PSYCHIATRIC MENTAL HEALTH BOARD
CERTIFICATION FINAL PAPER EXAM 2026
COMPLETE QUESTIONS AND VERIFIED
SOLUTIONS
◉ Schizoid (Cluster A) Answer: Social detachment (appears
cold/indifferent)
◉ Schizotypal (Cluster A) Answer: Lack intimate relationships due
to social ineptitude and fear (hallucination, hold odd/superstitious
beliefs)
◉ Antisocial (Cluster B) Answer: Blatant disregard of others (lie,
manipulative, exploit, commit illegal crimes)
◉ Borderline (Cluster B) Answer: Unstable self-image (impulsive,
self-destructive, mood instability, recurrent SI/HI, intense anger)
◉ Histrionic (Cluster B) Answer: extremely emotional and desire to
be center of attention (attention-seeking, frequent intense short-
lived relationships)
,◉ Narcissistic (Cluster B) Answer: great sense of self-importance
and are often arrogant (lack empathy, exploitative, manipulative -
react violently)
◉ Avoidant (Cluster C) Answer: avoids interaction with others,
socially inhibited (sensitive to criticism or rejection, feeling of
inadequacy)
◉ Dependent (Cluster C) Answer: low self-esteem and will be
submissive/dependent (taken advantage of, seek to establish
another relationship quickly)
◉ Obsessive-Compulsive (Cluster C) Answer: preoccupation with
minute details, inflexible perfectionism (cold, unfeeling, superior
attitudes, desire for control)
◉ Dialectical Behavioral Therapy Answer: Helps patients by
replacing dichotomous thinking that paints the world as black or
white with rational (dialectal) thinking
◉ Cognitive-Behavioral Therapy Answer: Focuses on impact that
thoughts have on behavior and feelings - encourages individual to
use power of rational thought to alter perceptions/behavior
◉ Selectivity Answer: ability to bond with specific receptor
, will not interact with unwanted cells/organs - reduce side effects
◉ Affinity Answer: attraction between medication and receptor site
high affinity = last longer and less likely another drug will knock off
site
◉ Intrinsic Activity Answer: produce desired physiological response
bonds selectively and may have strong affinity but doesn't produce
response
◉ Pediatric Pharmacology Equation Answer: 50th percentile weight
(kilogram) = (age x 2) + 9
◉ Normal Therapeutic Range for Lithium Answer: 0.6 to 1.4 mEq/L
◉ Mild Toxicity Level for Lithium Answer: 1.5 to 2.5 mEq/L
◉ Severe Toxicity Answer: greater than 2.5 mEq/L
CERTIFICATION FINAL PAPER EXAM 2026
COMPLETE QUESTIONS AND VERIFIED
SOLUTIONS
◉ Schizoid (Cluster A) Answer: Social detachment (appears
cold/indifferent)
◉ Schizotypal (Cluster A) Answer: Lack intimate relationships due
to social ineptitude and fear (hallucination, hold odd/superstitious
beliefs)
◉ Antisocial (Cluster B) Answer: Blatant disregard of others (lie,
manipulative, exploit, commit illegal crimes)
◉ Borderline (Cluster B) Answer: Unstable self-image (impulsive,
self-destructive, mood instability, recurrent SI/HI, intense anger)
◉ Histrionic (Cluster B) Answer: extremely emotional and desire to
be center of attention (attention-seeking, frequent intense short-
lived relationships)
,◉ Narcissistic (Cluster B) Answer: great sense of self-importance
and are often arrogant (lack empathy, exploitative, manipulative -
react violently)
◉ Avoidant (Cluster C) Answer: avoids interaction with others,
socially inhibited (sensitive to criticism or rejection, feeling of
inadequacy)
◉ Dependent (Cluster C) Answer: low self-esteem and will be
submissive/dependent (taken advantage of, seek to establish
another relationship quickly)
◉ Obsessive-Compulsive (Cluster C) Answer: preoccupation with
minute details, inflexible perfectionism (cold, unfeeling, superior
attitudes, desire for control)
◉ Dialectical Behavioral Therapy Answer: Helps patients by
replacing dichotomous thinking that paints the world as black or
white with rational (dialectal) thinking
◉ Cognitive-Behavioral Therapy Answer: Focuses on impact that
thoughts have on behavior and feelings - encourages individual to
use power of rational thought to alter perceptions/behavior
◉ Selectivity Answer: ability to bond with specific receptor
, will not interact with unwanted cells/organs - reduce side effects
◉ Affinity Answer: attraction between medication and receptor site
high affinity = last longer and less likely another drug will knock off
site
◉ Intrinsic Activity Answer: produce desired physiological response
bonds selectively and may have strong affinity but doesn't produce
response
◉ Pediatric Pharmacology Equation Answer: 50th percentile weight
(kilogram) = (age x 2) + 9
◉ Normal Therapeutic Range for Lithium Answer: 0.6 to 1.4 mEq/L
◉ Mild Toxicity Level for Lithium Answer: 1.5 to 2.5 mEq/L
◉ Severe Toxicity Answer: greater than 2.5 mEq/L
