PMHNP Certification Exam 2024/2025
Latest
10rcommonralcoholrwithdrawalrsymptomsr-rcorrectranswers---n/v
-tremors
-proxysmalrsweats
-anxiety
-agitaiton
-tactilerdisturbances
-auditoryrdisturbances
-visualrdisturbances
-headaches
-alteredrsensorium
1mgrofrxanexrequalsrhowrmanyrmgrofrAtivanr-rcorrectranswers--2
2rsamplertrtestr-rcorrectranswers--
analyzercontinuousrdatarfromrtworseparatersamplesrwithrnormalrdistributions
2rschizoaffectiverdxrsubtypesr-rcorrectranswers---depressive
-bipolar
3rphasesrofrEMDRr-rcorrectranswers--desensitizationrphase
installationrphase
bodyrscan
3yormilestonesr-rcorrectranswers--saysruprtor1000rwords
usesr3-4rwordrsentences
balancesronr1rfoot
playsrmakerbelieve
5rAsrforrhealthrbehaviorrchanger-rcorrectranswers--Assess
Advise
Agree
Assist
Arrange
9rdimensionsrofrtemperamentr-rcorrectranswers---StellarchessrandrAlexanderrThomas
-approachrorrwithdrawal
-adaptability
-attentionrspanrandrpersistencer
(notrqualityrofrsleep)
,ar20ryearroldrasianrmanrwhorwasrrecentlyrdiagnosedrwithrschizophreniarcomesrtoryourroffic
erforrarfollowruprappointment.rduringrtherassessment,rhertalksraboutrhisrexperiencerinrthergr
ouprhome,rthinkingrthatrthertelevisionrisrsendingrhimrmessagesrthroughrnewsranchorsrdurin
grther10pmreveningrnews.rwhatrsymptomrisrtherclientrdescribingr-rcorrectranswers--
ideasrofrreference
ar23ryearroldrwomenrisrbroughtrintortherERrafterrattemptingrsuiciderbyrcuttingrherrwrists.rwhi
chrnursingractionrbyrtherPMHNPrwouldrberofrhighestrpriorityrinitially.r-rcorrectranswers--
takerherrvitalrsigns
ar74ryearroldrmarriedrwomenrwasrreferredrtoryourbyrherrpcprforrarpsychreval.rsherhadrarnorm
alrmedicalrandrneurologicalrexamrinrtherlastr2rmonths.rtherclientrpresentsrwithrherrhusbandro
fr45ryearsrwhorstatesr"myrwiferisrjustrnotrthersameranymore,rsherisrirritablerandrasksrthersam
erquestionrseveralrtimes,revenrthoughrI'veransweredritrmanyrtimes.rtherclientrresponds,rohrH
enry,ryourdorthersamerthing,ritsrjustrarnormalrpartrofrgettingrolder,randrtherkidsrthinkreverythin
grisrfine.rduringrtherassessmentryourcompletertherMMSErandrtherclientrscoresr18.rasrtherpm
hnprtreatingrtherclient,ryourknowrtherresultsrofrherrMMSErindicaterwhichrlevelrofrcognitiverim
pairment.r-rcorrectranswers--moderatercognitiverimpairment
ar74ryearroldrwomanrpresentsrforranrevaluation.rtherpmhnprhasrherrcompleterarMMSErandrar
clockrdrawing.rtherptrisrunablertorcorrectlyrdrawrtherfacerofrtherclock.rwhatrarearofrtherbrainrisr
mostrlikelyrtorhavercompromisedrfunctioning?r-rcorrectranswers--therrightrhemisphere
(involvedrwithrfacialrexpressionrrecognition,rmusicrandrvisualrimagesrcausingrdisturbancesr
inrdrawing)
arclientrcomesrintortherclinicrwithrarlongstandingrhistoryrofrdepressionrandrchronicrrenalrfailu
re.rherisronranrantidepressantrandrardiureticrandrcomplainsrofrincreasedrdepression,rmildrco
nfusion,rirritability,randroverallrapathyrfromrbeingrtoortiredrtordoranything.rtherbestrinitialrPMH
