NRNP 6675 | Midterm
OBJECTIVE ASSESSMENT - EXAM
Midterm
Exam
NRNP 6675 | Complete Q&As + Explanations
100 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Psychiatric Assessment & Diagnosis Psychotic Disorders & Treatment
Psychopharmacology Principles Ethical & Legal Issues in Psychiatry
Mood & Anxiety Disorders
COVER PAGE - 1
, SECTION 1 | Psychiatric Assessment & Diagnosis | Q1-Q25 | NRNP 6675 Midterm Exam 2026/2027
Q1 Question 1 of 100
A 34-year-old woman presents to the clinic reporting fatigue, decreased interest in activities, and
insomnia for the past 3 weeks. The PMHNP begins the interview by asking the patient to describe when
her symptoms began. Which interviewing technique is the PMHNP utilizing?
A. Closed-ended questioning
B. Open-ended questioning
C. Reflective listening
D. Summarization
Correct Answer: B
Rationale:
Open-ended questioning invites the patient to describe symptoms in their own words and is the
appropriate initial technique for gathering a clinical history. Closed-ended questioning would restrict the
patient to yes/no or short factual answers, limiting the richness of the assessment data the PMHNP can
collect.
Q2 Question 2 of 100
A 47-year-old man is brought to the emergency department after a suicide attempt. The PMHNP
conducts a comprehensive assessment. Which component of the mental status exam evaluates the
patient's ability to understand the relationship between past and present events and his illness?
A. Orientation
B. Memory
C. Judgment
D. Insight
Correct Answer: D
Rationale:
Insight refers to the patient's awareness and understanding of their illness, its causes, and the
relationship between past events and current symptoms. Judgment assesses decision-making in
hypothetical situations, while memory and orientation evaluate specific cognitive domains rather than
self-awareness of illness.
NRNP 6675 Midterm Exam - 2026/2027 | Passing Score: 80% | Page 2 of 52
, Q3 Question 3 of 100
A 19-year-old college student presents with auditory hallucinations telling him he is worthless. The
PMHNP documents that the patient's thought process is characterized by loosening of associations.
Which best describes this finding?
A. Ideas shift from one topic to another with minimal logical connection
B. Thoughts flow logically but rapidly
C. Patient repeatedly returns to one topic
D. Patient's speech is blocked mid-sentence
Correct Answer: A
Rationale:
Loosening of associations is a formal thought disorder in which ideas shift between topics with little or no
logical connection, characteristic of psychotic disorders such as schizophrenia. Rapid logical flow
suggests pressured speech, returning to one topic is perseveration, and mid-sentence stopping is
thought blocking.
Q4 Question 4 of 100
A 56-year-old woman with major depressive disorder is being assessed for suicide risk. Which factor is
most strongly associated with an elevated acute suicide risk in this patient?
A. Female gender alone
B. Presence of mild anxiety symptoms
C. Recent discharge from psychiatric hospitalization
D. Age over 50 without other risk factors
Correct Answer: C
Rationale:
The period immediately following psychiatric discharge, particularly the first 1-2 weeks, carries the
highest suicide risk due to the transition stress and re-exposure to life stressors. Female gender is a
protective factor for completed suicide; anxiety alone and age without other risk factors are less
predictive of imminent risk.
NRNP 6675 Midterm Exam - 2026/2027 | Passing Score: 80% | Page 3 of 52
, Q5 Question 5 of 100
A 28-year-old man is evaluated for possible schizophrenia. The PMHNP observes that the patient
demonstrates waxy flexibility when his arm is positioned by the examiner. This finding is best classified
as which type of abnormal motor behavior?
A. Psychomotor agitation
B. Catatonia
C. Stereotypy
D. Mannerism
Correct Answer: B
Rationale:
Waxy flexibility is a classic catatonic sign in which the patient maintains imposed postures for prolonged
periods. Psychomotor agitation involves restlessness, stereotypy is repetitive non-goal-directed
movement, and mannerisms are quasi-purposeful idiosyncratic gestures, none of which describe the
sustained posture seen here.
Q6 Question 6 of 100
A 62-year-old man presents with cognitive decline. The PMHNP performs a Mini-Mental State
Examination (MMSE). Which domain is assessed when asking the patient to spell the word WORLD
backward or subtract 7 serially from 100?
A. Attention and calculation
B. Orientation
C. Registration
D. Language
Correct Answer: A
Rationale:
The backward spelling task and serial 7s subtraction specifically assess attention and concentration.
Orientation evaluates awareness of time, place, and person; registration tests immediate recall of new
information; and language is assessed through naming, repetition, reading, and writing tasks.
