ANCC PMHNP certification exam | Latest 2026/2027
with complete solution
standards of practice - -answer-offer a way to judge nature of care provided; reflect expectation of care
provided, professional agreement of minimal acceptable level of performance; can be used to legally
describe standard of care
cognitive therapy - -answer-type of therapy used when clients have irrational beliefs, faulty conceptions,
and negative distortions about themselves
existential therapy - -answer-therapy approach in which client reflects on life and self-confrontation is
encouraged
akathisia - -answer-motor restlessness, inability to sit still, rocking, pacing, constant motion of a
unilateral limb, subjective sense of restlessness
Akinesia - -answer-absence of movement, difficulty initiating motion
Dystonia - -answer-muscle spasticity
Pseudo-Parkinson's - -answer-shuffling gait, motor slowing, mask-like facial expression, pill-rolling,
tremors, muscle rigidity
Tardive dyskinesia (TD) - -answer-involuntary abnormal muscle movement of the mouth, tongue, face,
and jaw that may progress to limbs; can be irreversible; can occur as an acute process at the initiation of
treatment
,120 hours (five half-lives to reach steady state) - -answer-Medication with 24-hour half-life will require
how many hours to reach a steady state in the body
steady-state - -answer-Point at which the amount of drug eliminated between doses is equal to the dose
administered
half-life - -answer-time needed to clear 50% of medication from the system
Hope - -answer-Erik Erikson's stages of psychosocial development virtues: Trust vs Mistrust
Will - -answer-Autonomy vs shame and doubt
purpose - -answer-Initiative vs guilt
competence - -answer-Industry vs inferiority
fidelity - -answer-identity vs role confusion
love - -answer-intimacy vs isolation
care - -answer-generatively vs stagnation
wisdom - -answer-ego integrity vs despair
mania - -answer-Indiscriminate enthusiasm typically found during MSE (thought processes) for ______.
anxiety - -answer-Goal-directed, organized, redirectable behaviors are common thought processes that
manifest with _____.
,electroconvulsive therapy (ECT) - -answer-Non chemical therapy that increases dopamine, serotonin,
and norepinephrine; course typically consists of 6-12 treatments and involves sedating the patient
MDD (major depressive disorder) - -answer-In 2/3 of cases _____ occurs before a panic attack
humanistic therapy - -answer-Builds on CBT techniques and Socratic questioning focusing on the
existential goal of purpose and meaning
humanistic therapy - -answer-Specifically focuses on self growth and self actualization, Finding meaning
in life and it's circumstances
existential therapy - -answer-Targets finding meaning and purpose in life but is based on accepting
reality and making responsible decisions
interpersonal therapy (IPT) - -answer-Time-limited therapy that focuses on the present stressor
DBT (dialectical behavior therapy) - -answer-Therapy that stresses emotional regulation, increasing
stress tolerance, developing interpersonal skills, and mindfulness.
Niacin - -answer-Nutritional deficiency in vegan diet that mimics psychiatric symptoms
Thiamine (Vitamin B1) - -answer-Deficiency associated with chronic alcohol abuse
Birth to age 2 - -answer-Positive Babinski reflex is normal for what age range
Managed Care Organization (MCO) - -answer-System where the insurer is not only the payer but also
the provider of healthcare
0.5 mg/day; 3 mg/day - -answer-2 part Q: Recommended starting dose of risperidone (Risperdal) for
adolescence age 13 to 17; and recommended therapeutic dose for adolescence
, Structural family therapy - -answer-What type of family therapy use a structural mapping or genograms
as a treatment intervention
Structural family therapy - -answer-Emphasizes how, when, and to whom family members relate in
order to understand and change family structure; goal is to produce structural change in family
organization; uses genograms to illustrate Relationships using symbols for overinvolvement, conflict,
and coalitions.
case management - -answer-Involves coordinating care across treatment settings to ensure quality
outcomes
Normalcy; crazy - -answer-Example of mental health promotion is: validating _______ of feelings and
ensuring patients they are not _______.
Special interest group - -answer-Collection of individuals who coordinate lobbying efforts Around a
common interest and seek to influence policy makers
Legislative assistant - -answer-Employee of a senator or representative Who keeps the legislator
informed, meets with constituents, And drafts reports
caucus (congressional) - -answer-A group of members of Congress or a political party created to support
a defined political ideology
grassroots lobbying - -answer-When unpaid individuals contact their legislators to influence policy
14-17 - -answer-The HAM-A is ranked from 0 (not present) to 4 (severe). What scores indicate mild
anxiety?
18-24 - -answer-The HAM-A is ranked from 0 (not present) to 4 (severe). What scores indicate mild
anxiety?
