PMHNP certification exam 2025
Questions and Answers
denial - ANSWER✔✔-refusal to admit or recognize problem or event- primitive defense
mechanism
projection - ANSWER✔✔-taking one's own unacceptable qualities and attributing them to another-
primitive defense mechanism
regression - ANSWER✔✔-reverting to patterns of behavior from earlier stage of developement-
immature defense mechanism
passive-aggression - ANSWER✔✔-indirectly expressing anger- immature defense mechanism
reaction formation - ANSWER✔✔-taking up the opposite feeling to reduce anxiety- neurotic
defense mechanism
intelluctualization - ANSWER✔✔-focusing on intellectual component to AVOID anxiety or
thinking about the matter- neurotic defense mechanism
repression - ANSWER✔✔-keeping info out of consciousness- neurotic defense mechanism
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,displacement - ANSWER✔✔-taking out frustrations, etc on people or objects less threatening-
neurotic defense mechanism
rationalization - ANSWER✔✔-explaining unacceptable in a rational or logical manner- neurotic
defense mechanism
splitting - ANSWER✔✔-seeing things about self or others in extremes, unable to integrate negative
and positive- neurotic defense mechanism
sublimation - ANSWER✔✔-converts unacceptable into acceptable (going to gym when angry)-
mature, healthy defense mechanism
humor, sublimation, suppression - ANSWER✔✔-mature, healthy defense mechanisms
suppression - ANSWER✔✔-removal of unwanted information (thinking about matter later)-mature,
healthy defense mechanism
cohort study - ANSWER✔✔-level 3 evidence heirarchy- specific variable and a specific outcome
tested
Meta-analysis (systematic review) - ANSWER✔✔-level 1 highest level of evidence- review of high
quality published research
RCTs - ANSWER✔✔-level 2 evidence heirarchy
case control study - ANSWER✔✔-level 4 evidence heirarchy- retrospective study of cases and
controls compared
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
, case series/ reports - ANSWER✔✔-level 5 evidence heirarchyone study or narrative of one
study/patient
editorial/expert opinion - ANSWER✔✔-lowest level (6) of evidence heirarchy- essays
herd community - ANSWER✔✔-resistance of group to infectious agent
active immunity - ANSWER✔✔-resistance developed in response to an antigen (agent or vaccine)
;presence of antibody produced by host, years or lifelong
passive immunity - ANSWER✔✔-immunity from mother or IG administered; 6-9 months
sensitivity - ANSWER✔✔-positive in disease; SnNout- sensitive test when negative rules OUT
disease
specificity - ANSWER✔✔-negative in health; SpPin- specific test when positive rules IN disease
prevalence - ANSWER✔✔-porportion of individuals possessing the condition at any given time
incidence - ANSWER✔✔-NEW cases only
AST elevation >40 - ANSWER✔✔-alcohol, statin, tylenol, depakote
ALT elevation >40 - ANSWER✔✔-liver stress, depakote
GGT elevation > 45 - ANSWER✔✔-possible ETOH
CK elevation >240 - ANSWER✔✔-possible NMS
GFR <60 - ANSWER✔✔-requires dose adjustment (normal >90)
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
Questions and Answers
denial - ANSWER✔✔-refusal to admit or recognize problem or event- primitive defense
mechanism
projection - ANSWER✔✔-taking one's own unacceptable qualities and attributing them to another-
primitive defense mechanism
regression - ANSWER✔✔-reverting to patterns of behavior from earlier stage of developement-
immature defense mechanism
passive-aggression - ANSWER✔✔-indirectly expressing anger- immature defense mechanism
reaction formation - ANSWER✔✔-taking up the opposite feeling to reduce anxiety- neurotic
defense mechanism
intelluctualization - ANSWER✔✔-focusing on intellectual component to AVOID anxiety or
thinking about the matter- neurotic defense mechanism
repression - ANSWER✔✔-keeping info out of consciousness- neurotic defense mechanism
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,displacement - ANSWER✔✔-taking out frustrations, etc on people or objects less threatening-
neurotic defense mechanism
rationalization - ANSWER✔✔-explaining unacceptable in a rational or logical manner- neurotic
defense mechanism
splitting - ANSWER✔✔-seeing things about self or others in extremes, unable to integrate negative
and positive- neurotic defense mechanism
sublimation - ANSWER✔✔-converts unacceptable into acceptable (going to gym when angry)-
mature, healthy defense mechanism
humor, sublimation, suppression - ANSWER✔✔-mature, healthy defense mechanisms
suppression - ANSWER✔✔-removal of unwanted information (thinking about matter later)-mature,
healthy defense mechanism
cohort study - ANSWER✔✔-level 3 evidence heirarchy- specific variable and a specific outcome
tested
Meta-analysis (systematic review) - ANSWER✔✔-level 1 highest level of evidence- review of high
quality published research
RCTs - ANSWER✔✔-level 2 evidence heirarchy
case control study - ANSWER✔✔-level 4 evidence heirarchy- retrospective study of cases and
controls compared
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
, case series/ reports - ANSWER✔✔-level 5 evidence heirarchyone study or narrative of one
study/patient
editorial/expert opinion - ANSWER✔✔-lowest level (6) of evidence heirarchy- essays
herd community - ANSWER✔✔-resistance of group to infectious agent
active immunity - ANSWER✔✔-resistance developed in response to an antigen (agent or vaccine)
;presence of antibody produced by host, years or lifelong
passive immunity - ANSWER✔✔-immunity from mother or IG administered; 6-9 months
sensitivity - ANSWER✔✔-positive in disease; SnNout- sensitive test when negative rules OUT
disease
specificity - ANSWER✔✔-negative in health; SpPin- specific test when positive rules IN disease
prevalence - ANSWER✔✔-porportion of individuals possessing the condition at any given time
incidence - ANSWER✔✔-NEW cases only
AST elevation >40 - ANSWER✔✔-alcohol, statin, tylenol, depakote
ALT elevation >40 - ANSWER✔✔-liver stress, depakote
GGT elevation > 45 - ANSWER✔✔-possible ETOH
CK elevation >240 - ANSWER✔✔-possible NMS
GFR <60 - ANSWER✔✔-requires dose adjustment (normal >90)
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
