PMHNP (Psychiatric Mental Health
Nursing Practitioner) Final Exam - With
Questions & Answers
, PMHNP (Psychiatric Mental Health
Nursing Practitioner) Final Exam - With
Questions & Answers
A psychiatric mental health nurse practitioner (PMHNP) working in a pediatric
clinic is assessing a 9-year-old boy, Liam, who has recently been diagnosed with
Attention-Deficit/Hyperactivity Disorder (ADHD). Liam's parents are concerned
about his frequent motor and vocal tics. Which medication is the most
appropriate to prescribe?
1. Methylphenidate (Ritalin)
2. Atomoxetine (Strattera)
3. Guanfacine (Intuniv)
4. Bupropion (Wellbutrin) - ANSWER - 3
A PMHNP working in an outpatient mental health clinic is conducting an
assessment of a 40-year-old patient, Sarah, who presents with a long history of
emotional detachment, a preference for solitary activities, and limited interest in
close relationships, including with her own family. Sarah rarely experiences
pleasure from activities and appears indifferent to both criticism and praise.
Which of the following is the most likely diagnosis?
,1. Major Depressive Disorder (MDD).
2. Schizotypal Personality Disorder (STPD).
3. Generalized Anxiety Disorder (GAD).
4. Schizoid Personality Disorder (SPD). - ANSWER - 4
A 5-year-old boy shows no interest in playing with other children and ignores
adults other than his parents. He spends hours lining up his toy cars or spinning
their wheels. He rarely uses speech to communicate, and his parents state that
he has never done so. Physical examination indicates that his head is of normal
circumference and his gait is normal. Which of the following is the most likely
diagnosis for this boy?
1. Obsessive-compulsive disorder
2. Fragile X syndrome
3. Fetal alcohol syndrome (FAS)
4. Autism Spectrum Disorder - ANSWER - 4
Which of the following medications has a unique mechanism that is both a
serotonin and norepinephrine reuptake inhibitor?
1. Bupropion (Wellbutrin).
2. Sertraline (Zoloft)
, 3. Clomipramine (Anafranil)
4. Duloxetine (Cymbalta) - ANSWER - 4
A PMHNP is evaluating a 10-year-old child, Sarah, referred for assessment due
to frequent severe temper outbursts, irritability, anger, and mood dysregulation.
Sarah's parents report that these episodes occur in various settings and are
often disproportionate to the situation. Which of the following is the most likely
diagnosis?
1. Post-Traumatic Stress Disorder (PTSD)
2. Major Depressive Disorder (MDD)
3. Conduct Disorder (CD)
4. Disruptive Mood Dysregulation Disorder (DMDD) - ANSWER - 4
Which characteristic of Fluoxetine (Prozac) provides the greatest degree of
safety for patients who have severe depression?
1. Greater efficacy than tricyclic antidepressants
2. Less potential for drug interaction
3. Less potential for injury with intentional overdose
4. Less potential for suicidal thinking - ANSWER - 3
Nursing Practitioner) Final Exam - With
Questions & Answers
, PMHNP (Psychiatric Mental Health
Nursing Practitioner) Final Exam - With
Questions & Answers
A psychiatric mental health nurse practitioner (PMHNP) working in a pediatric
clinic is assessing a 9-year-old boy, Liam, who has recently been diagnosed with
Attention-Deficit/Hyperactivity Disorder (ADHD). Liam's parents are concerned
about his frequent motor and vocal tics. Which medication is the most
appropriate to prescribe?
1. Methylphenidate (Ritalin)
2. Atomoxetine (Strattera)
3. Guanfacine (Intuniv)
4. Bupropion (Wellbutrin) - ANSWER - 3
A PMHNP working in an outpatient mental health clinic is conducting an
assessment of a 40-year-old patient, Sarah, who presents with a long history of
emotional detachment, a preference for solitary activities, and limited interest in
close relationships, including with her own family. Sarah rarely experiences
pleasure from activities and appears indifferent to both criticism and praise.
Which of the following is the most likely diagnosis?
,1. Major Depressive Disorder (MDD).
2. Schizotypal Personality Disorder (STPD).
3. Generalized Anxiety Disorder (GAD).
4. Schizoid Personality Disorder (SPD). - ANSWER - 4
A 5-year-old boy shows no interest in playing with other children and ignores
adults other than his parents. He spends hours lining up his toy cars or spinning
their wheels. He rarely uses speech to communicate, and his parents state that
he has never done so. Physical examination indicates that his head is of normal
circumference and his gait is normal. Which of the following is the most likely
diagnosis for this boy?
1. Obsessive-compulsive disorder
2. Fragile X syndrome
3. Fetal alcohol syndrome (FAS)
4. Autism Spectrum Disorder - ANSWER - 4
Which of the following medications has a unique mechanism that is both a
serotonin and norepinephrine reuptake inhibitor?
1. Bupropion (Wellbutrin).
2. Sertraline (Zoloft)
, 3. Clomipramine (Anafranil)
4. Duloxetine (Cymbalta) - ANSWER - 4
A PMHNP is evaluating a 10-year-old child, Sarah, referred for assessment due
to frequent severe temper outbursts, irritability, anger, and mood dysregulation.
Sarah's parents report that these episodes occur in various settings and are
often disproportionate to the situation. Which of the following is the most likely
diagnosis?
1. Post-Traumatic Stress Disorder (PTSD)
2. Major Depressive Disorder (MDD)
3. Conduct Disorder (CD)
4. Disruptive Mood Dysregulation Disorder (DMDD) - ANSWER - 4
Which characteristic of Fluoxetine (Prozac) provides the greatest degree of
safety for patients who have severe depression?
1. Greater efficacy than tricyclic antidepressants
2. Less potential for drug interaction
3. Less potential for injury with intentional overdose
4. Less potential for suicidal thinking - ANSWER - 3
