PMHNP Comprehensive Exam / Exam
Questions Study Guide / Actual Questions
and Answers (A+ Guide Solution) Newest
2025/2026
.______________ may accelerate rapid cycling - Answer-
Antidepressants
._______, ________, _________, cyclosporine, disulfiram, hydralizine,
and Isoniazid may cause manic symptoms. - Answer-Captopril,
cimetidine, corticosteroids
._____% increased risk if relative has BD disorder Type I - Answer-24
._____% increased risk if relative has BD disorder Type II - Answer-5
._____% increased risk if relative has MDD - Answer-25
.(General) Family System Concepts (vs. Bowens Family Systems
Therapy) - Answer-System - any unit based on feedback - the family
,Family System - how members operate together
Family System Theory based on idea that one can't understand a
member/part w/o understanding how all family members operate
together (system)
Family rules could be overt or covert
Boundaries - barriers that protect & enhance functional integrity of
families, individuals & subsystems
Boundaries types:
Clearly defined - maintain individual separateness; emphasizing
belongingness
Rigid/inflexible - lead to distant relationship & disengagement
Diffuse - blurred, indistinct, lead to enmeshment
.% of Bipolar patients with rapid cycling - Answer-20
.1. Management of health status - Answer-health assessment, health
history, physical exam, screening and diagnostic testing, diagnosing,
prescribing meds and other treatment modalities, evaluating core
outcomes
.1st significant psychiatric nursing theory - Answer-Peplau therapeutic
nurse patient relationship/interpersonal
,.2 herbals that interact w/ Coumadin and increase anti-coagulant
effect - Answer-Omega-3 fatty acids and Vitamin E
(& maybe fish oil)
.2 most common types of structural imaging - Answer-CT: 3D view of
brain structures; density; inexpensive; cannot differentiate gray and
white matter
MRI: Series of 2D images that represent the brain; separates white
and gray matter; expensive and many contraindications
.2 systems activated by the amygdala in response to threat - Answer-
HPA axis
sympathetic (ANS) nervous system activation ("fight or flight")
.2. Maintenance of nurse-client relationship - Answer-Displaying
environment of trust and respect, maintaining healthy boundaries,
engaging in therapeutic communication
.25% women, 12% men - Answer-Risk during reproductive years
, .3 parts of the brain "fear circuit" - Answer-sensory thalamus
cortex
amygdala
.3. Teaching/coaching - Answer-Health promotion/disease
prevention, risk reduction, coaching toward behavioral change
.4 nucleotide bases - Answer-Adenine (A), Thymine (T), Cytosine (C)
and Guanine (G)
.4. Professional Role - Answer-Serving as client advocate, utilizing
information and technology in health care, using interdisciplinary
collaboration and consultation, practicing ethically, showing
leadership, undertaking professional development, participating in
policy making.
.5. Managing/negotiating health cae delivery systems - Answer-
Decision making with regard to cost, access, and efficacy; applying
business strategies to practice; negotiating legislative change when
needed.
.6. Monitoring quality of care - Answer-Evaluating quality of care,
incorporating continuous quality improvement into practice.
Questions Study Guide / Actual Questions
and Answers (A+ Guide Solution) Newest
2025/2026
.______________ may accelerate rapid cycling - Answer-
Antidepressants
._______, ________, _________, cyclosporine, disulfiram, hydralizine,
and Isoniazid may cause manic symptoms. - Answer-Captopril,
cimetidine, corticosteroids
._____% increased risk if relative has BD disorder Type I - Answer-24
._____% increased risk if relative has BD disorder Type II - Answer-5
._____% increased risk if relative has MDD - Answer-25
.(General) Family System Concepts (vs. Bowens Family Systems
Therapy) - Answer-System - any unit based on feedback - the family
,Family System - how members operate together
Family System Theory based on idea that one can't understand a
member/part w/o understanding how all family members operate
together (system)
Family rules could be overt or covert
Boundaries - barriers that protect & enhance functional integrity of
families, individuals & subsystems
Boundaries types:
Clearly defined - maintain individual separateness; emphasizing
belongingness
Rigid/inflexible - lead to distant relationship & disengagement
Diffuse - blurred, indistinct, lead to enmeshment
.% of Bipolar patients with rapid cycling - Answer-20
.1. Management of health status - Answer-health assessment, health
history, physical exam, screening and diagnostic testing, diagnosing,
prescribing meds and other treatment modalities, evaluating core
outcomes
.1st significant psychiatric nursing theory - Answer-Peplau therapeutic
nurse patient relationship/interpersonal
,.2 herbals that interact w/ Coumadin and increase anti-coagulant
effect - Answer-Omega-3 fatty acids and Vitamin E
(& maybe fish oil)
.2 most common types of structural imaging - Answer-CT: 3D view of
brain structures; density; inexpensive; cannot differentiate gray and
white matter
MRI: Series of 2D images that represent the brain; separates white
and gray matter; expensive and many contraindications
.2 systems activated by the amygdala in response to threat - Answer-
HPA axis
sympathetic (ANS) nervous system activation ("fight or flight")
.2. Maintenance of nurse-client relationship - Answer-Displaying
environment of trust and respect, maintaining healthy boundaries,
engaging in therapeutic communication
.25% women, 12% men - Answer-Risk during reproductive years
, .3 parts of the brain "fear circuit" - Answer-sensory thalamus
cortex
amygdala
.3. Teaching/coaching - Answer-Health promotion/disease
prevention, risk reduction, coaching toward behavioral change
.4 nucleotide bases - Answer-Adenine (A), Thymine (T), Cytosine (C)
and Guanine (G)
.4. Professional Role - Answer-Serving as client advocate, utilizing
information and technology in health care, using interdisciplinary
collaboration and consultation, practicing ethically, showing
leadership, undertaking professional development, participating in
policy making.
.5. Managing/negotiating health cae delivery systems - Answer-
Decision making with regard to cost, access, and efficacy; applying
business strategies to practice; negotiating legislative change when
needed.
.6. Monitoring quality of care - Answer-Evaluating quality of care,
incorporating continuous quality improvement into practice.
