PMHNP certification Exam (2025/2026) Questions And Answers (Actual test verified Grade A+).

PMHNP certification Exam (2025/2026) Questions And Answers

(Actual test verified Grade A+).



1. Which patient is at highest risk for SI
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A. 30y/o married AA female with previous SI attempt *1 risk factor
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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, depression)
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q answer>>> D. 68 y/o single white male with depression *5 risk factors (age, male, white, depression)
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Count the risk factors
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2. COWS scale components
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answer>>> · Opioid W/D qq q q




Pulse, sweating, restlessness, pupil size- dilation (if pinpoint= opioid intoxication, not w/d), body aches,
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Rhinorrhea (running nose), Lacrimation (eye tearing), GI upset (N/V/D), yawning, tremors, anxiety/irritability,
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Piloerection (gooseflesh skin), insomnia
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3. What does COWS stand for?
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, answer>>> Clinical Opiate Withdrawal Scale
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4. What does CIWA stand for? q q q q qq




answer>>> Clinical Institute Withdrawal Assessment
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5. What does CIWA assess for? q q q q qq




qqq answer>>> --used to determine likelihood of ETOH withdraw- al or DTs
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--usually occur within the first 24-72 hours after cessation
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o used to determine when to administer medications for ETOH withdrawal
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6. What does CIWA NOT test for? q q q q q qq




answer>>> Alcohol Use Disorder
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7. What are the CIWA scale components?
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qqq answer>>> · N/V, tremor, paroxysmal sweats, anxiety, agitation, tactile disturbances, auditory
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disturbances, visual disturbances, H/A, orientation
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Each component is scored from 0(none)-7(severe) except orientation wh/ is (0 (AA0x4)-4 (disoriented)
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Score:

<10: Very mild Start PRN meds at score of 8
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>10 to 15: Mild scheduled + PRN meds
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>16 to 20: Moderate
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>21: Severe Diazepam, Librium, Ativan
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8. When interview teenagers (16 y/o) that arrive with their parents what should you do?
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,q answer>>> interview them separately from parents.
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-This helps Build therapeutic rapport with teens by telling them the info is confiden- tial. Parents may be upset bu
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remember you are advocating for the child.
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9. Which Ethnic group has the highest rate of suicide?
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answer>>> Native Americans
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10. Example A patient is being treated for schizophrenia with olanzapine. Which of the following
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q is the most common side effect of olanzapine?
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, A. Increased waist circumference q q




B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-receptor antag- onism
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C. Increased Lipids q




D. Metabolic Syndrome q qq




q answer>>> D. Metabolic Syndrome (UMBRELLA ANSWER)qqq q q q q




11. Which antipsychotics have the least weight gain?
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qqqqqq answer>>> Latuda, Abilify, (also least sedating), Geodon-if patient has metabolic syndrome consider
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q switching to one of the medications above. Or if the patient is overly sedated try switching to ABILIFY
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12. Which mood stabilizer have the least weight gain?
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answer>>> Lamictal
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-But remember all mood stabilizers cause some weight gain
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13. When presented with a question about typical vs atypical antipsychotic the answer is usually
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q to start of a
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qqqq answer>>> atypical qqq




14. A client presents with complains of changes in appetite, feeling fatigued, problems with sleep-
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rest cycle, and changes in libido. What is the neu- roanatomical area of the brain that is responsible
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q for the normal regulation of these functions?
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A. Thalamus
B. Hypothalamus
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