PMHNP PRACTICUM 1 BARKLEY TEST STUDY
GUIDE 2026/2027 COMPLETE QUESTIONS
WITH CORRECT DETAILED ANSWERS ||
100% GUARANTEED PASS
<RECENT VERSION>
1. To begin the process of assessment you would establish: - ANSWER
Therapeutic relationship/ working diagnosis/need for further evaluation and
testing/initial plan of care.
2. Prior to the interview review: - ANSWER referral information/ patient
questionnaires/ health assessments
3. You would set the stage and make the client comfortable by: - ANSWER
introducing yourself ( consider cultural norms)/ ensure that you won't be
interrupted/ consider clinician safety, with exit strategies if patient should
escalate.
4. Chief complaint: - ANSWER Document the problem in the patient's words/
are symptoms: affective/ cognitive/ physical
seek permission to consult with family member
5. History of presenting problems: - ANSWER duration of problem (s)
What other things were going on in their life when they started to have
problems.
6. Precipitating factors: - ANSWER 1. exacerbating factors
2. triggers
3. connecting events
4. causality
,7. Social History: - ANSWER 1. changes in role or social function
2. history of abuse and victimization
8. Social and developmental history: - ANSWER 1. identify who played roles
in person's life.
2. Who are presently involved.
3. Social support
9. Bipolar facts: - ANSWER 1. most bipolar patients will not present when
manic or hypomanic.
2. may present with depression that may not respond to treatment.
10.Anxiety/possible questions: - ANSWER 1. would you describe yourself as a
worrier?
2. Have you ever had a panic or anxiety attack?
3. Are you uncomfortable in social situations?
4. Have you any special fears, such as fear of insects?
5. what does the client do to try to relieve the anxiety
6. does the client self medicate with drugs/ alcohol
11.A patient with anorexia nervosa may exhibit comorbidity for all of these
disorders except:
1. Avoidant/restrictive food intake disorder
2. Generalized anxiety disorder
3. Obsessive-compulsive disorder
4. Major depressive disorder - ANSWER 4. Major depressive disorder
Although avoidant/restrictive food intake disorder may precede anorexia
nervosa in some patients, avoidant/restrictive food intake disorder does not
present with fear of weight gain or body image disturbance and should not
be diagnosed concurrently with anorexia nervosa. Anorexia nervosa
commonly presents with psychiatric comorbidities such as generalized
, anxiety disorder, obsessive-compulsive disorder, and major depressive
disorder.
12.Which of the following is an incorrect statement about bulimia nervosa?
1. A person with bulimia is likely to feel ashamed of his or her condition.
2. A person with bulimia typically undergoes significant weight loss.
3. Bulimia is closely tied to histrionic behavior.
4. Individuals with bulimia are often sexually active. - ANSWER Although
patients with bulimia nervosa are obsessed with their weight and body
image, they typically maintain a normal or above average weight; purging is
performed as a compensatory measure for binge eating.
People with bulimia tend to exhibit histrionic characteristics, are often
sexually active, and tend to have an ego-dystonic view of their abnormal
eating behaviors.
13.You are performing a cultural assessment on Jane, a first-generation
American. During the assessment, she reveals that she is Mexican and
primarily speaks Spanish at home. She believes in treating "hot" illnesses
with "cold" remedies and always sleeps in late on her birthday. She says that
she has taken to America quite well but fears others have treated her coldly
out of the belief that she is "an illegal." Which of the characteristics shared
by Jane is least helpful in a cultural assessment?
1. Her belief in "cold" treatments for "hot" illnesses
2. Her predisposition towards Spanish
3. Her tradition of sleeping in late on her birthday
4. Her experiences with discrimination - ANSWER The patient's tradition of
sleeping in late on her birthday is least helpful in a cultural assessment
because it is not a cultural feature that may be related to any mental health
concerns. Asking about the patient's view of America and whether or not her
family has been discriminated against may affect levels of trust and safety
between the patient and the PMHNP. Learning about the patient's ethnic
origin, primary language, and special health practices provides the PMHNP
with insight into the patient's cultural practices, which increases cultural
competence and allows the NP to provide culturally sensitive healthcare.
