, ANCC PMHNP Certification Exam |
Questions With 100% Verified Answers
| Rated A+ | Latest 2026/2027 Pdf
Update
1. Which nutritional deficiency in a vegan diet can mimic psychiatric symptoms?
Correct Answer: Niacin
Rationale:
Niacin (Vitamin B3) deficiency causes pellagra, which may present with psychiatric symptoms
such as depression, confusion, hallucinations, irritability, and dementia. Pellagra is classically
remembered by the 4 Ds:
• Dermatitis
• Diarrhea
• Dementia
• Death (if untreated)
2. Deficiency of which vitamin is commonly associated with chronic alcohol abuse?
Correct Answer: Thiamine (Vitamin B1)
Rationale:
Thiamine deficiency is common in patients with alcohol use disorder and may lead to:
• Wernicke encephalopathy
• Korsakoff syndrome
• Memory impairment
• Ataxia
• Ophthalmoplegia
, 3. A positive Babinski reflex is considered normal during what age range?
Correct Answer: Birth to age 2 years
Rationale:
A positive Babinski reflex is a normal finding in infants because the corticospinal tract is not fully
myelinated. Persistence beyond age 2 years may indicate an upper motor neuron lesion.
4. What healthcare system functions as both the insurer and the provider of healthcare?
Correct Answer: Managed Care Organization (MCO)
Rationale:
A Managed Care Organization (MCO) combines healthcare financing and delivery by serving as
both the payer and provider of healthcare services while coordinating patient care.
5. What are the recommended starting and therapeutic doses of risperidone (Risperdal) for
adolescents aged 13–17 years?
Correct Answer:
• Starting dose: 0.5 mg/day
• Therapeutic dose: 3 mg/day
Rationale:
Risperidone should be started at a low dose and titrated gradually to achieve therapeutic
benefit while minimizing adverse effects.
6. Which type of family therapy uses structural mapping or genograms as a treatment
intervention?
Correct Answer: Structural Family Therapy
Rationale:
Structural family therapy uses genograms and structural mapping to evaluate family
relationships, boundaries, hierarchies, alliances, and interaction patterns.
Questions With 100% Verified Answers
| Rated A+ | Latest 2026/2027 Pdf
Update
1. Which nutritional deficiency in a vegan diet can mimic psychiatric symptoms?
Correct Answer: Niacin
Rationale:
Niacin (Vitamin B3) deficiency causes pellagra, which may present with psychiatric symptoms
such as depression, confusion, hallucinations, irritability, and dementia. Pellagra is classically
remembered by the 4 Ds:
• Dermatitis
• Diarrhea
• Dementia
• Death (if untreated)
2. Deficiency of which vitamin is commonly associated with chronic alcohol abuse?
Correct Answer: Thiamine (Vitamin B1)
Rationale:
Thiamine deficiency is common in patients with alcohol use disorder and may lead to:
• Wernicke encephalopathy
• Korsakoff syndrome
• Memory impairment
• Ataxia
• Ophthalmoplegia
, 3. A positive Babinski reflex is considered normal during what age range?
Correct Answer: Birth to age 2 years
Rationale:
A positive Babinski reflex is a normal finding in infants because the corticospinal tract is not fully
myelinated. Persistence beyond age 2 years may indicate an upper motor neuron lesion.
4. What healthcare system functions as both the insurer and the provider of healthcare?
Correct Answer: Managed Care Organization (MCO)
Rationale:
A Managed Care Organization (MCO) combines healthcare financing and delivery by serving as
both the payer and provider of healthcare services while coordinating patient care.
5. What are the recommended starting and therapeutic doses of risperidone (Risperdal) for
adolescents aged 13–17 years?
Correct Answer:
• Starting dose: 0.5 mg/day
• Therapeutic dose: 3 mg/day
Rationale:
Risperidone should be started at a low dose and titrated gradually to achieve therapeutic
benefit while minimizing adverse effects.
6. Which type of family therapy uses structural mapping or genograms as a treatment
intervention?
Correct Answer: Structural Family Therapy
Rationale:
Structural family therapy uses genograms and structural mapping to evaluate family
relationships, boundaries, hierarchies, alliances, and interaction patterns.
