LMR Georgette's PMHNP Certification Exam (Latest Update 2026/2027) | Q...
OBJECTIVE ASSESSMENT - EXAM
LMR Georgette's PMHNP Certification Exam (Latest Update
2026/2027) | Questions and Verified Answers | Grade A |
100% Correct 2026/2027
2026/2027 Official Exam
75 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Psychiatric Assessment & Diagnosis Across the Lifespan Psychiatric Care
Psychopharmacology Ethics, Legal & Professional Practice
Psychotherapy & Therapeutic Modalities
COVER PAGE - 1
, SECTION 1 | Psychiatric Assessment & Diagnosis | Q1-Q15 | LMR Georgette's PMHNP Certification Exam (Latest Update 2026/2027) | Questions and Verified Answers | Grade A | 100% Correct 2026/2027 2026/2027
Q1 Question 1 of 75
A 35-year-old female presents to the psychiatric-mental health nurse practitioner with
persistent sadness, anhedonia, and insomnia for the past 6 weeks. She reports a 10-pound
weight loss and difficulty concentrating at work. Which diagnostic criterion would support a
major depressive disorder diagnosis per DSM-5-TR?
A. Symptoms present for at least 2 weeks with at least 5 depressive symptoms including
depressed mood or anhedonia
B. Symptoms present for at least 6 months with mood disturbance
C. Brief episode lasting less than 1 week with full recovery
D. Single symptom of depressed mood for 3 days
Correct Answer: A
Rationale:
DSM-5-TR major depressive disorder requires at least 5 depressive symptoms including depressed mood or
anhedonia, present for at least 2 weeks, causing functional impairment. Symptoms for less than 1 week would
not meet criteria, so the alternative misstates the duration.
Q2 Question 2 of 75
A 28-year-old male presents with elevated mood, decreased need for sleep, rapid speech,
and excessive spending for the past 7 days. He has grandiose delusions about his abilities.
The PMHNP recognizes this presentation meets criteria for which diagnosis?
A. Hypomanic episode without functional impairment
B. Manic episode associated with bipolar I disorder
C. Major depressive episode with mixed features
D. Cyclothymic disorder
Correct Answer: B
Rationale:
Elevated mood, decreased need for sleep, pressured speech, excessive spending, and grandiose delusions for
7 days causing functional impairment indicate a manic episode consistent with bipolar I disorder. Hypomania
does not cause marked impairment or psychotic features, so the alternative misstates the diagnosis.
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, Q3 Question 3 of 75
A 42-year-old female describes recurrent intrusive thoughts about contamination and
compulsive handwashing 30 times per day, spending 2 hours daily on rituals. She recognizes
these behaviors as excessive. These findings are most consistent with which diagnosis?
A. Body dysmorphic disorder
B. Generalized anxiety disorder
C. Obsessive-compulsive disorder
D. Hoarding disorder
Correct Answer: C
Rationale:
Recurrent intrusive thoughts (obsessions) and compulsive handwashing (compulsions) consuming more than 1
hour daily and recognized as excessive indicate obsessive-compulsive disorder. GAD involves worry without
compulsions, so the alternative misstates the diagnosis.
Q4 Question 4 of 75
A 19-year-old college student presents after experiencing a flashback during a fireworks
display. She reports a sexual assault 3 months ago, with nightmares, avoidance of
reminders, hypervigilance, and sleep disturbance. The PMHNP recognizes these findings as
most consistent with which condition?
A. Panic disorder
B. Acute stress disorder
C. Adjustment disorder
D. Post-traumatic stress disorder
Correct Answer: D
Rationale:
Symptoms of re-experiencing, avoidance, hypervigilance, and sleep disturbance lasting more than 1 month
after trauma indicate post-traumatic stress disorder. Acute stress disorder lasts 3 days to 1 month, so the
alternative misstates the diagnosis based on duration.
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, Q5 Question 5 of 75
A 22-year-old male presents with hallucinations, disorganized speech, and negative
symptoms including flat affect and avolition for the past 8 months. He has never had a manic
or major depressive episode. These findings are most consistent with which diagnosis?
A. Schizophrenia
B. Schizoaffective disorder
C. Brief psychotic disorder
D. Schizophreniform disorder
Correct Answer: A
Rationale:
Hallucinations, disorganized speech, and negative symptoms lasting more than 6 months without mood
episodes indicate schizophrenia. Schizophreniform disorder lasts 1 to 6 months, so the alternative misstates
the duration criterion.
Q6 Question 6 of 75
A 65-year-old male with Alzheimer dementia presents with new-onset visual hallucinations
and aggressive behavior over the past 2 days. His family reports a recent urinary tract
infection. The PMHNP recognizes this presentation is most consistent with which condition?
A. Worsening dementia progression
B. Delirium secondary to urinary tract infection
C. Major depressive disorder with psychotic features
D. Schizophrenia onset in older adult
Correct Answer: B
Rationale:
Acute onset of hallucinations and behavioral changes over hours to days in a patient with dementia and
infection suggests delirium, a medical emergency requiring treatment of the underlying cause. Dementia
progression is gradual, so the alternative misstates the temporal pattern.