NPractionratrthisrtimerisr-rcorrectranswers--orderrarcomprehensivermetabolicrpanel
arclientrisrdisplayingrlowrself-esteem,rpoorrself-control,rself-
doubt,randrarhighrlevelrofrdependancy.rtheserbehaviorsrindicaterdevelopmentalrfailurerofrwh
ichrstagerofrdevelopment?r-rcorrectranswers--earlyrchildhood
arclientrpresentsrwithrcomplaintsrofrchangesrinrappetite,rfeelingrfatigued,rproblemsrwithrslee
p-
restrcycle,randrchangesrinrlibido.rwhatrisrtherneuroanatomicalrarearofrtherbrainrthatrisrrespon
siblerforrthernormalrregulationrofrtheserfunctions?r-rcorrectranswers--hypothalamus
arclientrreturnsrforrarfollow-
uprappointmentr3rweeksrafterrstartingronrfluoxetiner20mg.rduringrthisrappointmentryournotic
erthatrherrspeechrisrarlittlerrapid,rinrmarkedrcontrastrtortherpsychomotorrretardationrandrpauc
ityrofrspontaneousrspeechrsherdisplayedronrherrfirstrvisit.rinsteadrofrlookingratrtherfloor,rshern
owrmakesrnormalreyercontact.rherraffectrhasrgonerfromrconstrictedrtorexpansive.rshercontin
uesrtorhaverdifficultyrsleeping,rbutrherrenergyrhasrimprovedrandrsherstatesrsherfeelsrsormuc
,hrbetter!rwhatrshouldryourconcluderaboutrthershiftrinrtherclientsrpresentation?r-
rcorrectranswers--sherisrbecomingrhypomanic
arclientrsaysrtortherpmhnpr"somerdaysrliferisrjustrnotrworthrit.rallrmyrwiferandrIreverrdorisrfightra
ndrscream.rthingsratrhomerwouldrbercalmerrandrsimplerrifrIrjustrwasn'trthereranymore".rtherm
ostrtherapeuticrresponserforrtherPMHNPrtormakerisr-rcorrectranswers--
tellrmerwhatryourmeanrbyr"itrwouldrbersimplerrifryourjustrweren'trthereranymore"?
arclientrwhorisrexperiencingrdifficultiesrwithrworkingrmemory,rplanningrandrprioritizing,rinsig
htrintorhisrproblems,randrimpulsercontrolrpresentsrforrassessment.rinrplanningrhisrcare,rther
PMHNPrshouldrapplyrhisrorrherrknowledgerthatrthesersymptomsrrepresentrproblemsrwithrth
e...r-rcorrectranswers--frontalrlobe
arclientrwithrbipolarrIrdisorderrpresentsrtoryourrPMHNProfficerforrarfollowruprvisit.rduringrthervi
sitrtherclientrinformedryourthatrhernorlongerrwantsrtorbertreatedrwithrmedication.,randrherdoe
srnotrhaverbipolarrdisorder,rthatrwasrarmisdiagnosis.rherfurtherrinformsryourherstoppedrallrhi
srmedicationr2rmonthsragorandrisrherertorthankryourforryourrcarerandrtellryourthatrhernorlonge
rrneedsrfollowruprappointments.runderstandingrtherethicalrconflict,ryouruserwhichrofrtherfollo
wingrethicalrprinciplesrinrworkingrwithrthisrclient?r-rcorrectranswers--autonomy
arcommunityrhasranrunusuallyrhighrincidencerofrdepressionrandrdrugruseramongrtherteenag
erpopulation.rtherpublicrhealthrnursesrdecidertoraddressrtherproblem,rinrpart,rbyrmodifyingrth
erenvironmentrandrstrengtheningrthercapacitiesrofrfamiliesrtorpreventrtherdevelopmentrofrne
wrcasesrofrdepressionrandrdrugruse.rwhatrisrthisranrexamplerof?r-rcorrectranswers--
primaryrprevention
arnewrclientrrevealsrtortherPMHNPrthatrherrboyfriendrscreamsratrherrandrhasrrepeatedlyrsla
