UPGRADED GEORGETTE LMR PMHNP
FINAL EXAM WITH CORRECT ANSWERS
AND WELL VERIFIED ANSWERS LATEST
EXAM!!!
1. A 42-year-old male with alcohol use disorder for 5 years is referred to the PMHNP from his
primary care provider for addiction treatment. Which of the following laboratory findings
would be consistent with his diagnosis? -ANSWER--Increased mean corpuscular volume and triglycerides
2. A 9-year-old girl with a history of generalized anxiety disorder has been stable on fluoxetine 10 mg
for 6 months and presents for follow-up complaining of bilateral leg pain. The physical exam,
complete blood count, and metabolic profile are normal except for an
elevated alkaline phosphatase. The PMHNP understands that this finding is: -ANSWER-Commonly
occurring pre-puberty findings known as growing pains
3. A 50-year-old physician presents with complaints of fatigue, headache, abdominal distress, and
weight loss. His husband reports increasingly irritability, inattentiveness, and low libido over the
last month. He was seen by his primary care provider who just notified him he had pre-diabetes,
hypercholesterolemia, and hypertension despite weight loss. These findings are most consistent
with -ANSWER--Major depression
4. The purpose of a professional organization's scope and standards of practice is to: -ANSWER--
Define the role and actions for that particular profession
5. An APRN recognizes the essential nature of primary prevention strategies for a community.
,Which of the following is an example of a primary prevention strategy? -ANSWER--A skills class for at
risk adolescents
6. Which of the following is representative of legal ruling trends over the past 30 years? - CORRECT
ANSWER -Juries have been encouraged to find defendants not guilty because of insanity
7. A patient who has been voluntarily committed is experiencing symptoms of psychosis; he declares
he has "the right to refuse his medications despite the court order because God told him he would
be healed by his faith alone." Based on your knowledge of court-ordered
treatment, which of the following statements as true? -ANSWER--Psychiatric clients can refuse
treatment unless it is court ordered
8. Which of the following elements is reflective of a professional relationship rather than a social
relationship? -ANSWER--In a professional relationship, the primary focus is on the client and their needs
9. In light of the recent school shootings, the local high schools have noticed an unusually high
incidence of depressive symptoms and illicit drug use among their students. The PMHNP
formulates a plan to address the problem. The goal of the program is to enhance the capabilities
of families and teachers to identify antecedents of depression and drug use to
prevent new cases from developing. What level of prevention is this strategy? -ANSWER-Primary
prevention
10. A 45-year-old White female agreed to hospitalization after presenting to the emergency
department with passive suicidal ideations. After 24 hours she states that she wishes to leave
because "this place cannot help her." Which of the following actions reflects the legal
right of the client? -ANSWER--Explain that the patient cannot leave until further assessments are
completed and collateral information obtained
, 11. The PMHNP is aware that the essentials of the therapeutic alliance include all of the following
except: -ANSWER--Formulating differential diagnosis
12. A 39-year-old woman has been in therapy for the last 3 months. She has shown much
improvement in her functioning and has developed much insight into her illness. This week during
her session you discuss service determination, and she suddenly begins to demonstrate the first
symptoms that brought her into therapy initially. She is now hesitant for discharge and wants to
continue services displaying regressed behavior. What is the best
explanation for her symptom return? -ANSWER--A normal resistance seen in the termination time of
therapy
13. A 30-year-old man reports low self-esteem, demonstrates poor self-control, exhibits much self-
doubt, and requires a high degree of reassurance. What developmental task has he failed to
master? -ANSWER--Industry versus inferiority
14. A 25-year-old male has been seeing his psychoanalyst four times a week for the last year and is
bothered by recent episodes of forgetfulness including misplacing everyday items and missing
appointments. Which Freudian psychodynamic principle assumes all behavior conveys purpose? -
ANSWER--Psychic determinism principle
15. Which of the following is an example of a mature defense mechanism? -ANSWER-Altruism
16. A Black man in the fifth decade of life has been seen for several weeks of psychotherapy to discuss
his current stressors. He proceeds to curl up in the fetal position and lie on the floor.
