VERIFIED QUESTIONS AND ACCURATE ANSWERS
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Section 1: Foundations, Ethics, and Assessment
1. What is the primary purpose of a mental status examination (MSE)?
A. To establish a medical diagnosis
B. To provide a structured assessment of a patient's current cognitive and
emotional functioning
C. To determine the patient's long-term prognosis
D. To replace the need for a physical exam
2. The four key principles of bioethics are:
A. Fidelity, Veracity, Justice, and Privacy
B. Autonomy, Beneficence, Non-maleficence, and Justice
C. Respect, Kindness, Fairness, and Honesty
D. Confidentiality, Accountability, Utility, and Respect
,3. A 16-year-old patient presents with their parent. For treatment to proceed,
what must be obtained?
A. Only the parent's consent, as the patient is a minor.
B. Assent from the patient and consent from the parent.
C. Only the patient's consent if they are deemed "mature."
D. Court approval for any treatment of a minor.
4. During an assessment, a patient states, "I feel like the TV is talking directly
to me." This is an example of:
A. A delusion of reference
B. An idea of reference
C. A thought broadcast delusion
D. A hallucination
5. Tardive Dyskinesia (TD) is a potential side effect of which class of
medications?
A. Selective Serotonin Reuptake Inhibitors (SSRIs)
B. First-Generation (Typical) Antipsychotics
C. Benzodiazepines
D. Mood Stabilizers
,6. The concept of "duty to warn" is most directly associated with which legal
case?
A. Rogers v. Okin
B. Tarasoff v. Regents of the University of California
C. Rennie v. Klein
D. O'Connor v. Donaldson
7. Which neurotransmitter is most implicated in the positive symptoms of
schizophrenia?
A. Serotonin
B. Norepinephrine
C. Acetylcholine
D. Dopamine
8. A key difference between Bulimia Nervosa and Binge Eating Disorder is:
A. The presence of binge eating episodes.
B. The frequency of episodes.
C. The use of compensatory behaviors (e.g., purging) to prevent weight gain.
D. The patient's body image perception.
9. What is the first-line pharmacological treatment for Generalized Anxiety
Disorder (GAD)?
, A. Benzodiazepines (e.g., Lorazepam)
B. Antipsychotics (e.g., Quetiapine)
C. Selective Serotonin Reuptake Inhibitors (SSRIs) or Serotonin-Norepinephrine
Reuptake Inhibitors (SNRIs)
D. Beta-blockers (e.g., Propranolol)
10. When initiating a prescription for a stimulant medication for ADHD, the
PMHNP must be most cautious about which pre-existing condition?
A. Asthma
B. Eczema
C. Cardiac arrhythmia or structural heart defects
D. Migraines
Section 2: Psychopharmacology
11. Which lab value is most critical to monitor before and during treatment
with Lithium?
A. Liver Function Tests (LFTs)
B. Complete Blood Count (CBC)
C. Serum Creatinine and Thyroid Function Tests
D. Lipid Panel