ppedrandrpushedrherrinrfrontrofrherr3ryearroldrson.rshergoesronrtorsayrthatrtherboyfriendrhasrt
hrownrthingsratrherrandronroneroccasionrthrewrarglassrofrwaterratrherrandrhitrherrsonrinrtherba
ck.rshouldrtherpmhnprreportrthisrtorCPS?r-rcorrectranswers--
yes,rtherpmhnprhasrardutyrtorreport
arpatientrwithrmedicarerqualifiesrforrhospicercarerifr-rcorrectranswers---
therptrhasrmedicarerpartra
-hasrarterminalrdiagnosis
-
2rphysiciansrcertifyrthatrtherptrhasrlessrthanr6rmonthsrtorliverifrtherillnessrrunsritsrtypicalrcours
e
arpmhnprwhorisrworkingronrtherconsultrliaisonrservicerisrreferredrtorarpatientrinrthermedicalrin
tensivercarerunitrbyrtherattendingrhospitalist.rtherconsultrnoterreadrevaluatertherpatientrforrco
mpetencyrtormakerindependentrmedicalrdecisionsrandrconsentrforrarsurgicalrprocedure.rba
sedronrtherscoperofrpracticerofrarPMHNP,rwhichrresponserwouldrbermostrappropriate.r-
rcorrectranswers--
callrtherhospitalistrandrprovidereducationrthatrcompetencyrisrarlegalrconceptrandrexplainrtha
tryourcanrassessrtherpatientrforrthercapacityrtormakermedicalrdecisions
, arptrwhorhasrborderlinerpersonalityrdisorderrexperiencesrintenseranxietyrwhenrtherPMHNPr
goesronrvacation.rthermostrappropriaterexplanationrforrthisrreactionrisrthatrtherpt...r-
rcorrectranswers--hasrnotrdevelopedrobjectrconstancy
arWBCrcountrofr4,000ronrclozapinerwouldrpromptrtherPMHNPrtordorwhatr-rcorrectranswers--
closelyrmonitorrCBCrwithrdiffrtwicerarweekrwhilercontinuingrclozapinerinrabsencerofranyrothe
rrsignsrorrsymptoms.
AACAPrpracticerparameterrforrforensicrevaluationsr-rcorrectranswers--
allrstatesrrequirerarresponsertorarsubpoenarrequest
abnormalrmovementrratingrscalesr-rcorrectranswers---AIMS
-Dyskinesiaridentificationrsystemrcondensedruserrscaler(DISCUS)
-simpson-Angusrratingrscaler(SAS)
abstractionrinrchildrenr-rcorrectranswers---
childrenragesr12randryoungerrarernotrexpectedrtorhaverabstractiverthoughtrabilitiesr
-youngrchildrenrhaverconcreterthinking
acamprosater(campral)rforrtreatingrcavingrandrmaintainingrsobrietyr-rcorrectranswers--
homotauriner
decreasesrcraving
accordingrtortherAPArpracticerguidelinesronrbipolarrdisorder,rwhatrisrthercompletedrsuiciderr
atesrinrpatientsrwithrBPrIr-rcorrectranswers--10-15%
accordingrtortherCDC,rwhatr%rofrschoolragedrkidsrarerdiagnosedrwithrADHDr-
rcorrectranswers--9-12%
accordingrtortherDSMr5,rhowrmanyrnon-
overlappingrsymptomsrmustrberpresentrtorincluderther"mixedrfeatures"rspecifierrinrtherdiagn
osisrofranrepisoderofrMDD,rmania,rorrhypomania?>r-rcorrectranswers--3
accordingrtortherDSM5,rwhichrisrtruer-rcorrectranswers--
arculturallyrexpectedrresponsertorarstressorrisrnotrarmentalrdisorder
acetylcholiner-rcorrectranswers--synthesizedrbyrtherbasalrnucleusrofrMeynert
-precursorsrareracetylcoenzymerArandrcholiner
-nicotinicrandrmuscarinicrreceptors
acetylcholinergeneralrfunctionr-rcorrectranswers--
attention,rmemory,rthirst,rmoodrregulation,rREMrsleep,rsexualrbehavior,rmusclertone
