1|Page
Barkley PMHNP Review Newest Exam Preparation Newest With
Complete Questions And Correct Detailed Answers| Brand New
Version
What is the first step in the assessment process? - ANSWERS--Gather
the chief complaint and history information before treatment.
What does the pneumonic COLDSPA stand for? - ANSWERS--C -
Character of symptoms, O - Onset, L - Length of symptoms, D -
Duration, S - Stressors, P - Precipitating factors, A - Alleviating
factors.
What should you inquire about in a social history? - ANSWERS--
Relationships, work, education, trauma, and legal issues.
What is important to assess in a developmental history? - ANSWERS-
-Difficulties with parents, teachers, and authority figures.
What is the significance of family history in mental health
assessment? - ANSWERS--It helps identify genetic predispositions to
disorders and any history of trauma or substance use.
,2|Page
What personal information should be gathered during assessment? -
ANSWERS--Hobbies and coping strategies, particularly for depression
assessment.
What does the Gottesman et al. (2010) study indicate about
schizophrenia risk? - ANSWERS--Having two parents with
schizophrenia increases the child's risk to 27%, while one parent
increases it to 7%.
Why is past psychiatric history assessed later in the evaluation? -
ANSWERS--To avoid bias and ensure a comprehensive assessment of
other factors first.
What is the importance of medical history in psychiatric evaluations?
- ANSWERS--To rule out medical conditions that could mimic
psychiatric symptoms.
What is the normal sleep cycle composed of? - ANSWERS--Non-REM,
deeper non-REM, and REM sleep.
What is assessed in a Mental Status Examination (MSE)? - ANSWERS-
-Appearance, behavior, speech, affect, thought process, thought
content, and cognitive examination.
What is the purpose of the Mini Mental Status Exam? - ANSWERS--To
assess cognitive function through memory recall and interpretation
tasks.
,3|Page
What does the Clock Drawing test assess? - ANSWERS--Cognitive
distortion; inability to draw a clock correctly may indicate dementia.
What are the components of the MMSE? - ANSWERS--Orientation,
memory recall, counting backwards, language, and following
commands.
What is the scoring range for the Hamilton Depression Scale? -
ANSWERS--0-76, with <7 indicating no depression and >23 indicating
severe depression.
What does the PHQ-9 assess? - ANSWERS--Depression symptoms
over the past two weeks with a scoring range of 1-27.
What is the purpose of the GAD-7 screening tool? - ANSWERS--To
assess anxiety symptoms with a scoring range of 5-21.
What symptoms are assessed for Bipolar Disorder? - ANSWERS--
Family history, speech patterns, sleep, hyperactivity, irritability,
grandiosity, and impulsiveness.
What does the Mood Disorder Questionnaire screen for? -
ANSWERS--Bipolar disorder through yes/no questions about mood
and relationships.
What is required for an ADHD diagnosis? - ANSWERS--Symptoms
must be present in two different settings.
, 4|Page
What does the Brief Psych Rating Scale (BPRS) assess? - ANSWERS--
Psychotic symptoms, including those in children.
What does the AIMS scale measure? - ANSWERS--Abnormal
involuntary movements to rule out movement disorders.
What general labs should be screened for in psychiatric evaluations?
- ANSWERS--CBC, CMP, thyroid levels, B-12, folate, and Vitamin D.
What is the purpose of an EEG? - ANSWERS--To diagnose epilepsy
and other brain conditions by measuring electrical impulses.
What cranial nerve is responsible for smell? - ANSWERS--Olfactory
nerve.
What cranial nerve controls vision? - ANSWERS--Optic nerve.
What is the significance of lymph node size in assessment? -
ANSWERS--Lymph nodes <2cm are usually insignificant, but >1cm in
supraclavicular fossa is significant.
