1
PMHNP certification Exam 2025(Actual test verified A+) wq wq wq wq wq wq
1. Which patient is at highest risk for SI wq wq wq wq wq wq wq
A. 35 y/o married AA female with previous SI attempt *1 risk factors
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B. 35 y/o single Asian male with previous SI attempt *3 risk factors
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C. 38 y/o single AA male who is a manager of a bank *2 risk factors
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D. 68 y/o single white male with depression *5 risk factors (age, male, white,
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depression): D. 68 y/o single white male with depression *5 risk factors (age, male,
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white, depression)
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Count the risk factors wq wq wq
2. When interview teenagers (16 y/o) that arrive with their parents what
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should you do?: interview them separately from parents.
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-This helps Build therapeutic rapport with teens by telling them the info is confiden-
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tial. Parents may be upset but remember you are advocating for the child.
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3. Which Ethnic group has the highest rate of suicide?: Native Americans
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4. Example A patient is being treated for schizophrenia with olanzapine.
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Which of the following is the most common side effect of olanzapine?
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A. Increased waist circumference wq wq
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-receptor an-
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tagonism
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C. Increased Lipids wq
D. Metabolic Syndrome: D. Metabolic Syndrome (UMBRELLA ANSWER) wq wq wq wq wq wq
5. Which antipsychotics have the least weight gain?: Latuda, Abilify, (also least
wq wq wq wq wq wq wq wq wq wq
sedating), Geodon-if patient has metabolic syndrome consider switching to one of
wq wq wq wq wq wq wq wq wq wq wq
the medications above. Or if the patient is overly sedated try switching to ABILIFY
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6. Which mood stabilizer have the least weight gain?: Lamictal
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-But remember all mood stabilizers cause some weight gain
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7. When presented with a question about typical vs atypical antipsychotic
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the answer is usually to start of a: atypical
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1 / wq
38
, 2
8. A client presents with complains of changes in appetite, feeling fatigued,
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problems with sleep-rest cycle, and changes in libido. What is the neu-
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roanatomical area of the brain that is responsible for the normal
wq wq wq wq wq wq wq wq wq wq wq
regulation of these functions?
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A. Thalamus
B. Hypothalamus
C. Limbic System wq
D. Hippocampus: Hypothalamus wq
A, B, & D are all part of the limbic system so you can rule that out
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2 /
wq
38
, 3
9. When a patient is hesitant to participate in treatment you should encour-
wq wq wq wq wq wq wq wq wq wq wq
age?: Bring a support person like a husband
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10. Thyroid-Stimulating hormone normal level: 0.5-5.0 Mu/L wq wq wq wq wq
11. When T4 and T3 are high and TSH is low what is the diagnosis: HY-
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PERTHYROIDISM, TSH secretion decreases: TSH LOW à key symptoms
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HEAT INTOLERANCE
wq wq
12. Key symptoms of Heat Intolerance: Hyperthyroidism
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13. When T4 and T3 are Low and TSH is high what is the diagnosis:
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(HY- POTHYROIDISM) TSH secretion increased: TSH HIGH à COLD
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INTERANCE
wq
14. Key symptoms of Cold Intolerance: Hypothyroidism
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15. Hyperthyroid can mimic: Mania wq wq wq
16. Hypothyroid can mimic: Depression wq wq wq
17. A patient on depakote complains of RUQ pain and has reddish/brown
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urine: Hepatoxicity
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-Check LFTs wq
18. Signs of Depakote toxicity: Disorientation, confusion, lethargy
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19. You suspect depakote toxicity what do you do?: Check
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-LFT
-Ammonia
-Depakote Level wq
20. What herbal supplement can cause hepatoxicity?: Kava Kava
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21. When taking Kava Kava in combinations with other medications you
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should caution about: Risk of Hepatoxicity and Sedation
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22. TCAs carry a risk of: Hepatotoxicity wq wq wq wq wq
23. Signs of Stevens-Johnson Syndrome: -fever, mouth pain, swelling, burning
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eyes, blisters, skin pain
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24. two psychotropics known to cause steven johnson syndrome: lamictal
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and tegretol
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25. What nationality is most suseptible of getting steven johnson?: Asians
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3 / wq
38
, 4
26. When treating asians with tegretal screen for?: HLAB-1502 Allele
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4 /
wq
38
PMHNP certification Exam 2025(Actual test verified A+) wq wq wq wq wq wq
1. Which patient is at highest risk for SI wq wq wq wq wq wq wq
A. 35 y/o married AA female with previous SI attempt *1 risk factors
wq wq wq wq wq wq wq wq wq wq wq wq
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
wq wq wq wq wq wq wq wq wq wq wq wq
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
D. 68 y/o single white male with depression *5 risk factors (age, male, white,
wq wq wq wq wq wq wq wq wq wq wq wq wq
depression): D. 68 y/o single white male with depression *5 risk factors (age, male,
wq wq wq wq wq wq wq wq wq wq wq wq wq wq
white, depression)
wq wq
Count the risk factors wq wq wq
2. When interview teenagers (16 y/o) that arrive with their parents what
wq wq wq wq wq wq wq wq wq wq
should you do?: interview them separately from parents.
