PMHNP COMPREHENSIVE EXAM TEST BANK
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS| CURRENTLY
TESTING VERSION | ALREADY GRADED
A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS
AIMS
Abnormal Involuntary Movement Scale for 8 and older
12 item tool to assess symptoms of tardive dyskinesia for patients taking antipsychotics
Rating 0-4, >2 to diagnose TD and reduce dose
BARS
Barnes Akathisia Rating Scale for 8 and older
4 item tool to assess objective and subjective symptoms of akathisia with
antipsychotics and/or SSRIs
CRS-R
Connors Rating Scales - Revised for 3-17
ADHD Parent (80 items) and Teacher Scales (59 items)
Low T-score of 61= mildly atypical; >70 = markedly atypical
Subscales for Oppositional Behaviors, Cognitive Problems, Hyperactivity, ADHD Index,
Anxious-Shy, Perfectionism, Social Problems, DSM-IV Subscales and Connors' Global
Index
Vanderbilt ADHD Parent and Teacher
55 parent, 43 teacher items for 6-12
Initial assessment rates symptoms and impairment in academic and behavioral
performance
ASRS-1
Adult ADHD Self-Report Scale, 16 and older
Two-part Screening
Part A: 6 questions, 4 symptoms suggest ADHD
Part B: 12 questions to clarify and quantify
AUDIT-C
1|Page
,Alcohol Use Disorders Identification Test - Consumption, > 13
Documents use and frequency in prior year
0-4, F >3 = positive, M >4 = positive, >8 = hazardous drinking
CAGE-AID
IDs problem drinking or druging, 13 and older
(C=cut down, A=annoy, G=guilty, E=Eye-opener, AID=altered to include drugs
CRAFFT
6-item screen for alcohol or drugs in adolescents, 14-18
(C=car, R=relax, A=alone, F=forget, F= family or friends, T= trouble)
BAI
Beck Anxiety Inventory, 17 and older
Assesses 21 symptoms of anxiety, 0-36 scores
HAM-A
Hamilton Anxiety Scale, most commonly used
14 domains, 14=mild, 18-24= moderate, 25-30=severe
LSAS-CA
Liebowitz Social Anxiety Scale-Child/Adolescent Version, 7 and older
24 items, social and performance
55-65=moderate social phobia, 65-80=marked, 80-95=severe, >95=very severe
MMSE
Mini Mental Status Exam
30 items, 24-30= no cognitive impairment; 18-23=mild cognitive impairment; 0-17=
severe cognitive impairment
MOCA
Montreal Cognitive Assessment
>26=normal, add point for <12th grade education
SPMSQ
Short Portable Mental Status Questionnaire
10 items, more than 3 incorrect indicates dementia
BDI-2
2|Page
,Beck Depression inventory, 13 and older
presence and impact of depressive symptoms
21 items, <10=normal; 11-17=mild depression; 18-23=moderate; 24+=severe
CCSD
Cornell Scale for Depression in Dementia
19 items, <6=no significant depression; 8-17=probable major depression; >18=definite
depression
MDQ
Mood Disorder Questionnaire
Screen for mania or hypomania
positive if 7 or more of 13 items in question #1 present and #2 is yes and #3 gets
moderate or serious problem response
YMRS
Young Mania Rating Scale, 11 items (adult)
Range 0-60; adults with 12 or more=mania
CY-BOCS
...
YBOCS
Yale-Brown Obsessive Compulsive Scale
10 items; age 14 and older
gold standard for OC symptoms
score indicates level of severity
BPRS
Brief Psychiatric Rating Scale, 18 and older
Assesses psychopathology (+, - and affective) with schizophrenia, not for screening or
DX
PANSS
Positive and Negative Syndrome Scale, 18 and older
measures changes in symptom intensity in psychosis and schizophrenia
Gold standard in studies of treatment efficacy
SPS
3|Page
, Suicide Probability Scale, 13 and older
Rapid measure of suicide risk
higher score indicates greater risk
CIWA-Ar
Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised
9 item symptom rating scale, max score 67; <10 does not warrant intervention
COWS
Clinical Opiate Withdrawal Scale
Quantifies severity of withdrawal syndrome, guides dosing, monitors over time
Used for induction of Suboxone
5-12=mild; 13-24= moderate; 25-36=mod to severe; >36=severe
T4, FREE THYROXINE
0.8-2.8
Increased In Graves
Decreased In Hypothyroidism
TSH
2- 10 mu/l
Normal values can range from 0.4 - 4.0 mIU/L (milli-international units per liter),
Calcium, Ca++
8.8-10.5
<7.0, tetany
>11.0, hyperparathyroidism
>13.5, hypercalcemic coma, metastatic cancer
Sodium, Na+
135-148 mEq/L
hypernatremia
dehydration
hypovolemia
diabetes insipidus
eating too much salt
gastroenteritis
drugs such as adrenocorticosteroids, methyldopa, hydrazine, cough meds
