AANP Mental Health 2

Question 1

A patient with schizophrenia develops muscle rigidity, high fever, altered consciousness, and autonomic instability after starting haloperidol. What is this complication?

Accepted Answer

Neuroleptic malignant syndrome (NMS)

Answer

NMS is a rare, life-threatening reaction to dopamine-blocking antipsychotics, characterized by the tetrad of fever, rigidity, altered consciousness, and autonomic instability.

Question 2

Which psychotherapy has the strongest evidence base for treating major depressive disorder?

Accepted Answer

Cognitive behavioral therapy (CBT)

Answer

CBT has the most robust evidence base for treating major depressive disorder, with multiple randomized controlled trials demonstrating efficacy comparable to antidepressants.

Question 3

A patient with generalized anxiety disorder (GAD) asks about non-benzodiazepine pharmacotherapy. Which agent is FDA-approved for GAD?

Accepted Answer

Buspirone

Answer

Buspirone is FDA-approved for GAD, has no abuse potential, does not cause sedation acutely, and is effective for chronic anxiety but takes 2–4 weeks to work.

Question 4

A patient diagnosed with bipolar I disorder should be educated that untreated manic episodes last approximately how long?

Accepted Answer

1–3 months without treatment

Answer

Untreated manic episodes in bipolar I disorder typically last 3 months or longer; proper mood stabilizer therapy significantly shortens episode duration.

Question 5

Which class of medication is first-line for panic disorder with or without agoraphobia?

Accepted Answer

SSRIs/SNRIs

Answer

SSRIs and SNRIs are first-line for panic disorder due to their efficacy, tolerability, and lack of dependence; benzodiazepines may be used short-term as adjuncts.

AANP - American Association of Nurse Practitioners Practice Test

AANP - American Association of Nurse Practitioners Practice Test

AANP Mental Health 2