Georgette Review PMHNP Exam Actual 2026/2027 with Detailed Rationales |
Complete Exam-Style Questions | Pass Guaranteed – A+ Graded
EXAM INFORMATION
Total Questions: 50
Recommended Time: 75 minutes
Passing Threshold: 85%
Exam Format: Multiple Choice Questions (MCQs)
Question Style: Scenario-Based, Applied, and Professional Decision-Making Questions
==============================
SECTION 1: Psychiatric Assessment and Diagnostic Formulation
Question 1: A 28-year-old client presents to the PMHNP clinic reporting persistent
sadness, loss of interest in activities, difficulty sleeping, and decreased appetite for the
past three weeks. The client denies suicidal ideation. Which assessment tool is most
appropriate for the PMHNP to use to screen for the severity of depressive symptoms?
A. Mini-Mental State Examination
B. Patient Health Questionnaire-9
C. Hamilton Anxiety Rating Scale
D. Young Mania Rating Scale
Correct Answer: B
Rationale: The Patient Health Questionnaire-9 (PHQ-9) is a validated self-report
instrument specifically designed to screen for and measure the severity of depressive
symptoms. It aligns with DSM-5 criteria for major depressive disorder and is widely
used in clinical practice. The Mini-Mental State Examination assesses cognitive
impairment, the Hamilton Anxiety Rating Scale measures anxiety severity, and the
Young Mania Rating Scale assesses manic symptoms.
,Question 2: During a psychiatric evaluation, a client describes hearing a voice that
comments on their actions throughout the day. The PMHNP recognizes this as which
type of hallucination?
A. Auditory hallucination, first-rank symptom
B. Visual hallucination, second-rank symptom
C. Tactile hallucination, first-rank symptom
D. Gustatory hallucination, second-rank symptom
Correct Answer: A
Rationale: Hearing a voice that comments on the person's actions is classified as an
auditory hallucination and is considered a first-rank symptom of schizophrenia
according to Kurt Schneider's criteria. First-rank symptoms are highly suggestive of
schizophrenia and include audible thoughts, voices arguing or discussing, and voices
commenting on the person's behavior. Visual, tactile, and gustatory hallucinations are
not first-rank symptoms.
Question 3: A PMHNP is conducting a mental status examination on a 45-year-old
client. The client demonstrates difficulty naming objects, impaired repetition of phrases,
and relatively preserved comprehension. Which type of aphasia does this pattern most
closely represent?
A. Wernicke aphasia
B. Broca aphasia
C. Global aphasia
D. Conduction aphasia
Correct Answer: B
Rationale: Broca aphasia, also known as expressive or nonfluent aphasia, is
characterized by impaired speech production, difficulty with naming (anomia), and
impaired repetition with relatively preserved comprehension. It results from damage to
, Broca's area in the left frontal lobe. Wernicke aphasia involves fluent but nonsensical
speech with poor comprehension. Global aphasia affects all language functions, and
conduction aphasia primarily affects repetition with preserved fluency and
comprehension.
Question 4: A 19-year-old college student is brought to the emergency department by
campus security after being found wandering outside in winter wearing only a t-shirt.
The client is disoriented, has pressured speech, and reports not sleeping for four days
while working on a revolutionary invention. The PMHNP recognizes this presentation as
most consistent with which condition?
A. Major depressive disorder with psychotic features
B. Bipolar I disorder, manic episode
C. Schizoaffective disorder, bipolar type
D. Attention-deficit hyperactivity disorder
Correct Answer: B
Rationale: The presentation of decreased need for sleep, pressured speech, grandiosity
(revolutionary invention), and impaired judgment (inappropriate clothing in cold
weather) lasting at least one week is consistent with a manic episode. In the absence of
psychotic symptoms independent of mood episodes, this is most consistent with
Bipolar I disorder. The duration and specific symptom cluster distinguish it from other
conditions.
Question 5: A PMHNP is assessing a 35-year-old client who reports recurrent intrusive
thoughts about contamination, followed by repetitive hand washing that consumes
several hours daily. The client recognizes these thoughts as excessive but feels unable
to resist the compulsions. Which diagnosis is most appropriate?
