NP Mental Health & Psychiatric NP 2

Question 1

A veteran reports recurrent nightmares about combat, avoidance of crowded places, hypervigilance, and emotional numbing for 6 months. Which diagnosis best fits?

Accepted Answer

Post-traumatic stress disorder

Answer

Acute stress disorder

Answer

Generalized anxiety disorder

Answer

Adjustment disorder with anxious mood

Question 2

A patient on lithium presents with coarse tremor, confusion, ataxia, and a lithium level of 2.4 mEq/L. What is the priority intervention?

Accepted Answer

Discontinue lithium and initiate hemodialysis if severe

Answer

Reduce the lithium dose by half and recheck level in 48 hours

Answer

Administer activated charcoal and monitor

Answer

Switch to valproate immediately

Question 3

Which type of psychotherapy has the strongest evidence base for treating major depressive disorder and is considered a first-line non-pharmacological treatment?

Accepted Answer

Cognitive behavioral therapy (CBT)

Answer

Psychodynamic therapy

Answer

Supportive therapy

Answer

Dialectical behavior therapy (DBT)

Question 4

An adult patient presents with inattention, impulsivity, and hyperactivity that have been present since childhood and impair occupational functioning. What is the first-line pharmacological treatment for ADHD in adults?

Accepted Answer

Stimulant medications such as methylphenidate or amphetamine salts

Answer

Atomoxetine (Strattera)

Answer

Bupropion (Wellbutrin)

Answer

Guanfacine (Intuniv)

Question 5

A 17-year-old female presents with restrictive eating, BMI of 16, lanugo, amenorrhea, and denial of low body weight. Which eating disorder is most consistent with this presentation?

Accepted Answer

Anorexia nervosa, restricting type

Answer

Bulimia nervosa

Answer

Binge eating disorder

Answer

Avoidant/restrictive food intake disorder

Question 6

When performing a suicide risk assessment, which factor is considered the strongest predictor of future suicide attempt?

Accepted Answer

Previous suicide attempt

Answer

Family history of depression

Answer

Current substance use disorder

Answer

Social isolation

Question 7

A patient who has been taking lorazepam 4 mg daily for 3 years abruptly stops the medication. Which life-threatening complication must the NP anticipate?

Accepted Answer

Benzodiazepine withdrawal seizures

Answer

Opioid withdrawal syndrome

Answer

Serotonin syndrome

Answer

Neuroleptic malignant syndrome