What is the function of the Olfactory nerve? - ANSWERS--Smell
What is the primary function of the Optic nerve? - ANSWERS--Vision
Barkley PMHNP Review Newest Exam Preparation Newest With
Complete Questions And Correct Detailed Answers| Brand New
Version
What is the first step in the assessment process? - ANSWERS--Gather
the chief complaint and history information before treatment.
What does the pneumonic COLDSPA stand for? - ANSWERS--C -
Character of symptoms, O - Onset, L - Length of symptoms, D -
Duration, S - Stressors, P - Precipitating factors, A - Alleviating
factors.
What should you inquire about in a social history? - ANSWERS--
Relationships, work, education, trauma, and legal issues.
What is important to assess in a developmental history? - ANSWERS-
-Difficulties with parents, teachers, and authority figures.
What is the significance of family history in mental health
assessment? - ANSWERS--It helps identify genetic predispositions to
disorders and any history of trauma or substance use.
,2|Page
What personal information should be gathered during assessment? -
ANSWERS--Hobbies and coping strategies, particularly for depression
assessment.
What does the Gottesman et al. (2010) study indicate about
schizophrenia risk? - ANSWERS--Having two parents with
schizophrenia increases the child's risk to 27%, while one parent
increases it to 7%.
Why is past psychiatric history assessed later in the evaluation? -
ANSWERS--To avoid bias and ensure a comprehensive assessment of
other factors first.
What is the importance of medical history in psychiatric evaluations?
- ANSWERS--To rule out medical conditions that could mimic
psychiatric symptoms.
What is the normal sleep cycle composed of? - ANSWERS--Non-REM,
deeper non-REM, and REM sleep.
What is assessed in a Mental Status Examination (MSE)? - ANSWERS-
-Appearance, behavior, speech, affect, thought process, thought
content, and cognitive examination.
What is the purpose of the Mini Mental Status Exam? - ANSWERS--To
assess cognitive function through memory recall and interpretation
tasks.
,3|Page
What does the Clock Drawing test assess? - ANSWERS--Cognitive
distortion; inability to draw a clock correctly may indicate dementia.
What are the components of the MMSE? - ANSWERS--Orientation,
memory recall, counting backwards, language, and following
commands.
What is the scoring range for the Hamilton Depression Scale? -
ANSWERS--0-76, with <7 indicating no depression and >23 indicating
severe depression.
What does the PHQ-9 assess? - ANSWERS--Depression symptoms
over the past two weeks with a scoring range of 1-27.
What is the purpose of the GAD-7 screening tool? - ANSWERS--To
assess anxiety symptoms with a scoring range of 5-21.
What symptoms are assessed for Bipolar Disorder? - ANSWERS--
Family history, speech patterns, sleep, hyperactivity, irritability,
grandiosity, and impulsiveness.
What does the Mood Disorder Questionnaire screen for? -
ANSWERS--Bipolar disorder through yes/no questions about mood
and relationships.
What is required for an ADHD diagnosis? - ANSWERS--Symptoms
must be present in two different settings.
, 4|Page
What does the Brief Psych Rating Scale (BPRS) assess? - ANSWERS--
Psychotic symptoms, including those in children.
What does the AIMS scale measure? - ANSWERS--Abnormal
involuntary movements to rule out movement disorders.
What general labs should be screened for in psychiatric evaluations?
- ANSWERS--CBC, CMP, thyroid levels, B-12, folate, and Vitamin D.
What is the purpose of an EEG? - ANSWERS--To diagnose epilepsy
and other brain conditions by measuring electrical impulses.
What cranial nerve is responsible for smell? - ANSWERS--Olfactory
nerve.
What cranial nerve controls vision? - ANSWERS--Optic nerve.
What is the significance of lymph node size in assessment? -
ANSWERS--Lymph nodes <2cm are usually insignificant, but >1cm in
supraclavicular fossa is significant.
What is the function of the Olfactory nerve? - ANSWERS--Smell
What is the primary function of the Optic nerve? - ANSWERS--Vision
