Practice PMHNP-BC Exam Questions 2025–2026– Comprehensive Review with Verified Answers.pdf, Exams of Nursing

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A patient with bulimia nervosa is being treated by a PMHNP. Which of the following is the first- line pharmacotherapy for bulimia nervosa? - - # CORRECT ANSWER® A) antidepressants Which of the following conditions is least likely to produce similar symptoms to a panic attack? - - @ CORRECT ANSWER A) MDD Statistically, gambling disorder is most prevalent among which of the following ethnic/racial groups? - - #&# CORRECT ANSWER D) African AMericans Cluster B personality disorders are characterized as having: - - # CORRECT ANSWERW A) Dramatic and affective instability Cluster A personality disorders are characterized as having: - - #” CORRECT ANSWER B) odd, unusual, eccentric. and asocial A PMHNP works in a community mental health clinic and evaluates a patient's competency to make decisions about their own treatment. Which of the following best describes the concept of competency in mental health care? - - # CORRECT ANSWER D) the ability to make informed decision about tx options You are a new nurse practitioner treating a victim of intimate partner violence. Your client states that she had been in the abusive relationship for over 10 years prior to the perpetrator being arrested and jailed. To better establish a diagnosis, you need more information and decide to perform a mental status exam on the client. Mental status exam findings indicative of abuse include all of the following except: - - 7 CORRECT ANSWER D) having an extroverted personality A young woman brings her 77-year-old father to a clinic. She believes her father has Alzheimer's disease because he has been depressed and forgetful lately. What are the earliest symptoms of Alzheimer's disease? - - # CORRECT ANSWER C) Mood changes Tanner Stages define physical measurement in the development of primary and secondary sex characteristics in both females and males. What is stage 2 of a female's breast development? - - CORRECT ANSWER 8) breast bud stage with elevation of breast and papilla stage of tanner's development: breast bud stage with elevation of breast and papilla- - # CORRECT ANSWER A) stage 5 You are a new nurse practitioner treating a recently paroled convict. This patient has a history of violent abuse of their partners. All of the following diagnoses are characteristic of this population except: - - # CORRECT ANSWER# D) ODD A PMH-BC evaluates a 77-year-old man with the rapid onset of cognition with inattentiveness and disturbances in consciousness. On assessment, the patient presents with episodes of psychomotor agitation and retardation. Based on the patient's presentation and symptoms, the PMH-BC should assess them for which of the following diagnoses? - - # CORRECT ANSWER C) mixed delirium Which of the following would be an appropriate early intervention strategy for a community mental health clinic to target personality disorders? - - ~ CORRECT ANSWER® A) provide education and guidance to new and expectant parents through groups, community education and social outreach homelessness among individuals with mental health conditions? - - # CORRECT ANSWER C) providing CM services and MH tx All of the following statements are true about gray matter except: - - ~# CORRECT ANSWERW C) it is the myelinated axons of neurons white matter is the: - - # CORRECT ANSWER® A) myelinated axons of neurons A client has been diagnosed with an enzyme deficiency disorder known to cause intellectual disability. Which of the following disorders causes a deficiency in hexosaminidase A which is related to the development of intellectual disability? - - # CORRECT ANSWER B) Tay-Sachs disease Tay Sach's disease is also known as - - # CORRECT ANSWERY C) A&B A nurse is caring for a patient with borderline personality disorder. Which of the following strategies is a priority in the management of this patient's care? - - # CORRECT ANSWERY A) establishing a therapeutic alliance What neurotransmitters are thought to be involved in the neurophysiology of psychosis? - - # CORRECT ANSWER A) involvement of the dopamine system By the time they turn 18 years old, what percent of adolescents regularly smoke tobacco? - - CORRECT ANSWER B) 20& Which of the following lifespan considerations is important when dealing with manic episodes and behaviors of adolescent clients? - - # CORRECT ANSWER D) Adolescent manic episodes are often associated with antisocial behaviors Which of the following is not grounds for disciplinary action per the State Nurse Practice Act? - - @ CORRECT ANSWER A) making a med error Which personality disorder is most likely to cause one to act seductively and demand reassurance about their appearance? - - # CORRECT ANSWER A) Histrionic You are a new nurse practitioner treating a victim of intimate partner violence. Your client states that she had been in the abusive relationship for over 10 years prior to the perpetrator being arrested and jailed. To better establish a diagnosis, you need more information and decide to perform a mental status exam on the client. Mental status exam findings indicative of abuse include all of the following except: - - # CORRECT