GEORGETTE REVIEW PMHNP QUESTIONS AND ANSWERS ALREADY GRADED A+| 100%
VERIFIED SOLUTIONS………...
Core Domains
Scientific Foundations and Neurobiology
Advanced Practice Skills and Assessment
Diagnosis and Treatment
Psychopharmacology and Medication Management
Psychotherapy and Related Theories
Ethics, Legal Principles, and Cultural Care
Child and Adolescent Psychiatric Care
Geriatric Psychiatric Care
Risk Assessment and Safety Planning
Professional Role and Interprofessional Practice
Introduction
This comprehensive examination assesses the knowledge and clinical competency required for
certification as a Psychiatric-Mental Health Nurse Practitioner. The examination evaluates
foundational theory, diagnostic reasoning, psychopharmacologic management, therapeutic
modalities, regulatory compliance, and ethical decision-making across the lifespan. Questions are
structured in multiple-choice and scenario-based formats to simulate authentic psychiatric practice
encounters. Successful completion demonstrates readiness for autonomous practice, evidence-
,based clinical decision-making, and interprofessional collaboration necessary for PMHNP
certification and independent practice.
SECTION ONE: QUESTIONS 1–100
Question 1
Which of the following patients is at highest risk for suicide?
A. A 30-year-old married African American female with a previous suicide attempt
B. A 35-year-old single Asian male with a previous suicide attempt
C. A 38-year-old single African American male who is a bank manager
D. A 68-year-old single Caucasian male with depression
🟢 Correct answer: D
🔴 RATIONALE: Risk assessment requires counting risk factors. The 68-year-old single Caucasian
male with depression has the most risk factors: male sex, advanced age, single marital status, and
active depression. Previous suicide attempt is the strongest single predictor, but the cumulative
risk factor count favors option D.
Question 2
A 72-year-old female is brought in by her husband with increasing forgetfulness, insomnia,
decreased activity, and decreased appetite for 2 months. She has a history of hypertension
treated with lisinopril. The examination is normal and the MMSE provides a score of 24, but she
,declines to answer some questions and needs to be urged to participate. What is the likely
diagnosis?
A. Alzheimer's disease
B. Vascular dementia
C. Depression
D. Delirium
🟢 Correct answer: C
🔴 RATIONALE: The 2-month duration is too short for dementia and too long for delirium.
Depression in older adults often presents with pseudodementia—cognitive symptoms that mimic
dementia but are driven by mood. The patient's reluctance to participate and need for urging are
characteristic of depression.
Question 3
A new female patient has recently been diagnosed with bipolar disorder. The PMHNP and the
patient agree to start lithium. The PMHNP reviews the benefits and risks of taking lithium with
the patient, and the PMHNP sends the order to the pharmacy. Which of the following patient
rights was violated?
A. Beneficence
B. Informed consent
C. Non-maleficence
D. Confidentiality
, 🟢 Correct answer: D
🔴 RATIONALE: The pharmacy is considered a third party. Sending the prescription without
obtaining the patient's permission to disclose information to the pharmacy violates
confidentiality. Informed consent was granted because risks and benefits were reviewed.
Question 4
In treating a 47-year-old male with a history of asthma who presents with sudden onset of
tachycardia, elevated blood pressure, sweating, shaking, agitation, and anxiety, the PMHNP
prescribes:
A. 0.5 mg Xanax IV
B. 2 mg Ativan IM
C. 10 mg propranolol IM
D. 50 mg hydroxyzine IM
🟢 Correct answer: D
🔴 RATIONALE: Propranolol is contraindicated in asthma due to beta-blockade causing
bronchoconstriction. Xanax and Ativan are short-acting and IV/IM routes are not ideal for acute
anxiety management in this context. Hydroxyzine is the safest option.
Question 5
Your patient with bipolar disorder is admitted to a medical hospital. The internist contacts your
office and asks whether the lithium you prescribed him is affecting his ECG. How do you
VERIFIED SOLUTIONS………...
Core Domains
Scientific Foundations and Neurobiology
Advanced Practice Skills and Assessment
Diagnosis and Treatment
Psychopharmacology and Medication Management
Psychotherapy and Related Theories
Ethics, Legal Principles, and Cultural Care
Child and Adolescent Psychiatric Care
Geriatric Psychiatric Care
Risk Assessment and Safety Planning
Professional Role and Interprofessional Practice
Introduction
This comprehensive examination assesses the knowledge and clinical competency required for
certification as a Psychiatric-Mental Health Nurse Practitioner. The examination evaluates
foundational theory, diagnostic reasoning, psychopharmacologic management, therapeutic
modalities, regulatory compliance, and ethical decision-making across the lifespan. Questions are
structured in multiple-choice and scenario-based formats to simulate authentic psychiatric practice
encounters. Successful completion demonstrates readiness for autonomous practice, evidence-
,based clinical decision-making, and interprofessional collaboration necessary for PMHNP
certification and independent practice.
SECTION ONE: QUESTIONS 1–100
Question 1
Which of the following patients is at highest risk for suicide?
A. A 30-year-old married African American female with a previous suicide attempt
B. A 35-year-old single Asian male with a previous suicide attempt
C. A 38-year-old single African American male who is a bank manager
D. A 68-year-old single Caucasian male with depression
🟢 Correct answer: D
🔴 RATIONALE: Risk assessment requires counting risk factors. The 68-year-old single Caucasian
male with depression has the most risk factors: male sex, advanced age, single marital status, and
active depression. Previous suicide attempt is the strongest single predictor, but the cumulative
risk factor count favors option D.
Question 2
A 72-year-old female is brought in by her husband with increasing forgetfulness, insomnia,
decreased activity, and decreased appetite for 2 months. She has a history of hypertension
treated with lisinopril. The examination is normal and the MMSE provides a score of 24, but she
,declines to answer some questions and needs to be urged to participate. What is the likely
diagnosis?
A. Alzheimer's disease
B. Vascular dementia
C. Depression
D. Delirium
🟢 Correct answer: C
🔴 RATIONALE: The 2-month duration is too short for dementia and too long for delirium.
Depression in older adults often presents with pseudodementia—cognitive symptoms that mimic
dementia but are driven by mood. The patient's reluctance to participate and need for urging are
characteristic of depression.
Question 3
A new female patient has recently been diagnosed with bipolar disorder. The PMHNP and the
patient agree to start lithium. The PMHNP reviews the benefits and risks of taking lithium with
the patient, and the PMHNP sends the order to the pharmacy. Which of the following patient
rights was violated?
A. Beneficence
B. Informed consent
C. Non-maleficence
D. Confidentiality
, 🟢 Correct answer: D
🔴 RATIONALE: The pharmacy is considered a third party. Sending the prescription without
obtaining the patient's permission to disclose information to the pharmacy violates
confidentiality. Informed consent was granted because risks and benefits were reviewed.
Question 4
In treating a 47-year-old male with a history of asthma who presents with sudden onset of
tachycardia, elevated blood pressure, sweating, shaking, agitation, and anxiety, the PMHNP
prescribes:
A. 0.5 mg Xanax IV
B. 2 mg Ativan IM
C. 10 mg propranolol IM
D. 50 mg hydroxyzine IM
🟢 Correct answer: D
🔴 RATIONALE: Propranolol is contraindicated in asthma due to beta-blockade causing
bronchoconstriction. Xanax and Ativan are short-acting and IV/IM routes are not ideal for acute
anxiety management in this context. Hydroxyzine is the safest option.
Question 5
Your patient with bipolar disorder is admitted to a medical hospital. The internist contacts your
office and asks whether the lithium you prescribed him is affecting his ECG. How do you
