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Exam (elaborations)
PMHNP Comprehensive Final Exam Test Bank: Detailed Questions and Verified Answers (2025-2026 Edition)
This comprehensive test bank is designed for Psychiatric-Mental Health Nurse Practitioner (PMHNP) students preparing for their final board certification or comprehensive exam. It features a vast collection of detailed questions and correct answers covering all core domains of psychiatric care. Key topics include psychopharmacology, mental status exams, psychiatric rating scales (AIMS, BPRS, PANSS, etc.), lab value interpretation, diagnostic criteria, therapeutic modalities, legal/ethical issues,...
Exam (elaborations)
Pmnhp Questions And Answer Already Passed
PopularHLA-B 1502 - check for prior to starting carbamazepine o asia patient, FDA required. Increased 
risk of SJS in pts with the allele 
Medication that can induce Mania: - Steroids, Antidepressants in bipolar, isoniazid, disulfiram- 
antabase 
Medication that can induce depression - Beta blockers 
Benzos 
Antineoplastic drugs, accutane 
Steroids 
Interferon 
Some retroviral drugs 
Progesterone 
Inhibitors - lower dose of medication - Buproprion 
Clomipramine - tricyclic 
Clarithromycin 
Flouroquinol...
Exam (elaborations)
Barkley PMHNP ANCC Exam Prep | Complete Practice 
Questions, Psychiatric Assessment & Detailed Rationales 2026/2027 

NewBarkley PMHNP ANCC Exam Prep | Complete Practice 
Questions, Psychiatric Assessment & Detailed Rationales 2026/2027
Exam (elaborations)
Pmnhp Latest Exam 2025 Reported Questions And Detailed Solutions Already Graded A+ And 100% Guarantee Pass (Just Released!!!!!)
What is Tegretol in the CYP450 system? - CORRECT ANSWER-Inducer -->will lower dose of Lamictal and BCP's 
 
What do BCP's do to Lamictal? - CORRECT ANSWER-Inducer - will lower dose of Lamictal 
 
What is a Type I research error? - CORRECT ANSWER-There IS a difference but you say there isn't a difference. 
 
What is a Type II research error? - CORRECT ANSWER-There is NO difference but you say there is a difference. 
 
