PMHNP certification Exam
(2025/2026) Questions And Answers
(Actual test verified Grade A+).
Contains 400+ (Questions And Answers).
1. Which patient is at highest risk for SI
A. 30y/o married AA female with previous SI attempt *1 risk factor
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
D. 68 y/o single white male with depression *5 risk factors (age, male, white,
depression)
Ans..: D. 68 y/o single white male with depression *5 risk factors (age, male, white,
depression)
Count the risk factors
2. COWS scale components
Ans..: · Opioid W/D
mailto:https://www.stuvia.com/user/Wisdoms
, Pulse, sweating, restlessness, pupil size- dilation (if pinpoint= opioid intoxication,
not w/d), body aches, Rhinorrhea (running nose), Lacrimation (eye tearing), GI
upset (N/V/D), yawning, tremors, anxiety/irritability, Piloerection (gooseflesh skin),
insomnia
3. What does COWS stand for?
Ans..: Clinical Opiate Withdrawal Scale
4. What does CIWA stand for?
Ans..: Clinical Institute Withdrawal Assessment
5. What does CIWA assess for?
Ans..: --used to determine likelihood of ETOH withdraw- al or DTs
--usually occur within the first 24-72 hours after cessation
o used to determine when to administer medications for ETOH withdrawal
6. What does CIWA NOT test for?
Ans..: Alcohol Use Disorder
7. What are the CIWA scale components?
Ans..: · N/V, tremor, paroxysmal sweats, anxiety, agitation, tactile disturbances,
auditory disturbances, visual disturbances, H/A, orientation
Each component is scored from 0(none)-7(severe) except orientation wh/ is (0
(AA0x4)-4 (disoriented)
Score:
<10: Very mild Start PRN meds at score of 8
>10 to 15: Mild scheduled + PRN meds
mailto:https://www.stuvia.com/user/Wisdoms
(2025/2026) Questions And Answers
(Actual test verified Grade A+).
Contains 400+ (Questions And Answers).
1. Which patient is at highest risk for SI
A. 30y/o married AA female with previous SI attempt *1 risk factor
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
D. 68 y/o single white male with depression *5 risk factors (age, male, white,
depression)
Ans..: D. 68 y/o single white male with depression *5 risk factors (age, male, white,
depression)
Count the risk factors
2. COWS scale components
Ans..: · Opioid W/D
mailto:https://www.stuvia.com/user/Wisdoms
, Pulse, sweating, restlessness, pupil size- dilation (if pinpoint= opioid intoxication,
not w/d), body aches, Rhinorrhea (running nose), Lacrimation (eye tearing), GI
upset (N/V/D), yawning, tremors, anxiety/irritability, Piloerection (gooseflesh skin),
insomnia
3. What does COWS stand for?
Ans..: Clinical Opiate Withdrawal Scale
4. What does CIWA stand for?
Ans..: Clinical Institute Withdrawal Assessment
5. What does CIWA assess for?
Ans..: --used to determine likelihood of ETOH withdraw- al or DTs
--usually occur within the first 24-72 hours after cessation
o used to determine when to administer medications for ETOH withdrawal
6. What does CIWA NOT test for?
Ans..: Alcohol Use Disorder
7. What are the CIWA scale components?
Ans..: · N/V, tremor, paroxysmal sweats, anxiety, agitation, tactile disturbances,
auditory disturbances, visual disturbances, H/A, orientation
Each component is scored from 0(none)-7(severe) except orientation wh/ is (0
(AA0x4)-4 (disoriented)
Score:
<10: Very mild Start PRN meds at score of 8
>10 to 15: Mild scheduled + PRN meds
mailto:https://www.stuvia.com/user/Wisdoms
