PMH-BC EXAM QUESTIONS AND ANSWERS 2026 UPDATE WITH
COMPLETE SOLUTION
1 of 80
Term
In the cycle of battering, during the phase of tension building, a
battered woman typically:
Tries to hide
Acts compliant
Feels guilty
Provokes abuse
Give this one a try later!
, B. Acts compliant
The cycle of battering:
- Phase I, tension-building: During this state, the abused typically becomes
very compliant, trying to defuse the abusere's anger.
- Phase II, Acute battering: The abused typically tries to hide or get
away from the abuser. In some cases, the tension from phase I is so severe
that the abused may provoke the beating to get it over with.
- Phase III, respite, loving: The abused feels guilty that the abuser was
forced to act and wants to believe that the abuser will remain loving
and kind.
B. Risk for other-directed violence
Safety issues should take priority over others, so the first priority is dealing with
the patient's risk for other-directed violence with the short-term goal of the
patient discussing feelings and situations that head to hostility, and the short-
and long-term goal of not harming others. The psychiatric and mental health
nurse should show an accepting attitude, decrease stimuli, remove all
dangerous objects from the patient's environment, and monitor the patient
frequently, encouraging the patient to express feelings and explore alternatives
to violence while ensuring adequate numbers of staff are present.
A. Ambulation
In the initial period when the patient's medication dosage is being adjusted, the
patient should be assisted with ambulation because the patient is at increased
risk of falls because of the hypotensive effects of the drug. The patient should be
cautioned to sit up slowly and to his day seated for a moment before standing to
reduce orthostatic hypotension. The patient's white blood cell count should also
be monitored, as this drug may cause leukopenia as well as increased glucose
levels and liver enzymes.
B. Acts compliant
The cycle of battering:
-Phase 1, tension building: During this date, the abused typically becomes very
compliant, trying to diffuse the abusers anger.
-Phase 2, acute battering: The abused typically tries to hide or get away from the
, abuser. In some cases, the tension from phase 1 is so severe that the abused may
provoke the beating to get it over with.
-Phase 3, respite, loving: He abused feels guilty that the abuser was forced to
act and wants to believe that the abuser will remain loving and kind.
Don't know?
2 of 80
Term
Which of the following is considered a "positive" symptom of
schizophrenia?
A. Flat affect
B.Disorganized speech
C. Poor eye contact
D.Impaired hygiene
Give this one a try later!
B. Disorganized speech
Schizophrenia is characterized by both positive and negative symptoms.
For a diagnosis of schizophrenia, the patient must exhibit at least one of
three positive symptoms:
- Positive : Disorganized speech, hallucinations and delusions
- Negative: Flat affect, poor eye contact, impaired hygiene, social
isolation, alogia (poverty of speech), apathy, and anhedonia.
Schizophrenia spectrum disorders now encompass what were previously
considered different subtypes (such as paranoid schizophrenia). Two
criteria A symptoms are required for a diagnosis of schizophrenia
along with the positive symptom(s).
, B. Corticosteroids
While antidepressants, anticonvulsants, opioids and amphetamines may trigger
psychotic or manic responses, corticosteroids are most likely to do so. A
psychotic or manic response is most common after high doses (>40mg) of
steroid drugs. Symptoms often occur within a few days of onset of therapy with
reactions including hypomania, psychosis, and mania. Corticosteroid-induced
psychiatric responses are more common in females than in males. If symptoms
occur, the medication dosage should be tapered to a lower dose and
discontinued if possible.
D. Telling the patient about breaking up with a fiancé
Sharing personal information, such as by telling about a break-up with her
fiancé, is almost always a boundary violation unless it serves a real therapeutic
purpose. Even then, self-disclosure should be done judiciously. Finding the
patient attractive is not a concern unless the nurse asked on the attraction.
Touch is a sensitive issue and can be easily misconstrued, but holding the
patient's hand or touching and arm to comfort patient is usually acceptable.
Gifts should generally not be accepted, although candy to be shared with the
entire staff is usually an exception.
A. Understanding abstract concepts
Developmental milestones that usually occurred during adolescence (12 to 18
years) include:
Understanding abstract concepts.
Achieving adult stature and sexual maturity: Growth spurt for females peaks at
about the age of 11.5 and for males at about the age of 13.5. The average age of
menarche is 12 and the onset of nocturnal emissions is 13.5.
Developing secondary sexual characteristics.
Desiring acceptance from peers.
Expressing concern about body image.
Developing romantic attraction as to the opposite of her same gender.