25-30 - -answer-The HAM-A is ranked from 0 (not present) to 4 (severe). What scores indicate severe
anxiety?
with complete solution
standards of practice - -answer-offer a way to judge nature of care provided; reflect expectation of care
provided, professional agreement of minimal acceptable level of performance; can be used to legally
describe standard of care
cognitive therapy - -answer-type of therapy used when clients have irrational beliefs, faulty conceptions,
and negative distortions about themselves
existential therapy - -answer-therapy approach in which client reflects on life and self-confrontation is
encouraged
akathisia - -answer-motor restlessness, inability to sit still, rocking, pacing, constant motion of a
unilateral limb, subjective sense of restlessness
Akinesia - -answer-absence of movement, difficulty initiating motion
Dystonia - -answer-muscle spasticity
Pseudo-Parkinson's - -answer-shuffling gait, motor slowing, mask-like facial expression, pill-rolling,
tremors, muscle rigidity
Tardive dyskinesia (TD) - -answer-involuntary abnormal muscle movement of the mouth, tongue, face,
and jaw that may progress to limbs; can be irreversible; can occur as an acute process at the initiation of
treatment
,120 hours (five half-lives to reach steady state) - -answer-Medication with 24-hour half-life will require
how many hours to reach a steady state in the body
steady-state - -answer-Point at which the amount of drug eliminated between doses is equal to the dose
administered
half-life - -answer-time needed to clear 50% of medication from the system
Hope - -answer-Erik Erikson's stages of psychosocial development virtues: Trust vs Mistrust
Will - -answer-Autonomy vs shame and doubt
purpose - -answer-Initiative vs guilt
competence - -answer-Industry vs inferiority
fidelity - -answer-identity vs role confusion
love - -answer-intimacy vs isolation
care - -answer-generatively vs stagnation
wisdom - -answer-ego integrity vs despair
mania - -answer-Indiscriminate enthusiasm typically found during MSE (thought processes) for ______.
anxiety - -answer-Goal-directed, organized, redirectable behaviors are common thought processes that
manifest with _____.
,electroconvulsive therapy (ECT) - -answer-Non chemical therapy that increases dopamine, serotonin,
and norepinephrine; course typically consists of 6-12 treatments and involves sedating the patient
MDD (major depressive disorder) - -answer-In 2/3 of cases _____ occurs before a panic attack
humanistic therapy - -answer-Builds on CBT techniques and Socratic questioning focusing on the
existential goal of purpose and meaning
humanistic therapy - -answer-Specifically focuses on self growth and self actualization, Finding meaning
in life and it's circumstances
existential therapy - -answer-Targets finding meaning and purpose in life but is based on accepting
reality and making responsible decisions
interpersonal therapy (IPT) - -answer-Time-limited therapy that focuses on the present stressor
DBT (dialectical behavior therapy) - -answer-Therapy that stresses emotional regulation, increasing
stress tolerance, developing interpersonal skills, and mindfulness.
Niacin - -answer-Nutritional deficiency in vegan diet that mimics psychiatric symptoms
Thiamine (Vitamin B1) - -answer-Deficiency associated with chronic alcohol abuse
Birth to age 2 - -answer-Positive Babinski reflex is normal for what age range
Managed Care Organization (MCO) - -answer-System where the insurer is not only the payer but also
the provider of healthcare
0.5 mg/day; 3 mg/day - -answer-2 part Q: Recommended starting dose of risperidone (Risperdal) for
adolescence age 13 to 17; and recommended therapeutic dose for adolescence
, Structural family therapy - -answer-What type of family therapy use a structural mapping or genograms
as a treatment intervention
Structural family therapy - -answer-Emphasizes how, when, and to whom family members relate in
order to understand and change family structure; goal is to produce structural change in family
organization; uses genograms to illustrate Relationships using symbols for overinvolvement, conflict,
and coalitions.
case management - -answer-Involves coordinating care across treatment settings to ensure quality
outcomes
Normalcy; crazy - -answer-Example of mental health promotion is: validating _______ of feelings and
ensuring patients they are not _______.
Special interest group - -answer-Collection of individuals who coordinate lobbying efforts Around a
common interest and seek to influence policy makers
Legislative assistant - -answer-Employee of a senator or representative Who keeps the legislator
informed, meets with constituents, And drafts reports
caucus (congressional) - -answer-A group of members of Congress or a political party created to support
a defined political ideology
grassroots lobbying - -answer-When unpaid individuals contact their legislators to influence policy
14-17 - -answer-The HAM-A is ranked from 0 (not present) to 4 (severe). What scores indicate mild
anxiety?
18-24 - -answer-The HAM-A is ranked from 0 (not present) to 4 (severe). What scores indicate mild
anxiety?
25-30 - -answer-The HAM-A is ranked from 0 (not present) to 4 (severe). What scores indicate severe
anxiety?
