AANP PMHNP Test Bank
1st Edition 2024 Over 500
Questions and Answers
Solved 100%
PMHNP Practice Exam: 100 Questions with Rationales
Section 1: Foundational Concepts (Questions 1-20)
Question 1
A 68-year-old single white male with depression presents for
evaluation. Which factor places him at highest risk for
suicide?
A. Marital status
B. Age over 65
C. Gender and race
D. Diagnosis of depression
Correct Answer: C
Rationale: The combination of being male, white, and having
depression significantly increases suicide risk. Elderly white
males have the highest suicide rate of any demographic
,group. While all factors mentioned contribute, the
intersection of gender and race with depression creates the
greatest risk profile .
Question 2
When interviewing a 16-year-old patient who arrives with
their parents, what should the PMHNP do first?
A. Interview the patient and parents together
B. Interview the patient separately from parents
C. Obtain consent only from parents
D. Request that parents leave the facility
Correct Answer: B
Rationale: Interviewing teenagers separately from parents
helps build therapeutic rapport and allows the adolescent to
speak freely. Confidentiality should be explained to both the
teen and parents. This approach respects adolescent
development while maintaining appropriate parental
involvement .
Question 3
Which ethnic group has the highest rate of suicide in the
United States?
A. African Americans
B. Hispanic Americans
C. Asian Americans
D. Native Americans
,Correct Answer: D
Rationale: Native Americans have the highest suicide rate
among ethnic groups in the United States. This disparity is
attributed to multiple factors including historical trauma,
socioeconomic challenges, and limited access to mental
health services .
Question 4
A patient being treated for schizophrenia with olanzapine
presents for follow-up. Which side effect requires immediate
monitoring?
A. Extrapyramidal symptoms
B. Increased waist circumference
C. Metabolic syndrome
D. Elevated liver enzymes
Correct Answer: C
Rationale: Metabolic syndrome (including weight gain,
dyslipidemia, and hyperglycemia) is the most concerning side
effect of olanzapine and other atypical antipsychotics. While
increased waist circumference and elevated lipids are
components, metabolic syndrome represents the
comprehensive clinical picture requiring ongoing monitoring .
Question 5
, Which antipsychotic medications are associated with the least
weight gain?
A. Clozapine and olanzapine
B. Risperidone and paliperidone
C. Quetiapine and asenapine
D. Lurasidone, aripiprazole, and ziprasidone
Correct Answer: D
Rationale: Lurasidone (Latuda), aripiprazole (Abilify), and
ziprasidone (Geodon) have the lowest risk of weight gain
among antipsychotics. For patients with metabolic concerns
or excessive sedation, switching to one of these agents is
recommended .
Question 6
Which mood stabilizer is associated with the least weight
gain?
A. Lithium
B. Valproate
C. Lamotrigine
D. Carbamazepine
Correct Answer: C
Rationale: Lamotrigine (Lamictal) has the lowest risk of
weight gain among mood stabilizers. However, all mood
1st Edition 2024 Over 500
Questions and Answers
Solved 100%
PMHNP Practice Exam: 100 Questions with Rationales
Section 1: Foundational Concepts (Questions 1-20)
Question 1
A 68-year-old single white male with depression presents for
evaluation. Which factor places him at highest risk for
suicide?
A. Marital status
B. Age over 65
C. Gender and race
D. Diagnosis of depression
Correct Answer: C
Rationale: The combination of being male, white, and having
depression significantly increases suicide risk. Elderly white
males have the highest suicide rate of any demographic
,group. While all factors mentioned contribute, the
intersection of gender and race with depression creates the
greatest risk profile .
Question 2
When interviewing a 16-year-old patient who arrives with
their parents, what should the PMHNP do first?
A. Interview the patient and parents together
B. Interview the patient separately from parents
C. Obtain consent only from parents
D. Request that parents leave the facility
Correct Answer: B
Rationale: Interviewing teenagers separately from parents
helps build therapeutic rapport and allows the adolescent to
speak freely. Confidentiality should be explained to both the
teen and parents. This approach respects adolescent
development while maintaining appropriate parental
involvement .
Question 3
Which ethnic group has the highest rate of suicide in the
United States?
A. African Americans
B. Hispanic Americans
C. Asian Americans
D. Native Americans
,Correct Answer: D
Rationale: Native Americans have the highest suicide rate
among ethnic groups in the United States. This disparity is
attributed to multiple factors including historical trauma,
socioeconomic challenges, and limited access to mental
health services .
Question 4
A patient being treated for schizophrenia with olanzapine
presents for follow-up. Which side effect requires immediate
monitoring?
A. Extrapyramidal symptoms
B. Increased waist circumference
C. Metabolic syndrome
D. Elevated liver enzymes
Correct Answer: C
Rationale: Metabolic syndrome (including weight gain,
dyslipidemia, and hyperglycemia) is the most concerning side
effect of olanzapine and other atypical antipsychotics. While
increased waist circumference and elevated lipids are
components, metabolic syndrome represents the
comprehensive clinical picture requiring ongoing monitoring .
Question 5
, Which antipsychotic medications are associated with the least
weight gain?
A. Clozapine and olanzapine
B. Risperidone and paliperidone
C. Quetiapine and asenapine
D. Lurasidone, aripiprazole, and ziprasidone
Correct Answer: D
Rationale: Lurasidone (Latuda), aripiprazole (Abilify), and
ziprasidone (Geodon) have the lowest risk of weight gain
among antipsychotics. For patients with metabolic concerns
or excessive sedation, switching to one of these agents is
recommended .
Question 6
Which mood stabilizer is associated with the least weight
gain?
A. Lithium
B. Valproate
C. Lamotrigine
D. Carbamazepine
Correct Answer: C
Rationale: Lamotrigine (Lamictal) has the lowest risk of
weight gain among mood stabilizers. However, all mood
