THERAPY QUIZ LATEST STUDY GUIDE 2026,
QUESTIONS WITH CORRECT ANSWERS
LATEST EDITION
1. Which section of the Mental Status exam would one
document gait, tics and hand wringing?
Affect
Speech
Motor activity
Extracorporeal findings
2. A 29-year-old woman with a history of panic disorder requests
a psychiatric home visit because she continues to experience
feelings that her environment is not real. She states that this is
very unsettling and, as a result, has stopped going out of her
home. In formulating her case, the PMHNP would describe this
symptom as the persistence of:
Depressive
symptoms
Depersonalization
Derealization
Psychosis
3. Pam is 22 yr old female who lives alone and has Bipolar
disorder documented as F31.2 (Manic, Severe with psychotic
features). Pam stopped taking her Quetiapine and Lithium
medications. Pam's delusions are worsening and she has
been awake for 36 hours. Does the PMHNP have the right to
share this information with Pam's mother who lives in a
neighboring state?
Yes, Pam does not currently have the capacity to make
decisions given her chief complaint, presentation and
history of a serious mental illness.
Yes, because the health care provider can always reach out to family
as long as the information is limited to what is needed.
,No, because Pam has not signed a medical release form and is
actively participating in her care as evidenced by showing up to the
visit.
No, because Pam is an adult and HIPAA protects private mental health
information.
If the PMHNP believes that the client does not have the capacity to agree
or object to the sharing information at that critical time and the sharing of
theinformation would be in the clients best interest, the provider may
discuss the pertinent information only to the family member who can
possibly help with the clients immediate care concerns. 45 CFR
164.510(b)
4. Mr. Yoon is a 46-year-old male who was referred from the
employee assistance program for interpersonal difficulties in the
workplace. His boss states that he is very committed to his job,
often working late, but he is unable to tolerate any criticism of his
work and becomes argumentative and frequently irritable with
his coworkers. He never seems to socialize at company events
and seems to not speak of any family or friends outside of work.
He has become so difficult to work with that termination is possible,
but fear persists of a homicidal threat. What should the PMHNP
do when seeing this patient?
Call 911 and transfer the patient to the hospital
Encourage the patient to find another job
Prescribe the patient a selective serotonin reuptake inhibitor (SSRI) to
reduce anxiety
Inquire about access to weapons
5. A 38-year-old investment banker reveals that on weekends he
visits the Delightful Dungeon and pays a dominatrix to tie him
up, humiliate him, and whip him. He finds these sessions
painful but very sexually arousing. He is able to become
aroused and climax without this experience but finds this
activity novel and has no desire to stop. Which of the following
diagnosis is most likely?
Sexual sadism
Atypical
depression No
diagnosis
, Sexual
masochism
6. A client with generalized anxiety disorder is asked to create
coping cards as part of her CBT homework. What is the
primary purpose of using coping cards in CBT?
To identify anxiety provoking
situations To document automatic
thoughts
To provide immediate cognitive restructuring strategies
To record daily fluctuations in thoughts and corresponding moods
Coping cards are used to write down helpful thoughts and strategies that
the client can refer to when experiencing distress, providing immediate
cognitive restructuring support.
7. A 45-year-old female presents with symptoms of major
depressive disorder. During Interpersonal Psychotherapy (IPT),
the PMHNP identifies significant conflicts with her spouse as a
contributing factor to her depression. Which of the following IPT
focus areas is most relevant to this patient's situation?
Interpersonal beliefs and deficits
Interpersonal disputes
Role transitions
Grief
Interpersonal disputes are conflicts with significant others, which align
with the patient's conflicts with her spouse.
8. Which of the following is NOT part of the OARS
technique in Motivational Interviewing?
Reflections
Solutions
Open ended questions
Affirmations
OARS stands for Open-ended questions, Affirmations, Reflections, and
Summarizations. Solutions are not part of the OARS technique
9. A psychodynamic therapist is working with a patient who has