, 14.You have decided to use Aaron Beck's method of cognitive behavior therapy
in treating a patient. Which of these statements would best illustrate the
downward arrow technique?
"Do you have a strategy in place for if you lose your job?"
"Do you think losing your job was your fault or a downturn in the
economy?"
"If any slip-up at work could get you fired, then why do any work at all?"
"If missing work could get you fired, what does that say about your
workplace?" - ANSWER In Aaron Beck's cognitive behavioral therapy, the
downward arrow technique is used to explore the underlying assumptions in
the patient's logic through exploration of the idea of consequence (e.g., "If
this is true, then what happens/what does that say?"). Decatastrophizing
focuses on reducing anxieties regarding the "worst case scenario" by getting
the patient to plan for it, such as by asking the patient if he has a strategy for
if he loses his job. Reattribution focuses on shifting the blame off of one's
self in situations where one was not responsible for the outcome (e.g., a
patient being let go due to economic constraints rather than fired due to poor
performance).
Paradox focuses on inflating a patient's anxieties to the extreme in order to
showcase the underlying absurdities (e.g., "If any slip-up at work could get
you fired, then why do any work at all?"); this should be done carefully,
however, as the pati
15.Your patient, Adam, has just been admitted to the hospital because of body
tremors, disorientation, and agitation. His cardiac indices and oxygen
consumption are significantly elevated. He was just started on IV therapy
with benzodiazepines to control withdrawal symptoms. Three days ago,
Adam began detoxification of which substance?
Opioids
Alcohol
Cocaine
Cannabis - ANSWER Alcohol withdrawal symptom can result in delirium
tremens, a medical emergency characterized by body tremors, disorientation,
agitation, and autonomic hyperactivity, among other signs and symptoms.
GUIDE 2026/2027 COMPLETE QUESTIONS
WITH CORRECT DETAILED ANSWERS ||
100% GUARANTEED PASS
<RECENT VERSION>
1. To begin the process of assessment you would establish: - ANSWER
Therapeutic relationship/ working diagnosis/need for further evaluation and
testing/initial plan of care.
2. Prior to the interview review: - ANSWER referral information/ patient
questionnaires/ health assessments
3. You would set the stage and make the client comfortable by: - ANSWER
introducing yourself ( consider cultural norms)/ ensure that you won't be
interrupted/ consider clinician safety, with exit strategies if patient should
escalate.
4. Chief complaint: - ANSWER Document the problem in the patient's words/
are symptoms: affective/ cognitive/ physical
seek permission to consult with family member
5. History of presenting problems: - ANSWER duration of problem (s)
What other things were going on in their life when they started to have
problems.
6. Precipitating factors: - ANSWER 1. exacerbating factors
2. triggers
3. connecting events
4. causality
,7. Social History: - ANSWER 1. changes in role or social function
2. history of abuse and victimization
8. Social and developmental history: - ANSWER 1. identify who played roles
in person's life.
2. Who are presently involved.
3. Social support
9. Bipolar facts: - ANSWER 1. most bipolar patients will not present when
manic or hypomanic.
2. may present with depression that may not respond to treatment.
10.Anxiety/possible questions: - ANSWER 1. would you describe yourself as a
worrier?
