PMHNP ANCC Ultimate Test Bank – Full Exam C overage
2026/2027 Latest Exam Update
3-year-old masturbates, play with self, says naughty things - correct answer-
FREUD's PSYCHOSOCIAL STAGES OF DEVELOPMENT - PHALLIC STAGE - 3-6 years
old
- This is NORMAL for children this age.
Freud stages of psychosexual development - correct answer-PNEUMOIC - Old Age
Parents Love Grandchildren
Oral (0-18 months)
Anal (18 months - 3 years)
Phallic (3 years to 6 years)
Latent (6 to 12)
Genital (12 +)
ACUTE STRESS DISORDER - correct answer-Depression, dissociation, recurring
nightmares, sleep disturbances, problems in concentrations, reliving the event,
dreams, flashbacks -
UP to ONE MONTH - Less than 1 month.
if LONGER than 1 month=PTSD
,5-year-old tells you his brother sodomized him - correct answer-Tell mom don't
leave him alone with patient and call CPS implement crisis
Child is playing with doll in a sexual way - You SUSPECT sexual abuse - correct
answer-Perform FURTHER ASSESSMENT and GATHER ENOUGH INFO BEFORE
Calling CPS to report
suspected Sexual Abuse - You HAVE to report but you have to have something
(assessment data) to report - Assess = FIRST
13-year-old want to smoke - correct answer-ask him of his plan to stop smoking
MMSE/ FOLSTEIN - correct answer-MMSE/FOLSTEIN
Mr. Folstein had Benjamin Button's disease where he was normal from 30-25 yrs
old, then deteriorated mildly from 24-21 yrs old, became moderately demented
from 20-13 yrs old, until he reached age 11 where it was too severe to stay at
home.
Beck Depression Inventory - correct answer-Beck was 20 yrs old when he started
medication & therapy. Unfortunately, at age 31 it became too SEVERE and was
hospitalized.
HAM-A - correct answer-Hamilton A started medication & therapy at 24 yrs old
for moderate anxiety. Sadly, when he turned 27 yrs old he was hospitalized for
SEVERE anxiety.
HAM-D - correct answer-Hamilton D began medication & therapy at 14 yrs old.
He later had a dose increase at age 17 for MODERATE/SEVERE depression. But
soon after, it became SEVERE at age 23 & he was hospitalized.
,PHQ-9 (Patient Health Questionnaire) - correct answer-Penelope Q was just 10
yrs old when she started antidepressants & therapy. At age 15, she required a
dose increase due to moderate/severe depression. It helped her until she turned
20 when it became SEVERE, and she had to be hospitalized.
GAD-7 scale - correct answer-Gary was just 10 yrs old when he was treated with
meds & therapy for anxiety. Yet his symptoms still worsened and at 15 yrs old he
was hospitalized for SEVERE anxiety.
HAM-D score of 19? - correct answer-Severe. Assess for SI, treat with meds &
therapy.
Beck score of 20 - correct answer-Moderate. Confirm diagnosis and treat with
meds & therapy.
PHQ-9 score of 15? - correct answer-Moderate. Confirm diagnosis & start therapy
& meds
PHQ-9 score of 21? - correct answer-Severe. Assess for SI, start therapy & meds.
HAM-D score of 23? - correct answer-Severe. Assess SI, treat with meds &
therapy.
ZUNG Score of 70? - correct answer-Severe. Assess SI, treat with meds & therapy
, SLUM > Score - correct answer-0 - 20 indicate dementia; 21 - 26 = mild
neurocognitive disorder; 27 - 30 =
normal.
What is the WHODAS scale? - correct answer-(World Health Organization
Disability Assessment Scale)? It is used instead of GAF.
Measures multiple disabilities in multiple areas (cognition, work, social and
interpersonal relations).
The LOWER the number, the MORE SEVERE the impairment.
For example, a score of 50 through 30 indicates SI with intent; a score of 30 and
under indicates the need for
hospitalization.
CIWA-Ar - correct answer-Start symptom-treatment medication PRN at 8,
standing med at 15 (1st choice Diazepam lasts longer, UNLESS liver compromised
then give Ativan).
COWS Score/treatment? - correct answer-Start PRN meds (Clonidine) at 7, give
suboxone or buprenorphine at 13.
