PMHNP FINAL EXAM PRACTICE
TEST QUESTIONS & ANSWERS
100% CORRECT (FULLY SOLVED)
A 9-year-old girl with history of GAD has been stable on
fluoxetine 10 mg for 6 months and presents for follow-up
complaining of bilateral leg pain. The physical exam, CBC
and metabolic profile are normal except for an elevated
alkaline phosphatase. The PMHNP understands that this
finding is: - correct answer- A commonly
occurring pre-puberty finding known as growing pains.
Growing pains is a diagnosis of exclusion occurring in pre-
and early puberty, specifically associated with osteoclastic
and osteoblastic activity.
A 15-year-old boy is being treated for ADHD. He has a
family history of bipolar disorder. Which of the following
ADHD symptoms overlap with bipolar disorder in children
and adolescents? - correct answer-
Talkativeness, hyperactivity and distractibility - are
overlapping symptoms of ADHD and bipolar disorder in
children and adolescents
,A 17-year-old male, high school senior who is on the
wrestling team, is being treated for an eating disorder. He
is average weight, socially engaged, and attention seeking
at times among peers. Which of the following eating
disorders is most consistent with these symptoms? -
correct answer- bulimia nervosa - is
characterized by average height and weight and
involvement in sports in which a particular weight and
shape are required.
A 25-year-old male has been seeing his psychoanalyst four
times a week for the last year and is bothered by recent
episodes of forgetfulness including misplacing everyday
items and missing appointments. Which Freudian
psychodynamic principle assumes all behavior conveys
purpose? - correct answer- Psychic
determination principle - is the psychodynamic principle
that assumes all behavior has a purpose.
A 30-year old man reports low self-esteem, demonstrates
poor self-control , exhibits much self-doubt and requires a
high degree of reassurance. what developmental task has
, he failed to master? - correct answer- Industry
vs. inferiority -is the stage of development when children
learn skills, take pride in their accomplishments and
develop self-esteem from being valued by peers for their
competencies.
A 35-year old female with a Cluster A personality disorder
states that "I hear people outside the office door during
our sessions. Are they listening in on us?" What would be
your best response? - correct answer- D.
Validating the reasonable concern and stating the
objective reality allows the conversation to move to
something constructive.
A 36-year-old pharmacist has a history of depression and
suicide attempt 1 month ago by hanging. She had been
started on a tricyclic antidepressant by abruptly stopped
taking the medication a week after she started saying it
was "ineffective." The PMHNP meets with this patient to
plan care. Which of the following is the most appropriate
initial action? - correct answer- Ask the patient
how to help her can enhance this therapeutic alliance.
TEST QUESTIONS & ANSWERS
100% CORRECT (FULLY SOLVED)
A 9-year-old girl with history of GAD has been stable on
fluoxetine 10 mg for 6 months and presents for follow-up
complaining of bilateral leg pain. The physical exam, CBC
and metabolic profile are normal except for an elevated
alkaline phosphatase. The PMHNP understands that this
finding is: - correct answer- A commonly
occurring pre-puberty finding known as growing pains.
Growing pains is a diagnosis of exclusion occurring in pre-
and early puberty, specifically associated with osteoclastic
and osteoblastic activity.
A 15-year-old boy is being treated for ADHD. He has a
family history of bipolar disorder. Which of the following
ADHD symptoms overlap with bipolar disorder in children
and adolescents? - correct answer-
Talkativeness, hyperactivity and distractibility - are
overlapping symptoms of ADHD and bipolar disorder in
children and adolescents
,A 17-year-old male, high school senior who is on the
wrestling team, is being treated for an eating disorder. He
is average weight, socially engaged, and attention seeking
at times among peers. Which of the following eating
disorders is most consistent with these symptoms? -
correct answer- bulimia nervosa - is
characterized by average height and weight and
involvement in sports in which a particular weight and
shape are required.
A 25-year-old male has been seeing his psychoanalyst four
times a week for the last year and is bothered by recent
episodes of forgetfulness including misplacing everyday
items and missing appointments. Which Freudian
psychodynamic principle assumes all behavior conveys
purpose? - correct answer- Psychic
determination principle - is the psychodynamic principle
that assumes all behavior has a purpose.
A 30-year old man reports low self-esteem, demonstrates
poor self-control , exhibits much self-doubt and requires a
high degree of reassurance. what developmental task has
, he failed to master? - correct answer- Industry
vs. inferiority -is the stage of development when children
learn skills, take pride in their accomplishments and
develop self-esteem from being valued by peers for their
competencies.
A 35-year old female with a Cluster A personality disorder
states that "I hear people outside the office door during
our sessions. Are they listening in on us?" What would be
your best response? - correct answer- D.
Validating the reasonable concern and stating the
objective reality allows the conversation to move to
something constructive.
A 36-year-old pharmacist has a history of depression and
suicide attempt 1 month ago by hanging. She had been
started on a tricyclic antidepressant by abruptly stopped
taking the medication a week after she started saying it
was "ineffective." The PMHNP meets with this patient to
plan care. Which of the following is the most appropriate
initial action? - correct answer- Ask the patient
how to help her can enhance this therapeutic alliance.
