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BARKLEY DRT PMHNP PRACTICUM 1 EXAM 2026/2027
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS |
LATEST UPDATE (VERIFIED) 90 Q & A} GRADED A+ | BRAND
NEW!
Tony, a 16- year - old male, has been sent to your clinic for
counseling. He has a long record of skipping school, talking back
to his teachers, and getting poor grades. His parents say he has
often gotten in fights with them, has frequently been caught
sneaking girls into h is room, and has run away from home on
two occasions. During the session, you notice Tony acts tough
and aloof, not deigning to speak much. If you suspect conduct
disorder, which of the following conditions would you be least
likely to include in your diff erential diagnosis?
1. Borderline personality disorder
2. Oppositional defiant disorder
3. Adjustment disorder with disturbance of conduct
4. Bipolar disorder - ✔✔✔ Correct Answer > Borderline personality
disorder is not considered a differential diagnosis for conduct
disorder, as indicated by the patient's truancy, defiance of
authority figures, fights with family members, poor academic
performance, sexual promiscuity, running away f rom home,
and "tough guy" demeanor. Oppositional defiant disorder,
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bipolar disorders, and adjustment disorders are all considered
potential differential diagnoses for conduct disorder, as are
depressive disorders, attention - deficit/hyperactivity disorder,
and intermittent explosive disorder.
Your patient, Adam, has just been admitted to the hospital
because of body tremors, disorientation, and agitation. His
cardiac indices and oxygen consumption are significantly
elevated. He was just started on IV therapy with benzodiazepines
to control with drawal symptoms. Three days ago, Adam began
detoxification of which substance?
1. Cannabis
2. Opioids
3. Cocaine
4. Alcohol - ✔✔✔ Correct Answer > Alcohol withdrawal symptom can
result in delirium tremens, a medical emergency characterized
by body tremors, disorientation, agitation, and autonomic
hyperactivity, among other signs and symptoms. Cannabis
withdrawal, which may be managed with benzodiazep ines, may
cause tremors or agitation, but disorientation is not typical.
Opioid withdrawal does not usually cause body tremors,
disorientation, or agitation; dysphoric mood, nausea, muscle
aches, and lacrimation are more common. Stimulant
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withdrawal, which does not require pharmaceutical
intervention, is characterized by dysphoric mood, fatigue, and
psychomotor retardation.
In which of these rehabilitation models is a patient expected to
help run a business?
1. Fairweather Lodge model
2. Multisystemic therapy model
3. Clubhouse model
4. Assertive community treatment model - ✔✔✔ Correct Answer > In
the Fairweather Model, patients live together and operate a
shared business as a way of developing autonomy and
improving their social interaction skills. The clubhouse model
provides individual patients with opportunities to help them
return to paid em ployment. The assertive community
treatment model provides job training and employment
opportunities to patients. Multisystemic therapy is aimed at
treating youths with serious mental illness without
incorporating employment as a treatment goal.
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Which of these lab findings would be least expected in a patient
with depression?
1. Decreased nocturnal growth hormone secretion
2. Decreased thyroid - stimulating hormone response
3. Increased somatostatin in cerebrospinal fluid
4. Increased secretion of cortisol - ✔✔✔ Correct Answer > Depressive
symptoms are associated with decreased, not increased,
levels of somatostatin in cerebrospinal fluid. Patients with
depression may exhibit a decreased thyroid - stimulating
hormone response to thyrotropin - releasing hormone, as well
as hypersecretion of cortisol. Depressive symptoms are also
associated with irregularities in growth hormone release, such
as reduced nocturnal secretion and diurnal hypersecretion.
Which of the following attainments is of key importance in
rational - emotive therapy?
A break from maladaptive habits
A tolerant and grounded view of life
A willingness to explore and trust one's self
A negation of anxiety - ✔✔✔ Correct Answer > Albert Ellis'
rationalemotive therapy aims to eliminate the patient's
selfdefeating outlook on life by replacing it with a more tolerant,
rational, and grounded look at the world. Although
BARKLEY DRT PMHNP PRACTICUM 1 EXAM 2026/2027
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS |
LATEST UPDATE (VERIFIED) 90 Q & A} GRADED A+ | BRAND
NEW!
