PMHNP Practicum 1 Barkley Exam with
Actual Questions and Answers Latest
Updated 2025/2026 (Graded A+)
A 30-year-old woman who believes that she may be suffering from depression scores
a 15 on the Patient Health Questionnaire. What do you tell her about her mental
health?
1. She likely has moderate to severe depression.
2. She likely has severe or extreme depression.
3. She likely has mild or moderate depression.
4. She falls within the normal range and is not at risk for depression. - correct answer
On the Patient Health Questionnaire, a score of 15-19 indicates moderately severe
depression. A score of 1-4 indicates minimal or no depression, whereas a score of 5-9
indicates mild depression. Moderate depression is indicated by a score of 10-14. A
score of 20 or higher would indicate severe depression.
A 30-year-old woman who believes that she may be suffering from depression scores
a 15 on the Patient Health Questionnaire. What do you tell her about her mental
health?
She likely has moderate to severe depression.
She likely has mild or moderate depression.
She falls within the normal range and is not at risk for depression.
She likely has severe or extreme depression. - correct answer On the Patient Health
Questionnaire, a score of 15-19 indicates moderately severe depression.
1-4 indicates minimal or no depression
5-9 indicates mild depression
Moderate depression is indicated by a score of 10-14
, PMHNP Practicum 1 Barkley Exam with
Actual Questions and Answers Latest
Updated 2025/2026 (Graded A+)
20 or higher would indicate severe depression
A patient with anorexia nervosa may exhibit comorbidity for all of these disorders
except:
1. Avoidant/restrictive food intake disorder
2. Generalized anxiety disorder
3. Obsessive-compulsive disorder
4. Major depressive disorder - correct answer 4. Major depressive disorder
Although avoidant/restrictive food intake disorder may precede anorexia nervosa in
some patients, avoidant/restrictive food intake disorder does not present with fear of
weight gain or body image disturbance and should not be diagnosed concurrently
with anorexia nervosa. Anorexia nervosa commonly presents with psychiatric
comorbidities such as generalized anxiety disorder, obsessive-compulsive disorder,
and major depressive disorder.
A routine total skin examination would fall under which level of prevention?
1. Tertiary prevention
2. Secondary prevention
3. Primary prevention
4. Quaternary prevention - correct answer Routine total skin examinations fall into
the category of secondary prevention, which focuses on the early identification and
treatment of existing problems. Primary prevention refers to measures that promote
health prior to the onset of any recognizable problems; such measures include a
, PMHNP Practicum 1 Barkley Exam with
Actual Questions and Answers Latest
Updated 2025/2026 (Graded A+)
healthy diet, exercise, avoiding tobacco, and immunizations. Tertiary prevention
refers to the rehabilitation and restoration of health through means such as a cardiac
rehabilitation after myocardial infarction or physical therapy after a motor vehicle
crash. Quaternary prevention is not a recognized medical term.
Adam, a 23-year-old male, is undergoing an STD test at your clinic. When you ask
him why he is here, he says, "I'm here because I've had this increased craving for sex.
I've been picking up strangers in bars, not caring about using protection ... I don't
know what it is. For the last week, I've just felt really driven. Keep throwing myself
into my work, don't feel much need for sleep, feel like my thoughts are running a
marathon in my head." The patient lives a "clean life," clarifying that he does not
abuse any substance, "not even coffee or cigarettes." He also does not have a history
of mental disorders. Given the most likely diagnosis, which of these medications
would you least likely recommend for Adam?
Lorazepam
Haloperidol
Carbamazepine
Bupropion - correct answer The patient's recent involvement in risky pleasurable
activity (e.g., unprotected sex), increase in goal-driven activity at work, decreased
need for sleep, and subjective experience of racing thoughts all suggest a manic
episode; as such, bupropion, an antidepressant, would not be considered because the
patient has not displayed the diagnostic criteria for a major depressive episode.
, PMHNP Practicum 1 Barkley Exam with
Actual Questions and Answers Latest
Updated 2025/2026 (Graded A+)
Pharmacologic options for the treatment of manic episodes include anticonvulsants
(carbamazepine), antipsychotics (haloperidol), and benzodiazepines (lorazepam).
All of the following are parts of Eric Berne's system of strokes except:
1. Life scripts
2. Neutral strokes
3. Games
4. Unconditional strokes - correct answer In Aaron Beck's cognitive behavioral
therapy, the downward arrow technique is used to explore the underlying
assumptions in the patient's logic through exploration of the idea of consequence
(e.g., "If this is true, then what happens/what does that say?"). Decatastrophizing
focuses on reducing anxieties regarding the "worst case scenario" by getting the
patient to plan for it, such as by asking the patient if he has a strategy for if he loses
his job. Reattribution focuses on shifting the blame off of one's self in situations
where one was not responsible for the outcome (e.g., a patient being let go due to
economic constraints rather than fired due to poor performance). Paradox focuses on
inflating a patient's anxieties to the extreme in order to showcase the underlying
absurdities (e.g., "If any slip-up at work could get you fired, then why do any work at
all?"); this should be done carefully, however, as the patie
All of the following are recommended treatments for antisocial personality disorder
except:
1. Hypnotherapy
Actual Questions and Answers Latest
Updated 2025/2026 (Graded A+)
A 30-year-old woman who believes that she may be suffering from depression scores
a 15 on the Patient Health Questionnaire. What do you tell her about her mental
health?
