PMHNP I: EXAM 1: REVIEW QUESTIONS WITH 100%
CORRECTLY SOLVED ANSWERS.
1) A client is displaying low self-esteem, poor self-control, self-doubt, and a high level
t t t t t t t t t t t t t
of dependency. These behaviors indicate developmental failure of which of the
t t t t t t t t t t t
following stages of development: t t t
A) - Infancy t
B) - Early childhood t t
C) - Late childhood t t
D) - School age -- Correct Answer ✔✔ B- Early Childhood t t t t t t t t t
2) When conducting a neurological examination on a client, the PMHNP asks the client
t t t t t t t t t t t t t
to hold out her arms and stick out her tongue while assessing for tremors. Which
t t t t t t t t t t t t t t t
cranial nerve is being assessed? t t t t
A) Glossopharyngeal
B) Vagus
C) Trigeminal
D) Hypoglossal -- Correct Answer ✔✔ D - The tongue is controlled by the t t t t t t t t t t t t
hypoglossal cranial nerve. t t t
3) Mr. Thompson has been forgetful lately, for example forgetting where he has placed
t t t t t t t t t t t t t
his keys or what time appointments are scheduled, and he stated that he thinks
t t t t t t t t t t t t t t
these are just random behaviors that have no particular meaning. Which Freudian-
t t t t t t t t t t t
based psychodynamic principle assumes that all behavior and actions are purposeful?
t t t t t t t t t t
A) - Pleasure principle t t
B) - Psychic determinism principle t t t
C) - Reality principle t t
D) - Unconsciousness principle -- Correct Answer ✔✔ B - The psychic
t t t t t t t t t t t
determinism principle states that all behavior has purpose and meaning, t t t t t t t t t t
often unconscious in nature, and that no behaviors occur randomly or t t t t t t t t t t t
by coincidence. t
, 4) An example of a mature, healthy defense mechanism is
t t t t t t t t
A) - Denial t
B) - Rationalization t
C) - Repression t
D) - Suppression -- Correct Answer ✔✔ D - Suppression is the only
t t t t t t t t t t t t
defense mechanism listed in which the client channels conflicting t t t t t t t t t
energies into growth-promoting activities. t t t
5) Mr. Johnson is a 54-year-old client you have been seeing for several weeks in
t t t t t t t t t t t t t t
therapy. While discussing his current concerns of marital stress, he lies on the floor
t t t t t t t t t t t t t t
and assumes the fetal position. This is most likely an example of
t t t t t t t t t t t t
A) - Immature regressive defense mechanism t t t t
B) - Denial of reality t t t
C) - Immature fantasy defense mechanism t t t t
D) - Repressive behavior -- Correct Answer ✔✔ A - Immature regressive
t t t t t t t t t t t
defense mechanism is a return to a behavior common to an earlier stage t t t t t t t t t t t t
of development. t t
6) Defense mechanisms are best viewed a function of the ego
t t t t t t t t t
A) - To alert us to harm and danger t t t t t t t
B) - To alert us to problems t t t t t
C) - Used to resolve a conflict t t t t t
D) - Used to protect the id -- Correct Answer ✔✔ C - Defense
t t t t t t t t t t t t t
mechanisms are a function of the ego used to resolve a conflict. t t t t t t t t t t t
7) One of the health care changes that has occurred as a result of the ACA is that
t t t t t t t t t t t t t t t t t
doctors/hospitals/clinic groups or health systems are coming together and assuming t t t t t t t t t t
the responsibility for quality care to large groups of individuals insured by Medicare.
t t t t t t t t t t t t t
The health care clinics/systems doctors or hospitals that join together are called
t t t t t t t t t t t t
which of the following?t t t
A) HMO
B) PPO
C) Accountable Care Organization (ACO) t t t
D) Individual Health Plan (IHP) -- Correct Answer ✔✔ C. - ACO's are t t t t t t t t t t t t
groups of doctors or other HCPs who voluntarily come together and t t t t t t t t t t t
assume the care provided to Medicare patients. t t t t t t
CORRECTLY SOLVED ANSWERS.