ANSWER 8B) Aggressive behaviors A PMHNP is conducting a study to determine the effectiveness of three different types of therapy for reducing symptoms of depression. The PMHNP uses analysis of variance (ANOVA) to analyze the data. Which of the following is the correct interpretation of the F-statistic in an ANOVA? - - *&# CORRECT ANSWER C) the F-statistic represents the ratio of the between- group variance to the within-group variance Delirium etiologies that should be ruled out include all but which of the following? - - #7 CORRECT ANSWER® A) Parkinson's disease Which classification of psychiatric medications requires routine lab work for metabolic monitoring? - - ##” CORRECT ANSWER B) SGA What disorder is characterized by a persistent regurgitation and chewing of food already eaten? - - @ CORRECT ANSWER® D) Rumination disorder What term is used to describe patients who injure themselves by self-mutilation but who do not wish to die? - - # CORRECT ANSWER® A) Parasuicide While working in an outreach clinic for underserved and impoverished communities, the PMH- NP initiated a maternal alcohol use reduction wellness initiative. Which of the following statements accurately reflects the necessity of this psychoeducational project? - - # CORRECT ANSWER® C) the most preventable cause of ID is Fetal alcohol syndrome A PMHNP is assessing a patient who has been diagnosed with schizophrenia. Which of the following terms best describes the patient's symptom of reduced speech or difficulty producing spontaneous speech? - - # CORRECT ANSWER® A) Alogia A nurse is providing care to a patient who discloses that they are experiencing intimate partner violence (IPV). Which of the following actions is the priority in the nurse's response? - - CORRECT ANSWER. D) providing the pt with resources for safety and support The primary goal in the clinical management of major depressive disorder (MDD) during the acute phase is which of the following? - - # CORRECT ANSWER A) Client safety All of the following are considered biological-based therapies except: - - # CORRECT ANSWER B) Biofeedback mind body interaction: - - # CORRECT ANSWER¥ A) Biofeedback CAM therapies are known as: - - # CORRECT ANSWERW C) A&B herbal products, vitamins, supplements and aromatherapy are what type of CAM: - - # CORRECT ANSWER C) Biological based therapies guided imagery, meditation, yoga and biofeedback are what type of CAMS: - - # CORRECT ANSWER® D) Mind body interactions acupressure, acupuncture, massage and reflexology are what type of CAM: - - # CORRECT ANSWER ® B) Manipulative and body based therapies A PMHNP is providing care to a patient who has been diagnosed with a terminal illness. The patient has recently entered the bargaining phase of death and dying. Which of the following best describes the goal of the bargaining phase? - - # CORRECT ANSWER® D) to help the pt negotiate a compromise w the higher power or fate in an attempt to postpone their death All of the following statements are true regarding acupuncture except: - - # CORRECT ANSWER D) it teaches pts to consciously control their physiological functions Oppositional defiant disorder etiology has its foundation in all of the following except: - - #7 CORRECT ANSWER C) Frequent relocation of residency You are a nurse practitioner treating a seven-year-old male. His mother brings him in for his initial appointment with a chief complaint of, "My son's teacher is concerned about my son because he is not able to finish his in-class schoolwork. | just don't know what to do." You suspect the client may have attention-deficit hyperactivity disorder (ADHD), but you need more information. The mother states that it has been reported that her son fails to give attention in class, gets distracted often, is disorganized with his assignments, constantly loses his homework, is always talking out of turn and distracting other students, and interrupts when other students answer a question. Which of the following symptoms is indicative of hyperactivity? - - ~# CORRECT ANSWERS C) interrupts when other students answer a question Which of the following is not a common core symptom of major depressive disorders in children? - - # CORRECT ANSWER® D) Hypersomnia symptoms and treatment, PMH-NPs strive to be sensitive to each individual's culture so that comprehensive mental health care can be provided. Which of the following is true regarding culture-bound syndromes? - - # CORRECT ANSWER A) specific behaviors that seem aberrant may be related to an individual's culture and not linked to a psych disorder All of the following are traits of oppositional defiant disorder (ODD) except: - - # CORRECT ANSWER ® B) Blames self for outbursts after calming down A 21-year-old female presents to her primary care provider because she has stopped menstruating. She is a thin, athletic woman with poor dental hygiene and erosion of her tooth enamel. Her weight is slightly below average but within normal limits. She describes herself as "a little weird" about her weight, and she sometimes exercises heavily after eating a big meal. What laboratory findings would you expect with this patient? - - # CORRECT ANSWER¥ D) normal thyroid function A 73-year-old female presents at the emergency