2. Have you ever had a panic or anxiety attack?
3. Are you uncomfortable in social situations?
4. Have you any special fears, such as fear of insects?
5. what does the client do to try to relieve the anxiety
6. does the client self medicate with drugs/ alcohol
11.A patient with anorexia nervosa may exhibit comorbidity for all of these
disorders except:
1. Avoidant/restrictive food intake disorder
2. Generalized anxiety disorder
3. Obsessive-compulsive disorder
4. Major depressive disorder - ANSWER 4. Major depressive disorder
Although avoidant/restrictive food intake disorder may precede anorexia
nervosa in some patients, avoidant/restrictive food intake disorder does not
present with fear of weight gain or body image disturbance and should not
be diagnosed concurrently with anorexia nervosa. Anorexia nervosa
commonly presents with psychiatric comorbidities such as generalized
, anxiety disorder, obsessive-compulsive disorder, and major depressive
disorder.
12.Which of the following is an incorrect statement about bulimia nervosa?
1. A person with bulimia is likely to feel ashamed of his or her condition.
2. A person with bulimia typically undergoes significant weight loss.
3. Bulimia is closely tied to histrionic behavior.
4. Individuals with bulimia are often sexually active. - ANSWER Although
patients with bulimia nervosa are obsessed with their weight and body
image, they typically maintain a normal or above average weight; purging is
performed as a compensatory measure for binge eating.
People with bulimia tend to exhibit histrionic characteristics, are often
sexually active, and tend to have an ego-dystonic view of their abnormal
eating behaviors.
13.You are performing a cultural assessment on Jane, a first-generation
American. During the assessment, she reveals that she is Mexican and
primarily speaks Spanish at home. She believes in treating "hot" illnesses
with "cold" remedies and always sleeps in late on her birthday. She says that
she has taken to America quite well but fears others have treated her coldly
out of the belief that she is "an illegal." Which of the characteristics shared
by Jane is least helpful in a cultural assessment?
1. Her belief in "cold" treatments for "hot" illnesses
2. Her predisposition towards Spanish
3. Her tradition of sleeping in late on her birthday
4. Her experiences with discrimination - ANSWER The patient's tradition of
sleeping in late on her birthday is least helpful in a cultural assessment
because it is not a cultural feature that may be related to any mental health
concerns. Asking about the patient's view of America and whether or not her
family has been discriminated against may affect levels of trust and safety
between the patient and the PMHNP. Learning about the patient's ethnic
origin, primary language, and special health practices provides the PMHNP
with insight into the patient's cultural practices, which increases cultural
competence and allows the NP to provide culturally sensitive healthcare.
, 14.You have decided to use Aaron Beck's method of cognitive behavior therapy
in treating a patient. Which of these statements would best illustrate the
downward arrow technique?
"Do you have a strategy in place for if you lose your job?"
"Do you think losing your job was your fault or a downturn in the
economy?"
"If any slip-up at work could get you fired, then why do any work at all?"
"If missing work could get you fired, what does that say about your
workplace?" - ANSWER In Aaron Beck's cognitive behavioral therapy, the
downward arrow technique is used to explore the underlying assumptions in
the patient's logic through exploration of the idea of consequence (e.g., "If
this is true, then what happens/what does that say?"). Decatastrophizing
focuses on reducing anxieties regarding the "worst case scenario" by getting
the patient to plan for it, such as by asking the patient if he has a strategy for
if he loses his job. Reattribution focuses on shifting the blame off of one's
self in situations where one was not responsible for the outcome (e.g., a
patient being let go due to economic constraints rather than fired due to poor
performance).
Paradox focuses on inflating a patient's anxieties to the extreme in order to
showcase the underlying absurdities (e.g., "If any slip-up at work could get
you fired, then why do any work at all?"); this should be done carefully,
however, as the pati
15.Your patient, Adam, has just been admitted to the hospital because of body
tremors, disorientation, and agitation. His cardiac indices and oxygen
consumption are significantly elevated. He was just started on IV therapy
with benzodiazepines to control withdrawal symptoms. Three days ago,
Adam began detoxification of which substance?
Opioids
Alcohol
Cocaine
Cannabis - ANSWER Alcohol withdrawal symptom can result in delirium
tremens, a medical emergency characterized by body tremors, disorientation,
agitation, and autonomic hyperactivity, among other signs and symptoms.
