2026 PMHNP PAPER ACTUAL QUESTIONS AND
ANSWERS SURE A+
✔✔Creutzfeldt-Jacobz disease findings - ✔✔- rapid dementia
- akinetic mutism
- myoclonic jerks
- cerebral atrophy late in course (on CT)
✔✔cyclothymia - ✔✔depressive symptoms with hypomanic episodes at least 4 times
per year
✔✔facts about lithium hypothyroid - ✔✔more common in women
usually happens in first 6 to 8 months
associated with more depression and rapid cycling
it occurs in 5-35% of patients
not a contraindication
✔✔ADHD sx must be present before age? - ✔✔7
✔✔chi square used for? - ✔✔looking at the relationship between nominal/categorical
variables (non-measurable)
✔✔brain findings of auditory hallucinations - ✔✔- activate primary auditory regions
- overactivation in temporal and parital cortex
✔✔what is important to understand in interprofessional collaborative care? - ✔✔it is
important for all team members to know each other's expertise and capabilities
✔✔most common intellecutal disabilites - ✔✔fragile x
downs syndrome (trisomy 21)
Fetal alcohol syndrome
- most common genetic cause is downs syndrome
,✔✔NT most associated with social phobia> - ✔✔dopamine - low dopamine
✔✔5 As of behavior change - ✔✔Assess, Advise, Agree, Assist, Arrange
✔✔The super ego says - ✔✔I ought or I should
✔✔rare side effect of eyes with atypical antipsychotics - ✔✔oliguric crisis
✔✔example of advocating - ✔✔correcting misinformation that calls NPs
paraprofessional
✔✔making an evidence based decision includes research and? - ✔✔- patient
status/preference
- clinician's expertise
- availability of healthcare resources
✔✔patient asks you to refill med from GP - ✔✔say you can't do that cause it's out of
your scope and refer back to gP
✔✔DNP and APRN have what difference in standard of practice? - ✔✔no difference
✔✔What does HIPPA provide in terms of health insurance - ✔✔increases employees
ability to have health insurance between jobs
✔✔Why add folic acid? - ✔✔Folic acid for women who are capable of becoming
pregnant - 04 -0.6
✔✔Muslim preferance - ✔✔male patient needs male provider
female patient needs female provider (male must be present)
- no products with shellfish, gelatin, hooved animals like horse, and fanged animals like
bats
no blood products
koran bands alcohol
✔✔preceptor - ✔✔teach
1:1 relationships over a short period of time
showing students around is a preceptor
✔✔Federal Law 42 CFR - ✔✔separate release of information for chemical dependcy
✔✔biggest risk factor for anti-social personality - ✔✔first degree family member
✔✔can patient stay on long term benzos if not abusing? - ✔✔yes
, ✔✔wider confidene interval means? - ✔✔the estimate of the effect is less precise
✔✔lab to check for bulimia - ✔✔urine specific gravity for electrolyte imablance
✔✔how to maintain self protection? - ✔✔know as much about the patient as possible
before interacting
✔✔precendent - ✔✔how things were done by a specific group in the past
✔✔Hopkins, Iowa and Stetler models of change do not include? - ✔✔obtaining funding-
- do include stakeholders, addressing organizatoinal barriers
✔✔Type II error might be related to ? - ✔✔power - when sample size is too small there
is not enough power to detect true finding
✔✔The office of clinical quality and safety - ✔✔- having an EHR is ideal
- incentives if you have an EHR
✔✔term for higher code innappropriately - ✔✔up-coding
✔✔when do you not report elderly abuse? - ✔✔if elderly person is competent and ask
you not then you don't report- not all states require
✔✔when determing where to send someone? - ✔✔least restrictive environment-- for
example, sending a patient to the acute stabalization unit instead of gero-psych unit
✔✔Duties of the IRB - ✔✔- informed consent provided and documented
- risk is minimized
- adverse events are reported and risks/benefits reevalauted
*does not inlcude animal studies
✔✔example of NP social justice - ✔✔treating a number of patients pro bono each year
✔✔highest risk for IPV - ✔✔- African American and Native American (asian lowest risk)
- single, divorced , seperated higher risk than married
- also risk for pregnant women, low SES, low education and these women living with
disparirites
✔✔mean age of onset for MDD - ✔✔40 years of age
- highest risk for those without close relationships such as divorced or separated
- women who has gone through hormonal changes of child birth also at risk
