PMHNP EXAM REPORTED EXAM WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND
SOLUTIONS|NEWEST|GUARANTEED PASS
2026/2027
When do you assume informed consent?
Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent?
Same as with informed consent
Who can declare a patient incompetent and appoint a guardian?
Only a court
Does impaired judgment mean one is incompetent?
No.
Can an advanced directive ever be revoked?
Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact?
Nothing. They are all the same.
Does the de facto rule of proxy apply in same sex marriages?
No.
How do Asians see HC providers?
As in a position of authority.
Expect to give instructions and help make decisions
What does it mean when an Asian patient does not make eye contact with the NP?
Sign of respect
1|Page
,What is the evil eye?
When a stronger or more powerful person looks at a weaker person - often infant/child resulting in a
hex which presents in illness such as HA, fever, diarrhea, disturbed sleep, increased fussiness.
How do you protect from the evil eye?
Red ribbon on an infant
Amulet for adults
How do you treat for evil eye?
Access traditional healer + traditional care.
For there to be a duty to a patient, what must exist?
Relationship
What is a proximate cause?
Connection between A + B.
For there to be damages, what must exist first?
Negligence
What is an occurrence basis liability insurance?
"occurred" during the policy period, no matter when the claim is brought against the insured
What is a claims made/based liability insurance?
provides coverage for a claim that is brought within the policy period, no matter when the loss occurred.
Who sets the minimum requirements for NP's?
Board of Nursing
State
What are the various controlled substance classes?
Schedule I - nobody has these - not good for health - heroin, PCP, MDMA, researchers can get it
sometimes.
Schedule II - Significant Abuse Potential - morphine, methadone, methyphenidate
Schedule III - Moderate Abuse Potential - hydrocodone, codeine
Schedule IV - Low Abuse Potential - benzo's, ambien, phentermine
Schedule V - Very low abuse potential - anti-tussives, lomotil
What classes of CS's is the NP approved to prescribe?
2|Page
,Schedules III-V ONLY.
Where does 50% of healthcare funds come from?
The government
Who is eligible for Medicare?
>65 or under 65 with disability, ANY age with renal disease.
What is incident to billing?
Means MD initiates treatment and NP is an extension of the care and directly under the supervision of
the MD.
Allows NP to get reimbursed at 100% rather than 85%.
How are Medicaid benefits determined?
State determines qualification - Partnership between State and Fed Govt.
Must be impoverished
Must be US resident and low or very low income.
Can you have Medicare and Medicaid?
Yes, impoverished elderly but Medicaid is always payor of last resort.
Is dental care included in Medicaid?
Yes, <21 gets basic dental as part of the Medicaid plan.
What is the purpose of HIPAA?
National standards for electronic HC transactions
National ID for providers, health plans and employers.
Not SIMPLY Confidentiality.
What must be signed prior to any healthcare in the state
Notice of Privacy Practices Statement
What happens if a patient refuses to sign an ROI?
Can decline to treat
Health plan may condition enrollment on provision of consent
When is HIPAA not required?
Emergency treatment
Substantial communication barriers and consent is inferred
Involuntary committment
3|Page
, Is it ok to announce a patient's name in a waiting room?
Yes, no other way to give care.
Is it ok to leave a message on a patient's vm?
Yes, but should be limited.
What is the impact of steroid inhalers on children?
Slows bone growth and may decrease ultimate height.
What is the long-term impact of using steroid inhalers?
Cataracts, glaucoma, thinning of bones and skin
What is included in the treatment of fibromyalgia?
Sleeping meds
Antidepressants
Pain meds
What psychoactives are first line treatment for fibro?
Cymbalta, Effexor
Elavil, Pamelor
Lyrica, Gabapentin
Ultram, Benzo's
What is the purpose of telepsychiatry?
Increase the ability to reach rural and underserved areas.
What is the purpose of Motivational Interviewing?
Explore ambiguity
Maintain passive position
What is required for Medicare submission?
ICD 10 and narrative or CPT
What is the neurotransmitter problem in Schizophrenia?
Excess dopamine in mesolimbic pathway.
What is the neurotransmitter problem in ADHD?
Dopamine, norepinephrine and serotonergic dysfunction
What is the benefit of play therapy?
Don't have to confront emotions head on.
What neurotransmitters are involved in the bioamine hypothesis of depression?
