Barkley PMHNP review eXaM wiTH COrreCT aCTUal QUeSTiONS
aND COrreCTly well DeFiNeD aNSwerS laTeST alreaDy GraDeD
a+ | | veriFieD By eXPerTS .
What is the first step in the assessment process? - COrreCT aNSwer-Gather the chief
complaint and history information before treatment.
What does the pneumonic COLDSPA stand for? - COrreCT aNSwer-C - Character of
symptoms, O - Onset, L - Length of symptoms, D - Duration, S - Stressors, P -
Precipitating factors, A - Alleviating factors.
What should you inquire about in a social history? - COrreCT aNSwer-Relationships,
work, education, trauma, and legal issues.
What is important to assess in a developmental history? - COrreCT aNSwer-Difficulties
with parents, teachers, and authority figures.
What is the significance of family history in mental health assessment? - COrreCT
aNSwer-It helps identify genetic predispositions to disorders and any history of trauma
or substance use.
What personal information should be gathered during assessment? - COrreCT aNSwer-
Hobbies and coping strategies, particularly for depression assessment.
What does the Gottesman et al. (2010) study indicate about schizophrenia risk? -
COrreCT aNSwer-Having two parents with schizophrenia increases the child's risk to
27%, while one parent increases it to 7%.
Why is past psychiatric history assessed later in the evaluation? - COrreCT aNSwer-To
avoid bias and ensure a comprehensive assessment of other factors first.
,What is the importance of medical history in psychiatric evaluations? - COrreCT
aNSwer-To rule out medical conditions that could mimic psychiatric symptoms.
What is the normal sleep cycle composed of? - COrreCT aNSwer-Non-REM, deeper non-
REM, and REM sleep.
What is assessed in a Mental Status Examination (MSE)? - COrreCT aNSwer-
Appearance, behavior, speech, affect, thought process, thought content, and cognitive
examination.
What is the purpose of the Mini Mental Status Exam? - COrreCT aNSwer-To assess
cognitive function through memory recall and interpretation tasks.
What does the Clock Drawing test assess? - COrreCT aNSwer-Cognitive distortion;
inability to draw a clock correctly may indicate dementia.
What are the components of the MMSE? - COrreCT aNSwer-Orientation, memory recall,
counting backwards, language, and following commands.
What is the scoring range for the Hamilton Depression Scale? - COrreCT aNSwer-0-76,
with <7 indicating no depression and >23 indicating severe depression.
What does the PHQ-9 assess? - COrreCT aNSwer-Depression symptoms over the past
two weeks with a scoring range of 1-27.
What is the purpose of the GAD-7 screening tool? - COrreCT aNSwer-To assess anxiety
symptoms with a scoring range of 5-21.
What symptoms are assessed for Bipolar Disorder? - COrreCT aNSwer-Family history,
speech patterns, sleep, hyperactivity, irritability, grandiosity, and impulsiveness.
What does the Mood Disorder Questionnaire screen for? - COrreCT aNSwer-Bipolar
disorder through yes/no questions about mood and relationships.
,What is required for an ADHD diagnosis? - COrreCT aNSwer-Symptoms must be
present in two different settings.
What does the Brief Psych Rating Scale (BPRS) assess? - COrreCT aNSwer-Psychotic
symptoms, including those in children.
What does the AIMS scale measure? - COrreCT aNSwer-Abnormal involuntary
movements to rule out movement disorders.
What general labs should be screened for in psychiatric evaluations? - COrreCT
aNSwer-CBC, CMP, thyroid levels, B-12, folate, and Vitamin D.
What is the purpose of an EEG? - COrreCT aNSwer-To diagnose epilepsy and other
brain conditions by measuring electrical impulses.
What cranial nerve is responsible for smell? - COrreCT aNSwer-Olfactory nerve.
What cranial nerve controls vision? - COrreCT aNSwer-Optic nerve.
What is the significance of lymph node size in assessment? - COrreCT aNSwer-Lymph
nodes <2cm are usually insignificant, but >1cm in supraclavicular fossa is significant.
What is the function of the Olfactory nerve? - COrreCT aNSwer-Smell
What is the primary function of the Optic nerve? - COrreCT aNSwer-Vision
What does the Oculomotor nerve control? - COrreCT aNSwer-Opening eyelids
What movement does the Trochlear nerve facilitate? - COrreCT aNSwer-Down and
inward eye movement
, What are the functions of the Trigeminal nerve? - COrreCT aNSwer-Jaw muscle control
and sensation on the face
What is the role of the Abducens nerve? - COrreCT aNSwer-Lateral eye movement
What does the Facial nerve control? - COrreCT aNSwer-Movement of the face, saliva,
and tear secretion
What are the functions of the Acoustic nerve? - COrreCT aNSwer-Hearing and balance
What reflexes are associated with the Glossopharyngeal nerve? - COrreCT aNSwer-Gag
reflex and swallowing
What functions does the Vagus nerve serve? - COrreCT aNSwer-Talking and carotid
reflex
What is the function of the Spinal Accessory nerve? - COrreCT aNSwer-Shoulder
shrugging
What does the Hypoglossal nerve control? - COrreCT aNSwer-Movement of the tongue
When is lymph node swelling considered significant? - COrreCT aNSwer-If it is greater
than 1 cm in the supraclavicular fossa
What does tenderness in lymph nodes indicate? - COrreCT aNSwer-Possible infection
What is the prevalence of substance detection for Alcohol? - COrreCT aNSwer-7-12
hours
How long can Amphetamines be detected in urine? - COrreCT aNSwer-Up to 2 days
aND COrreCTly well DeFiNeD aNSwerS laTeST alreaDy GraDeD
a+ | | veriFieD By eXPerTS .
