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PMHNP Board Exam Questions and Answers – Complete Practice Exam Material with Detailed Rationales

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This document contains comprehensive Psychiatric-Mental Health Nurse Practitioner (PMHNP) board exam practice questions and answers covering assessment, diagnosis, pharmacology, psychotherapy, neurobiology, ethics, and evidence-based mental health care. It includes detailed rationales and clinical scenarios designed to strengthen critical thinking, reinforce core concepts, and support effective board exam preparation. The material serves as a valuable study resource for PMHNP candidates preparing for certification.

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PMHNP




BANK FOR PMHNP BOARDS EXAM QUESTIONS AND
ANSWERS % CORRECT.

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

,PMHNP


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

,PMHNP


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 couple’s 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

, PMHNP


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 >>>Amyloid (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 dyskinesia’s induced by L-dopa)

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