NRNP 6675 Final Exam (2026): Complete Study Guide, Practice Questions & PMHNP Exam Review
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Get Help Now!The NRNP 6675 Final Exam is a comprehensive assessment designed to evaluate your ability to apply psychiatric assessment, diagnosis, psychopharmacology, psychotherapy, and evidence-based treatment planning across the lifespan. Publicly available study guides indicate the exam emphasizes clinical reasoning rather than simple memorization. (Stuvia)
Rather than focusing on recalled exam questions, this guide reviews the high-yield concepts that are commonly emphasized in advanced psychiatric-mental health nurse practitioner (PMHNP) courses.
What Is Covered on the NRNP 6675 Final Exam?
Typical content areas include:
- Comprehensive psychiatric assessment
- DSM-5-TR diagnostic reasoning
- Differential diagnosis
- Psychopharmacology
- Psychotherapy modalities
- Mood disorders
- Anxiety disorders
- Trauma- and stressor-related disorders
- Personality disorders
- Psychotic disorders
- Substance use disorders
- Child and adolescent psychiatry
- Geriatric psychiatry
- Psychiatric emergencies
- Ethics and legal issues
These domains are consistently represented in publicly available course study materials. (Stuvia)
High-Yield Topics
1. Psychiatric Assessment
Review:
- Mental Status Examination (MSE)
- Psychiatric history
- Medical history
- Substance use history
- Family psychiatric history
- Suicide and homicide risk assessment
- Protective and risk factors
Know how to prioritize patient safety while developing differential diagnoses.
2. DSM-5-TR Diagnostic Categories
Focus on:
Depressive Disorders
- Major Depressive Disorder
- Persistent Depressive Disorder
Bipolar Disorders
- Bipolar I
- Bipolar II
- Cyclothymic Disorder
Anxiety Disorders
- Generalized Anxiety Disorder
- Panic Disorder
- Social Anxiety Disorder
- Specific Phobias
Trauma Disorders
- Acute Stress Disorder
- Post-Traumatic Stress Disorder (PTSD)
Psychotic Disorders
- Schizophrenia
- Schizoaffective Disorder
- Delusional Disorder
Personality Disorders
Especially:
- Borderline Personality Disorder
- Narcissistic Personality Disorder
- Antisocial Personality Disorder
- Avoidant Personality Disorder
Psychopharmacology Review
Know the major medication classes:
SSRIs
Examples:
- Sertraline
- Escitalopram
- Fluoxetine
Common adverse effects:
- Gastrointestinal upset
- Sexual dysfunction
- Insomnia
- Serotonin syndrome (rare)
SNRIs
Examples:
- Venlafaxine
- Duloxetine
Useful for:
- Depression
- Anxiety
- Neuropathic pain
Mood Stabilizers
Review:
- Lithium
- Valproate
- Lamotrigine
Know:
- Monitoring requirements
- Toxicity
- Contraindications
Antipsychotics
Differentiate:
First-generation (typical)
Examples:
- Haloperidol
- Chlorpromazine
Second-generation (atypical)
Examples:
- Risperidone
- Olanzapine
- Quetiapine
- Aripiprazole
Understand:
- Extrapyramidal symptoms (EPS)
- Tardive dyskinesia
- Neuroleptic malignant syndrome
- Metabolic syndrome
- Hyperprolactinemia
Psychotherapy
Know indications and principles of:
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Motivational Interviewing
- Supportive Therapy
- Family Therapy
- Interpersonal Therapy
- Psychodynamic Therapy
Child & Adolescent Psychiatry
Frequently tested disorders include:
- ADHD
- Autism Spectrum Disorder
- Oppositional Defiant Disorder
- Conduct Disorder
- Separation Anxiety Disorder
Review developmental milestones and age-appropriate interventions.
Geriatric Psychiatry
Important concepts:
- Delirium versus dementia
- Depression in older adults
- Medication sensitivity
- Renal dosing considerations
- Polypharmacy
Older adults often require dose adjustments because reduced renal clearance can increase the risk of medication toxicity. (Docsity)
Substance Use Disorders
Know:
- Intoxication versus withdrawal
- Alcohol use disorder
- Opioid use disorder
- Stimulant use disorder
- Motivational interviewing
- Medication-assisted treatment concepts
- Relapse prevention
Ethical and Legal Issues
Review:
- Confidentiality
- HIPAA
- Informed consent
- Duty to warn/protect
- Mandatory reporting
- Professional boundaries
- Documentation standards
Practice Questions
Question 1
Which medication requires routine monitoring of renal function and serum drug levels?
A. Fluoxetine
B. Buspirone
C. Lithium
D. Sertraline
Answer: C
Rationale: Lithium has a narrow therapeutic index and requires regular monitoring of serum concentrations, renal function, and thyroid function.
Question 2
Which psychotherapy has the strongest evidence for Borderline Personality Disorder?
A. Psychoanalysis
B. Supportive Therapy
C. Dialectical Behavior Therapy
D. Family Therapy
Answer: C
Question 3
Which symptom is considered a negative symptom of schizophrenia?
A. Hallucinations
B. Delusions
C. Flat affect
D. Disorganized speech
Answer: C
Question 4
The priority intervention for a patient expressing active suicidal intent is to:
A. Schedule follow-up in one month
B. Begin supportive counseling only
C. Ensure immediate safety and perform a comprehensive suicide risk assessment
D. Recommend self-help materials
Answer: C
Question 5
Which medication class is generally considered first-line pharmacotherapy for generalized anxiety disorder?
A. Typical antipsychotics
B. SSRIs
C. Mood stabilizers
D. Stimulants
Answer: B
Study Tips for the NRNP 6675 Final Exam
- Focus on understanding diagnostic reasoning instead of memorizing isolated facts.
- Compare psychiatric disorders with similar presentations.
- Review medication mechanisms, adverse effects, and monitoring.
- Practice interpreting clinical case scenarios.
- Strengthen knowledge of therapeutic communication and psychotherapy.
- Review ethical decision-making and patient safety principles.
- Complete timed practice questions to build confidence.
Frequently Asked Questions
Is the NRNP 6675 Final Exam difficult?
Many students find it challenging because it emphasizes clinical application, psychiatric assessment, and evidence-based treatment planning rather than recall alone. (Docmerit)
Which topics are tested most often?
Commonly emphasized areas include psychopharmacology, DSM-5-TR diagnoses, mood disorders, anxiety disorders, personality disorders, schizophrenia spectrum disorders, substance use disorders, geriatric psychiatry, and psychotherapy. (Stuvia)
Final Thoughts
Success on the NRNP 6675 Final Exam comes from integrating psychiatric assessment skills, DSM-5-TR diagnostic reasoning, evidence-based pharmacologic and psychotherapeutic interventions, and ethical clinical decision-making. Building a strong understanding of these core concepts will prepare you not only for the final exam but also for future PMHNP clinical practic