What is the first step in the assessment process? - COrreCT aNSwer-Gather the chief
complaint and history information before treatment.
What does the pneumonic COLDSPA stand for? - COrreCT aNSwer-C - Character of
symptoms, O - Onset, L - Length of symptoms, D - Duration, S - Stressors, P -
Precipitating factors, A - Alleviating factors.
What should you inquire about in a social history? - COrreCT aNSwer-Relationships,
work, education, trauma, and legal issues.
What is important to assess in a developmental history? - COrreCT aNSwer-Difficulties
with parents, teachers, and authority figures.
What is the significance of family history in mental health assessment? - COrreCT
aNSwer-It helps identify genetic predispositions to disorders and any history of trauma
or substance use.
What personal information should be gathered during assessment? - COrreCT aNSwer-
Hobbies and coping strategies, particularly for depression assessment.
What does the Gottesman et al. (2010) study indicate about schizophrenia risk? -
COrreCT aNSwer-Having two parents with schizophrenia increases the child's risk to
27%, while one parent increases it to 7%.
Why is past psychiatric history assessed later in the evaluation? - COrreCT aNSwer-To
avoid bias and ensure a comprehensive assessment of other factors first.
,What is the importance of medical history in psychiatric evaluations? - COrreCT
aNSwer-To rule out medical conditions that could mimic psychiatric symptoms.
What is the normal sleep cycle composed of? - COrreCT aNSwer-Non-REM, deeper non-
REM, and REM sleep.
What is assessed in a Mental Status Examination (MSE)? - COrreCT aNSwer-
Appearance, behavior, speech, affect, thought process, thought content, and cognitive
examination.
What is the purpose of the Mini Mental Status Exam? - COrreCT aNSwer-To assess
cognitive function through memory recall and interpretation tasks.
What does the Clock Drawing test assess? - COrreCT aNSwer-Cognitive distortion;
inability to draw a clock correctly may indicate dementia.
What are the components of the MMSE? - COrreCT aNSwer-Orientation, memory recall,
counting backwards, language, and following commands.
What is the scoring range for the Hamilton Depression Scale? - COrreCT aNSwer-0-76,
with <7 indicating no depression and >23 indicating severe depression.
What does the PHQ-9 assess? - COrreCT aNSwer-Depression symptoms over the past
two weeks with a scoring range of 1-27.
What is the purpose of the GAD-7 screening tool? - COrreCT aNSwer-To assess anxiety
symptoms with a scoring range of 5-21.
What symptoms are assessed for Bipolar Disorder? - COrreCT aNSwer-Family history,
speech patterns, sleep, hyperactivity, irritability, grandiosity, and impulsiveness.
What does the Mood Disorder Questionnaire screen for? - COrreCT aNSwer-Bipolar
disorder through yes/no questions about mood and relationships.
,What is required for an ADHD diagnosis? - COrreCT aNSwer-Symptoms must be
present in two different settings.
What does the Brief Psych Rating Scale (BPRS) assess? - COrreCT aNSwer-Psychotic
symptoms, including those in children.
What does the AIMS scale measure? - COrreCT aNSwer-Abnormal involuntary
movements to rule out movement disorders.
What general labs should be screened for in psychiatric evaluations? - COrreCT
aNSwer-CBC, CMP, thyroid levels, B-12, folate, and Vitamin D.
What is the purpose of an EEG? - COrreCT aNSwer-To diagnose epilepsy and other
brain conditions by measuring electrical impulses.
What cranial nerve is responsible for smell? - COrreCT aNSwer-Olfactory nerve.
What cranial nerve controls vision? - COrreCT aNSwer-Optic nerve.
What is the significance of lymph node size in assessment? - COrreCT aNSwer-Lymph
nodes <2cm are usually insignificant, but >1cm in supraclavicular fossa is significant.
What is the function of the Olfactory nerve? - COrreCT aNSwer-Smell
What is the primary function of the Optic nerve? - COrreCT aNSwer-Vision
What does the Oculomotor nerve control? - COrreCT aNSwer-Opening eyelids
What movement does the Trochlear nerve facilitate? - COrreCT aNSwer-Down and
inward eye movement
, What are the functions of the Trigeminal nerve? - COrreCT aNSwer-Jaw muscle control
and sensation on the face
What is the role of the Abducens nerve? - COrreCT aNSwer-Lateral eye movement
What does the Facial nerve control? - COrreCT aNSwer-Movement of the face, saliva,
and tear secretion
What are the functions of the Acoustic nerve? - COrreCT aNSwer-Hearing and balance
What reflexes are associated with the Glossopharyngeal nerve? - COrreCT aNSwer-Gag
reflex and swallowing
What functions does the Vagus nerve serve? - COrreCT aNSwer-Talking and carotid
reflex
What is the function of the Spinal Accessory nerve? - COrreCT aNSwer-Shoulder
shrugging
What does the Hypoglossal nerve control? - COrreCT aNSwer-Movement of the tongue
When is lymph node swelling considered significant? - COrreCT aNSwer-If it is greater
than 1 cm in the supraclavicular fossa
What does tenderness in lymph nodes indicate? - COrreCT aNSwer-Possible infection
What is the prevalence of substance detection for Alcohol? - COrreCT aNSwer-7-12
hours
How long can Amphetamines be detected in urine? - COrreCT aNSwer-Up to 2 days
