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BARKLEY DRT PMHNP PRACTICUM 1 FINAL
EXAM 2025 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED / ALREADY GRADED
A+ | GUARANTEED PASS
Harriet is a well-established business woman who provides for
her family. She was recently arrested for stealing over $10,000
worth of merchandise from the mall. When Harriet is asked to
describe her behavior, she says: "It just comes on me quickly,
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and when it's done, I feel really good." She also describes how
she grew up poor and sees the theft as a way to "even the
score" against those with "empty wealth." Which of the following
does not meet the diagnostic criteria for kleptomania?
Harriet views her shoplifting as a righteous act.
Harriet's stealing is described as pleasurable.
Harriet is well-off and can support her family's needs.
Harriet's stealing is described as impulsive. - ANSWER-Although
the patient may be rationalizing her behavior as a righteous act,
patients with kleptomania do not commit theft to express anger
or vengeance. Kleptomania is characterized as failing to resist
the impulse to steal, and the stolen objects are typically not
needed. The act of stealing, which usually is performed alone,
gives the person gratification.
Tony, a 16-year-old male, has been sent to your clinic for
counseling. He has a long record of skipping school, talking back
to his teachers, and getting poor grades. His parents say he has
often gotten in fights with them, has frequently been caught
sneaking girls into his room, and has run away from home on
two occasions. During the session, you notice Tony acts tough
and aloof, not deigning to speak much. If you suspect conduct
disorder, which of the following conditions would you be least
likely to include in your differential diagnosis?
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1. Borderline personality disorder
2. Oppositional defiant disorder
3. Adjustment disorder with disturbance of conduct
4. Bipolar disorder - ANSWER-Borderline personality disorder is
not considered a differential diagnosis for conduct disorder, as
indicated by the patient's truancy, defiance of authority figures,
fights with family members, poor academic performance, sexual
promiscuity, running away from home, and "tough guy"
demeanor. Oppositional defiant disorder, bipolar disorders, and
adjustment disorders are all considered potential differential
diagnoses for conduct disorder, as are depressive disorders,
attention-deficit/hyperactivity disorder, and intermittent
explosive disorder.
Which of these lab findings would be least expected in a patient with
depression?
1. Decreased nocturnal growth hormone secretion
2. Decreased thyroid-stimulating hormone response
3. Increased somatostatin in cerebrospinal fluid
4. Increased secretion of cortisol - ANSWER-Depressive
symptoms are associated with decreased, not increased, levels
of somatostatin in cerebrospinal fluid. Patients with depression
may exhibit a decreased thyroid-stimulating hormone response
to thyrotropin-releasing hormone, as well as hypersecretion of
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cortisol. Depressive symptoms are also associated with
irregularities in growth hormone release, such as reduced
nocturnal secretion and diurnal hypersecretion.
Jeremy, a suicidal inpatient, is under close observation. He is
able to be observed at all times by hospital staff during waking
hours and when he sleeps, and is checked on every 15-30
minutes. Which of these reasons would least indicate the need
for this level of supervision?
1. Jeremy has expressed suicidal thoughts.
2. Jeremy experiences withdrawal from alcohol and cocaine.
3. Jeremy is ambivalent about his intent to commit suicide.
4. Jeremy was unable to commit to a "No Harm" contract. -
ANSWER-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. Close
observation should be employed with patients who profess
suicidal thoughts, are unable to commit to a "No Harm" contract,
or experience withdrawal.
Adam, a 23-year-old male, is undergoing an STD test at your
clinic. When you ask him why he is here, he says, "I'm here
because I've had this increased craving for sex. I've been picking
up strangers in bars, not caring about using protection ... I don't
BARKLEY DRT PMHNP PRACTICUM 1 FINAL
EXAM 2025 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED / ALREADY GRADED
A+ | GUARANTEED PASS
Harriet is a well-established business woman who provides for
her family. She was recently arrested for stealing over $10,000
worth of merchandise from the mall. When Harriet is asked to
describe her behavior, she says: "It just comes on me quickly,
,2|Page
and when it's done, I feel really good." She also describes how
she grew up poor and sees the theft as a way to "even the
score" against those with "empty wealth." Which of the following
does not meet the diagnostic criteria for kleptomania?
Harriet views her shoplifting as a righteous act.
Harriet's stealing is described as pleasurable.
Harriet is well-off and can support her family's needs.
Harriet's stealing is described as impulsive. - ANSWER-Although
the patient may be rationalizing her behavior as a righteous act,
patients with kleptomania do not commit theft to express anger
or vengeance. Kleptomania is characterized as failing to resist
the impulse to steal, and the stolen objects are typically not
needed. The act of stealing, which usually is performed alone,
gives the person gratification.
Tony, a 16-year-old male, has been sent to your clinic for
counseling. He has a long record of skipping school, talking back
to his teachers, and getting poor grades. His parents say he has
often gotten in fights with them, has frequently been caught
sneaking girls into his room, and has run away from home on
two occasions. During the session, you notice Tony acts tough
and aloof, not deigning to speak much. If you suspect conduct
disorder, which of the following conditions would you be least
likely to include in your differential diagnosis?
,3|Page
1. Borderline personality disorder
2. Oppositional defiant disorder
3. Adjustment disorder with disturbance of conduct
4. Bipolar disorder - ANSWER-Borderline personality disorder is
not considered a differential diagnosis for conduct disorder, as
indicated by the patient's truancy, defiance of authority figures,
fights with family members, poor academic performance, sexual
promiscuity, running away from home, and "tough guy"
demeanor. Oppositional defiant disorder, bipolar disorders, and
adjustment disorders are all considered potential differential
diagnoses for conduct disorder, as are depressive disorders,
attention-deficit/hyperactivity disorder, and intermittent
explosive disorder.
Which of these lab findings would be least expected in a patient with
depression?
1. Decreased nocturnal growth hormone secretion
2. Decreased thyroid-stimulating hormone response
3. Increased somatostatin in cerebrospinal fluid
4. Increased secretion of cortisol - ANSWER-Depressive
symptoms are associated with decreased, not increased, levels
of somatostatin in cerebrospinal fluid. Patients with depression
may exhibit a decreased thyroid-stimulating hormone response
to thyrotropin-releasing hormone, as well as hypersecretion of
, 4|Page
cortisol. Depressive symptoms are also associated with
irregularities in growth hormone release, such as reduced
nocturnal secretion and diurnal hypersecretion.
Jeremy, a suicidal inpatient, is under close observation. He is
able to be observed at all times by hospital staff during waking
hours and when he sleeps, and is checked on every 15-30
minutes. Which of these reasons would least indicate the need
for this level of supervision?
1. Jeremy has expressed suicidal thoughts.
2. Jeremy experiences withdrawal from alcohol and cocaine.
3. Jeremy is ambivalent about his intent to commit suicide.
4. Jeremy was unable to commit to a "No Harm" contract. -
ANSWER-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. Close
observation should be employed with patients who profess
suicidal thoughts, are unable to commit to a "No Harm" contract,
or experience withdrawal.
Adam, a 23-year-old male, is undergoing an STD test at your
clinic. When you ask him why he is here, he says, "I'm here
because I've had this increased craving for sex. I've been picking
up strangers in bars, not caring about using protection ... I don't