Latest
10rcommonralcoholrwithdrawalrsymptomsr-rcorrectranswers---n/v
-tremors
-proxysmalrsweats
-anxiety
-agitaiton
-tactilerdisturbances
-auditoryrdisturbances
-visualrdisturbances
-headaches
-alteredrsensorium
1mgrofrxanexrequalsrhowrmanyrmgrofrAtivanr-rcorrectranswers--2
2rsamplertrtestr-rcorrectranswers--
analyzercontinuousrdatarfromrtworseparatersamplesrwithrnormalrdistributions
2rschizoaffectiverdxrsubtypesr-rcorrectranswers---depressive
-bipolar
3rphasesrofrEMDRr-rcorrectranswers--desensitizationrphase
installationrphase
bodyrscan
3yormilestonesr-rcorrectranswers--saysruprtor1000rwords
usesr3-4rwordrsentences
balancesronr1rfoot
playsrmakerbelieve
5rAsrforrhealthrbehaviorrchanger-rcorrectranswers--Assess
Advise
Agree
Assist
Arrange
9rdimensionsrofrtemperamentr-rcorrectranswers---StellarchessrandrAlexanderrThomas
-approachrorrwithdrawal
-adaptability
-attentionrspanrandrpersistencer
(notrqualityrofrsleep)
,ar20ryearroldrasianrmanrwhorwasrrecentlyrdiagnosedrwithrschizophreniarcomesrtoryourroffic
erforrarfollowruprappointment.rduringrtherassessment,rhertalksraboutrhisrexperiencerinrthergr
ouprhome,rthinkingrthatrthertelevisionrisrsendingrhimrmessagesrthroughrnewsranchorsrdurin
grther10pmreveningrnews.rwhatrsymptomrisrtherclientrdescribingr-rcorrectranswers--
ideasrofrreference
ar23ryearroldrwomenrisrbroughtrintortherERrafterrattemptingrsuiciderbyrcuttingrherrwrists.rwhi
chrnursingractionrbyrtherPMHNPrwouldrberofrhighestrpriorityrinitially.r-rcorrectranswers--
takerherrvitalrsigns
ar74ryearroldrmarriedrwomenrwasrreferredrtoryourbyrherrpcprforrarpsychreval.rsherhadrarnorm
alrmedicalrandrneurologicalrexamrinrtherlastr2rmonths.rtherclientrpresentsrwithrherrhusbandro
fr45ryearsrwhorstatesr"myrwiferisrjustrnotrthersameranymore,rsherisrirritablerandrasksrthersam
erquestionrseveralrtimes,revenrthoughrI'veransweredritrmanyrtimes.rtherclientrresponds,rohrH
enry,ryourdorthersamerthing,ritsrjustrarnormalrpartrofrgettingrolder,randrtherkidsrthinkreverythin
grisrfine.rduringrtherassessmentryourcompletertherMMSErandrtherclientrscoresr18.rasrtherpm
hnprtreatingrtherclient,ryourknowrtherresultsrofrherrMMSErindicaterwhichrlevelrofrcognitiverim
pairment.r-rcorrectranswers--moderatercognitiverimpairment
ar74ryearroldrwomanrpresentsrforranrevaluation.rtherpmhnprhasrherrcompleterarMMSErandrar
clockrdrawing.rtherptrisrunablertorcorrectlyrdrawrtherfacerofrtherclock.rwhatrarearofrtherbrainrisr
mostrlikelyrtorhavercompromisedrfunctioning?r-rcorrectranswers--therrightrhemisphere
(involvedrwithrfacialrexpressionrrecognition,rmusicrandrvisualrimagesrcausingrdisturbancesr
inrdrawing)
arclientrcomesrintortherclinicrwithrarlongstandingrhistoryrofrdepressionrandrchronicrrenalrfailu
re.rherisronranrantidepressantrandrardiureticrandrcomplainsrofrincreasedrdepression,rmildrco
nfusion,rirritability,randroverallrapathyrfromrbeingrtoortiredrtordoranything.rtherbestrinitialrPMH
