PSYCHIATRIC MENTAL HEALTH I FINAL EXAM
CERTIFICATION EVALUATION TEST PAPER 2026
COMPLETE STUDY QUESTIONS WITH
CORRECT ANSWERS
◉ A 68 year old woman presents with a complaint of urine leakage
whenever she sneezes, laughs or strains for the past 4 months. She
denies dysuria, frequency and nocturia. US dipstick is negative for
RBC's leukocyte esterase, nitrates, ketones and urobilinogen. What is
the diagnosis?
a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontninence. Answer: a. stress incontinence
◉ Which of the following signs or symptoms are not characteristics
of delirium
a. patient is coherent
b. short duration
c. sudden onset
,d. symptoms are worse in the evenings. Answer: a. patient is
coherent
◉ A 52 year old female patient screened for diabetes has a fasting
plasma glucose level of 123 mg/dl. The nurse practitioners plan
includes:
a. repeat fasting glucose in 1 month
b. prescribe memformin 500mg BID po
c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years. Answer: c. repeat fasting
plasma glucose in one year
◉ According to the palliative care presentation, most elderly
patients die:
a. alone
b. at home
c. in institutions
d. in pain. Answer: c. in institutions
◉ Older adults with dementia sometimes suffer from agnosia, which
is defined as the inability to
,a. remember events and places
b. understand language
c. use language
d. recognize objects. Answer: d. recognize objects
◉ When treating depression associated with dementia, which of the
following would be a poor choice and not be prescribed
a. desimpramine
b. amitryptyline
c. fluoxitine
d. mirtazapine. Answer: b. amitryptyline
◉ Male patient presents with a BMI of 30 presents to the office for
an annual exam. You are reviewing the lab results. You ordered a
CMP as part of routine labs. The fasting glucose was 130. Your next
action is:
a. repeat the fasting glucose
b. start metformin 500mg BID
c. repeat fasting glucose in 1 year
, d. call the patient and report lab results as normal. Answer: a. repeat
the fasting glucose
◉ The task of grieving include all of the following except
a. begin to disengage
b. acknowledge the reality of death
c. work through the pain of grief
d. restructure relationships. Answer: a. begin to disengage
◉ All of the following are true statements regarding elder abuse
except:
a. a new STI in an elderly patient can be a sign of abuse
b. persons over 80 years of age are at highest risk for abuse
c. missing scheduled appointments and delays in medical care are
common
d. common signs of abuse include decreased anxiety and depression.
Answer: d. common signs of abuse include decreased anxiety and
depression
◉ Hospice care differs from palliative care in that:
CERTIFICATION EVALUATION TEST PAPER 2026
COMPLETE STUDY QUESTIONS WITH
CORRECT ANSWERS
◉ A 68 year old woman presents with a complaint of urine leakage
whenever she sneezes, laughs or strains for the past 4 months. She
denies dysuria, frequency and nocturia. US dipstick is negative for
RBC's leukocyte esterase, nitrates, ketones and urobilinogen. What is
the diagnosis?
a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontninence. Answer: a. stress incontinence
◉ Which of the following signs or symptoms are not characteristics
of delirium
a. patient is coherent
b. short duration
c. sudden onset
,d. symptoms are worse in the evenings. Answer: a. patient is
coherent
◉ A 52 year old female patient screened for diabetes has a fasting
plasma glucose level of 123 mg/dl. The nurse practitioners plan
includes:
a. repeat fasting glucose in 1 month
b. prescribe memformin 500mg BID po
c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years. Answer: c. repeat fasting
plasma glucose in one year
◉ According to the palliative care presentation, most elderly
patients die:
a. alone
b. at home
c. in institutions
d. in pain. Answer: c. in institutions
◉ Older adults with dementia sometimes suffer from agnosia, which
is defined as the inability to
,a. remember events and places
b. understand language
c. use language
d. recognize objects. Answer: d. recognize objects
◉ When treating depression associated with dementia, which of the
following would be a poor choice and not be prescribed
a. desimpramine
b. amitryptyline
c. fluoxitine
d. mirtazapine. Answer: b. amitryptyline
◉ Male patient presents with a BMI of 30 presents to the office for
an annual exam. You are reviewing the lab results. You ordered a
CMP as part of routine labs. The fasting glucose was 130. Your next
action is:
a. repeat the fasting glucose
b. start metformin 500mg BID
c. repeat fasting glucose in 1 year
, d. call the patient and report lab results as normal. Answer: a. repeat
the fasting glucose
◉ The task of grieving include all of the following except
a. begin to disengage
b. acknowledge the reality of death
c. work through the pain of grief
d. restructure relationships. Answer: a. begin to disengage
◉ All of the following are true statements regarding elder abuse
except:
a. a new STI in an elderly patient can be a sign of abuse
b. persons over 80 years of age are at highest risk for abuse
c. missing scheduled appointments and delays in medical care are
common
d. common signs of abuse include decreased anxiety and depression.
Answer: d. common signs of abuse include decreased anxiety and
depression
◉ Hospice care differs from palliative care in that:
