KAPLAN AND SADOCK’S SYNOPSIS OF
PSYCHIATRY CERTIFICATION EVALUATION
2026 EXAM SCRIPT FULLY SOLVED
QUESTIONS
◉1. Scientific Foundation
A patient with a diagnosis of Prader-Willi syndrome has been
admitted to the children's inpatient psychiatric unit. For this
neurodevelopmental disorder, which of the following dietary
considerations are an important part of treatment?
A gluten-free diet
A high-protein diet due to low muscle tone
A high-fiber diet
A restricted-calorie diet. Answer: Correct answer: A restricted-
calorie diet
Prader-Willi syndrome is a neurodevelopmental and genetic disease
characterized by compulsive eating, intellectual disability,
hypogonadism, small stature, low muscle, and low muscle tone. Due
to their hypotonic and compulsive eating, these patients are prone to
obesity and must maintain a low-calorie diet.
Reference:
,Kaplan & Sadock's Synopsis of Psychiatry, 12th Edition. Pg 102.
◉1. Scientific Foundation
Understanding pharmacokinetics and the distribution of medication
in the bloodstream, the PMH-NP monitors which of the following
patients for possible toxicity and a need for lowered dosing?
A 20-year-old patient with a high fever
A malnourished patient
A patient with Crohn's disease
An athletic patient. Answer: Correct answer: A malnourished patient
The principle of distribution requires that the medication binds to a
protein for movement through the body. The chemicals are not
active when they are protein-bound. The active form of medication
is the unbound chemicals in the bloodstream. When a person is
malnourished, they may be protein-deficient and have less protein
for the medications to bind. This leaves more active medication in
the bloodstream and increases the risk of toxicity. Extremely thin,
malnourished, protein-deficient, or elderly patients are at risk for
toxicity due to decreased muscle mass.
Crohn's disease impacts absorption. A young person with a high
fever is not routinely monitored for drug toxicity. An athletic body
does not indicate malnourishment or protein deficiency.
Reference:
Psychiatric-Mental Health Nurse (PMH-BC™) Certification Review
1st Edition. Pg 84.
,◉1. Scientific Foundation
Which of the following is considered an environmental risk factor?
Vaccination
Infection
Medication management
Exercise regimen. Answer: Correct answer: Infection
Environmental risk factors include prenatal insults, stress,
infections, poor nutrition, exposure to toxins, and physical or sexual
abuse.
Vaccinations are not considered environmental risk factors, as they
are meant to provide supportive prevention of a disease process.
Medication management is not considered an environmental risk
factor, as they are meant to provide supportive treatment of illnesses
and diseases.
Exercise regimens are not considered environmental risk factors,
because exercise improves health.
Reference:
Johnson, K., Vanderhoef, D. (2016). Psychiatric-mental health nurse
practitioner, 4th edition. Pg 75.
◉1. Scientific Foundation
Problems with the frontal lobe could lead to which of the following?
Visual field defects
, Sensory-perceptual disturbances
Personality changes
Aphasia and amnesia. Answer: Correct answer: Personality changes
Problems with the frontal lobe can lead to personality, emotional,
and intellectual changes.
Problems with the temporal lobe can lead to aphasia and amnesia.
Problems with the occipital lobe can lead to visual field defects.
Problems with the parietal lobe can lead to sensory-perceptual
disturbances and agnosia.
Reference:
Johnson, K., & Vanderhoef, D. Psychiatric-mental health nurse
practitioner review and resource manual, Fourth Edition. Pg 65.
◉1. Scientific Foundation
The measles, mumps and rubella vaccine should not be given to
those in which of the following situations:
Children aged 6-12
Those who have received a blood transfusion in the past two weeks
Postmenopausal women
Men over the age of 25. Answer: Correct answer: Those who have
received a blood transfusion in the past two weeks
Those who have received a blood transfusion in the past two weeks,
pregnant women, people with cancer, those with weakened immune
PSYCHIATRY CERTIFICATION EVALUATION
2026 EXAM SCRIPT FULLY SOLVED
QUESTIONS
◉1. Scientific Foundation
A patient with a diagnosis of Prader-Willi syndrome has been
admitted to the children's inpatient psychiatric unit. For this
neurodevelopmental disorder, which of the following dietary
considerations are an important part of treatment?
A gluten-free diet
A high-protein diet due to low muscle tone
A high-fiber diet
A restricted-calorie diet. Answer: Correct answer: A restricted-
calorie diet
Prader-Willi syndrome is a neurodevelopmental and genetic disease
characterized by compulsive eating, intellectual disability,
hypogonadism, small stature, low muscle, and low muscle tone. Due
to their hypotonic and compulsive eating, these patients are prone to
obesity and must maintain a low-calorie diet.
Reference:
,Kaplan & Sadock's Synopsis of Psychiatry, 12th Edition. Pg 102.
◉1. Scientific Foundation
Understanding pharmacokinetics and the distribution of medication
in the bloodstream, the PMH-NP monitors which of the following
patients for possible toxicity and a need for lowered dosing?
A 20-year-old patient with a high fever
A malnourished patient
A patient with Crohn's disease
An athletic patient. Answer: Correct answer: A malnourished patient
The principle of distribution requires that the medication binds to a
protein for movement through the body. The chemicals are not
active when they are protein-bound. The active form of medication
is the unbound chemicals in the bloodstream. When a person is
malnourished, they may be protein-deficient and have less protein
for the medications to bind. This leaves more active medication in
the bloodstream and increases the risk of toxicity. Extremely thin,
malnourished, protein-deficient, or elderly patients are at risk for
toxicity due to decreased muscle mass.
Crohn's disease impacts absorption. A young person with a high
fever is not routinely monitored for drug toxicity. An athletic body
does not indicate malnourishment or protein deficiency.
Reference:
Psychiatric-Mental Health Nurse (PMH-BC™) Certification Review
1st Edition. Pg 84.
,◉1. Scientific Foundation
Which of the following is considered an environmental risk factor?
Vaccination
Infection
Medication management
Exercise regimen. Answer: Correct answer: Infection
Environmental risk factors include prenatal insults, stress,
infections, poor nutrition, exposure to toxins, and physical or sexual
abuse.
Vaccinations are not considered environmental risk factors, as they
are meant to provide supportive prevention of a disease process.
Medication management is not considered an environmental risk
factor, as they are meant to provide supportive treatment of illnesses
and diseases.
Exercise regimens are not considered environmental risk factors,
because exercise improves health.
Reference:
Johnson, K., Vanderhoef, D. (2016). Psychiatric-mental health nurse
practitioner, 4th edition. Pg 75.
◉1. Scientific Foundation
Problems with the frontal lobe could lead to which of the following?
Visual field defects
, Sensory-perceptual disturbances
Personality changes
Aphasia and amnesia. Answer: Correct answer: Personality changes
Problems with the frontal lobe can lead to personality, emotional,
and intellectual changes.
Problems with the temporal lobe can lead to aphasia and amnesia.
Problems with the occipital lobe can lead to visual field defects.
Problems with the parietal lobe can lead to sensory-perceptual
disturbances and agnosia.
Reference:
Johnson, K., & Vanderhoef, D. Psychiatric-mental health nurse
practitioner review and resource manual, Fourth Edition. Pg 65.
◉1. Scientific Foundation
The measles, mumps and rubella vaccine should not be given to
those in which of the following situations:
Children aged 6-12
Those who have received a blood transfusion in the past two weeks
Postmenopausal women
Men over the age of 25. Answer: Correct answer: Those who have
received a blood transfusion in the past two weeks
Those who have received a blood transfusion in the past two weeks,
pregnant women, people with cancer, those with weakened immune