What is pseudo-dementia? - CORRECT ANSWER-Cognitive impairment seco...
Exam (elaborations)
PMHNP Board Review (2020)
Positive Romberg Sign - (r/t etoh) loss of balance that occurs when closing the eyes 
ETOH withdrawal delirium may result in? - Seizures or death 
DSM Severity for ETOH - Mild = 2-3 sx 
Moderate = 4-5 sx 
Severe = >= 6 sx 
DSM ETOH Remission Criteria - Early = >3 mos & <12 mos 
Substantial Remission = >12 mos 
Screening & Early Intervention scale for SUD - SBIRT Screening, Brief Intervention & Refereal to 
Treatment 
CAGE - Cut down 
Annoyed 
Guilty 
Eye-Opener 
>=2 is clinically ...
Exam (elaborations)
Pmhnp Board Set Questions And Answer
increase prolactin - - Stop prolactin (stop the agent that cause increase prolactin) 
3-year-old masturbates, play with self, says naughty things - Normal for Piaget 
5-year-old tells you his brother sodomized him - - Tell mom don't leave him alone with patient 
and call CPS implement crisis 
13-year-old want to smoke - - Ask him of his plan to stop smoking 
14-year-old girl clenching her teeth - - Cranial nerve V-Trigeminal nerve 
16-year-old falls with the wrong crowd - - Conduct disorder 
16...
Exam (elaborations)
Pmhnp Boards Already Passed
Medicare Part A Coverage - Hospital insurance that covers inpatient and most skilled care. 
Mandatory copays for hospital days 21-150, getting higher with each period of time. 
Medicare Part A Eligibility - >65 in social security automatic enrollment 
Medicare Part A Cost - No cost if automatically qualified. 30-39 work quarters: ~$250/mo <30 
work quarters: ~$450/mo 
Medicare Part B Coverage - Supplemental medical insurance. Outpatient services, care, 
physical/speech therapy, some home h...
Exam (elaborations)
Pmhnp Boards Already Passed
A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical 
examination is unremarkable. Laboratory results are within normal limits except for a markedly 
elevated alkaline phosphatase level. The psychiatric-mental health nurse practitioner - interprets 
the findings as normally occurring during a rapid adolescent growth spurt 
Laboratory findings for a patient with an alcohol use disorder indicate increased liver function values 
and: - increased MCV and eleva...
Exam (elaborations)
PMHNP Boards - Scientific Foundation and Advance Practice Skills
Which of the following is a contraindication to benzodiazepines? 
a. Acute alcohol intoxication 
b. Acute narrow angle glaucoma 
c. Psychosis 
d. All the above - a. Acute alcohol intoxication 
In the pharmacological treatment of psychosis, when antipsychotics are administered, which block 
dopamine, a secondary effect is blocking in another tract, which causes potential prolactin problems, 
such as gynecomastia in males. This tract is the: 
a. mesolimbic 
b. tuberoinfundibular 
c. nigrostrial do...
Exam (elaborations)
PMHNP certification ALREADY PASSED
CAGE - items responses are scored either 1 or 0. A score 2 or higher is considered clinically 
significant 
OCD - obsessive thoughts interfere with your daily life 
-are you concern about things being contaminated, keeping things in perfect order 
-do you feel driven to perform certain acts over and over again? 
-have unwanted images or thought that you cant seem to get out of your head 
layman's explanation of mental illness - Abnormal functioning of neurotransmitters. 
Neuroanatomical differe...
Exam (elaborations)
PMHNP Certification Exam RATED A+
Tarasoff Principle - 1976 - duty to warn victims of potential harm from client 
Deontological Theory - Ethical theory that states an action is judged as good or bad based on the 
act itself regardless of the consequences 
Teleological Theory - Ethical theory that states an action is judged as good or bad based on the 
consequence or outcome 
Virtue ethics - ethical theory that states actions are chosen based on the moral virtues (eg. 
honesty, courage, compassion, wisdom, gratitude, self-respect...
Exam (elaborations)
Pmhnp Exam Prep Alreadt Passed
Conrad, a 26-year-old male, is being treated for cuts after being arrested for breaking the 
windows in the home of his girlfriend, who has just told him that they are through. He has a 
history of having been physically abused by his father, setting fires as a child, treatment for 
substance abuse, and arrest for stealing a car. Which of the following personality disorders 
might the clinician consider? 
Question 1 options:a) 
Narcissistic 
b) 
Paranoid 
c) 
Antisocial 
d) 
Histrionic - Antisoc...
Exam (elaborations)
PMHNP Exam Reported Questions images, pmhnp
DBT (dialectical behavior therapy) - relaxation muscle prior to DBT 
Greatest patient at risk for Violence - Substance abuse 
EMDR (eye movement desensitization and reprocessing) - eye movement desensitization and 
