NR668 PMHNP Final Diagnostic Exam 2026/2027 |100% Verified Answers

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NR668 PMHNP Final Diagnostic Exam 2026/2027 |100% Verified Answers

Question 9

Jamie is a 28 year old female who for the last 7 months has been overly concerned that she has been infected with the Covid-19 virus. Her mother had the virus 5 months ago. Jamie is anxious that she is now ill. She checks her temperature 4 times a day. She has tested negative for Covid -19 10 times in the last 3 months. Jamie has no overt symptoms of the virus. She frequently visits her PCP and drug store clinic asking for repeated testing. Two years ago, she had fears of the Zika virus and displayed similar behavior and repeated medical care visits. What is the most likely diagnosis here?

1. Factitious disorder by proxy
2. Illness anxiety disorder ✅
3. Panic disorder
4. Somatic symptom disorder

Question 10

A 51 year old male presents to you after agreeing with his partner’s request to obtain help. He notes that he collects baseball cards and feels strongly that this growing collection is an investment in the future. He offers that he never sells the cards and “cannot part with them”. He has marked distress associated with discarding any items. He admits that the condominium is running out of walkable hallway space to store all of the cards. Despite this, he continues to purchase more cards each week. His partner is concerned about both the cost of the baseball cards and the remaining space left in their home to store these items. What is the best diagnosis?

1. Delusional disorder
2. Obsessive Compulsive Personality Disorder
3. Non pathological behavior
4. Hoarding disorder, with excessive acquisition ✅

Question 11

A phenomenon in which a markedly increased dose of a substance is required to achieve the desired effect or a markedly reduced effect is experienced when the usual (original) dose is consumed is better known as what?

1. Addiction
2. Tolerance ✅
3. Dependence
4. Withdrawal

Question 12

Which section of the Mental Status exam would one document gait, tics and hand wringing?

1. Motor activity ✅
2. Thought process
3. Speech
4. Extracorporeal findings

Question 13

The Patient Self-Determination Act of 1990 applies to all health care institutions that receive Medicare or Medicaid funds. Which of the following best describes what the Act requires of these institutions?

1. Obtain informed consent before performing any health care intervention on a patient
2. At the time of admission, provide each adult patient with written information about their rights to make health care decisions and to formulate advance directives, document whether the patient has an advance directive, and neither condition care on nor discriminate based on whether a directive exists ✅
3. Guarantee that every patient’s advance directive carries binding legal force in any state in which the patient receives care
4. Petition for a court-appointed guardian whenever a patient lacks decision-making capacity