wq wq wq wq wq wq wq wq
-This helps Build therapeutic rapport with teens by telling them the info is confiden-
wq wq wq wq wq wq wq wq wq wq wq wq wq
tial. Parents may be upset but remember you are advocating for the child.
wq wq wq wq wq wq wq wq wq wq wq wq wq
3. Which Ethnic group has the highest rate of suicide?: Native Americans
wq wq wq wq wq wq wq wq wq wq
4. Example A patient is being treated for schizophrenia with olanzapine.
wq wq wq wq wq wq wq wq wq
Which of the following is the most common side effect of olanzapine?
wq wq wq wq wq wq wq wq wq wq wq wq
A. Increased waist circumference wq wq
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-receptor an-
wq wq wq wq wq wq wq wq wq
tagonism
wq
C. Increased Lipids wq
D. Metabolic Syndrome: D. Metabolic Syndrome (UMBRELLA ANSWER) wq wq wq wq wq wq
5. Which antipsychotics have the least weight gain?: Latuda, Abilify, (also least
wq wq wq wq wq wq wq wq wq wq
sedating), Geodon-if patient has metabolic syndrome consider switching to one of
wq wq wq wq wq wq wq wq wq wq wq
the medications above. Or if the patient is overly sedated try switching to ABILIFY
wq wq wq wq wq wq wq wq wq wq wq wq wq wq
6. Which mood stabilizer have the least weight gain?: Lamictal
wq wq wq wq wq wq wq wq
-But remember all mood stabilizers cause some weight gain
wq wq wq wq wq wq wq wq
7. When presented with a question about typical vs atypical antipsychotic
wq wq wq wq wq wq wq wq wq
the answer is usually to start of a: atypical
wq wq wq wq wq wq wq wq wq
1 / wq
38
, 2
8. A client presents with complains of changes in appetite, feeling fatigued,
wq wq wq wq wq wq wq wq wq wq
problems with sleep-rest cycle, and changes in libido. What is the neu-
wq wq wq wq wq wq wq wq wq wq wq wq
roanatomical area of the brain that is responsible for the normal
wq wq wq wq wq wq wq wq wq wq wq
regulation of these functions?
wq wq wq wq
A. Thalamus
B. Hypothalamus
C. Limbic System wq
D. Hippocampus: Hypothalamus wq
A, B, & D are all part of the limbic system so you can rule that out
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
2 /
wq
38
, 3
9. When a patient is hesitant to participate in treatment you should encour-
wq wq wq wq wq wq wq wq wq wq wq
age?: Bring a support person like a husband
wq wq wq wq wq wq wq wq
10. Thyroid-Stimulating hormone normal level: 0.5-5.0 Mu/L wq wq wq wq wq
11. When T4 and T3 are high and TSH is low what is the diagnosis: HY-
wq wq wq wq wq wq wq wq wq wq wq wq wq wq
PERTHYROIDISM, TSH secretion decreases: TSH LOW à key symptoms
wq wq wq wq wq wq wq wq wq
HEAT INTOLERANCE
wq wq
12. Key symptoms of Heat Intolerance: Hyperthyroidism
wq wq wq wq wq
13. When T4 and T3 are Low and TSH is high what is the diagnosis:
wq wq wq wq wq wq wq wq wq wq wq wq wq
(HY- POTHYROIDISM) TSH secretion increased: TSH HIGH à COLD
wq wq wq wq wq wq wq wq wq
INTERANCE
wq
14. Key symptoms of Cold Intolerance: Hypothyroidism
wq wq wq wq wq
15. Hyperthyroid can mimic: Mania wq wq wq
16. Hypothyroid can mimic: Depression wq wq wq
17. A patient on depakote complains of RUQ pain and has reddish/brown
wq wq wq wq wq wq wq wq wq wq
urine: Hepatoxicity
wq wq
-Check LFTs wq
18. Signs of Depakote toxicity: Disorientation, confusion, lethargy
wq wq wq wq wq wq
19. You suspect depakote toxicity what do you do?: Check
wq wq wq wq wq wq wq wq
-LFT
-Ammonia
-Depakote Level wq
20. What herbal supplement can cause hepatoxicity?: Kava Kava
wq wq wq wq wq wq wq
21. When taking Kava Kava in combinations with other medications you
wq wq wq wq wq wq wq wq wq
should caution about: Risk of Hepatoxicity and Sedation
wq wq wq wq wq wq wq wq
22. TCAs carry a risk of: Hepatotoxicity wq wq wq wq wq
23. Signs of Stevens-Johnson Syndrome: -fever, mouth pain, swelling, burning
wq wq wq wq wq wq wq wq
eyes, blisters, skin pain
wq wq wq wq
24. two psychotropics known to cause steven johnson syndrome: lamictal
wq wq wq wq wq wq wq wq
and tegretol
wq wq
25. What nationality is most suseptible of getting steven johnson?: Asians
wq wq wq wq wq wq wq wq wq
3 / wq
38
, 4
26. When treating asians with tegretal screen for?: HLAB-1502 Allele
wq wq wq wq wq wq wq wq
4 /
wq
38
