Psychiatric-Mental Health Nurse Practitioner Exam Psychiatric Assessment and Diagnosis

Question 1

Which DSM-5 specifier distinguishes a manic episode with flight of ideas, decreased need for sleep, and grandiosity lasting 4 days without hospitalization?

Accepted Answer

Hypomanic episode

Answer

Hypomanic episodes last at least 4 days, are not severe enough to require hospitalization, and do not cause marked functional impairment.

Question 2

The Mini-Mental State Examination (MMSE) is used primarily to assess which domain?

Accepted Answer

Cognitive functioning

Answer

The MMSE screens for cognitive impairment across orientation, memory, attention, language, and visuospatial domains.

Question 3

A PMHNP is conducting a Mental Status Examination (MSE). 'Affect' refers to:

Accepted Answer

The observed external expression of emotion

Answer

Affect is the clinician-observed emotional expression, while mood is the patient's subjective report of their internal emotional state.

Question 4

Which axis of the former DSM-IV multiaxial system was designated for personality disorders and intellectual disabilities?

Accepted Answer

Axis II

Answer

DSM-IV Axis II was designated for personality disorders and intellectual developmental disorders, distinguishing them from Axis I clinical syndromes.

Question 5

A patient reports hearing voices that tell them they are worthless. This auditory hallucination is best characterized as:

Accepted Answer

Derogatory hallucinations

Answer

Derogatory hallucinations involve voices that insult or demean the patient, often worsening self-esteem and depression.

Psychiatric-Mental Health Nurse Practitioner Exam Practice Test

Psychiatric-Mental Health Nurse Practitioner Exam Practice Test

Psychiatric-Mental Health Nurse Practitioner Exam Psychiatric Assessment and Diagnosis