ANSWERS SURE A+
✔✔Creutzfeldt-Jacobz disease findings - ✔✔- rapid dementia
- akinetic mutism
- myoclonic jerks
- cerebral atrophy late in course (on CT)
✔✔cyclothymia - ✔✔depressive symptoms with hypomanic episodes at least 4 times
per year
✔✔facts about lithium hypothyroid - ✔✔more common in women
usually happens in first 6 to 8 months
associated with more depression and rapid cycling
it occurs in 5-35% of patients
not a contraindication
✔✔ADHD sx must be present before age? - ✔✔7
✔✔chi square used for? - ✔✔looking at the relationship between nominal/categorical
variables (non-measurable)
✔✔brain findings of auditory hallucinations - ✔✔- activate primary auditory regions
- overactivation in temporal and parital cortex
✔✔what is important to understand in interprofessional collaborative care? - ✔✔it is
important for all team members to know each other's expertise and capabilities
✔✔most common intellecutal disabilites - ✔✔fragile x
downs syndrome (trisomy 21)
Fetal alcohol syndrome
- most common genetic cause is downs syndrome
,✔✔NT most associated with social phobia> - ✔✔dopamine - low dopamine
✔✔5 As of behavior change - ✔✔Assess, Advise, Agree, Assist, Arrange
✔✔The super ego says - ✔✔I ought or I should
✔✔rare side effect of eyes with atypical antipsychotics - ✔✔oliguric crisis
✔✔example of advocating - ✔✔correcting misinformation that calls NPs
paraprofessional
✔✔making an evidence based decision includes research and? - ✔✔- patient
status/preference
- clinician's expertise
- availability of healthcare resources
✔✔patient asks you to refill med from GP - ✔✔say you can't do that cause it's out of
your scope and refer back to gP
✔✔DNP and APRN have what difference in standard of practice? - ✔✔no difference
✔✔What does HIPPA provide in terms of health insurance - ✔✔increases employees
ability to have health insurance between jobs
✔✔Why add folic acid? - ✔✔Folic acid for women who are capable of becoming
pregnant - 04 -0.6
✔✔Muslim preferance - ✔✔male patient needs male provider
female patient needs female provider (male must be present)
- no products with shellfish, gelatin, hooved animals like horse, and fanged animals like
bats
no blood products
koran bands alcohol
✔✔preceptor - ✔✔teach
1:1 relationships over a short period of time
showing students around is a preceptor
✔✔Federal Law 42 CFR - ✔✔separate release of information for chemical dependcy
✔✔biggest risk factor for anti-social personality - ✔✔first degree family member
✔✔can patient stay on long term benzos if not abusing? - ✔✔yes
, ✔✔wider confidene interval means? - ✔✔the estimate of the effect is less precise
✔✔lab to check for bulimia - ✔✔urine specific gravity for electrolyte imablance
✔✔how to maintain self protection? - ✔✔know as much about the patient as possible
before interacting
✔✔precendent - ✔✔how things were done by a specific group in the past
✔✔Hopkins, Iowa and Stetler models of change do not include? - ✔✔obtaining funding-
- do include stakeholders, addressing organizatoinal barriers
✔✔Type II error might be related to ? - ✔✔power - when sample size is too small there
is not enough power to detect true finding
✔✔The office of clinical quality and safety - ✔✔- having an EHR is ideal
- incentives if you have an EHR
✔✔term for higher code innappropriately - ✔✔up-coding
✔✔when do you not report elderly abuse? - ✔✔if elderly person is competent and ask
you not then you don't report- not all states require
✔✔when determing where to send someone? - ✔✔least restrictive environment-- for
example, sending a patient to the acute stabalization unit instead of gero-psych unit
✔✔Duties of the IRB - ✔✔- informed consent provided and documented
- risk is minimized
- adverse events are reported and risks/benefits reevalauted
*does not inlcude animal studies
✔✔example of NP social justice - ✔✔treating a number of patients pro bono each year
✔✔highest risk for IPV - ✔✔- African American and Native American (asian lowest risk)
- single, divorced , seperated higher risk than married
- also risk for pregnant women, low SES, low education and these women living with
disparirites
✔✔mean age of onset for MDD - ✔✔40 years of age
- highest risk for those without close relationships such as divorced or separated
- women who has gone through hormonal changes of child birth also at risk
