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PMHNP COMPREHENSIVE EXAM NEWEST 2025
ACTUAL EXAM TEST BANK| COMPLETE 650
EXPECTED QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+| PMHNP EXAM REVIEW 2025 (BRAND NEW!!)
As a PMHNP working in a crisis evaluation center, you are aware that the initial focus of a crisis assessment is on which of the following?
a) Client's past diagnosis and medication trials
b) Psychosocial history and supports
c) Safety of the client and others
d) Current living situation and coping skills - Correct Answer - C. In a
crisis, the first assessment should be safety of the client and those near the client.
When conducting a neurological examination on a client, the PMHNP asks the client to hold out her arms and stick out her tongue while assessing for tremors. Which cranial nerve is being assessed?
a) Glossopharyngeal
b) Vagus
c) Trigeminal
d) Hypoglossal - Correct Answer - D. The tongue is controlled by the
hypoglossal cranial nerve.
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pg. 2 A 20-year-old Asian man who was recently diagnosed with schizophrenia comes to your office for a follow-up appointment. During the assessment, he talks about his experience in the group home, thinking that the television is sending him messages through news anchors during the 10 p.m. evening news. What symptom is the client describing?
a) Paranoia
b) Illusions
c) Ideas of reference
d) Neologisms - Correct Answer - C. Ideas of reference are
misinterpretations of incidents and events that one believes have a direct personal reference to oneself.
You are working with a family: mother, father, and two biological
children. Sam, the father, is very rigid and controlling, which seems to be out of fear that something might happen to his family. He worries daily and it affects his family relationships. You give Sam a paradoxical directive and instruct him to intensely worry about everything he can think of for 1 hour a day. Using a paradoxical directive is part of which therapy?
a) Experimental
b) Structural
c) Strategic
d) Cognitive - Correct Answer - C. Paradoxical directives may be used
in strategic family therapy.
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pg. 3 As a PMHNP working in an outpatient addiction clinic, you often refer your clients to community AA and NA meetings. Using Yalom's therapeutic factors, you are aware that peer- led groups can inspire and encourage other group participants. Which therapeutic factor is instilled in AA and NA group members?
a) Hope
b) Altruism
c) Catharsis
d) Existential factors - Correct Answer - A. Working in support groups
such as AA and NA, hearing stories of others who had similar struggles, instills hope.
Which of the following client statements best describes imitative behavior as a therapeutic factor in group therapy?
a) Group members talk over one another so the loudest person is heard
b) Group members begin to model aspects of other members of the
group and group leaders
c) Group members discuss past situations when they were bullied and
felt ashamed
d) Group leaders take charge of the group and redirect members when
they monopolize the group - Correct Answer - B. As group progresses the leader is less active and the members of the group take over and begin to model other members and the leaders.
Dialectical behavioral therapy (DBT) draws on cognitive theory and behavioral theory, along with other theories. Elements of behavioral theory in DBT include which of the following? 3 / 4
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a) Skills training and exposure
b) Examination of feelings and relating feelings to visceral sensations
c) Working through the transference with the therapist
d) Cognitive interpretation of past traumatic experiences - Correct
Answer - A. DBT focuses on cognitive and behavioral techniques, mindful- ness including meditation, and emotional regulation.
Dialectical behavioral therapy (DBT) affirms dialectical thinking, which involves examining and discussing opposing ideas to find the truth. This philosophy is a supportive principle of DBT training. The central
dialectical pattern emphasized in DBT involves the tension between:
a) Radical acceptance and change
b) Cue exposure and block avoidance
c) Problem avoidance and problem-solving
d) Crisis survival and acceptance - Correct Answer - A. DBT emphasis
acceptance of the current reality of what is and the ability to engage in personal change.
You have been working with a 54-year-old man who has been treated for schizophrenia since age 19. He has limited social interactions, likes to be alone, and has never dated nor had a desire to date. His symptoms are best explained by which of the following?
a) Antisocial personality disorder
b) Lack of personal hygiene
c) Negative symptoms
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