PMHNP Certification Exam 2025//2027 | ALL Verified Exam Packs | 600+
Questions & 100% Correct Answer | pass!!
nalmefene (Revex) for treating caving and maintaining sobriety -answer-opioid
antagonist
increases abstinence
IM (revia; vivitrol) for treating caving and maintaining sobriety -answer-opioid antagonist
increases abstinence
acamprosate (campral) for treating caving and maintaining sobriety -answer-
homotaurine
decreases craving
ego-syntonic personality -answer-comfortable
ego-dystonic personality -answer-uncomfortable
Cluster A personalities -answer--odd, unusual, eccentric, asocial
-paranoid personality disorder
-schizoid personality disorder
-schizotypal personality disorder
cluster B personalities -answer--dramatic, affective instability
-antisocial personality disorder
-borderline personality disorder
-histrionic personality disorder
-narcissistic personality disorder
cluster C personalities -answer--anxious
-avoidant personality disorder
-dependent personality disorder
-obsessive-compulsive personality disorder
psychodynamic theory of personality disorders -answer--early separations problems
,-object relations theory
-during development, child must accomplish 2 tasks: separation and individuation
-failure results in disorders
structural abnormalities of personality disorders -answer--reduced gray-matter volume
in prefrontal cortex
-limbic system deregulation
neurotransmitter dysfunction in personality disorders -answer--decreased levels of
serotonin
-elevated levels of norepinephrine
-dysregulaiton of dopamine receptors
schizoid personality disorder -answer--neither desires no enjoys relationships
-choses solitary activities
-shows little to no interest in sexual activity with another person
-derives no pleasure in social activities
-lacks close friends or social supports
-is indifferent of opinions of others
-appears cold and detached
-exhibits affective flattening
schizotypal personality disorder -answer--ideas of reference
-odd beliefs
-magical thinking
-unusual perceptual experiences
-paranoid ideation
-inappropriate or constricted affect
-bx overtly odd, eccentric, or peculiar
-few or no close friends
-excessive social anxiety
antisocial personality disorder -answer--failure to conform to social norms
-repeated acts that are grounds for arrest
-deceitfulness, lying, and use of aliases for profit or pleasure
-impulsivity and failure of future planning
-reckless disregard for the welfare of others
-consistent irresponsibility
-lack of remorse, indifference to the feelings of others
borderline personality disorde -answer--frantic efforts to avoid real or imagined
abandonment
-pattern of unstable, intense interpersonal relationships
-identity disturbances
-impulsivity, often with self-damaging behavior
-recurrent suicidal behavior
,-chronic feelings of emptiness
-inappropriate, intensified affective anger responses
-transient psychotic symptoms of paranoia and dissociation
histrionic personality disorder -answer--uncomfortable in situations in which they are
not center of attention
-interactions with others characterized by inappropriate seductive or sexualized or
provocative behavior, rapid shifting, and shallow emotional responses
-consistent use of physical appearance to draw attention to self
-speech excessively impressionistic and lacking in detail
-suggestible and easily influenced
-relationships considered more intimate than they are
narcissistic personality disorder -answer--grandiose sense of self-importance
-preoccupation with fantasies of power, success, brilliance, and beauty
-belief of self-importance and being special and unique
-excessive admiration required
-unreasonable expectations or sense of entitlement
-interpersonally exploitative
-empathy lacking
-envy of others and belief that others envy them
-arrogant and haughty behaviors
avoidant personality disorder -answer--avoidance of activities involving significant
interpersonal contact
-fear of criticism, disapproval, or rejection
-unwillingness to be involved with people unless sure of being liked
-restraint in intimate relationships for fear of being shamed
-preoccupation with being criticized or rejected in social settings
-view of self as socially inept, personally unappealing, or inferior
-unusual reluctance to take personal risks or engage in new activities
dependent personality disorder -answer--difficulty making everyday decisions without
excessive advise
-needing others to assume responsibility for most areas of life
-difficulty expressing disagreement
-difficulty initiating projects by himself or herself
-going to excessive lengths to obtain nurturing and support from others
-urgent seeking of another relationship if a close relationship ends
-unrealistic preoccupation with fears of being left alone
