BARKLEY DRT FOR PMHNP EXAM
NEWEST 2026 ACTUAL EXAM TEST
BANK| COMPLETE REAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (BRAND NEW!!)
QUESTION 1
During a suicide intervention with your 28-year-old male patient, to which
agreement should you ask for his consent, verbally or in writing?
A. "No Harm" contract
B. "No Suicide" contract
C. "Prevention" Contract
D. "Affirming Life" contract
Answer: A
Rationale: Healthcare professionals are obligated to ask suicidal patients to agree
to a "no harm" contract, verbally or in writing, detailing specifically that the patient
will refrain from harming themselves.
QUESTION 2
,Courtney, 35, is a rape victim. You note that she has an expressed style of coping in
her acute rape trauma syndrome. Which finding would most lead you to this
conclusion?
A. Patient's masked face
B. Patient's distractibility
C. Patient smiling
D. Patient having difficulty making decisions
Answer: C
Rationale: In the expressed style of coping, patients may display their emotions
openly, including smiling, talking, and crying. The controlled style is characterized
by a calm, composed exterior with hidden emotions.
QUESTION 3
Which patient would NOT require hospitalization?
A. A 29-year-old self-admitted bulimic male with bradycardia
B. A 27-year-old female with repeated use of laxatives and diuretics at least two
times a week for 3 months
C. A 20-year-old male suffering from persistent hypothermia
D. An 18-year-old young woman who is 5'4" and weighs 92 pounds
Answer: B
Rationale: Hospitalization criteria for eating disorders include bradycardia (<40
BPM), hypothermia (<96°F), electrolyte imbalances, and significant weight loss
(<85% of ideal body weight). The patient in option B may not meet hospitalization
criteria based on the information provided.
,QUESTION 4
Terry, 35, visits your office with the assumption that he is experiencing depression.
He has a history of substance abuse and a family history of mood disorders. He
reports fatigue, insomnia, confusion, weight loss, and recurrent suicidal thoughts.
Which is the best medication to prescribe?
A. Sympathomimetics
B. Bupropion
C. Olanzapine
D. Risperidone
Answer: B
Rationale: Bupropion is a better choice for patients with a history of substance
abuse because it has a lower potential for abuse and is not associated with
sedation or weight gain.
QUESTION 5
You are attending to a 30-year-old male after he was shot at and almost killed. By
showing empathy, confrontation, and immediacy, you are exhibiting which of the
following?
A. Identifying the hazard and precipitating event
B. Counseling keystones relevant to assessment of a crisis
C. Identifying coping mechanisms
D. Situational support
, Answer: B
Rationale: Empathy, confrontation, and immediacy are three counseling keystones
relevant to assessment of a crisis. These techniques help establish therapeutic
rapport and facilitate crisis intervention.
QUESTION 6
A patient expresses ambivalence regarding suicidal intent. How should this be
interpreted?
A. It indicates severe risk requiring immediate hospitalization
B. It indicates moderate risk, not severe risk
C. It indicates no risk at all
D. It indicates the patient is not being truthful
Answer: B
Rationale: Although ambivalence regarding suicidal intent should be taken into
account when considering level of observation in a patient, it indicates a moderate
risk, not a severe risk.
QUESTION 7
Which of the following is the most important question to ask a patient who is at risk
for suicide?
A. "You're not thinking of suicide, are you?"
B. "Do you have a plan to harm yourself?"
NEWEST 2026 ACTUAL EXAM TEST
BANK| COMPLETE REAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (BRAND NEW!!)
QUESTION 1
During a suicide intervention with your 28-year-old male patient, to which
agreement should you ask for his consent, verbally or in writing?
A. "No Harm" contract
B. "No Suicide" contract
C. "Prevention" Contract
D. "Affirming Life" contract
Answer: A
Rationale: Healthcare professionals are obligated to ask suicidal patients to agree
to a "no harm" contract, verbally or in writing, detailing specifically that the patient
will refrain from harming themselves.
QUESTION 2
,Courtney, 35, is a rape victim. You note that she has an expressed style of coping in
her acute rape trauma syndrome. Which finding would most lead you to this
conclusion?
A. Patient's masked face
B. Patient's distractibility
C. Patient smiling
D. Patient having difficulty making decisions
Answer: C
Rationale: In the expressed style of coping, patients may display their emotions
openly, including smiling, talking, and crying. The controlled style is characterized
by a calm, composed exterior with hidden emotions.
QUESTION 3
Which patient would NOT require hospitalization?
A. A 29-year-old self-admitted bulimic male with bradycardia
B. A 27-year-old female with repeated use of laxatives and diuretics at least two
times a week for 3 months
C. A 20-year-old male suffering from persistent hypothermia
D. An 18-year-old young woman who is 5'4" and weighs 92 pounds
Answer: B
Rationale: Hospitalization criteria for eating disorders include bradycardia (<40
BPM), hypothermia (<96°F), electrolyte imbalances, and significant weight loss
(<85% of ideal body weight). The patient in option B may not meet hospitalization
criteria based on the information provided.
,QUESTION 4
Terry, 35, visits your office with the assumption that he is experiencing depression.
He has a history of substance abuse and a family history of mood disorders. He
reports fatigue, insomnia, confusion, weight loss, and recurrent suicidal thoughts.
Which is the best medication to prescribe?
A. Sympathomimetics
B. Bupropion
C. Olanzapine
D. Risperidone
Answer: B
Rationale: Bupropion is a better choice for patients with a history of substance
abuse because it has a lower potential for abuse and is not associated with
sedation or weight gain.
QUESTION 5
You are attending to a 30-year-old male after he was shot at and almost killed. By
showing empathy, confrontation, and immediacy, you are exhibiting which of the
following?
A. Identifying the hazard and precipitating event
B. Counseling keystones relevant to assessment of a crisis
C. Identifying coping mechanisms
D. Situational support
, Answer: B
Rationale: Empathy, confrontation, and immediacy are three counseling keystones
relevant to assessment of a crisis. These techniques help establish therapeutic
rapport and facilitate crisis intervention.
QUESTION 6
A patient expresses ambivalence regarding suicidal intent. How should this be
interpreted?
A. It indicates severe risk requiring immediate hospitalization
B. It indicates moderate risk, not severe risk
C. It indicates no risk at all
D. It indicates the patient is not being truthful
Answer: B
Rationale: Although ambivalence regarding suicidal intent should be taken into
account when considering level of observation in a patient, it indicates a moderate
risk, not a severe risk.
QUESTION 7
Which of the following is the most important question to ask a patient who is at risk
for suicide?
A. "You're not thinking of suicide, are you?"
B. "Do you have a plan to harm yourself?"
