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Question Bank for PMHNP Boards – Comprehensive Practice Questions, Study Guide, and Certification Exam Preparation

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This document provides comprehensive preparation for the Psychiatric-Mental Health Nurse Practitioner (PMHNP) board certification exam, featuring a question bank with exam-style practice questions and detailed review material covering the core competencies assessed on the certification examination. It includes psychiatric assessment, diagnosis, psychopharmacology, psychotherapy, neurobiology, therapeutic communication, ethical and legal considerations, evidence-based practice, and clinical decision-making to help candidates strengthen their knowledge and prepare confidently for the PMHNP boards.

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QUESTION BANK FOR PMHNP
BOARDS WITH 100% CORRECT
ANSWERS GRADED A+ 2026
What is true of interprofessionality? - answer-All health professionals have individual
professional competencies



What is the significance of an experimental p-value of 0.05 - answer-There is a 5%
chance of a similar result occurring by chance alone



What percentage of children with oppositional defiance disorder will develop conduct
disorder? - answer-30%



In the DSM-5, selective mutism is now considered what type of disorder? - answer-
anxiety disorder



Symptoms of selective mutism must persist for at least - answer-1 month



Common competencies - answer-overlap more than one health care professional,
although not necessarily all health care professionals, and are competencies expected
of all health care professionals



Complementary competencies - answer-enhance the qualities of other professions in
provision of care



Collaborative competencies - answer-those that each individual profession must
possess to work with others, including those who practice within different specialties
within a profession.



Interpersonal collaboration is _______ centered - answer-patient

,Cognitive therapy is recommended for patients that have - answer-negative cognitive
distortions

irrational beliefs

faulty conceptions



Humanistic Therapy focuses on assisting patients with - answer-self-actualization and
self-directed growth



Behavioral Therapy focuses on - answer-changing maladaptive behaviors through the
use of behavioral modification techniques



Existential therapy is for - answer-reflection on life

confronting self



120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without
diarrhea ate lettuce. 160 without diarrhea ate lettuce. What is the odds ratio of eating
lettuce and developing diarrhea? - answer-6 ((120X160)/(80x40))



The New Freedom Commission on Mental Health (NFCMH) released a report that
suggested - answer-implementation a national campaign to reduce the stigma of
seeking care

Focusing on promoting recovery and building resilience



The efficacy of mental health treatments was found to be well documented in - answer-
influential report issued by US Surgeon General in 1999



State of high negative emotion and pessimism - answer-neuroticism



Commonly known as an optimistic outlook on life They are are outgoing, like social
interaction, respond to external rewards, have more active dopamine networks, and are

,responsive to positive reinforcement. - answer-Extraversion (high levels protect from
psychiatric illness)



Introverts are more likely to be _______ motivated and more likely to respond to _______
reinforcement - answer-internally

negative (more likely to interact with internal motivation/self-image)



Interpersonal trait of cooperation, easy going nature. Tend to have smooth relationships
often at the expense of self-assertion - answer-Agreeableness



Associated with self-control and a focused, organized approach to life. Are
achievement-oriented goal setters who can delay immediate gratification to obtain their
long term desired outcome. They are considered responsible, reliable, and dependable.
- answer-conscientiousness



In behavioral couples therapy, the initial sessions are spent doing a functional analysis
of behavior (FAB). What is true about FAB? - answer-FAB is concerned only with
observable stimuli connected to operant behavior

FAB is based on operant conditioning (identifying antecedent stimuli, operant
behaviors, and consequent stimuli)

The goal of FAB is modifying willful operant behavior



Gestalt theory deals with _____, not _____ - answer-perceptual psychology

behavior



Medication that can delay ejaculation in patients with premature ejaculation - answer-
Paroxetine (and other SSRIs)

(others include:

Topical anesthetic

Tramadol

Phosphodiesterase-5 inhibitors)

, First line treatment for lithium induced diabetes insipidus - answer-Amiloride (K
potassium diuretic) in addition to dc lithium when possible.



Ways to reduce polyuria associated with lithium toxicity - answer-reduce lithium dose to
minimum effective dose

take once daily at night (may be 5-30% lower than when given in divided doses over the
day)

Encourage adequate fluid intake



What is true about ECT in Parkinson's disease - answer-it's more likely to cause
transient delirium (worsened dyskinesias induced by l-dopa)



Lithium effects with Parkison's disease - answer-may worsen tremor



nonselective MAOIs decrease the efficacy of ______ and increase the risk of a
__________ - answer-l-dopa products

hypertensive crisis



Selegiline is selective for - answer-MAO-B

(after 10mg there is an increase in risk of serotonin syndrome if given with other meds
that increase serotonin)



SSRI's can _______ Parkinsonism tremor - answer-worsen (and decrease 'off time')



Process describes the mechanism by which the hippocampus stores memories -
answer-long-term potentiation



loss of memory relating to a particular category of information (inability to recall
important autobiographical information, usually of a traumatic or stressful nature, that
is inconsistent with ordinary forgetting) - answer-systematized amnesia

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