PMHNP certification exam verified with correct answers 2026/2027
version
displacement - correct answer >>>taking out frustrations, etc on people or objects less
threatening- neurotic defense mechanism
rationalization - correct answer >>>explaining unacceptable in a rational or logical
manner- neurotic defense mechanism
splitting - correct answer >>>seeing things about self or others in extremes, unable to
integrate negative and positive- neurotic defense mechanism
sublimation - correct answer >>>converts unacceptable into acceptable (going to gym
when angry)- mature, healthy defense mechanism
humor, sublimation, suppression - correct answer >>>mature, healthy defense
mechanisms
suppression - correct answer >>>removal of unwanted information (thinking about
matter later)-mature, healthy defense mechanism
cohort study - correct answer >>>level 3 evidence heirarchy- specific variable and a
specific outcome tested
Meta-analysis (systematic review) - correct answer >>>level 1 highest level of evidence-
review of high quality published research
RCTs - correct answer >>>level 2 evidence heirarchy
case control study - correct answer >>>level 4 evidence heirarchy- retrospective study
of cases and controls compared
case series/ reports - correct answer >>>level 5 evidence heirarchyone study or
narrative of one study/patient
editorial/expert opinion - correct answer >>>lowest level (6) of evidence heirarchy-
essays
herd community - correct answer >>>resistance of group to infectious agent
active immunity - correct answer >>>resistance developed in response to an antigen
(agent or vaccine) ;presence of antibody produced by host, years or lifelong
passive immunity - correct answer >>>immunity from mother or IG administered; 6-9
months
, sensitivity - correct answer >>>positive in disease; SnNout- sensitive test when negative
rules OUT disease
specificity - correct answer >>>negative in health; SpPin- specific test when positive
rules IN disease
prevalence - correct answer >>>porportion of individuals possessing the condition at
any given time
incidence - correct answer >>>NEW cases only
AST elevation >40 - correct answer >>>alcohol, statin, tylenol, depakote
ALT elevation >40 - correct answer >>>liver stress, depakote
GGT elevation > 45 - correct answer >>>possible ETOH
CK elevation >240 - correct answer >>>possible NMS
GFR <60 - correct answer >>>requires dose adjustment (normal >90)
drugs/conditions that increase Li+ level - correct answer >>>ACE inhibitors, ARBs,
NSAIDs, tetracyclines, metronidazole, K sparing diuretics, thiazide diuretics,
dehydration HYPOnatremia
denial - correct answer >>>refusal to admit or recognize problem or event- primitive
defense mechanism
projection - correct answer >>>taking one's own unacceptable qualities and attributing
them to another- primitive defense mechanism
regression - correct answer >>>reverting to patterns of behavior from earlier stage of
developement- immature defense mechanism
passive-aggression - correct answer >>>indirectly expressing anger- immature defense
mechanism
reaction formation - correct answer >>>taking up the opposite feeling to reduce anxiety-
neurotic defense mechanism
intelluctualization - correct answer >>>focusing on intellectual component to AVOID
anxiety or thinking about the matter- neurotic defense mechanism
version
displacement - correct answer >>>taking out frustrations, etc on people or objects less
threatening- neurotic defense mechanism
rationalization - correct answer >>>explaining unacceptable in a rational or logical
manner- neurotic defense mechanism
splitting - correct answer >>>seeing things about self or others in extremes, unable to
integrate negative and positive- neurotic defense mechanism
sublimation - correct answer >>>converts unacceptable into acceptable (going to gym
when angry)- mature, healthy defense mechanism
humor, sublimation, suppression - correct answer >>>mature, healthy defense
mechanisms
suppression - correct answer >>>removal of unwanted information (thinking about
matter later)-mature, healthy defense mechanism
cohort study - correct answer >>>level 3 evidence heirarchy- specific variable and a
specific outcome tested
Meta-analysis (systematic review) - correct answer >>>level 1 highest level of evidence-
review of high quality published research
RCTs - correct answer >>>level 2 evidence heirarchy
case control study - correct answer >>>level 4 evidence heirarchy- retrospective study
of cases and controls compared
case series/ reports - correct answer >>>level 5 evidence heirarchyone study or
narrative of one study/patient
editorial/expert opinion - correct answer >>>lowest level (6) of evidence heirarchy-
essays
herd community - correct answer >>>resistance of group to infectious agent
active immunity - correct answer >>>resistance developed in response to an antigen
(agent or vaccine) ;presence of antibody produced by host, years or lifelong
passive immunity - correct answer >>>immunity from mother or IG administered; 6-9
months
, sensitivity - correct answer >>>positive in disease; SnNout- sensitive test when negative
rules OUT disease
specificity - correct answer >>>negative in health; SpPin- specific test when positive
rules IN disease
prevalence - correct answer >>>porportion of individuals possessing the condition at
any given time
incidence - correct answer >>>NEW cases only
AST elevation >40 - correct answer >>>alcohol, statin, tylenol, depakote
ALT elevation >40 - correct answer >>>liver stress, depakote
GGT elevation > 45 - correct answer >>>possible ETOH
CK elevation >240 - correct answer >>>possible NMS
GFR <60 - correct answer >>>requires dose adjustment (normal >90)
drugs/conditions that increase Li+ level - correct answer >>>ACE inhibitors, ARBs,
NSAIDs, tetracyclines, metronidazole, K sparing diuretics, thiazide diuretics,
dehydration HYPOnatremia
denial - correct answer >>>refusal to admit or recognize problem or event- primitive
defense mechanism
projection - correct answer >>>taking one's own unacceptable qualities and attributing
them to another- primitive defense mechanism
regression - correct answer >>>reverting to patterns of behavior from earlier stage of
developement- immature defense mechanism
passive-aggression - correct answer >>>indirectly expressing anger- immature defense
mechanism
reaction formation - correct answer >>>taking up the opposite feeling to reduce anxiety-
neurotic defense mechanism
intelluctualization - correct answer >>>focusing on intellectual component to AVOID
anxiety or thinking about the matter- neurotic defense mechanism