hyponatremia
4|Page
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS| CURRENTLY
TESTING VERSION | ALREADY GRADED
A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS
AIMS
Abnormal Involuntary Movement Scale for 8 and older
12 item tool to assess symptoms of tardive dyskinesia for patients taking antipsychotics
Rating 0-4, >2 to diagnose TD and reduce dose
BARS
Barnes Akathisia Rating Scale for 8 and older
4 item tool to assess objective and subjective symptoms of akathisia with
antipsychotics and/or SSRIs
CRS-R
Connors Rating Scales - Revised for 3-17
ADHD Parent (80 items) and Teacher Scales (59 items)
Low T-score of 61= mildly atypical; >70 = markedly atypical
Subscales for Oppositional Behaviors, Cognitive Problems, Hyperactivity, ADHD Index,
Anxious-Shy, Perfectionism, Social Problems, DSM-IV Subscales and Connors' Global
Index
Vanderbilt ADHD Parent and Teacher
55 parent, 43 teacher items for 6-12
Initial assessment rates symptoms and impairment in academic and behavioral
performance
ASRS-1
Adult ADHD Self-Report Scale, 16 and older
Two-part Screening
Part A: 6 questions, 4 symptoms suggest ADHD
Part B: 12 questions to clarify and quantify
AUDIT-C
1|Page
,Alcohol Use Disorders Identification Test - Consumption, > 13
Documents use and frequency in prior year
0-4, F >3 = positive, M >4 = positive, >8 = hazardous drinking
CAGE-AID
IDs problem drinking or druging, 13 and older
(C=cut down, A=annoy, G=guilty, E=Eye-opener, AID=altered to include drugs
CRAFFT
6-item screen for alcohol or drugs in adolescents, 14-18
(C=car, R=relax, A=alone, F=forget, F= family or friends, T= trouble)
BAI
Beck Anxiety Inventory, 17 and older
Assesses 21 symptoms of anxiety, 0-36 scores
HAM-A
Hamilton Anxiety Scale, most commonly used
14 domains, 14=mild, 18-24= moderate, 25-30=severe
LSAS-CA
Liebowitz Social Anxiety Scale-Child/Adolescent Version, 7 and older
24 items, social and performance
55-65=moderate social phobia, 65-80=marked, 80-95=severe, >95=very severe
MMSE
Mini Mental Status Exam
30 items, 24-30= no cognitive impairment; 18-23=mild cognitive impairment; 0-17=
severe cognitive impairment
MOCA
Montreal Cognitive Assessment
>26=normal, add point for <12th grade education
SPMSQ
Short Portable Mental Status Questionnaire
10 items, more than 3 incorrect indicates dementia
BDI-2
2|Page
,Beck Depression inventory, 13 and older
presence and impact of depressive symptoms
21 items, <10=normal; 11-17=mild depression; 18-23=moderate; 24+=severe
CCSD
Cornell Scale for Depression in Dementia
19 items, <6=no significant depression; 8-17=probable major depression; >18=definite
depression
MDQ
Mood Disorder Questionnaire
Screen for mania or hypomania
positive if 7 or more of 13 items in question #1 present and #2 is yes and #3 gets
moderate or serious problem response
YMRS
Young Mania Rating Scale, 11 items (adult)
Range 0-60; adults with 12 or more=mania
CY-BOCS
...
YBOCS
Yale-Brown Obsessive Compulsive Scale
10 items; age 14 and older
gold standard for OC symptoms
score indicates level of severity
BPRS
Brief Psychiatric Rating Scale, 18 and older
Assesses psychopathology (+, - and affective) with schizophrenia, not for screening or
DX
PANSS
Positive and Negative Syndrome Scale, 18 and older
measures changes in symptom intensity in psychosis and schizophrenia
Gold standard in studies of treatment efficacy
SPS
3|Page
, Suicide Probability Scale, 13 and older
Rapid measure of suicide risk
higher score indicates greater risk
CIWA-Ar
Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised
9 item symptom rating scale, max score 67; <10 does not warrant intervention
COWS
Clinical Opiate Withdrawal Scale
Quantifies severity of withdrawal syndrome, guides dosing, monitors over time
Used for induction of Suboxone
5-12=mild; 13-24= moderate; 25-36=mod to severe; >36=severe
T4, FREE THYROXINE
0.8-2.8
Increased In Graves
Decreased In Hypothyroidism
TSH
2- 10 mu/l
Normal values can range from 0.4 - 4.0 mIU/L (milli-international units per liter),
Calcium, Ca++
8.8-10.5
<7.0, tetany
>11.0, hyperparathyroidism
>13.5, hypercalcemic coma, metastatic cancer
Sodium, Na+
135-148 mEq/L
hypernatremia
dehydration
hypovolemia
diabetes insipidus
eating too much salt
gastroenteritis
drugs such as adrenocorticosteroids, methyldopa, hydrazine, cough meds
hyponatremia
4|Page