room with acute onset of mental and behavioral changes. The patient's daughter accompanies her and said that "this is just the way that her sister went," explaining that her aunt had severe Alzheimer's disease. A review of the patient's history reveals a disturbance in cognition that has developed over a short time with impaired memory, psychomotor agitation, and a reversal of sleep-wake cycles. The nurse practitioner orders electrolytes, urine C/S, pulse ox, and an EEG to rule out which condition? - - #&# CORRECT ANSWER® 8) Delirium A PMHNP is analyzing data from a study of depression symptoms in a sample of 100 patients. Which of the following descriptive statistics would be most useful for summarizing the data and identifying any potential outliers? - - # CORRECT ANSWER®W D) Mean A PMHNP is caring for a patient with a terminal illness who has expressed a desire to create a living will. Which of the following statements by the patient would indicate a clear understanding of the purpose of a living will? - - # CORRECT ANSWER® C) "I want to specify by wishes for end of life care in case iam unable to communicate them later" In common psychiatric disorders, which neurotransmitter is implicated in the complex pathophysiology of certain disease processes involving normal functions such as decision- making and integrated cognition? - - # CORRECT ANSWER A) Dopamine 's function involves normal functioning of thinking, decision makming, reward seeking behavior, fine muscle action, and integrated cognition: - - # CORRECT ANSWER®W A) Dopamine 's function involves alertness orientation, fight or flight, learning, memory, focus and attention: - - # CORRECT ANSWER®# B) Norepi 's general function involves the regulation of sleep, pain perception, mood states, temperature, aggression and libido: - - # CORRECT ANSWER C) Serotonin 's general function involves memory and sustained autonomic function: - - # CORRECT ANSWER D) Gutamate Dopamine irregularities are closely linked to what disease process? - - # CORRECT ANSWER D) schizophrenia Norepinephrine's irregularities are closely linked to what disease process? - - ## CORRECT ANSWER*® B) panic disorders and anxiety Serotonin's irregularities are closely linked to what disease process? - - # CORRECT ANSWER A) depressive disorders the Body Uneasiness Test is comprised of what: - - # CORRECT ANSWERY C)A&B the Eating Attitudes Test (EAT) is comprised of what: - - # CORRECT ANSWERW A)a screening tool to evaluate an individual's attitude and behaviors related to foad, weight and eating-but does NOT specifically assess body dissastifaction Which term describes the death rate for a given population? - - ~# CORRECT ANSWER D) Mortality rate All of the following are examples of descriptive statistics except: - - #” CORRECT ANSWERS C) P-value PMHNPs work with offenders in emergency departments and prisons. Which type of nurse- client relationship is based on the crime committed and the investigational aspect of the interaction? - - # CORRECT ANSWER® A) Forensic Which of the following is a differential diagnosis to consider that often mimics panic disorder and symptoms of anxiety? - - # CORRECT ANSWER B) vestibular dysfunction A PMHNP is working with a patient who is struggling with feelings of isolation and a lack of purpose. Which of Erik Erikson's stages of psychosocial development is this patient likely experiencing? - - # CORRECT ANSWER B) Intimacy vs Isolation Intimacy vs Isolation occurs when: - - ## CORRECT ANSWER® A) early adulthood, 18-40 years A PMHNP is providing anticipatory guidance to parents of a two-year-old child. Which of the following is the most important topic to address during this visit? - - #” CORRECT ANSWERS C) Limiting screen time Which of the following is true regarding those with posttraumatic stress disorder? - - 7% CORRECT ANSWER A) they experience states of dissociation People suffering from PTSD can be prone to: - - # CORRECT ANSWER® D)alll of the above Which statement most accurately describes grassroots lobbying? - - # CORRECT ANSWERS C) it occurs when nonpaid individuals contact their legislators to influence policy A client states, "Nothing good ever happens to me. | am a failure and should just accept who | am." What would be the best behavioral technique for this individual? - - # CORRECT ANSWER A) CBT A patient with a history of tobacco use disorder and schizophrenia is being treated with antipsychotic medication. Which statement is true regarding the relationship between tobacco use disorder and reduced antipsychotic efficacy? - - # CORRECT ANSWER® C) tobacco leads to decreased blood levels of the antipsychatic meds, resulting in reduced efficacy How does the body remove both serotonin and norepinephrine from the synaptic cleft? - - #7 CORRECT ANSWER 8B) an active reuptake process What is an example of an associated symptom of schizophrenia that is neither positive nor negative? - - #7 CORRECT ANSWER C) inappropriate affect The principles of public health are comprised of primary, secondary, and tertiary prevention strategies. A nurse practitioner who volunteers in a disaster response effort is participating in which public health prevention strategy? - - # CORRECT ANSWER 8B) Secondary prevention