NPractionratrthisrtimerisr-rcorrectranswers--orderrarcomprehensivermetabolicrpanel
arclientrisrdisplayingrlowrself-esteem,rpoorrself-control,rself-
doubt,randrarhighrlevelrofrdependancy.rtheserbehaviorsrindicaterdevelopmentalrfailurerofrwh
ichrstagerofrdevelopment?r-rcorrectranswers--earlyrchildhood
arclientrpresentsrwithrcomplaintsrofrchangesrinrappetite,rfeelingrfatigued,rproblemsrwithrslee
p-
restrcycle,randrchangesrinrlibido.rwhatrisrtherneuroanatomicalrarearofrtherbrainrthatrisrrespon
siblerforrthernormalrregulationrofrtheserfunctions?r-rcorrectranswers--hypothalamus
arclientrreturnsrforrarfollow-
uprappointmentr3rweeksrafterrstartingronrfluoxetiner20mg.rduringrthisrappointmentryournotic
erthatrherrspeechrisrarlittlerrapid,rinrmarkedrcontrastrtortherpsychomotorrretardationrandrpauc
ityrofrspontaneousrspeechrsherdisplayedronrherrfirstrvisit.rinsteadrofrlookingratrtherfloor,rshern
owrmakesrnormalreyercontact.rherraffectrhasrgonerfromrconstrictedrtorexpansive.rshercontin
uesrtorhaverdifficultyrsleeping,rbutrherrenergyrhasrimprovedrandrsherstatesrsherfeelsrsormuc
,hrbetter!rwhatrshouldryourconcluderaboutrthershiftrinrtherclientsrpresentation?r-
rcorrectranswers--sherisrbecomingrhypomanic
arclientrsaysrtortherpmhnpr"somerdaysrliferisrjustrnotrworthrit.rallrmyrwiferandrIreverrdorisrfightra
ndrscream.rthingsratrhomerwouldrbercalmerrandrsimplerrifrIrjustrwasn'trthereranymore".rtherm
ostrtherapeuticrresponserforrtherPMHNPrtormakerisr-rcorrectranswers--
tellrmerwhatryourmeanrbyr"itrwouldrbersimplerrifryourjustrweren'trthereranymore"?
arclientrwhorisrexperiencingrdifficultiesrwithrworkingrmemory,rplanningrandrprioritizing,rinsig
htrintorhisrproblems,randrimpulsercontrolrpresentsrforrassessment.rinrplanningrhisrcare,rther
PMHNPrshouldrapplyrhisrorrherrknowledgerthatrthesersymptomsrrepresentrproblemsrwithrth
e...r-rcorrectranswers--frontalrlobe
arclientrwithrbipolarrIrdisorderrpresentsrtoryourrPMHNProfficerforrarfollowruprvisit.rduringrthervi
sitrtherclientrinformedryourthatrhernorlongerrwantsrtorbertreatedrwithrmedication.,randrherdoe
srnotrhaverbipolarrdisorder,rthatrwasrarmisdiagnosis.rherfurtherrinformsryourherstoppedrallrhi
srmedicationr2rmonthsragorandrisrherertorthankryourforryourrcarerandrtellryourthatrhernorlonge
rrneedsrfollowruprappointments.runderstandingrtherethicalrconflict,ryouruserwhichrofrtherfollo
wingrethicalrprinciplesrinrworkingrwithrthisrclient?r-rcorrectranswers--autonomy
arcommunityrhasranrunusuallyrhighrincidencerofrdepressionrandrdrugruseramongrtherteenag
erpopulation.rtherpublicrhealthrnursesrdecidertoraddressrtherproblem,rinrpart,rbyrmodifyingrth
erenvironmentrandrstrengtheningrthercapacitiesrofrfamiliesrtorpreventrtherdevelopmentrofrne
wrcasesrofrdepressionrandrdrugruse.rwhatrisrthisranrexamplerof?r-rcorrectranswers--
primaryrprevention
arnewrclientrrevealsrtortherPMHNPrthatrherrboyfriendrscreamsratrherrandrhasrrepeatedlyrsla