reprocessing 
What is dissemination? - Getting the research information out to those who need to know it! 
Publication - highest level 
Presenting at National Conference 
Presenting at Local Conference 
Journal Club where one person reviews an article 
What does a 17 on MMSE mean? - M...
Exam (elaborations)
PMHNP Exam Reported Questions images, pmhnp
DBT (dialectical behavior therapy) - relaxation muscle prior to DBT 
Greatest patient at risk for Violence - Substance abuse 
EMDR (eye movement desensitization and reprocessing) - eye movement desensitization and 
reprocessing 
What is dissemination? - Getting the research information out to those who need to know it! 
Publication - highest level 
Presenting at National Conference 
Presenting at Local Conference 
Journal Club where one person reviews an article 
What does a 17 on MMSE mean? - M...
Exam (elaborations)
PMHNP Exam Reported Questions -
What is dissemination? - Getting the research information out to those who need to know it! 
Publication - highest level 
Presenting at National Conference 
Presenting at Local Conference 
Journal Club where one person reviews an article 
What does a 17 on MMSE mean? - Moderate cognitive impairment 
What is Tegretol in the CYP450 system? - Inducer -->will lower dose of Lamictal and BCP's 
What do BCP's do to Lamictal? - Inducer - will lower dose of Lamictal 
What is a Type I research error?...
Exam (elaborations)
PMHNP I - Exam 1 - Review Book Questions
The purpose of the ANA's PMH Nsg: Scope and Standards of Practice is to: 
a. Define the role and actions for the NP 
b. Establish the legal authority for the prescription of psychotropic medications 
c. Define the legal statutes of the role of the PMHNP 
d. Define the differences between the physician role and the NP role - a. Define the role and 
actions for the NP 
The trend in legal rulings on cases involving mental illness over the past 25 years has been to: 
A - Encourage juries to find de...
Exam (elaborations)
PMHNP Practice Boards RATED A+
Mnemonic for Personality Disorders 
Antisocial - CORRUPT - Cluster B 
Conformity 
Obligations Ignored 
Reckless Disregard for safety (self & others) 
Remorse Hacking 
Underhanded 
Planning Insufficient 
Temper 
Tests used in ruling out BULIMIA - C - serum Ca2+ 
U - Urinalysis 
B - BUN 
S - Serum Glucose 
x5 signs of Anorexia and if the patient has reached a hibernation state expect to see ___ - 
Bradycardia 
Pigmentation of the chest 
Distended ABD 
Amenorrhea 
Peripheral Edema 
Hypothermia 
Rep...
Exam (elaborations)
PMHNP Practice Questions
What is the introduction phase of the nurse-client relationship? - Creates a trusting environment, 
establishing professional boundaries, establishing length of anticipated interaction, providing 
diagnostic evaluation, and setting mutually agreed-upon treatment objectives 
What is the working phase of the nurse-client relationship? - Clarifying client objectives and 
mutually set goals, implementing a treatment plan, monitoring health, undertaking preventative 
health care, measuring and evalua...
Exam (elaborations)
PMHNP Professional Role and Policy
Which community-based program is a tertiary level intervention? 
A. educational sessions at the local community mental health center. 
B. national association of mental illness meetings that provide education and support. 
C. Partial hospitalization program that provides intensive group therapy for rehabilitation. 
D. 12 step organization support meetings, i.e. AA - C. Partial hospitalization program that 
provides intensive group therapy for rehabilitation. 
Utilitarianism - Healthcare resource...
Exam (elaborations)
PMHNP Questions RATED A+
What is an intervention for PTSD? - Breathing 
What is the production of RBCs - Erythropoesis 
If a pt has a low BMI, is anorexic, BP 86/50 what do you do? - Admit patient 
Pt is a cutter, NP instructs pt to do what? - Journal 
What part of the brain is ADHD found in? - prefrontal cortex 
Boy wants to be girl? - Pt emotional state vs developmental state 
Soldier's friend died in the war - Return to activities, prevnar, support groups 
PT used inhalants and feel funny? What do you do? - Refer to...
Exam (elaborations)
PMHNP Study from Vital Boards
Outspoken opponent of NP role - Martha Rogers 
Treatment for AUD - Naltrexone 50mg daily to prevent relapse 
Acamprosate - resembles GABA and NMDA antagonist. Anti-craving drug used for maintenance 
therapy of alcohol withdrawal. Dose 2000 mg/day. Combining acamprosate and naltrexone may be 
more beneficial together 
Disulfiram- 250mg day - What drug is used to prevent alcohol consumption by blocking aldehyde 
dehydrogenase? 
Naloxone (Narcan) - opiate antagonist, reverses opioid induced resirat...