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

Manic episode

Answer

Mixed features specifier

Answer

Cyclothymic disorder

Question 2

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

Accepted Answer

Cognitive functioning

Answer

Personality pathology

Answer

Psychotic symptom severity

Answer

Depressive symptom severity

Question 3

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

Accepted Answer

The observed external expression of emotion

Answer

The patient's reported subjective emotional experience

Answer

The patient's ability to think abstractly

Answer

The patient's insight into their illness

Question 4

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

Accepted Answer

Axis II

Answer

Axis I

Answer

Axis III

Answer

Axis IV

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

Command hallucinations

Answer

Commentary hallucinations

Answer

Referential hallucinations

Question 6

The Montreal Cognitive Assessment (MoCA) differs from the MMSE in that it:

Accepted Answer

Is more sensitive to mild cognitive impairment (MCI)

Answer

Assesses psychotic symptoms

Answer

Takes longer to administer

Answer

Focuses exclusively on memory