PMHNP Certification Exam Questions
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the study of what the body does to the drug is called - ANSWER ✓
pharmacokinetics
your client sam is being treated for panic disorder with agoraphobia. he currently
is being prescribed paroxetine (Paxil CR, 37.5 mg QD) and clonazepam (Klonopin,
0.5mg QD, PRN). he has been on clonazepam for 2 years and admits to needing 4
pills to achieve the same effect that 1 pill initially produced. this is possibly an
example of which process? - ANSWER ✓ tolerance
why is group therapy beneficial? - ANSWER ✓ it is always time limited
(it increases social skills, is cost-effective, and enables participants to acquire the
curative factors)
which is the best rationale for using CBT - ANSWER ✓ recognize and change his
or her automatic thoughts
when working with a dysfunctional family, you find that the father worries
excessively and is resistant to change. you give him a paradoxical directive to
worry extremely well for 1 hour per day, knowing that he will likely be
noncompliant, and thus change will occur. with this technique, you are unison
which time of therapy? - ANSWER ✓ strategic therapy
what best describes homeostasis in a family system - ANSWER ✓ balance or
stability that the family returns to despite its dysfunction
In an attempt to bring the client toward the goal he or she is working on, you ask
the client, "if a miracle were to happen tonight, while you slept, and you woke in
the morning and the problem no longer existed, how would you know, and what
,would be different?" This technique is used in which type of therapy? - ANSWER
✓ solution focused therapy
ms. Thomas has been diagnosed with MDD an dis placed on fluoxetine 20mg for
her depression. for the PMHNP to effectively monitor her use of the medication,
which action should be part of ongoing care. - ANSWER ✓ The use of a
standardized rating scale of depression
what is the best reason for considering the SSRI among the first-line drug choices
for treating major depression - ANSWER ✓ safe use in suicidal overdose clients
a 23 year old women is brought into the ER after attempting suicide by cutting her
wrists. which nursing action by the PMHNP would be of highest priority initially. -
ANSWER ✓ take her vital signs
which intervention by the PMHNP for a person experiencing statue de nervosa
demonstrates culturally informed care? - ANSWER ✓ offering brief supportive
psychotherapy
the PMHNP working at a student mental health clinic has now been working with
a freshman student for several weeks. the PMHNP leans that the student considers
himself shy. he tells the NP that he has always felt uncomfortable in social
situations or when he has to do oral presentations in class. he had few friends up
until senior year of high school when he discovered he could enjoy himself if he
had a couple of drinks before going out. he has continued this pattern in college
and now occasionally drinks 2 to 3 beers on weekends as well. according to the
DSM 5, does this student have a mental disorder? - ANSWER ✓ no, at this point,
the student does not meet criteria for a mental disorder
Jason misses several appointments. the PMHNP notes she feels resentful toward
Jason and is struggling with how to respond when he finally comes in for his
appointment. which statement demonstrates a therapeutic response? - ANSWER ✓
Jason, help me understand what is going on so we can figure out how to proceed
what is true about pharmacologic treatment of anxiety in older adults - ANSWER
✓ drugs that are highly oxidized are more unpredictable than drugs that are mostly
conjugated
(liver enzyme functioning among other things diminishes as we age)
, a client returns for a follow-up appointment 3 weeks after starting on fluoxetine
20mg. during this appointment you notice that her speech is a little rapid, in
marked contrast to the psychomotor retardation and paucity of spontaneous speech
she displayed on her first visit. instead of looking at the floor, she now makes
normal eye contact. her affect has gone from constricted to expansive. she
continues to have difficulty sleeping, but her energy has improved and she states
she feels so much better! what should you conclude about the shift in the clients
presentation? - ANSWER ✓ she is becoming hypomanic
mr d is a 35 year old, married, high tech industry executive who is referred to the
PMHNP for insomnia. mr d reports that he falls asleep quickly bu that difficulty
staying asleep. he wakes up several times during the night, and believes he tosses
and turns even when he is sleeping. he wakes up feeling exhausted and drinks a pot
of coffee to stay awake and concentrate during his long work day. he drinks 1 glass
of wine most evenings. he denies any illicit substance use. he denies any symptoms
of a mood or anxiety disorder, but is feeling increasingly frustrated and concerned
about his sleep. which of the following is the most likely contributing factor to mr.