Mydriasis (of pupil) - correct answer-Dilated pupils (withdrawal sign, give
Clonidine)
Miosis? - correct answer-Pinpoint pupils (intoxication/overdose, give Naloxone)
CAGE questionnaire - correct answer--cut down, annoyed, guilty, eye opener
2026/2027 Latest Exam Update
3-year-old masturbates, play with self, says naughty things - correct answer-
FREUD's PSYCHOSOCIAL STAGES OF DEVELOPMENT - PHALLIC STAGE - 3-6 years
old
- This is NORMAL for children this age.
Freud stages of psychosexual development - correct answer-PNEUMOIC - Old Age
Parents Love Grandchildren
Oral (0-18 months)
Anal (18 months - 3 years)
Phallic (3 years to 6 years)
Latent (6 to 12)
Genital (12 +)
ACUTE STRESS DISORDER - correct answer-Depression, dissociation, recurring
nightmares, sleep disturbances, problems in concentrations, reliving the event,
dreams, flashbacks -
UP to ONE MONTH - Less than 1 month.
if LONGER than 1 month=PTSD
,5-year-old tells you his brother sodomized him - correct answer-Tell mom don't
leave him alone with patient and call CPS implement crisis
Child is playing with doll in a sexual way - You SUSPECT sexual abuse - correct
answer-Perform FURTHER ASSESSMENT and GATHER ENOUGH INFO BEFORE
Calling CPS to report
suspected Sexual Abuse - You HAVE to report but you have to have something
(assessment data) to report - Assess = FIRST
13-year-old want to smoke - correct answer-ask him of his plan to stop smoking
MMSE/ FOLSTEIN - correct answer-MMSE/FOLSTEIN
Mr. Folstein had Benjamin Button's disease where he was normal from 30-25 yrs
old, then deteriorated mildly from 24-21 yrs old, became moderately demented
from 20-13 yrs old, until he reached age 11 where it was too severe to stay at
home.
Beck Depression Inventory - correct answer-Beck was 20 yrs old when he started
medication & therapy. Unfortunately, at age 31 it became too SEVERE and was
hospitalized.
HAM-A - correct answer-Hamilton A started medication & therapy at 24 yrs old
for moderate anxiety. Sadly, when he turned 27 yrs old he was hospitalized for
SEVERE anxiety.
HAM-D - correct answer-Hamilton D began medication & therapy at 14 yrs old.
He later had a dose increase at age 17 for MODERATE/SEVERE depression. But
soon after, it became SEVERE at age 23 & he was hospitalized.
,PHQ-9 (Patient Health Questionnaire) - correct answer-Penelope Q was just 10
yrs old when she started antidepressants & therapy. At age 15, she required a
dose increase due to moderate/severe depression. It helped her until she turned
20 when it became SEVERE, and she had to be hospitalized.
GAD-7 scale - correct answer-Gary was just 10 yrs old when he was treated with
meds & therapy for anxiety. Yet his symptoms still worsened and at 15 yrs old he
was hospitalized for SEVERE anxiety.
HAM-D score of 19? - correct answer-Severe. Assess for SI, treat with meds &
therapy.
Beck score of 20 - correct answer-Moderate. Confirm diagnosis and treat with
meds & therapy.
PHQ-9 score of 15? - correct answer-Moderate. Confirm diagnosis & start therapy
& meds
PHQ-9 score of 21? - correct answer-Severe. Assess for SI, start therapy & meds.
HAM-D score of 23? - correct answer-Severe. Assess SI, treat with meds &
therapy.
ZUNG Score of 70? - correct answer-Severe. Assess SI, treat with meds & therapy
, SLUM > Score - correct answer-0 - 20 indicate dementia; 21 - 26 = mild
neurocognitive disorder; 27 - 30 =
normal.
What is the WHODAS scale? - correct answer-(World Health Organization
Disability Assessment Scale)? It is used instead of GAF.
Measures multiple disabilities in multiple areas (cognition, work, social and
interpersonal relations).
The LOWER the number, the MORE SEVERE the impairment.
For example, a score of 50 through 30 indicates SI with intent; a score of 30 and
under indicates the need for
hospitalization.
CIWA-Ar - correct answer-Start symptom-treatment medication PRN at 8,
standing med at 15 (1st choice Diazepam lasts longer, UNLESS liver compromised
then give Ativan).
COWS Score/treatment? - correct answer-Start PRN meds (Clonidine) at 7, give
suboxone or buprenorphine at 13.
Mydriasis (of pupil) - correct answer-Dilated pupils (withdrawal sign, give
Clonidine)
Miosis? - correct answer-Pinpoint pupils (intoxication/overdose, give Naloxone)
CAGE questionnaire - correct answer--cut down, annoyed, guilty, eye opener
