Page 1 of 80
MIDTERM EXAM: NR548 / NR 548 (LATEST
UPDATE 2025) PSYCHIATRIC ASSESSMENT FOR
PSYCHIATRIC-MENTAL HEALTH NURSE
PRACTITIONER | QUESTIONS & ANSWERS |
100% CORRECT | GRADE A - CHAMBERLAIN
Know that in a 47-year-old man ED is usually ___________
rather than testosterone .....ANSWER.....psychologic
Erectile dysfunction may be from psychogenic causes, especially
if .....ANSWER.....early morning erection is preserved.
it may also reflect decreased testosterone, decreased blood flow
in the hypogastric arterial system, impaired neural innervation,
and diabetes
When performing a breast exam, know what abnormal masses
should do when the arm .....ANSWER.....may be fixed to skin or
,Page 2 of 80
underlying tissues (may cause dimpling of skin or retraction when
arms are lifted over head or hands are pressed against hips)
Fibroadenoma and cysts mobility .....ANSWER.....very
mobile/mobile
Know that a high proportion of breast masses are noted during
________ .....ANSWER.....BSE
Breast stage 1 .....ANSWER.....preadolescent- elevation of nipple
only
Breast stage 2 .....ANSWER.....breast bud stage- elevation of
breast and nipple as a small mound; enlargement of areolar
diameter
breast stage 3 .....ANSWER.....further enlargement of elevation
of breast and areola, with no separation of their contours
breast stage 4 .....ANSWER.....projection of areola and nipple to
form a secondary mound above the level of breast
,Page 3 of 80
breast stage 5 .....ANSWER.....mature stage- projection of nipple
only; areola has receded to general contour of the breast
(although in some individuals the areola continues to form a
secondary mound)
Know where pain is located with pancreatitis: acute
.....ANSWER.....epigastric, may radiation straight to the back of
other areas of the abdomen; 20% with severe sequelae of
organ failure
Know where pain is located with pancreatitis: chronic
.....ANSWER.....epigastric, radiating to back
Know how hepatitis A is transmitted .....ANSWER.....Transmitted
through fecal-oral route. Fecal shedding followed by poor
handwashing contaminates water and foods leading to infection
of household and sexual contacts
Stress incontinence .....ANSWER.....the urethral sphincter is
weakened so that transient increases in intra-abdominal pressure
, Page 4 of 80
raise the bladder pressure to levels that exceed urethral
resistance. Causes include childbirth and surgery,
postmenopausal atrophy of the mucosa, and urethral infection.
May follow prostate surgery in men.
urge incontinence .....ANSWER.....detrusor contractions are
stronger than normal and overcome the normal urethral
resistance. The bladder is typically small. Mechanisms: Decreased
cortical inhibition of detrusor contractions from stroke, brain
tumor, dementia, and lesions of the spinal cord above sacral
level. Also hyperexcitability of sensory pathways ie: bladder
infections, tumors, and fecal impaction. Deconditioning of voiding
reflexes ie: frequent voluntary voiding at low bladder volumes.
overflow incontinence .....ANSWER.....detrusor contractions are
insufficient to overcome urethral resistance, causing urinary
retention. The bladder is typically flaccid and large, even after
an effort to void. Mechanisms: obstruction of the bladder outlet
MIDTERM EXAM: NR548 / NR 548 (LATEST
UPDATE 2025) PSYCHIATRIC ASSESSMENT FOR
PSYCHIATRIC-MENTAL HEALTH NURSE
PRACTITIONER | QUESTIONS & ANSWERS |
100% CORRECT | GRADE A - CHAMBERLAIN
Know that in a 47-year-old man ED is usually ___________
rather than testosterone .....ANSWER.....psychologic
Erectile dysfunction may be from psychogenic causes, especially
if .....ANSWER.....early morning erection is preserved.
it may also reflect decreased testosterone, decreased blood flow
in the hypogastric arterial system, impaired neural innervation,
and diabetes
When performing a breast exam, know what abnormal masses
should do when the arm .....ANSWER.....may be fixed to skin or
,Page 2 of 80
underlying tissues (may cause dimpling of skin or retraction when
arms are lifted over head or hands are pressed against hips)
Fibroadenoma and cysts mobility .....ANSWER.....very
mobile/mobile
Know that a high proportion of breast masses are noted during
________ .....ANSWER.....BSE
Breast stage 1 .....ANSWER.....preadolescent- elevation of nipple
only
Breast stage 2 .....ANSWER.....breast bud stage- elevation of
breast and nipple as a small mound; enlargement of areolar
diameter
breast stage 3 .....ANSWER.....further enlargement of elevation
of breast and areola, with no separation of their contours
breast stage 4 .....ANSWER.....projection of areola and nipple to
form a secondary mound above the level of breast
,Page 3 of 80
breast stage 5 .....ANSWER.....mature stage- projection of nipple
only; areola has receded to general contour of the breast
(although in some individuals the areola continues to form a
secondary mound)
Know where pain is located with pancreatitis: acute
.....ANSWER.....epigastric, may radiation straight to the back of
other areas of the abdomen; 20% with severe sequelae of
organ failure
Know where pain is located with pancreatitis: chronic
.....ANSWER.....epigastric, radiating to back
Know how hepatitis A is transmitted .....ANSWER.....Transmitted
through fecal-oral route. Fecal shedding followed by poor
handwashing contaminates water and foods leading to infection
of household and sexual contacts
Stress incontinence .....ANSWER.....the urethral sphincter is
weakened so that transient increases in intra-abdominal pressure
, Page 4 of 80
raise the bladder pressure to levels that exceed urethral
resistance. Causes include childbirth and surgery,
postmenopausal atrophy of the mucosa, and urethral infection.
May follow prostate surgery in men.
urge incontinence .....ANSWER.....detrusor contractions are
stronger than normal and overcome the normal urethral
resistance. The bladder is typically small. Mechanisms: Decreased
cortical inhibition of detrusor contractions from stroke, brain
tumor, dementia, and lesions of the spinal cord above sacral
level. Also hyperexcitability of sensory pathways ie: bladder
infections, tumors, and fecal impaction. Deconditioning of voiding
reflexes ie: frequent voluntary voiding at low bladder volumes.
overflow incontinence .....ANSWER.....detrusor contractions are
insufficient to overcome urethral resistance, causing urinary
retention. The bladder is typically flaccid and large, even after
an effort to void. Mechanisms: obstruction of the bladder outlet
