Psychiatric-Mental Health Nurse Practitioner Exam Psychiatric Assessment and Diagnosis 3

Question 1

The AUDIT-C is a brief screening tool used to detect which condition?

Accepted Answer

Alcohol use disorder

Answer

Tobacco use disorder

Answer

Opioid use disorder

Answer

Stimulant use disorder

Question 2

In the DSM-5, 'with peripartum onset' specifier for a major depressive episode requires that symptoms begin:

Accepted Answer

During pregnancy or within 4 weeks after delivery

Answer

Only postpartum, within 4 weeks of delivery

Answer

At any point in the first year postpartum

Answer

Only during pregnancy, not postpartum

Question 3

A PMHNP assessing insight asks a patient, 'Do you think you have a mental illness?' A patient who denies having any illness despite clear evidence demonstrates:

Accepted Answer

Poor insight

Answer

Anosognosia

Answer

Nihilistic delusions

Answer

Concrete thinking

Question 4

Which personality disorder cluster includes paranoid, schizoid, and schizotypal personality disorders?

Accepted Answer

Cluster A (odd/eccentric)

Answer

Cluster B (dramatic/emotional)

Answer

Cluster C (anxious/fearful)

Answer

Cluster D (not a DSM cluster)

Question 5

A PMHNP screens a patient using the GAD-7 and obtains a score of 15. This score indicates:

Accepted Answer

Severe anxiety

Answer

Minimal anxiety

Answer

Mild anxiety

Answer

Moderate anxiety

Question 6

A patient with schizophrenia believes that a television news anchor is sending personal messages specifically to them. This is an example of:

Accepted Answer

Ideas of reference

Answer

Grandiose delusion

Answer

Persecutory delusion

Answer

Thought broadcasting