Ds ongoing middle insomnia. - ANSWER ✓ obstructive sleep apnea
tina is a 54 year old single white women who has been a PMHNP for over 20
years. she is considering making application to a DNP program but states of a DNP
is required to practice ill get grandfathered in, no need for me to go back to school.
following the 2008 license, accreditation, certification, and education (LACE)
consensus model for APRN regulation, what is correct? - ANSWER ✓ the DNP is
an academic terminal degree and there will not be an opportunity for Tina to be
grandfathered into a DNP
Tim is a board-certified PMHNP working in a busy community mental health
center (CMHC). he is currently seeing a client diagnosed with BPI disorder who
has comorbid hypertension and diabetes. during the visit, Tim takes the client's BP
and her reading is 160/94mmHg. the client denies any headaches, nausea, chest
pain, or shortness of breath. the client states I can't afford all these medications so I
haven't seen my doctor in 7 months and I am out of all my blood pressure and
sugar medications, can you give me some? what is times most appropriate action? -
ANSWER ✓ call the client's PCP, explain the situation, and coordinate the client
getting an appointment and medication refills
, the chief nursing officer of a large behavior health system approached the PMHNP
to discuss the new healthcare effectiveness data and information set (HEDIS)
behavioral health measures and specifications. the pmhnp is asked to do a
retrospective chart review of all hospital discharge clients who received a follow
up visit within 7 days of discharge and within 30 days of discharge. the PMHNP
has been asked to engage in what? - ANSWER ✓ quality improvement initiative
a pmhnp who is working on the consult liaison service is referred to a patient in
the medical intensive care unit by the attending hospitalist. the consult note read
evaluate the patient for competency to make independent medical decisions and
consent for a surgical procedure. based on the scope of practice of a PMHNP,
which response would be most appropriate. - ANSWER ✓ call the hospitalist and
provide education that competency is a legal concept and explain that you can
assess the patient for the capacity to make medical decisions
you are asked by a church organization to work with members within your health
systems to develop a flu vaccination program. according to public health
principles, this is an example of what level of prevention. - ANSWER ✓ primary
a client with bipolar I disorder presents to your PMHNP office for a follow up
visit. during the visit the client informed you that he no longer wants to be treated
with medication., and he does not have bipolar disorder, that was a misdiagnosis.
he further informs you he stopped all his medication 2 months ago and is here to
thank you for your care and tell you that he no longer needs follow up
appointments. understanding the ethical conflict, you use which of the following
ethical principles in working with this client? - ANSWER ✓ autonomy
a new client reveals to the PMHNP that her boyfriend screams at her and has
repeatedly slapped and pushed her in front of her 3 year old son. she goes on to say
that the boyfriend has thrown things at her and on one occasion threw a glass of
water at her and hit her son in the back. should the pmhnp report this to CPS? -
ANSWER ✓ yes, the pmhnp has a duty to report
which of the following is a function of the psychiatric interview - ANSWER ✓
identify the mental health needs of the client
a 74 year old married women was referred to you by her pcp for a psych eval. she
had a normal medical and neurological exam in the last 2 months. the client
presents with her husband of 45 years who states "my wife is just not the same
with Correct Solutions||Already
Graded A+||100% GUARANTEED
PASS||UPDATED 2025/2026
SYLLABUS||<<LATEST VERSION>>
the study of what the body does to the drug is called - ANSWER ✓
pharmacokinetics
your client sam is being treated for panic disorder with agoraphobia. he currently
is being prescribed paroxetine (Paxil CR, 37.5 mg QD) and clonazepam (Klonopin,
0.5mg QD, PRN). he has been on clonazepam for 2 years and admits to needing 4
pills to achieve the same effect that 1 pill initially produced. this is possibly an
example of which process? - ANSWER ✓ tolerance
why is group therapy beneficial? - ANSWER ✓ it is always time limited
(it increases social skills, is cost-effective, and enables participants to acquire the
curative factors)
which is the best rationale for using CBT - ANSWER ✓ recognize and change his
or her automatic thoughts
when working with a dysfunctional family, you find that the father worries
excessively and is resistant to change. you give him a paradoxical directive to
worry extremely well for 1 hour per day, knowing that he will likely be
noncompliant, and thus change will occur. with this technique, you are unison
which time of therapy? - ANSWER ✓ strategic therapy
what best describes homeostasis in a family system - ANSWER ✓ balance or
stability that the family returns to despite its dysfunction
In an attempt to bring the client toward the goal he or she is working on, you ask
the client, "if a miracle were to happen tonight, while you slept, and you woke in
the morning and the problem no longer existed, how would you know, and what
,would be different?" This technique is used in which type of therapy? - ANSWER
✓ solution focused therapy
ms. Thomas has been diagnosed with MDD an dis placed on fluoxetine 20mg for
her depression. for the PMHNP to effectively monitor her use of the medication,
which action should be part of ongoing care. - ANSWER ✓ The use of a
standardized rating scale of depression
what is the best reason for considering the SSRI among the first-line drug choices
for treating major depression - ANSWER ✓ safe use in suicidal overdose clients
a 23 year old women is brought into the ER after attempting suicide by cutting her
wrists. which nursing action by the PMHNP would be of highest priority initially. -
ANSWER ✓ take her vital signs
which intervention by the PMHNP for a person experiencing statue de nervosa
demonstrates culturally informed care? - ANSWER ✓ offering brief supportive
psychotherapy