ppedrandrpushedrherrinrfrontrofrherr3ryearroldrson.rshergoesronrtorsayrthatrtherboyfriendrhasrt
hrownrthingsratrherrandronroneroccasionrthrewrarglassrofrwaterratrherrandrhitrherrsonrinrtherba
ck.rshouldrtherpmhnprreportrthisrtorCPS?r-rcorrectranswers--
yes,rtherpmhnprhasrardutyrtorreport
arpatientrwithrmedicarerqualifiesrforrhospicercarerifr-rcorrectranswers---
therptrhasrmedicarerpartra
-hasrarterminalrdiagnosis
-
2rphysiciansrcertifyrthatrtherptrhasrlessrthanr6rmonthsrtorliverifrtherillnessrrunsritsrtypicalrcours
e
arpmhnprwhorisrworkingronrtherconsultrliaisonrservicerisrreferredrtorarpatientrinrthermedicalrin
tensivercarerunitrbyrtherattendingrhospitalist.rtherconsultrnoterreadrevaluatertherpatientrforrco
mpetencyrtormakerindependentrmedicalrdecisionsrandrconsentrforrarsurgicalrprocedure.rba
sedronrtherscoperofrpracticerofrarPMHNP,rwhichrresponserwouldrbermostrappropriate.r-
rcorrectranswers--
callrtherhospitalistrandrprovidereducationrthatrcompetencyrisrarlegalrconceptrandrexplainrtha
tryourcanrassessrtherpatientrforrthercapacityrtormakermedicalrdecisions
, arptrwhorhasrborderlinerpersonalityrdisorderrexperiencesrintenseranxietyrwhenrtherPMHNPr
goesronrvacation.rthermostrappropriaterexplanationrforrthisrreactionrisrthatrtherpt...r-
rcorrectranswers--hasrnotrdevelopedrobjectrconstancy
arWBCrcountrofr4,000ronrclozapinerwouldrpromptrtherPMHNPrtordorwhatr-rcorrectranswers--
closelyrmonitorrCBCrwithrdiffrtwicerarweekrwhilercontinuingrclozapinerinrabsencerofranyrothe
rrsignsrorrsymptoms.
AACAPrpracticerparameterrforrforensicrevaluationsr-rcorrectranswers--
allrstatesrrequirerarresponsertorarsubpoenarrequest
abnormalrmovementrratingrscalesr-rcorrectranswers---AIMS
-Dyskinesiaridentificationrsystemrcondensedruserrscaler(DISCUS)
-simpson-Angusrratingrscaler(SAS)
abstractionrinrchildrenr-rcorrectranswers---
childrenragesr12randryoungerrarernotrexpectedrtorhaverabstractiverthoughtrabilitiesr
-youngrchildrenrhaverconcreterthinking
acamprosater(campral)rforrtreatingrcavingrandrmaintainingrsobrietyr-rcorrectranswers--
homotauriner
decreasesrcraving
accordingrtortherAPArpracticerguidelinesronrbipolarrdisorder,rwhatrisrthercompletedrsuiciderr
atesrinrpatientsrwithrBPrIr-rcorrectranswers--10-15%
accordingrtortherCDC,rwhatr%rofrschoolragedrkidsrarerdiagnosedrwithrADHDr-
rcorrectranswers--9-12%
accordingrtortherDSMr5,rhowrmanyrnon-
overlappingrsymptomsrmustrberpresentrtorincluderther"mixedrfeatures"rspecifierrinrtherdiagn
osisrofranrepisoderofrMDD,rmania,rorrhypomania?>r-rcorrectranswers--3
accordingrtortherDSM5,rwhichrisrtruer-rcorrectranswers--
arculturallyrexpectedrresponsertorarstressorrisrnotrarmentalrdisorder
acetylcholiner-rcorrectranswers--synthesizedrbyrtherbasalrnucleusrofrMeynert
-precursorsrareracetylcoenzymerArandrcholiner
-nicotinicrandrmuscarinicrreceptors
acetylcholinergeneralrfunctionr-rcorrectranswers--
attention,rmemory,rthirst,rmoodrregulation,rREMrsleep,rsexualrbehavior,rmusclertone
