ANCC PMHNP Exam Questions Verified
and Provided with A+ Graded Answers
Latest Updated 2026
3-year-old masturbates, play with self, says FREUD's PSYCHOSOCIAL STAGES OF DEVELOPMENT - PHALLIC
naughty things STAGE - 3-6 years old
- This is NORMAL for children this age.
Freud stages of psychosexual development PNEUMOIC - Old Age Parents Love Grandchildren
Oral (0-18 months)
Anal (18 months - 3 years)
Phallic (3 years to 6 years)
Latent (6 to 12)
Genital (12 +)
ACUTE STRESS DISORDER Depression, dissociation, recurring nightmares, sleep disturbances,
problems in concentrations, reliving the event, dreams, flashbacks -
UP to ONE MONTH - Less than 1 month.
if LONGER than 1 month=PTSD
5-year-old tells you his brother sodomized him Tell mom don't leave him alone with patient and call CPS implement
crisis
Child is playing with doll in a sexual way - You Perform FURTHER ASSESSMENT and GATHER ENOUGH INFO BEFORE
SUSPECT sexual abuse Calling CPS to report
suspected Sexual Abuse - You HAVE to report but you have to have
something
(assessment data) to report - Assess = FIRST
13-year-old want to smoke ask him of his plan to stop smoking
MMSE/ FOLSTEIN MMSE/FOLSTEIN
Mr. Folstein had Benjamin Button's disease where he was normal from
30-25 yrs old, then deteriorated mildly from 24-21 yrs old, became
moderately demented from 20-13 yrs old, until he reached age 11
where it was too severe to stay at home.
Beck Depression Inventory Beck was 20 yrs old when he started medication & therapy.
Unfortunately, at age 31 it became too SEVERE and was hospitalized.
HAM-A Hamilton A started medication & therapy at 24 yrs old for moderate
anxiety. Sadly, when he turned 27 yrs old he was hospitalized for
SEVERE anxiety.
HAM-D Hamilton D began medication & therapy at 14 yrs old. He later had a
dose increase at age 17 for MODERATE/SEVERE depression. But soon
after, it became SEVERE at age 23 & he was hospitalized.
PHQ-9 (Patient Health Questionnaire) Penelope Q was just 10 yrs old when she started antidepressants &
therapy. At age 15, she required a dose increase due to
moderate/severe depression. It helped her until she turned 20 when it
became SEVERE, and she had to be hospitalized.
, GAD-7 scale Gary was just 10 yrs old when he was treated with meds & therapy for
anxiety. Yet his symptoms still worsened and at 15 yrs old he was
hospitalized for SEVERE anxiety.
HAM-D score of 19? Severe. Assess for SI, treat with meds & therapy.
Beck score of 20 Moderate. Confirm diagnosis and treat with meds & therapy.
PHQ-9 score of 15? Moderate. Confirm diagnosis & start therapy & meds
PHQ-9 score of 21? Severe. Assess for SI, start therapy & meds.
HAM-D score of 23? Severe. Assess SI, treat with meds & therapy.
ZUNG Score of 70? Severe. Assess SI, treat with meds & therapy
SLUM > Score 0 - 20 indicate dementia; 21 - 26 = mild neurocognitive disorder; 27 - 30
=
normal.
What is the WHODAS scale? (World Health Organization Disability Assessment Scale)? It is used
instead of GAF.
Measures multiple disabilities in multiple areas (cognition, work, social
and interpersonal relations).
The LOWER the number, the MORE SEVERE the impairment.
For example, a score of 50 through 30 indicates SI with intent; a
score of 30 and under indicates the need for
hospitalization.
CIWA-Ar Start symptom-treatment medication PRN at 8, standing med at 15 (1st
choice Diazepam lasts longer, UNLESS liver compromised then give
Ativan).
COWS Score/treatment? Start PRN meds (Clonidine) at 7, give suboxone or buprenorphine at 13.
Mydriasis (of pupil) Dilated pupils (withdrawal sign, give Clonidine)
Miosis? Pinpoint pupils (intoxication/overdose, give Naloxone)
CAGE questionnaire -cut down, annoyed, guilty, eye opener
Have you ever felt you should Cut down on your drinking?
Have people Annoyed you by criticizing your drinking?
Have you ever felt bad or Guilty about your drinking?
Have you ever had a drink first thing in the morning to steady your
nerves (Eye-opener)?
How long to wait to take Disulfiram after alcohol 12 hours
use?
