worry occurring most days for the past 8 months with
muscle tension and poor sleep. Which diagnosis is most likely?
A. Panic disorder
B. Generalized anxiety disorder
C. Adjustment disorder
D. PTSD
,Correct Answer: B
Rationale: GAD requires excessive worry for at least 6 months with associated
symptoms.
6.
Which medication is first-line pharmacologic treatment for generalized anxiety
disorder?
A. Alprazolam
B. Propranolol
C. Sertraline
D. Hydroxyzine
Correct Answer: C
Rationale: SSRIs are first-line for GAD due to efficacy and long-term safety.
7.
A patient experiences recurrent, unexpected panic attacks followed by fear of
additional attacks. Which diagnosis applies?
A. Panic disorder
B. Social anxiety disorder
C. GAD
D. Acute stress disorder
Correct Answer: A
Rationale: Panic disorder includes recurrent panic attacks with behavioral or
cognitive changes.
, 8.
Which symptom is most characteristic of panic attacks?
A. Persistent sadness
B. Gradual onset anxiety
C. Sudden intense fear with physical symptoms
D. Flashbacks
Correct Answer: C
Rationale: Panic attacks involve abrupt surges of intense fear.
9.
A patient presents with intrusive thoughts of contamination and repetitive
handwashing rituals. The patient recognizes the thoughts as unreasonable. Which
diagnosis fits best?
A. Delusional disorder
B. OCD
C. GAD
D. Somatic symptom disorder
Correct Answer: B
Rationale: OCD involves obsessions and compulsions with preserved insight.
10.
Which medication is first-line for obsessive-compulsive disorder?
A. Buspirone
B. Benzodiazepines
C. SSRIs
D. Antipsychotics
Correct Answer: C
Rationale: SSRIs at higher doses are first-line for OCD.
