BARKLEY DRT PMHNP Practicum 1
Study Guide Complete Questions With
Correct Answers | 100% Guaranteed
Pass| 2026 Updated
Question 1
During a suicide intervention with your 28-year-old male patient, to
which agreement should you ask for his consent, verbally or in writing?
A. "No Harm" contract
B. "No Suicide" contract
C. "Prevention" Contract
D. "Affirming Life" contract
Answer: A
Rationale: Healthcare professionals are obligated to ask suicidal
patients to agree to a "no harm" contract, verbally or in writing, detailing
specifically that the patient will refrain from harming themselves.
Question 2
Courtney, 35, is a rape victim. You note that she has an expressed style
of coping in her acute rape trauma syndrome. Which finding would most
lead you to this conclusion?
,A. Patient's masked face
B. Patient's distractibility
C. Patient smiling
D. Patient having difficulty making decisions
Answer: C
Rationale: Smiling is an expressed style of coping as it masks the
internal emotional turmoil. In the expressed style of coping, patients may
display their emotions openly, including smiling, talking, and crying. The
controlled style is characterized by a calm, composed exterior with
hidden emotions.
Question 3
Which patient would not require hospitalization?
A. A 29-year-old self-admitted bulimic male with bradycardia
B. A 27-year-old female with repeated use of laxatives and diuretics at
least two times a week for 3 months
C. A 20-year-old male suffering from persistent hypothermia
D. An 18-year-old young woman who is 5'4" and weighs 92 pounds
Answer: B
Rationale: Hospitalization criteria for eating disorders include
bradycardia (<40 BPM), hypothermia (<96°F), electrolyte imbalances,
and significant weight loss (<85% of ideal body weight). The patient in
option B may not meet hospitalization criteria based on the information
provided.
,Question 4
Terry, 35, visits your office with the assumption that he is experiencing
depression. He has a history of substance abuse and a family history of
mood disorders. He reports fatigue, insomnia, confusion, weight loss,
and recurrent suicidal thoughts. Which is the best medication to
prescribe?
A. Sympathomimetics
B. Bupropion
C. Olanzapine
D. Risperidone
Answer: B
Rationale: Bupropion is a better choice for patients with a history of
substance abuse because it has a lower potential for abuse and is not
associated with sedation or weight gain. Sympathomimetics have
potential for abuse.
Question 5
You are attending to a 30-year-old male after he was shot at and almost
killed. By showing empathy, confrontation, and immediacy, you are
exhibiting which of the following?
A. Identifying the hazard and precipitating event
B. Counseling keystones relevant to assessment of a crisis
C. Identifying coping mechanisms
D. Situational support
Answer: B
, Rationale: Empathy, confrontation, and immediacy are three counseling
keystones relevant to assessment of a crisis. These techniques help
establish therapeutic rapport and facilitate crisis intervention.
Question 6
A patient expresses ambivalence regarding suicidal intent. How should
this be interpreted?
A. It indicates severe risk requiring immediate hospitalization
B. It indicates moderate risk, not severe risk
C. It indicates no risk at all
D. It indicates the patient is not being truthful
Answer: B
Rationale: Although ambivalence regarding suicidal intent should be
taken into account when considering level of observation in a patient, it
indicates a moderate risk, not a severe risk.
Question 7
Which of the following is the most important question to ask a patient
who is at risk for suicide?
A. "You're not thinking of suicide, are you?"
B. "Do you have a plan to harm yourself?"
C. "Why would you want to hurt yourself?"
D. "Everything will get better soon."
Study Guide Complete Questions With
Correct Answers | 100% Guaranteed
Pass| 2026 Updated
Question 1
During a suicide intervention with your 28-year-old male patient, to
which agreement should you ask for his consent, verbally or in writing?
A. "No Harm" contract
B. "No Suicide" contract
C. "Prevention" Contract
D. "Affirming Life" contract
Answer: A
Rationale: Healthcare professionals are obligated to ask suicidal
patients to agree to a "no harm" contract, verbally or in writing, detailing
specifically that the patient will refrain from harming themselves.
Question 2
Courtney, 35, is a rape victim. You note that she has an expressed style
of coping in her acute rape trauma syndrome. Which finding would most
lead you to this conclusion?
,A. Patient's masked face
B. Patient's distractibility
C. Patient smiling
D. Patient having difficulty making decisions
Answer: C
Rationale: Smiling is an expressed style of coping as it masks the
internal emotional turmoil. In the expressed style of coping, patients may
display their emotions openly, including smiling, talking, and crying. The
controlled style is characterized by a calm, composed exterior with
hidden emotions.
Question 3
Which patient would not require hospitalization?
A. A 29-year-old self-admitted bulimic male with bradycardia
B. A 27-year-old female with repeated use of laxatives and diuretics at
least two times a week for 3 months
C. A 20-year-old male suffering from persistent hypothermia
D. An 18-year-old young woman who is 5'4" and weighs 92 pounds
Answer: B
Rationale: Hospitalization criteria for eating disorders include
bradycardia (<40 BPM), hypothermia (<96°F), electrolyte imbalances,
and significant weight loss (<85% of ideal body weight). The patient in
option B may not meet hospitalization criteria based on the information
provided.
,Question 4
Terry, 35, visits your office with the assumption that he is experiencing
depression. He has a history of substance abuse and a family history of
mood disorders. He reports fatigue, insomnia, confusion, weight loss,
and recurrent suicidal thoughts. Which is the best medication to
prescribe?
A. Sympathomimetics
B. Bupropion
C. Olanzapine
D. Risperidone
Answer: B
Rationale: Bupropion is a better choice for patients with a history of
substance abuse because it has a lower potential for abuse and is not
associated with sedation or weight gain. Sympathomimetics have
potential for abuse.
Question 5
You are attending to a 30-year-old male after he was shot at and almost
killed. By showing empathy, confrontation, and immediacy, you are
exhibiting which of the following?
A. Identifying the hazard and precipitating event
B. Counseling keystones relevant to assessment of a crisis
C. Identifying coping mechanisms
D. Situational support
Answer: B
, Rationale: Empathy, confrontation, and immediacy are three counseling
keystones relevant to assessment of a crisis. These techniques help
establish therapeutic rapport and facilitate crisis intervention.
Question 6
A patient expresses ambivalence regarding suicidal intent. How should
this be interpreted?
A. It indicates severe risk requiring immediate hospitalization
B. It indicates moderate risk, not severe risk
C. It indicates no risk at all
D. It indicates the patient is not being truthful
Answer: B
Rationale: Although ambivalence regarding suicidal intent should be
taken into account when considering level of observation in a patient, it
indicates a moderate risk, not a severe risk.
Question 7
Which of the following is the most important question to ask a patient
who is at risk for suicide?
A. "You're not thinking of suicide, are you?"
B. "Do you have a plan to harm yourself?"
C. "Why would you want to hurt yourself?"
D. "Everything will get better soon."