Meds approved for opioid withdrawal? Clonidine, buprenephrone, suboxone
Opioid Toxicity/Overdose treatment? Naloxone
Mnemonic for Alcohol Dependence Treatment D=Disulfiram,
(DAN): A=Acamprosate,
N=Naltrexone
and Provided with A+ Graded Answers
Latest Updated 2026
3-year-old masturbates, play with self, says FREUD's PSYCHOSOCIAL STAGES OF DEVELOPMENT - PHALLIC
naughty things STAGE - 3-6 years old
- This is NORMAL for children this age.
Freud stages of psychosexual development PNEUMOIC - Old Age Parents Love Grandchildren
Oral (0-18 months)
Anal (18 months - 3 years)
Phallic (3 years to 6 years)
Latent (6 to 12)
Genital (12 +)
ACUTE STRESS DISORDER Depression, dissociation, recurring nightmares, sleep disturbances,
problems in concentrations, reliving the event, dreams, flashbacks -
UP to ONE MONTH - Less than 1 month.
if LONGER than 1 month=PTSD
5-year-old tells you his brother sodomized him Tell mom don't leave him alone with patient and call CPS implement
crisis
Child is playing with doll in a sexual way - You Perform FURTHER ASSESSMENT and GATHER ENOUGH INFO BEFORE
SUSPECT sexual abuse Calling CPS to report
suspected Sexual Abuse - You HAVE to report but you have to have
something
(assessment data) to report - Assess = FIRST
13-year-old want to smoke ask him of his plan to stop smoking
MMSE/ FOLSTEIN MMSE/FOLSTEIN
Mr. Folstein had Benjamin Button's disease where he was normal from
30-25 yrs old, then deteriorated mildly from 24-21 yrs old, became
moderately demented from 20-13 yrs old, until he reached age 11
where it was too severe to stay at home.
Beck Depression Inventory Beck was 20 yrs old when he started medication & therapy.
Unfortunately, at age 31 it became too SEVERE and was hospitalized.
HAM-A Hamilton A started medication & therapy at 24 yrs old for moderate
anxiety. Sadly, when he turned 27 yrs old he was hospitalized for
SEVERE anxiety.
HAM-D Hamilton D began medication & therapy at 14 yrs old. He later had a
dose increase at age 17 for MODERATE/SEVERE depression. But soon
after, it became SEVERE at age 23 & he was hospitalized.
PHQ-9 (Patient Health Questionnaire) Penelope Q was just 10 yrs old when she started antidepressants &
therapy. At age 15, she required a dose increase due to
moderate/severe depression. It helped her until she turned 20 when it
became SEVERE, and she had to be hospitalized.
, GAD-7 scale Gary was just 10 yrs old when he was treated with meds & therapy for
anxiety. Yet his symptoms still worsened and at 15 yrs old he was
hospitalized for SEVERE anxiety.
HAM-D score of 19? Severe. Assess for SI, treat with meds & therapy.
Beck score of 20 Moderate. Confirm diagnosis and treat with meds & therapy.
PHQ-9 score of 15? Moderate. Confirm diagnosis & start therapy & meds
PHQ-9 score of 21? Severe. Assess for SI, start therapy & meds.
HAM-D score of 23? Severe. Assess SI, treat with meds & therapy.
ZUNG Score of 70? Severe. Assess SI, treat with meds & therapy
SLUM > Score 0 - 20 indicate dementia; 21 - 26 = mild neurocognitive disorder; 27 - 30
=
normal.
What is the WHODAS scale? (World Health Organization Disability Assessment Scale)? It is used
instead of GAF.
Measures multiple disabilities in multiple areas (cognition, work, social
and interpersonal relations).
The LOWER the number, the MORE SEVERE the impairment.
For example, a score of 50 through 30 indicates SI with intent; a
score of 30 and under indicates the need for
hospitalization.
CIWA-Ar Start symptom-treatment medication PRN at 8, standing med at 15 (1st
choice Diazepam lasts longer, UNLESS liver compromised then give
Ativan).
COWS Score/treatment? Start PRN meds (Clonidine) at 7, give suboxone or buprenorphine at 13.
Mydriasis (of pupil) Dilated pupils (withdrawal sign, give Clonidine)
Miosis? Pinpoint pupils (intoxication/overdose, give Naloxone)
CAGE questionnaire -cut down, annoyed, guilty, eye opener
Have you ever felt you should Cut down on your drinking?
Have people Annoyed you by criticizing your drinking?
Have you ever felt bad or Guilty about your drinking?
Have you ever had a drink first thing in the morning to steady your
nerves (Eye-opener)?
How long to wait to take Disulfiram after alcohol 12 hours
use?
Meds approved for opioid withdrawal? Clonidine, buprenephrone, suboxone
Opioid Toxicity/Overdose treatment? Naloxone
Mnemonic for Alcohol Dependence Treatment D=Disulfiram,
(DAN): A=Acamprosate,
N=Naltrexone