obsessvie-compuslive personality disorder -answer--preoccupation with details, rules,
order, and organization
-perfectionism that interferes with task completion
-excessive devotion to work and productivity
-overly conscientious, scrupulous, and inflexible on issues of morality
, -inability to discard worn-out or worthless objects
-reluctance to delegate tasks or work with others
-adoption of a miserly spending style toward self and others
-rigidity and stubbornness
personality disorder pharm management for impulsivity -answer-SSRIs
anticonvulsant mood stabilizers
personality disorder pharm management for affective instability -answer-SSRIs
anticonvulsant mood stabilizers
personality disorder pharm management for anxiety -answer-non-benzo anxiolytics
SSRIs
Benzos used with extreme caution
personality disorder lifespan considerations -answer--unusual for someone to be given
a personality disorder diagnosis before ages 16-18
-an exception is antisocial personality disorder, which is often observable by onset of
puberty, however, diagnosis of antisocial personality disorder is not made until age 18
though process and content age of understanding -answer-by age 4, children have
some understanding of what is real or made up
test recall in children -answer-test recall after 5 minutes in school age children show be
able to remember 3 objects
abstraction in children -answer--children ages 12 and younger are not expected to
have abstractive thought abilities
-young children have concrete thinking
ODD -answer--an enduring pattern of angry or irritable mood and argumentative,
defiant, or vindictive behavior lasting at least 6 months with at least 4 of the associated
symptoms (loses temper, touchy or easily annoyed, angry or resentful, argues with
authority, actively defies or refuses to comply with request or rules from authority
figures, blames others, deliberately annoys others, spiteful or vindictive)
nonpharm treatment for ODD -answer--therapy is mainstay
-evidence based treatment
-child and parent problem-solving skills training
-incredible years (group intervention)
-parent-child interactional therapy (individual or family intervention)
-adolescent transitions program (ATP; individual or family and group intervention)
conduct disorder -answer--a repetitive and persistent pattern of behavior in which the
rights of others or societal norms or rules are violated
Questions & 100% Correct Answer | pass!!
nalmefene (Revex) for treating caving and maintaining sobriety -answer-opioid
antagonist
increases abstinence
IM (revia; vivitrol) for treating caving and maintaining sobriety -answer-opioid antagonist
increases abstinence
acamprosate (campral) for treating caving and maintaining sobriety -answer-
homotaurine
decreases craving
ego-syntonic personality -answer-comfortable
ego-dystonic personality -answer-uncomfortable
Cluster A personalities -answer--odd, unusual, eccentric, asocial
-paranoid personality disorder
-schizoid personality disorder
-schizotypal personality disorder
cluster B personalities -answer--dramatic, affective instability
-antisocial personality disorder
-borderline personality disorder
-histrionic personality disorder
-narcissistic personality disorder
cluster C personalities -answer--anxious
-avoidant personality disorder
-dependent personality disorder
-obsessive-compulsive personality disorder
psychodynamic theory of personality disorders -answer--early separations problems
,-object relations theory
-during development, child must accomplish 2 tasks: separation and individuation
-failure results in disorders
structural abnormalities of personality disorders -answer--reduced gray-matter volume
in prefrontal cortex
-limbic system deregulation
neurotransmitter dysfunction in personality disorders -answer--decreased levels of
serotonin
-elevated levels of norepinephrine
-dysregulaiton of dopamine receptors
schizoid personality disorder -answer--neither desires no enjoys relationships
-choses solitary activities
-shows little to no interest in sexual activity with another person
-derives no pleasure in social activities
-lacks close friends or social supports
-is indifferent of opinions of others
-appears cold and detached
-exhibits affective flattening
schizotypal personality disorder -answer--ideas of reference
-odd beliefs
-magical thinking
-unusual perceptual experiences
-paranoid ideation
-inappropriate or constricted affect
-bx overtly odd, eccentric, or peculiar
-few or no close friends
-excessive social anxiety
antisocial personality disorder -answer--failure to conform to social norms
-repeated acts that are grounds for arrest
-deceitfulness, lying, and use of aliases for profit or pleasure
-impulsivity and failure of future planning
