Question Bank

Chapter 1 Preparing for Exam and Test-Taking Strategies

48 questions in this chapter

1. Q1During an initial diagnostic evaluation, a 28-year-old male with generalized anxiety disorder appears guarded and reluctant to share details about his distress. Which of the following statements by the PMHNP represents the most effective open-ended question to encourage the patient to elaborate freely?
2. Q2A 48-year-old female presents to the outpatient clinic reporting a 3-week history of severe depressed mood and passive suicidal ideation. The PMHNP begins an initial psychiatric evaluation. According to Fitzgerald assessment principles, what is the most appropriate initial assessment question to ask this patient?
3. Q3A 60-year-old female being treated for major depressive disorder with a selective serotonin reuptake inhibitor presents for a routine follow-up visit. She reports that her mood is stable, but she occasionally forgets where she left her car keys. What is the most appropriate next step for the PMHNP?
4. Q4A 48-year-old female presents for an initial psychiatric evaluation reporting depressed mood, insomnia, and fatigue following a recent job loss. She states that she feels hopeless and has passive thoughts of wishing she were dead. According to ADPIE clinical decision-making rules, what should the PMHNP assess initially?
5. Q5A PMHNP is evaluating a 66-year-old female with a long history of schizophrenia who presents with a sudden onset of altered mental status and acute confusion over the last 24 hours. Her vital signs are within normal limits. Which of the following represents the most appropriate initial diagnostic action?
6. Q6A 32-year-old female presents for a psychiatric evaluation reporting severe panic attacks, trembling, and fear of losing control that occur unexpectedly. She has no past psychiatric history. According to Fitzgerald diagnostic guidelines, what is the most appropriate initial diagnostic step?
7. Q7A 19-year-old male college student is brought to the clinic by his family due to a 2-month history of social withdrawal, unprovoked suspiciousness, decline in academic performance, and flat affect. He denies active auditory hallucinations. What is the most likely diagnostic phase described?
8. Q8A 42-year-old male with bipolar 1 disorder presents for a routine follow-up visit. He has been stable on lithium monotherapy for two years. He reports taking over-the-counter ibuprofen daily for the past week due to knee pain. Which laboratory finding or adverse effect should the PMHNP anticipate?