1) A client is displaying low self-esteem, poor self-control, self-doubt, and a high level
t t t t t t t t t t t t t
of dependency. These behaviors indicate developmental failure of which of the
t t t t t t t t t t t
following stages of development: t t t
A) - Infancy t
B) - Early childhood t t
C) - Late childhood t t
D) - School age -- Correct Answer ✔✔ B- Early Childhood t t t t t t t t t
2) When conducting a neurological examination on a client, the PMHNP asks the client
t t t t t t t t t t t t t
to hold out her arms and stick out her tongue while assessing for tremors. Which
t t t t t t t t t t t t t t t
cranial nerve is being assessed? t t t t
A) Glossopharyngeal
B) Vagus
C) Trigeminal
D) Hypoglossal -- Correct Answer ✔✔ D - The tongue is controlled by the t t t t t t t t t t t t
hypoglossal cranial nerve. t t t
3) Mr. Thompson has been forgetful lately, for example forgetting where he has placed
t t t t t t t t t t t t t
his keys or what time appointments are scheduled, and he stated that he thinks
t t t t t t t t t t t t t t
these are just random behaviors that have no particular meaning. Which Freudian-
t t t t t t t t t t t
based psychodynamic principle assumes that all behavior and actions are purposeful?
t t t t t t t t t t
A) - Pleasure principle t t
B) - Psychic determinism principle t t t
C) - Reality principle t t
D) - Unconsciousness principle -- Correct Answer ✔✔ B - The psychic
t t t t t t t t t t t
determinism principle states that all behavior has purpose and meaning, t t t t t t t t t t
often unconscious in nature, and that no behaviors occur randomly or t t t t t t t t t t t
by coincidence. t
, 4) An example of a mature, healthy defense mechanism is
t t t t t t t t
A) - Denial t
B) - Rationalization t
C) - Repression t
D) - Suppression -- Correct Answer ✔✔ D - Suppression is the only
t t t t t t t t t t t t
defense mechanism listed in which the client channels conflicting t t t t t t t t t
energies into growth-promoting activities. t t t
5) Mr. Johnson is a 54-year-old client you have been seeing for several weeks in
t t t t t t t t t t t t t t
therapy. While discussing his current concerns of marital stress, he lies on the floor
t t t t t t t t t t t t t t
and assumes the fetal position. This is most likely an example of
t t t t t t t t t t t t
A) - Immature regressive defense mechanism t t t t
B) - Denial of reality t t t
C) - Immature fantasy defense mechanism t t t t
D) - Repressive behavior -- Correct Answer ✔✔ A - Immature regressive
t t t t t t t t t t t
defense mechanism is a return to a behavior common to an earlier stage t t t t t t t t t t t t
of development. t t
6) Defense mechanisms are best viewed a function of the ego
t t t t t t t t t
A) - To alert us to harm and danger t t t t t t t
B) - To alert us to problems t t t t t
C) - Used to resolve a conflict t t t t t
D) - Used to protect the id -- Correct Answer ✔✔ C - Defense
t t t t t t t t t t t t t
mechanisms are a function of the ego used to resolve a conflict. t t t t t t t t t t t
7) One of the health care changes that has occurred as a result of the ACA is that
t t t t t t t t t t t t t t t t t
doctors/hospitals/clinic groups or health systems are coming together and assuming t t t t t t t t t t
the responsibility for quality care to large groups of individuals insured by Medicare.
t t t t t t t t t t t t t
The health care clinics/systems doctors or hospitals that join together are called
t t t t t t t t t t t t
which of the following?t t t
A) HMO
B) PPO
C) Accountable Care Organization (ACO) t t t
D) Individual Health Plan (IHP) -- Correct Answer ✔✔ C. - ACO's are t t t t t t t t t t t t
groups of doctors or other HCPs who voluntarily come together and t t t t t t t t t t t
assume the care provided to Medicare patients. t t t t t t