the PMHNP working at a student mental health clinic has now been working with
a freshman student for several weeks. the PMHNP leans that the student considers
himself shy. he tells the NP that he has always felt uncomfortable in social
situations or when he has to do oral presentations in class. he had few friends up
until senior year of high school when he discovered he could enjoy himself if he
had a couple of drinks before going out. he has continued this pattern in college
and now occasionally drinks 2 to 3 beers on weekends as well. according to the
DSM 5, does this student have a mental disorder? - ANSWER ✓ no, at this point,
the student does not meet criteria for a mental disorder
Jason misses several appointments. the PMHNP notes she feels resentful toward
Jason and is struggling with how to respond when he finally comes in for his
appointment. which statement demonstrates a therapeutic response? - ANSWER ✓
Jason, help me understand what is going on so we can figure out how to proceed
what is true about pharmacologic treatment of anxiety in older adults - ANSWER
✓ drugs that are highly oxidized are more unpredictable than drugs that are mostly
conjugated
(liver enzyme functioning among other things diminishes as we age)
, a client returns for a follow-up appointment 3 weeks after starting on fluoxetine
20mg. during this appointment you notice that her speech is a little rapid, in
marked contrast to the psychomotor retardation and paucity of spontaneous speech
she displayed on her first visit. instead of looking at the floor, she now makes
normal eye contact. her affect has gone from constricted to expansive. she
continues to have difficulty sleeping, but her energy has improved and she states
she feels so much better! what should you conclude about the shift in the clients
presentation? - ANSWER ✓ she is becoming hypomanic
mr d is a 35 year old, married, high tech industry executive who is referred to the
PMHNP for insomnia. mr d reports that he falls asleep quickly bu that difficulty
staying asleep. he wakes up several times during the night, and believes he tosses
and turns even when he is sleeping. he wakes up feeling exhausted and drinks a pot
of coffee to stay awake and concentrate during his long work day. he drinks 1 glass
of wine most evenings. he denies any illicit substance use. he denies any symptoms
of a mood or anxiety disorder, but is feeling increasingly frustrated and concerned
about his sleep. which of the following is the most likely contributing factor to mr.
Ds ongoing middle insomnia. - ANSWER ✓ obstructive sleep apnea
tina is a 54 year old single white women who has been a PMHNP for over 20
years. she is considering making application to a DNP program but states of a DNP
is required to practice ill get grandfathered in, no need for me to go back to school.
following the 2008 license, accreditation, certification, and education (LACE)
consensus model for APRN regulation, what is correct? - ANSWER ✓ the DNP is
an academic terminal degree and there will not be an opportunity for Tina to be
grandfathered into a DNP
Tim is a board-certified PMHNP working in a busy community mental health
center (CMHC). he is currently seeing a client diagnosed with BPI disorder who
has comorbid hypertension and diabetes. during the visit, Tim takes the client's BP
and her reading is 160/94mmHg. the client denies any headaches, nausea, chest
pain, or shortness of breath. the client states I can't afford all these medications so I
haven't seen my doctor in 7 months and I am out of all my blood pressure and
sugar medications, can you give me some? what is times most appropriate action? -
ANSWER ✓ call the client's PCP, explain the situation, and coordinate the client
getting an appointment and medication refills
, the chief nursing officer of a large behavior health system approached the PMHNP
to discuss the new healthcare effectiveness data and information set (HEDIS)
behavioral health measures and specifications. the pmhnp is asked to do a
retrospective chart review of all hospital discharge clients who received a follow
up visit within 7 days of discharge and within 30 days of discharge. the PMHNP
has been asked to engage in what? - ANSWER ✓ quality improvement initiative
a pmhnp who is working on the consult liaison service is referred to a patient in
the medical intensive care unit by the attending hospitalist. the consult note read
evaluate the patient for competency to make independent medical decisions and
consent for a surgical procedure. based on the scope of practice of a PMHNP,
which response would be most appropriate. - ANSWER ✓ call the hospitalist and
provide education that competency is a legal concept and explain that you can
assess the patient for the capacity to make medical decisions
you are asked by a church organization to work with members within your health
systems to develop a flu vaccination program. according to public health
principles, this is an example of what level of prevention. - ANSWER ✓ primary
a client with bipolar I disorder presents to your PMHNP office for a follow up
visit. during the visit the client informed you that he no longer wants to be treated
with medication., and he does not have bipolar disorder, that was a misdiagnosis.
he further informs you he stopped all his medication 2 months ago and is here to
thank you for your care and tell you that he no longer needs follow up
appointments. understanding the ethical conflict, you use which of the following
ethical principles in working with this client? - ANSWER ✓ autonomy
a new client reveals to the PMHNP that her boyfriend screams at her and has
repeatedly slapped and pushed her in front of her 3 year old son. she goes on to say
that the boyfriend has thrown things at her and on one occasion threw a glass of
water at her and hit her son in the back. should the pmhnp report this to CPS? -
ANSWER ✓ yes, the pmhnp has a duty to report
which of the following is a function of the psychiatric interview - ANSWER ✓
identify the mental health needs of the client
a 74 year old married women was referred to you by her pcp for a psych eval. she
had a normal medical and neurological exam in the last 2 months. the client
presents with her husband of 45 years who states "my wife is just not the same