4|Page
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND
SOLUTIONS|NEWEST|GUARANTEED PASS
2026/2027
When do you assume informed consent?
Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent?
Same as with informed consent
Who can declare a patient incompetent and appoint a guardian?
Only a court
Does impaired judgment mean one is incompetent?
No.
Can an advanced directive ever be revoked?
Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact?
Nothing. They are all the same.
Does the de facto rule of proxy apply in same sex marriages?
No.
How do Asians see HC providers?
As in a position of authority.
Expect to give instructions and help make decisions
What does it mean when an Asian patient does not make eye contact with the NP?
Sign of respect
1|Page
,What is the evil eye?
When a stronger or more powerful person looks at a weaker person - often infant/child resulting in a
hex which presents in illness such as HA, fever, diarrhea, disturbed sleep, increased fussiness.
How do you protect from the evil eye?
Red ribbon on an infant
Amulet for adults
How do you treat for evil eye?
Access traditional healer + traditional care.
For there to be a duty to a patient, what must exist?
Relationship
What is a proximate cause?
Connection between A + B.
For there to be damages, what must exist first?
Negligence
What is an occurrence basis liability insurance?
"occurred" during the policy period, no matter when the claim is brought against the insured
What is a claims made/based liability insurance?
provides coverage for a claim that is brought within the policy period, no matter when the loss occurred.
Who sets the minimum requirements for NP's?
Board of Nursing
State
What are the various controlled substance classes?
Schedule I - nobody has these - not good for health - heroin, PCP, MDMA, researchers can get it
sometimes.
Schedule II - Significant Abuse Potential - morphine, methadone, methyphenidate
Schedule III - Moderate Abuse Potential - hydrocodone, codeine
Schedule IV - Low Abuse Potential - benzo's, ambien, phentermine
Schedule V - Very low abuse potential - anti-tussives, lomotil
What classes of CS's is the NP approved to prescribe?
2|Page
,Schedules III-V ONLY.
Where does 50% of healthcare funds come from?
The government
Who is eligible for Medicare?
>65 or under 65 with disability, ANY age with renal disease.
What is incident to billing?
Means MD initiates treatment and NP is an extension of the care and directly under the supervision of
the MD.
Allows NP to get reimbursed at 100% rather than 85%.
How are Medicaid benefits determined?
State determines qualification - Partnership between State and Fed Govt.
Must be impoverished
Must be US resident and low or very low income.
Can you have Medicare and Medicaid?
Yes, impoverished elderly but Medicaid is always payor of last resort.
Is dental care included in Medicaid?
Yes, <21 gets basic dental as part of the Medicaid plan.
What is the purpose of HIPAA?
National standards for electronic HC transactions
National ID for providers, health plans and employers.
Not SIMPLY Confidentiality.
What must be signed prior to any healthcare in the state
Notice of Privacy Practices Statement
What happens if a patient refuses to sign an ROI?
Can decline to treat
Health plan may condition enrollment on provision of consent
When is HIPAA not required?
Emergency treatment
Substantial communication barriers and consent is inferred
Involuntary committment
3|Page
, Is it ok to announce a patient's name in a waiting room?
Yes, no other way to give care.
Is it ok to leave a message on a patient's vm?
Yes, but should be limited.
What is the impact of steroid inhalers on children?
Slows bone growth and may decrease ultimate height.
What is the long-term impact of using steroid inhalers?
Cataracts, glaucoma, thinning of bones and skin
What is included in the treatment of fibromyalgia?
Sleeping meds
Antidepressants
Pain meds
What psychoactives are first line treatment for fibro?
Cymbalta, Effexor
Elavil, Pamelor
Lyrica, Gabapentin
Ultram, Benzo's
What is the purpose of telepsychiatry?
Increase the ability to reach rural and underserved areas.
What is the purpose of Motivational Interviewing?
Explore ambiguity
Maintain passive position
What is required for Medicare submission?
ICD 10 and narrative or CPT
What is the neurotransmitter problem in Schizophrenia?
Excess dopamine in mesolimbic pathway.
What is the neurotransmitter problem in ADHD?
Dopamine, norepinephrine and serotonergic dysfunction
What is the benefit of play therapy?
Don't have to confront emotions head on.
What neurotransmitters are involved in the bioamine hypothesis of depression?
4|Page