NRNP 6675 Midterm Exam - 2026/2027 | Passing Score: 80% | Page 4 of 52
OBJECTIVE ASSESSMENT - EXAM
Midterm
Exam
NRNP 6675 | Complete Q&As + Explanations
100 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Psychiatric Assessment & Diagnosis Psychotic Disorders & Treatment
Psychopharmacology Principles Ethical & Legal Issues in Psychiatry
Mood & Anxiety Disorders
COVER PAGE - 1
, SECTION 1 | Psychiatric Assessment & Diagnosis | Q1-Q25 | NRNP 6675 Midterm Exam 2026/2027
Q1 Question 1 of 100
A 34-year-old woman presents to the clinic reporting fatigue, decreased interest in activities, and
insomnia for the past 3 weeks. The PMHNP begins the interview by asking the patient to describe when
her symptoms began. Which interviewing technique is the PMHNP utilizing?
A. Closed-ended questioning
B. Open-ended questioning
C. Reflective listening
D. Summarization
Correct Answer: B
Rationale:
Open-ended questioning invites the patient to describe symptoms in their own words and is the
appropriate initial technique for gathering a clinical history. Closed-ended questioning would restrict the
patient to yes/no or short factual answers, limiting the richness of the assessment data the PMHNP can
collect.
Q2 Question 2 of 100
A 47-year-old man is brought to the emergency department after a suicide attempt. The PMHNP
conducts a comprehensive assessment. Which component of the mental status exam evaluates the
patient's ability to understand the relationship between past and present events and his illness?
A. Orientation
B. Memory
C. Judgment
D. Insight
Correct Answer: D
Rationale:
Insight refers to the patient's awareness and understanding of their illness, its causes, and the
relationship between past events and current symptoms. Judgment assesses decision-making in
hypothetical situations, while memory and orientation evaluate specific cognitive domains rather than
self-awareness of illness.
NRNP 6675 Midterm Exam - 2026/2027 | Passing Score: 80% | Page 2 of 52
, Q3 Question 3 of 100
A 19-year-old college student presents with auditory hallucinations telling him he is worthless. The
PMHNP documents that the patient's thought process is characterized by loosening of associations.
Which best describes this finding?
A. Ideas shift from one topic to another with minimal logical connection
B. Thoughts flow logically but rapidly
C. Patient repeatedly returns to one topic
D. Patient's speech is blocked mid-sentence
Correct Answer: A
Rationale:
Loosening of associations is a formal thought disorder in which ideas shift between topics with little or no
logical connection, characteristic of psychotic disorders such as schizophrenia. Rapid logical flow
suggests pressured speech, returning to one topic is perseveration, and mid-sentence stopping is
thought blocking.
Q4 Question 4 of 100
A 56-year-old woman with major depressive disorder is being assessed for suicide risk. Which factor is
most strongly associated with an elevated acute suicide risk in this patient?
A. Female gender alone
B. Presence of mild anxiety symptoms
C. Recent discharge from psychiatric hospitalization
D. Age over 50 without other risk factors
Correct Answer: C
Rationale:
The period immediately following psychiatric discharge, particularly the first 1-2 weeks, carries the
highest suicide risk due to the transition stress and re-exposure to life stressors. Female gender is a
protective factor for completed suicide; anxiety alone and age without other risk factors are less
predictive of imminent risk.
NRNP 6675 Midterm Exam - 2026/2027 | Passing Score: 80% | Page 3 of 52
, Q5 Question 5 of 100
A 28-year-old man is evaluated for possible schizophrenia. The PMHNP observes that the patient
demonstrates waxy flexibility when his arm is positioned by the examiner. This finding is best classified
as which type of abnormal motor behavior?
A. Psychomotor agitation
B. Catatonia
C. Stereotypy
D. Mannerism
Correct Answer: B
Rationale:
Waxy flexibility is a classic catatonic sign in which the patient maintains imposed postures for prolonged
periods. Psychomotor agitation involves restlessness, stereotypy is repetitive non-goal-directed
movement, and mannerisms are quasi-purposeful idiosyncratic gestures, none of which describe the
sustained posture seen here.
Q6 Question 6 of 100
A 62-year-old man presents with cognitive decline. The PMHNP performs a Mini-Mental State
Examination (MMSE). Which domain is assessed when asking the patient to spell the word WORLD
backward or subtract 7 serially from 100?
A. Attention and calculation
B. Orientation
C. Registration
D. Language
Correct Answer: A
Rationale:
The backward spelling task and serial 7s subtraction specifically assess attention and concentration.
Orientation evaluates awareness of time, place, and person; registration tests immediate recall of new
information; and language is assessed through naming, repetition, reading, and writing tasks.
NRNP 6675 Midterm Exam - 2026/2027 | Passing Score: 80% | Page 4 of 52
