The actual exam comprises of 75 Questions.
However, we have compiled Only 18 Q&A here for your practice.
1. A client presents to the provider with symptoms of obsessive-compulsive disorder. In
determining whether the client’s symptoms are subclinical or clinical, which factor should
the psychiatric mental health nurse practitioner consider?
A. whether the client has a comorbid tic disorder
B. whether others in the client’s life find the behaviors problematic
C. the patient’s level of distress and impairment in function
D. whether the client has an awareness of their behaviors
2. A 21-year old presents with symptoms of obsessive-compulsive disorder. Which factor is
the best predictor for positive prognosis?
A. the client also has symptoms of major depressive disorder
B. lorazepam
C. the client acts on their compulsions
D. bupropion
E. the symptoms began at age 11
3. A screening tool is available to the psychiatric-mental health advanced practice
registered nurse to rate a client's six domains which includes memory, orientation
problem-solving. community affairs, home and hobbies, and personal care. Select the name
of this tool.
A. Global Deterioration Scale
B. Clinical Dementia Rating Scale
C. Functional Assessment Staging Test
D. Blessed Dementia Rating Scale
4. A client presents with symptoms of female sexual interest/arousal disorder. What
information collected in the interview may indicate a potential cause?
A. A client takes lisinopril for hypertension
B. client is in a monogamous relationship with a woman
C. client began menstruating at age 15
D. client takes diphenhydramine every night before bed
, 5. A 52-year-old client presents to the emergency, department following a car accident. The
emergency, department (ED) physician is concerned that the client may has intentionally
crashed her car and requests a stat PMHNP consult. In speaking with the PMHNP. the
client describes persistent feelings of sadness and hopelessness. She states that she often
wonders if her husband would be happier if she wasn't around anymore since she's never
happy and sometimes thinks about what it would be like to just take a handful of sleeping
pills and go to sleep forever. The client reports a previous suicide attempt when she was 16
but denies that she is considering killing herself right now Based on the client's ASQ score.
what is the most appropriate response?
A. No action is necessary as the client is not currently considering suicide
B. Provide a brief suicide safety assessment
C. Alert the client's primary care physician
D. Provide a STAT and full mental health in evaluation.
6. A 85-year-old patient with Alzheimer's Disease starts to become agitated in the afternoon
(sundowning), refuses to eat, and is losing weight. Which medications to give?
A. amitriptyline (Elavil)
B. sertraline (Zoloft)
C. aripiprazole (Ability)
D. olanzapine (Zyprexa)
7. Which of the following should be included when providing client education about
medication regimens? Select all that apply.
A. Explain how the medication targets the symptoms, specific benefits, and expected time
course. (Correct answer)
B. Identify potential side effects, duration of side effects, and adverse effects. (Correct
answer)
C. Explain the instructions, dosing, and special requirements. (Correct answer)
D. Use teach-back methods to ensure client understanding. (Correct answer)
7. Callie is an 18-year-old college student who reports to the healthcare provider that she
feels anxious "about everything." Her restlessness and irritability have impacted her
relationship with her significant other. She reports no significant past medical or mental
health history. She states that her anxiety started about 8 months ago when she decided to
transfer from her local community college to a large state university to pursue a law
degree. During the law program's orientation attended by 300 students, she learned that
only 100 students would be selected out of 300 applications for the fall admission. She
began feeling inferior that she would not be one of the students accepted. She also started
However, we have compiled Only 18 Q&A here for your practice.
1. A client presents to the provider with symptoms of obsessive-compulsive disorder. In
determining whether the client’s symptoms are subclinical or clinical, which factor should
the psychiatric mental health nurse practitioner consider?
A. whether the client has a comorbid tic disorder
B. whether others in the client’s life find the behaviors problematic
C. the patient’s level of distress and impairment in function
D. whether the client has an awareness of their behaviors
2. A 21-year old presents with symptoms of obsessive-compulsive disorder. Which factor is
the best predictor for positive prognosis?
A. the client also has symptoms of major depressive disorder
B. lorazepam
C. the client acts on their compulsions
D. bupropion
E. the symptoms began at age 11
3. A screening tool is available to the psychiatric-mental health advanced practice
registered nurse to rate a client's six domains which includes memory, orientation
problem-solving. community affairs, home and hobbies, and personal care. Select the name
of this tool.
A. Global Deterioration Scale
B. Clinical Dementia Rating Scale
C. Functional Assessment Staging Test
D. Blessed Dementia Rating Scale
4. A client presents with symptoms of female sexual interest/arousal disorder. What
information collected in the interview may indicate a potential cause?
A. A client takes lisinopril for hypertension
B. client is in a monogamous relationship with a woman
C. client began menstruating at age 15
D. client takes diphenhydramine every night before bed
, 5. A 52-year-old client presents to the emergency, department following a car accident. The
emergency, department (ED) physician is concerned that the client may has intentionally
crashed her car and requests a stat PMHNP consult. In speaking with the PMHNP. the
client describes persistent feelings of sadness and hopelessness. She states that she often
wonders if her husband would be happier if she wasn't around anymore since she's never
happy and sometimes thinks about what it would be like to just take a handful of sleeping
pills and go to sleep forever. The client reports a previous suicide attempt when she was 16
but denies that she is considering killing herself right now Based on the client's ASQ score.
what is the most appropriate response?
A. No action is necessary as the client is not currently considering suicide
B. Provide a brief suicide safety assessment
C. Alert the client's primary care physician
D. Provide a STAT and full mental health in evaluation.
6. A 85-year-old patient with Alzheimer's Disease starts to become agitated in the afternoon
(sundowning), refuses to eat, and is losing weight. Which medications to give?
A. amitriptyline (Elavil)
B. sertraline (Zoloft)
C. aripiprazole (Ability)
D. olanzapine (Zyprexa)
7. Which of the following should be included when providing client education about
medication regimens? Select all that apply.
A. Explain how the medication targets the symptoms, specific benefits, and expected time
course. (Correct answer)
B. Identify potential side effects, duration of side effects, and adverse effects. (Correct
answer)
C. Explain the instructions, dosing, and special requirements. (Correct answer)
D. Use teach-back methods to ensure client understanding. (Correct answer)
7. Callie is an 18-year-old college student who reports to the healthcare provider that she
feels anxious "about everything." Her restlessness and irritability have impacted her
relationship with her significant other. She reports no significant past medical or mental
health history. She states that her anxiety started about 8 months ago when she decided to
transfer from her local community college to a large state university to pursue a law
degree. During the law program's orientation attended by 300 students, she learned that
only 100 students would be selected out of 300 applications for the fall admission. She
began feeling inferior that she would not be one of the students accepted. She also started