Tony, a 16- year - old male, has been sent to your clinic for
counseling. He has a long record of skipping school, talking back
to his teachers, and getting poor grades. His parents say he has
often gotten in fights with them, has frequently been caught
sneaking girls into h is room, and has run away from home on
two occasions. During the session, you notice Tony acts tough
and aloof, not deigning to speak much. If you suspect conduct
disorder, which of the following conditions would you be least
likely to include in your diff erential diagnosis?
1. Borderline personality disorder
2. Oppositional defiant disorder
3. Adjustment disorder with disturbance of conduct
4. Bipolar disorder - ✔✔✔ Correct Answer > Borderline personality
disorder is not considered a differential diagnosis for conduct
disorder, as indicated by the patient's truancy, defiance of
authority figures, fights with family members, poor academic
performance, sexual promiscuity, running away f rom home,
and "tough guy" demeanor. Oppositional defiant disorder,
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bipolar disorders, and adjustment disorders are all considered
potential differential diagnoses for conduct disorder, as are
depressive disorders, attention - deficit/hyperactivity disorder,
and intermittent explosive disorder.
Your patient, Adam, has just been admitted to the hospital
because of body tremors, disorientation, and agitation. His
cardiac indices and oxygen consumption are significantly
elevated. He was just started on IV therapy with benzodiazepines
to control with drawal symptoms. Three days ago, Adam began
detoxification of which substance?
1. Cannabis
2. Opioids
3. Cocaine
4. Alcohol - ✔✔✔ Correct Answer > Alcohol withdrawal symptom can
result in delirium tremens, a medical emergency characterized
by body tremors, disorientation, agitation, and autonomic
hyperactivity, among other signs and symptoms. Cannabis
withdrawal, which may be managed with benzodiazep ines, may
cause tremors or agitation, but disorientation is not typical.
Opioid withdrawal does not usually cause body tremors,
disorientation, or agitation; dysphoric mood, nausea, muscle
aches, and lacrimation are more common. Stimulant
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withdrawal, which does not require pharmaceutical
intervention, is characterized by dysphoric mood, fatigue, and
psychomotor retardation.
In which of these rehabilitation models is a patient expected to
help run a business?
1. Fairweather Lodge model
2. Multisystemic therapy model
3. Clubhouse model
4. Assertive community treatment model - ✔✔✔ Correct Answer > In
the Fairweather Model, patients live together and operate a
shared business as a way of developing autonomy and
improving their social interaction skills. The clubhouse model
provides individual patients with opportunities to help them
return to paid em ployment. The assertive community
treatment model provides job training and employment
opportunities to patients. Multisystemic therapy is aimed at
treating youths with serious mental illness without
incorporating employment as a treatment goal.
, 4 | Page
Which of these lab findings would be least expected in a patient
with depression?
1. Decreased nocturnal growth hormone secretion
2. Decreased thyroid - stimulating hormone response
3. Increased somatostatin in cerebrospinal fluid
4. Increased secretion of cortisol - ✔✔✔ Correct Answer > Depressive
symptoms are associated with decreased, not increased,
levels of somatostatin in cerebrospinal fluid. Patients with
depression may exhibit a decreased thyroid - stimulating
hormone response to thyrotropin - releasing hormone, as well
as hypersecretion of cortisol. Depressive symptoms are also
associated with irregularities in growth hormone release, such
as reduced nocturnal secretion and diurnal hypersecretion.
Which of the following attainments is of key importance in
rational - emotive therapy?
A break from maladaptive habits
A tolerant and grounded view of life
A willingness to explore and trust one's self
A negation of anxiety - ✔✔✔ Correct Answer > Albert Ellis'
rationalemotive therapy aims to eliminate the patient's
selfdefeating outlook on life by replacing it with a more tolerant,
rational, and grounded look at the world. Although
