NR 547 Final Study Guide PMHNP Exam New
Latest Version Updated 2023-2024 with All
Questions and 100% Correct Answers
Rico is a 30-year-old who is referred to the clinic by his wife, Tracy. Rico and Tracy
have been married for eight years. She states that in the past year, his behaviors have
become disquieting. He constantly accuses her of cheating on him. He often takes her
phone and scrolls through her calls, texts, and social media accounts. He is suspicious
about texts she receives from coworkers and other acquaintances. He starts frequent
arguments with her about where she has been and who she was with, an -------- Correct
Answer --------- No
Rationale: Although Rico meets diagnostic criteria of preoccupation about his wife's
loyalty, reads into benign events, and has suspicions of his wife's fidelity, these
symptoms have developed within the past year. A diagnosis of paranoid personality
disorder requires the presence of symptoms by early adulthood and in a variety of
contexts. Alternate diagnostic considerations include substance use disorder,
schizophrenia, or bipolar or depressive disorder with psychotic features.
Crispin is a 33-year-old who presents after experiencing auditory hallucinations. He
states he has heard voices "grumbling at him" about three or four times in the past
week, for about 15 minutes each time. He is employed as a data analyst and works
from home. He does not have hobbies or activities outside of work. He does not use
alcohol, marijuana, or illicit drugs; he smokes cigarettes. He lives with his sister, who is
getting married in a month; he will be moving into an apartment with a roo --------
Correct Answer --------- Schizoid personality disorder
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