LMR Georgette's PMHNP Certification Exam (Latest Update 2026/2027) | Questions and Verified Answers | Grade A | 100% CorrectPage
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OBJECTIVE ASSESSMENT - EXAM
LMR Georgette's PMHNP Certification Exam (Latest Update
2026/2027) | Questions and Verified Answers | Grade A |
100% Correct 2026/2027
2026/2027 Official Exam
75 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Psychiatric Assessment & Diagnosis Across the Lifespan Psychiatric Care
Psychopharmacology Ethics, Legal & Professional Practice
Psychotherapy & Therapeutic Modalities
COVER PAGE - 1
, SECTION 1 | Psychiatric Assessment & Diagnosis | Q1-Q15 | LMR Georgette's PMHNP Certification Exam (Latest Update 2026/2027) | Questions and Verified Answers | Grade A | 100% Correct 2026/2027 2026/2027
Q1 Question 1 of 75
A 35-year-old female presents to the psychiatric-mental health nurse practitioner with
persistent sadness, anhedonia, and insomnia for the past 6 weeks. She reports a 10-pound
weight loss and difficulty concentrating at work. Which diagnostic criterion would support a
major depressive disorder diagnosis per DSM-5-TR?
A. Symptoms present for at least 2 weeks with at least 5 depressive symptoms including
depressed mood or anhedonia
B. Symptoms present for at least 6 months with mood disturbance
C. Brief episode lasting less than 1 week with full recovery
D. Single symptom of depressed mood for 3 days
Correct Answer: A
Rationale:
DSM-5-TR major depressive disorder requires at least 5 depressive symptoms including depressed mood or
anhedonia, present for at least 2 weeks, causing functional impairment. Symptoms for less than 1 week would
not meet criteria, so the alternative misstates the duration.
Q2 Question 2 of 75
A 28-year-old male presents with elevated mood, decreased need for sleep, rapid speech,
and excessive spending for the past 7 days. He has grandiose delusions about his abilities.
The PMHNP recognizes this presentation meets criteria for which diagnosis?
A. Hypomanic episode without functional impairment
B. Manic episode associated with bipolar I disorder
C. Major depressive episode with mixed features
D. Cyclothymic disorder
Correct Answer: B
Rationale:
Elevated mood, decreased need for sleep, pressured speech, excessive spending, and grandiose delusions for
7 days causing functional impairment indicate a manic episode consistent with bipolar I disorder. Hypomania
does not cause marked impairment or psychotic features, so the alternative misstates the diagnosis.
LMR Georgette's PMHNP Certification Exam (Latest Update 2026/2027) | Questions and Verified Answers | Grade A | 100% CorrectPage
2026/2027
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, Q3 Question 3 of 75
A 42-year-old female describes recurrent intrusive thoughts about contamination and
compulsive handwashing 30 times per day, spending 2 hours daily on rituals. She recognizes
these behaviors as excessive. These findings are most consistent with which diagnosis?
A. Body dysmorphic disorder
B. Generalized anxiety disorder
C. Obsessive-compulsive disorder
D. Hoarding disorder
Correct Answer: C
Rationale:
Recurrent intrusive thoughts (obsessions) and compulsive handwashing (compulsions) consuming more than 1
hour daily and recognized as excessive indicate obsessive-compulsive disorder. GAD involves worry without
compulsions, so the alternative misstates the diagnosis.
Q4 Question 4 of 75
A 19-year-old college student presents after experiencing a flashback during a fireworks
display. She reports a sexual assault 3 months ago, with nightmares, avoidance of
reminders, hypervigilance, and sleep disturbance. The PMHNP recognizes these findings as
most consistent with which condition?
A. Panic disorder
B. Acute stress disorder
C. Adjustment disorder
D. Post-traumatic stress disorder
Correct Answer: D
Rationale:
Symptoms of re-experiencing, avoidance, hypervigilance, and sleep disturbance lasting more than 1 month
after trauma indicate post-traumatic stress disorder. Acute stress disorder lasts 3 days to 1 month, so the
alternative misstates the diagnosis based on duration.
LMR Georgette's PMHNP Certification Exam (Latest Update 2026/2027) | Questions and Verified Answers | Grade A | 100% CorrectPage
2026/2027
3 of 42- 2026/2027 | P
, Q5 Question 5 of 75
A 22-year-old male presents with hallucinations, disorganized speech, and negative
symptoms including flat affect and avolition for the past 8 months. He has never had a manic
or major depressive episode. These findings are most consistent with which diagnosis?
A. Schizophrenia
B. Schizoaffective disorder
C. Brief psychotic disorder
D. Schizophreniform disorder
Correct Answer: A
Rationale:
Hallucinations, disorganized speech, and negative symptoms lasting more than 6 months without mood
episodes indicate schizophrenia. Schizophreniform disorder lasts 1 to 6 months, so the alternative misstates
the duration criterion.
Q6 Question 6 of 75
A 65-year-old male with Alzheimer dementia presents with new-onset visual hallucinations
and aggressive behavior over the past 2 days. His family reports a recent urinary tract
infection. The PMHNP recognizes this presentation is most consistent with which condition?
A. Worsening dementia progression
B. Delirium secondary to urinary tract infection
C. Major depressive disorder with psychotic features
D. Schizophrenia onset in older adult
Correct Answer: B
Rationale:
Acute onset of hallucinations and behavioral changes over hours to days in a patient with dementia and
infection suggests delirium, a medical emergency requiring treatment of the underlying cause. Dementia
progression is gradual, so the alternative misstates the temporal pattern.
LMR Georgette's PMHNP Certification Exam (Latest Update 2026/2027) | Questions and Verified Answers | Grade A | 100% CorrectPage
2026/2027
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