Showing increasing desire for independence or from parents.
Don't know?
COMPLETE SOLUTION
1 of 80
Term
In the cycle of battering, during the phase of tension building, a
battered woman typically:
Tries to hide
Acts compliant
Feels guilty
Provokes abuse
Give this one a try later!
, B. Acts compliant
The cycle of battering:
- Phase I, tension-building: During this state, the abused typically becomes
very compliant, trying to defuse the abusere's anger.
- Phase II, Acute battering: The abused typically tries to hide or get
away from the abuser. In some cases, the tension from phase I is so severe
that the abused may provoke the beating to get it over with.
- Phase III, respite, loving: The abused feels guilty that the abuser was
forced to act and wants to believe that the abuser will remain loving
and kind.
B. Risk for other-directed violence
Safety issues should take priority over others, so the first priority is dealing with
the patient's risk for other-directed violence with the short-term goal of the
patient discussing feelings and situations that head to hostility, and the short-
and long-term goal of not harming others. The psychiatric and mental health
nurse should show an accepting attitude, decrease stimuli, remove all
dangerous objects from the patient's environment, and monitor the patient
frequently, encouraging the patient to express feelings and explore alternatives
to violence while ensuring adequate numbers of staff are present.
A. Ambulation
In the initial period when the patient's medication dosage is being adjusted, the
patient should be assisted with ambulation because the patient is at increased
risk of falls because of the hypotensive effects of the drug. The patient should be
cautioned to sit up slowly and to his day seated for a moment before standing to
reduce orthostatic hypotension. The patient's white blood cell count should also
be monitored, as this drug may cause leukopenia as well as increased glucose
levels and liver enzymes.
B. Acts compliant
The cycle of battering:
-Phase 1, tension building: During this date, the abused typically becomes very
compliant, trying to diffuse the abusers anger.
-Phase 2, acute battering: The abused typically tries to hide or get away from the
, abuser. In some cases, the tension from phase 1 is so severe that the abused may
provoke the beating to get it over with.
-Phase 3, respite, loving: He abused feels guilty that the abuser was forced to
act and wants to believe that the abuser will remain loving and kind.
Don't know?
2 of 80
Term
Which of the following is considered a "positive" symptom of
schizophrenia?
A. Flat affect
B.Disorganized speech
C. Poor eye contact
D.Impaired hygiene
Give this one a try later!
B. Disorganized speech
Schizophrenia is characterized by both positive and negative symptoms.
For a diagnosis of schizophrenia, the patient must exhibit at least one of
three positive symptoms:
- Positive : Disorganized speech, hallucinations and delusions
- Negative: Flat affect, poor eye contact, impaired hygiene, social
isolation, alogia (poverty of speech), apathy, and anhedonia.
Schizophrenia spectrum disorders now encompass what were previously
considered different subtypes (such as paranoid schizophrenia). Two
criteria A symptoms are required for a diagnosis of schizophrenia
along with the positive symptom(s).
, B. Corticosteroids
While antidepressants, anticonvulsants, opioids and amphetamines may trigger
psychotic or manic responses, corticosteroids are most likely to do so. A
psychotic or manic response is most common after high doses (>40mg) of
steroid drugs. Symptoms often occur within a few days of onset of therapy with
reactions including hypomania, psychosis, and mania. Corticosteroid-induced
psychiatric responses are more common in females than in males. If symptoms
occur, the medication dosage should be tapered to a lower dose and
discontinued if possible.
D. Telling the patient about breaking up with a fiancé
Sharing personal information, such as by telling about a break-up with her
fiancé, is almost always a boundary violation unless it serves a real therapeutic
purpose. Even then, self-disclosure should be done judiciously. Finding the
patient attractive is not a concern unless the nurse asked on the attraction.
Touch is a sensitive issue and can be easily misconstrued, but holding the
patient's hand or touching and arm to comfort patient is usually acceptable.
Gifts should generally not be accepted, although candy to be shared with the
entire staff is usually an exception.
A. Understanding abstract concepts
Developmental milestones that usually occurred during adolescence (12 to 18
years) include:
Understanding abstract concepts.
Achieving adult stature and sexual maturity: Growth spurt for females peaks at
about the age of 11.5 and for males at about the age of 13.5. The average age of
menarche is 12 and the onset of nocturnal emissions is 13.5.
Developing secondary sexual characteristics.
Desiring acceptance from peers.
Expressing concern about body image.
Developing romantic attraction as to the opposite of her same gender.
Showing increasing desire for independence or from parents.
Don't know?