-reckless disregard for the welfare of others
-consistent irresponsibility
-lack of remorse, indifference to the feelings of others
borderline personality disorde -answer--frantic efforts to avoid real or imagined
abandonment
-pattern of unstable, intense interpersonal relationships
-identity disturbances
-impulsivity, often with self-damaging behavior
-recurrent suicidal behavior
,-chronic feelings of emptiness
-inappropriate, intensified affective anger responses
-transient psychotic symptoms of paranoia and dissociation
histrionic personality disorder -answer--uncomfortable in situations in which they are
not center of attention
-interactions with others characterized by inappropriate seductive or sexualized or
provocative behavior, rapid shifting, and shallow emotional responses
-consistent use of physical appearance to draw attention to self
-speech excessively impressionistic and lacking in detail
-suggestible and easily influenced
-relationships considered more intimate than they are
narcissistic personality disorder -answer--grandiose sense of self-importance
-preoccupation with fantasies of power, success, brilliance, and beauty
-belief of self-importance and being special and unique
-excessive admiration required
-unreasonable expectations or sense of entitlement
-interpersonally exploitative
-empathy lacking
-envy of others and belief that others envy them
-arrogant and haughty behaviors
avoidant personality disorder -answer--avoidance of activities involving significant
interpersonal contact
-fear of criticism, disapproval, or rejection
-unwillingness to be involved with people unless sure of being liked
-restraint in intimate relationships for fear of being shamed
-preoccupation with being criticized or rejected in social settings
-view of self as socially inept, personally unappealing, or inferior
-unusual reluctance to take personal risks or engage in new activities
dependent personality disorder -answer--difficulty making everyday decisions without
excessive advise
-needing others to assume responsibility for most areas of life
-difficulty expressing disagreement
-difficulty initiating projects by himself or herself
-going to excessive lengths to obtain nurturing and support from others
-urgent seeking of another relationship if a close relationship ends
-unrealistic preoccupation with fears of being left alone
obsessvie-compuslive personality disorder -answer--preoccupation with details, rules,
order, and organization
-perfectionism that interferes with task completion
-excessive devotion to work and productivity
-overly conscientious, scrupulous, and inflexible on issues of morality
, -inability to discard worn-out or worthless objects
-reluctance to delegate tasks or work with others
-adoption of a miserly spending style toward self and others
-rigidity and stubbornness
personality disorder pharm management for impulsivity -answer-SSRIs
anticonvulsant mood stabilizers
personality disorder pharm management for affective instability -answer-SSRIs
anticonvulsant mood stabilizers
personality disorder pharm management for anxiety -answer-non-benzo anxiolytics
SSRIs
Benzos used with extreme caution
personality disorder lifespan considerations -answer--unusual for someone to be given
a personality disorder diagnosis before ages 16-18
-an exception is antisocial personality disorder, which is often observable by onset of
puberty, however, diagnosis of antisocial personality disorder is not made until age 18
though process and content age of understanding -answer-by age 4, children have
some understanding of what is real or made up
test recall in children -answer-test recall after 5 minutes in school age children show be
able to remember 3 objects
abstraction in children -answer--children ages 12 and younger are not expected to
have abstractive thought abilities
-young children have concrete thinking
ODD -answer--an enduring pattern of angry or irritable mood and argumentative,
defiant, or vindictive behavior lasting at least 6 months with at least 4 of the associated
symptoms (loses temper, touchy or easily annoyed, angry or resentful, argues with
authority, actively defies or refuses to comply with request or rules from authority
figures, blames others, deliberately annoys others, spiteful or vindictive)
nonpharm treatment for ODD -answer--therapy is mainstay
-evidence based treatment
-child and parent problem-solving skills training
-incredible years (group intervention)
-parent-child interactional therapy (individual or family intervention)
-adolescent transitions program (ATP; individual or family and group intervention)
conduct disorder -answer--a repetitive and persistent pattern of behavior in which the
rights of others or societal norms or rules are violated