A. Generalized anxiety disorder
Complete Exam-Style Questions | Pass Guaranteed – A+ Graded
EXAM INFORMATION
Total Questions: 50
Recommended Time: 75 minutes
Passing Threshold: 85%
Exam Format: Multiple Choice Questions (MCQs)
Question Style: Scenario-Based, Applied, and Professional Decision-Making Questions
==============================
SECTION 1: Psychiatric Assessment and Diagnostic Formulation
Question 1: A 28-year-old client presents to the PMHNP clinic reporting persistent
sadness, loss of interest in activities, difficulty sleeping, and decreased appetite for the
past three weeks. The client denies suicidal ideation. Which assessment tool is most
appropriate for the PMHNP to use to screen for the severity of depressive symptoms?
A. Mini-Mental State Examination
B. Patient Health Questionnaire-9
C. Hamilton Anxiety Rating Scale
D. Young Mania Rating Scale
Correct Answer: B
Rationale: The Patient Health Questionnaire-9 (PHQ-9) is a validated self-report
instrument specifically designed to screen for and measure the severity of depressive
symptoms. It aligns with DSM-5 criteria for major depressive disorder and is widely
used in clinical practice. The Mini-Mental State Examination assesses cognitive
impairment, the Hamilton Anxiety Rating Scale measures anxiety severity, and the
Young Mania Rating Scale assesses manic symptoms.
,Question 2: During a psychiatric evaluation, a client describes hearing a voice that
comments on their actions throughout the day. The PMHNP recognizes this as which
type of hallucination?
A. Auditory hallucination, first-rank symptom
B. Visual hallucination, second-rank symptom
C. Tactile hallucination, first-rank symptom
D. Gustatory hallucination, second-rank symptom
Correct Answer: A
Rationale: Hearing a voice that comments on the person's actions is classified as an
auditory hallucination and is considered a first-rank symptom of schizophrenia
according to Kurt Schneider's criteria. First-rank symptoms are highly suggestive of
schizophrenia and include audible thoughts, voices arguing or discussing, and voices
commenting on the person's behavior. Visual, tactile, and gustatory hallucinations are
not first-rank symptoms.
Question 3: A PMHNP is conducting a mental status examination on a 45-year-old
client. The client demonstrates difficulty naming objects, impaired repetition of phrases,
and relatively preserved comprehension. Which type of aphasia does this pattern most
closely represent?
A. Wernicke aphasia
B. Broca aphasia
C. Global aphasia
D. Conduction aphasia
Correct Answer: B
Rationale: Broca aphasia, also known as expressive or nonfluent aphasia, is
characterized by impaired speech production, difficulty with naming (anomia), and
impaired repetition with relatively preserved comprehension. It results from damage to
, Broca's area in the left frontal lobe. Wernicke aphasia involves fluent but nonsensical
speech with poor comprehension. Global aphasia affects all language functions, and
conduction aphasia primarily affects repetition with preserved fluency and
comprehension.
Question 4: A 19-year-old college student is brought to the emergency department by
campus security after being found wandering outside in winter wearing only a t-shirt.
The client is disoriented, has pressured speech, and reports not sleeping for four days
while working on a revolutionary invention. The PMHNP recognizes this presentation as
most consistent with which condition?
A. Major depressive disorder with psychotic features
B. Bipolar I disorder, manic episode
C. Schizoaffective disorder, bipolar type
D. Attention-deficit hyperactivity disorder
Correct Answer: B
Rationale: The presentation of decreased need for sleep, pressured speech, grandiosity
(revolutionary invention), and impaired judgment (inappropriate clothing in cold
weather) lasting at least one week is consistent with a manic episode. In the absence of
psychotic symptoms independent of mood episodes, this is most consistent with
Bipolar I disorder. The duration and specific symptom cluster distinguish it from other
conditions.
Question 5: A PMHNP is assessing a 35-year-old client who reports recurrent intrusive
thoughts about contamination, followed by repetitive hand washing that consumes
several hours daily. The client recognizes these thoughts as excessive but feels unable
to resist the compulsions. Which diagnosis is most appropriate?
A. Generalized anxiety disorder
