PMHNP I - Exam 1 - Review Book

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PMHNP I - Exam 1 - Review Book Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

What is the primary focus of a psychiatric-mental health nurse practitioner during an initial assessment?

• Developing a long-term care plan

✔✔B. Establishing rapport and gathering biopsychosocial information

• Ordering lab tests
• Starting pharmacologic treatment immediately

Which part of the mental status exam assesses a patient’s ability to understand right from wrong?✔✔A. Judgment

• Mood
• Insight
• Perception

Which neurotransmitter is primarily involved in anxiety disorders?

• Dopamine 1 / 4

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✔✔B. Gamma-aminobutyric acid (GABA)

• Acetylcholine
• Glutamate

Which class of medications is considered first-line treatment for generalized anxiety disorder?

• Antipsychotics
• Beta-blockers

✔✔C. SSRIs

• Stimulants

Which theorist proposed the stages of psychosocial development?✔✔A. Erik Erikson

• Sigmund Freud
• Jean Piaget
• B.F. Skinner

Which of the following is a risk factor for developing major depressive disorder?

• High socioeconomic status 2 / 4

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• Regular exercise

✔✔C. Family history of depression

• Low cholesterol levels

Which lab value should be monitored regularly when a patient is on lithium therapy?

• Hemoglobin

✔✔B. Serum lithium level

C. AST

• Platelet count

What is the minimum duration of symptoms required to diagnose generalized anxiety disorder?

• One week

✔✔B. Six months

• Three years
• One year

Which of the following describes tangential thought process?

• Speech is slow and monotone 3 / 4

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✔✔B. The patient goes off-topic and never returns

• The patient repeats the same idea
• The patient makes up words

What is a key side effect of second-generation (atypical) antipsychotics?

• Hypertension

✔✔B. Weight gain and metabolic syndrome

• Insomnia
• Tachycardia

What is the hallmark feature of delusional disorder?✔✔A. The presence of one or more fixed, false beliefs lasting at least one month

• Persistent hallucinations
• Memory loss
• Extreme mood swings

What is the primary action of SSRIs in the treatment of depression?✔✔A. Block the reuptake of serotonin

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