1. She likely has moderate to severe depression.
2. She likely has severe or extreme depression.
3. She likely has mild or moderate depression.
4. She falls within the normal range and is not at risk for depression. - correct answer
On the Patient Health Questionnaire, a score of 15-19 indicates moderately severe
depression. A score of 1-4 indicates minimal or no depression, whereas a score of 5-9
indicates mild depression. Moderate depression is indicated by a score of 10-14. A
score of 20 or higher would indicate severe depression.
A 30-year-old woman who believes that she may be suffering from depression scores
a 15 on the Patient Health Questionnaire. What do you tell her about her mental
health?
She likely has moderate to severe depression.
She likely has mild or moderate depression.
She falls within the normal range and is not at risk for depression.
She likely has severe or extreme depression. - correct answer On the Patient Health
Questionnaire, a score of 15-19 indicates moderately severe depression.
1-4 indicates minimal or no depression
5-9 indicates mild depression
Moderate depression is indicated by a score of 10-14
, PMHNP Practicum 1 Barkley Exam with
Actual Questions and Answers Latest
Updated 2025/2026 (Graded A+)
20 or higher would indicate severe depression
A patient with anorexia nervosa may exhibit comorbidity for all of these disorders
except:
1. Avoidant/restrictive food intake disorder
2. Generalized anxiety disorder
3. Obsessive-compulsive disorder
4. Major depressive disorder - correct answer 4. Major depressive disorder
Although avoidant/restrictive food intake disorder may precede anorexia nervosa in
some patients, avoidant/restrictive food intake disorder does not present with fear of
weight gain or body image disturbance and should not be diagnosed concurrently
with anorexia nervosa. Anorexia nervosa commonly presents with psychiatric
comorbidities such as generalized anxiety disorder, obsessive-compulsive disorder,
and major depressive disorder.
A routine total skin examination would fall under which level of prevention?
1. Tertiary prevention
2. Secondary prevention
3. Primary prevention
4. Quaternary prevention - correct answer Routine total skin examinations fall into
the category of secondary prevention, which focuses on the early identification and
treatment of existing problems. Primary prevention refers to measures that promote
health prior to the onset of any recognizable problems; such measures include a
, PMHNP Practicum 1 Barkley Exam with
Actual Questions and Answers Latest
Updated 2025/2026 (Graded A+)
healthy diet, exercise, avoiding tobacco, and immunizations. Tertiary prevention
refers to the rehabilitation and restoration of health through means such as a cardiac
rehabilitation after myocardial infarction or physical therapy after a motor vehicle
crash. Quaternary prevention is not a recognized medical term.
Adam, a 23-year-old male, is undergoing an STD test at your clinic. When you ask
him why he is here, he says, "I'm here because I've had this increased craving for sex.
I've been picking up strangers in bars, not caring about using protection ... I don't
know what it is. For the last week, I've just felt really driven. Keep throwing myself
into my work, don't feel much need for sleep, feel like my thoughts are running a
marathon in my head." The patient lives a "clean life," clarifying that he does not
abuse any substance, "not even coffee or cigarettes." He also does not have a history
of mental disorders. Given the most likely diagnosis, which of these medications
would you least likely recommend for Adam?
Lorazepam
Haloperidol
Carbamazepine
Bupropion - correct answer The patient's recent involvement in risky pleasurable
activity (e.g., unprotected sex), increase in goal-driven activity at work, decreased
need for sleep, and subjective experience of racing thoughts all suggest a manic
episode; as such, bupropion, an antidepressant, would not be considered because the
patient has not displayed the diagnostic criteria for a major depressive episode.
, PMHNP Practicum 1 Barkley Exam with
Actual Questions and Answers Latest
Updated 2025/2026 (Graded A+)
Pharmacologic options for the treatment of manic episodes include anticonvulsants
(carbamazepine), antipsychotics (haloperidol), and benzodiazepines (lorazepam).
All of the following are parts of Eric Berne's system of strokes except:
1. Life scripts
2. Neutral strokes
3. Games
4. Unconditional strokes - correct answer In Aaron Beck's cognitive behavioral
therapy, the downward arrow technique is used to explore the underlying
assumptions in the patient's logic through exploration of the idea of consequence
(e.g., "If this is true, then what happens/what does that say?"). Decatastrophizing
focuses on reducing anxieties regarding the "worst case scenario" by getting the
patient to plan for it, such as by asking the patient if he has a strategy for if he loses
his job. Reattribution focuses on shifting the blame off of one's self in situations
where one was not responsible for the outcome (e.g., a patient being let go due to
economic constraints rather than fired due to poor performance). Paradox focuses on
inflating a patient's anxieties to the extreme in order to showcase the underlying
absurdities (e.g., "If any slip-up at work could get you fired, then why do any work at
all?"); this should be done carefully, however, as the patie
All of the following are recommended treatments for antisocial personality disorder
except:
1. Hypnotherapy