Which defense mechanism as he manifesting? -ANSWER--Regression
FINAL EXAM WITH CORRECT ANSWERS
AND WELL VERIFIED ANSWERS LATEST
EXAM!!!
1. A 42-year-old male with alcohol use disorder for 5 years is referred to the PMHNP from his
primary care provider for addiction treatment. Which of the following laboratory findings
would be consistent with his diagnosis? -ANSWER--Increased mean corpuscular volume and triglycerides
2. A 9-year-old girl with a history of generalized anxiety disorder has been stable on fluoxetine 10 mg
for 6 months and presents for follow-up complaining of bilateral leg pain. The physical exam,
complete blood count, and metabolic profile are normal except for an
elevated alkaline phosphatase. The PMHNP understands that this finding is: -ANSWER-Commonly
occurring pre-puberty findings known as growing pains
3. A 50-year-old physician presents with complaints of fatigue, headache, abdominal distress, and
weight loss. His husband reports increasingly irritability, inattentiveness, and low libido over the
last month. He was seen by his primary care provider who just notified him he had pre-diabetes,
hypercholesterolemia, and hypertension despite weight loss. These findings are most consistent
with -ANSWER--Major depression
4. The purpose of a professional organization's scope and standards of practice is to: -ANSWER--
Define the role and actions for that particular profession
5. An APRN recognizes the essential nature of primary prevention strategies for a community.
,Which of the following is an example of a primary prevention strategy? -ANSWER--A skills class for at
risk adolescents
6. Which of the following is representative of legal ruling trends over the past 30 years? - CORRECT
ANSWER -Juries have been encouraged to find defendants not guilty because of insanity
7. A patient who has been voluntarily committed is experiencing symptoms of psychosis; he declares
he has "the right to refuse his medications despite the court order because God told him he would
be healed by his faith alone." Based on your knowledge of court-ordered
treatment, which of the following statements as true? -ANSWER--Psychiatric clients can refuse
treatment unless it is court ordered
8. Which of the following elements is reflective of a professional relationship rather than a social
relationship? -ANSWER--In a professional relationship, the primary focus is on the client and their needs
9. In light of the recent school shootings, the local high schools have noticed an unusually high
incidence of depressive symptoms and illicit drug use among their students. The PMHNP
formulates a plan to address the problem. The goal of the program is to enhance the capabilities
of families and teachers to identify antecedents of depression and drug use to
prevent new cases from developing. What level of prevention is this strategy? -ANSWER-Primary
prevention
10. A 45-year-old White female agreed to hospitalization after presenting to the emergency
department with passive suicidal ideations. After 24 hours she states that she wishes to leave
because "this place cannot help her." Which of the following actions reflects the legal
right of the client? -ANSWER--Explain that the patient cannot leave until further assessments are
completed and collateral information obtained
, 11. The PMHNP is aware that the essentials of the therapeutic alliance include all of the following
except: -ANSWER--Formulating differential diagnosis
12. A 39-year-old woman has been in therapy for the last 3 months. She has shown much
improvement in her functioning and has developed much insight into her illness. This week during
her session you discuss service determination, and she suddenly begins to demonstrate the first
symptoms that brought her into therapy initially. She is now hesitant for discharge and wants to
continue services displaying regressed behavior. What is the best
explanation for her symptom return? -ANSWER--A normal resistance seen in the termination time of
therapy
13. A 30-year-old man reports low self-esteem, demonstrates poor self-control, exhibits much self-
doubt, and requires a high degree of reassurance. What developmental task has he failed to
master? -ANSWER--Industry versus inferiority
14. A 25-year-old male has been seeing his psychoanalyst four times a week for the last year and is
bothered by recent episodes of forgetfulness including misplacing everyday items and missing
appointments. Which Freudian psychodynamic principle assumes all behavior conveys purpose? -
ANSWER--Psychic determinism principle
15. Which of the following is an example of a mature defense mechanism? -ANSWER-Altruism
16. A Black man in the fifth decade of life has been seen for several weeks of psychotherapy to discuss
his current stressors. He proceeds to curl up in the fetal position and lie on the floor.
Which defense mechanism as he manifesting? -ANSWER--Regression
