2026 Latest 100% Exam Passing Ratio – PMHNP Dumps PDF [Q236-Q258]

NEW QUESTION 236
What is an example of a factor facilitating the growth of the nurse practitioner role?

Reimbursement struggles with Medicare

Resistance from powerful medical organizations

Patient acceptance of the nurse practitioner role

Mandatory physician supervision

NEW QUESTION 237
A PMHNP is evaluating a patient for symptoms of Tourette’s disorder. Which of the following is a key diagnostic criterion for Tourette’s disorder?

Presence of obsessive-compulsive disorder (OCD) symptoms

Presence of vocal tics

Presence of both motor and vocal tics

Presence of motor tics

NEW QUESTION 238
You are a nurse practitioner treating a two-year-old male. His mother explains that their primary care provider referred him because “he did not start walking until he was almost two years old, he hardly ever looks at us when we talk to him, he has a limited vocabulary and seems to be in his own world.” You suspect that the client may have autism. To better support a diagnosis of autism spectrum disorder, you perform a mental status exam.
Which of the following would least support a diagnosis of autism spectrum disorder?

Little or no eye contact

Able to follow simple commands such as smiling or frowning

Lack of emotional reciprocity

Flat or blunted affect

NEW QUESTION 239
What type of risk assessment is intended to protect the public from persons with known mental disorders who have dangerous, violent, and criminal histories?

Risk assessment

Forensic risk assessment

Litigious risk assessment

Correctional risk assessment

NEW QUESTION 240
A patient is presenting to your clinic with reports of excessive hand washing and feeling as if she cannot leave the house unless she washes her hands seven times for five minutes each time. The patient often shows up for work late because her anxiety keeps her from completing the washing with enough time to get to work by her start time. You obtain further history and learn that the patient’s mother had similar issues with cleaning the house.
What is the preliminary diagnosis that you will give this patient?

Acute panic disorder with anxious traits

Generalized anxiety disorder (acute, single episode)

Conduct disorder

Obsessive-compulsive disorder (OCD)

NEW QUESTION 241
Which of the following is an effective strategy for reducing homelessness among individuals with mental illness?

Providing temporary housing without support services

Requiring individuals to find and maintain employment before accessing housing

Offering financial incentives for individuals to leave urban areas

Implementing permanent supportive housing with mental health services

NEW QUESTION 242
Which of the following risk factors is most associated with an increased likelihood of developing depression in an adult patient?

Lower educational history

Incarceration

Female gender

Recent life stressors

NEW QUESTION 243
How do managed care organizations control healthcare costs?

Enroll only those aged 18 and older

Bargain with medical practices for reduced rates on visits

Exclude preexisting conditions

Charge higher premiums than traditional insurers

NEW QUESTION 244
The type of planning that involves everyday work management is which of the following?

operational planning

strategic planning

functional planning

projective planning

NEW QUESTION 245
All the following are known risk factors for fatal suicide, except:

Female gender

Individuals who are not married

Individuals with a history of psychiatric illness

Military veterans

NEW QUESTION 246
Which federal plan replaced Medicare + Choice and gave enrollees the option of choosing private insurance plans?

Medigap

Medicare + Choice

Medical savings accounts

Medicare Advantage

NEW QUESTION 247
Which of the following would be the least likely grounds for disciplinary action per most states’ state nurse practice acts?

Making a medication error

Failure to use appropriate nursing judgment

Incomplete nursing documentation

Inaccurate nursing documentation

NEW QUESTION 248
You are a new nurse practitioner treating a recently paroled convict. This patient has a history of violent abuse of their partners. Which of the following is least likely to be a goal characteristic of the abuser toward their intimate partners?

Bring the other person to a place of emotional defeat

Foster codependence

Control the other person

Use passive-aggressive means to overpower

NEW QUESTION 249
Cyclothymic disorder can be described as a chronic, fluctuating mood disorder with symptoms similar to but less severe than those of bipolar disorder. What medical condition is often related to a cyclothymic disorder that occurs later in life?

Cerebral palsy

Amyotrophic lateral sclerosis

Muscular dystrophy

Multiple sclerosis

NEW QUESTION 250
All of the following pertain to The Joint Commission EXCEPT:

It accredits hospitals and other health care facilities.

It maintains electronic medical records to protect privacy per HIPAA.

It is subject to the accrediting standards of the Centers for Medicare and Medicaid Service.

It evaluates behavioral healthcare organizations that provide mental health, chemical dependency, mental retardation and other psychosocial services.

NEW QUESTION 251
Which of the following is a social risk factor for developing a psychiatric disorder?

Immature ego defenses

Family history of mental illness

Poor community integration

External locus of control

NEW QUESTION 252
A client diagnosed with an anxiety disorder is experiencing severe anxiety symptoms that interfere with their daily life. The PMHNP suggests using a technique called systemic desensitization to manage the symptoms. Which of the following statements about systemic desensitization is true?

Systemic desensitization involves teaching a client relaxation techniques such as deep breathing and progressive muscle relaxation

Systemic desensitization involves exposing a client to their fear all at once in a single session to desensitize them to it

Systemic desensitization involves distracting a client from their anxiety symptoms by engaging them in physical activities such as running or exercising

Systemic desensitization involves confronting a client with their fear in a safe and controlled environment while gradually increasing the intensity of the exposure over time

NEW QUESTION 253
The etiology of the characteristic of abusers is:

heredity

personality disorders

anxiety disorders

obsessive compulsive disorders

The etiology, or cause, of the characteristics of abusers can be complex and multifaceted, involving both psychological and environmental factors. One significant psychological aspect is the presence of personality disorders.
Personality disorders are a group of mental health conditions characterized by enduring maladaptive patterns of behavior, cognition, and inner experience. These patterns deviate markedly from the expectations of the individual’s culture, are pervasive and inflexible, onset in adolescence or early adulthood, are stable over time, and lead to distress or impairment. Common personality disorders that have been associated with abusive behavior include antisocial personality disorder, borderline personality disorder, and narcissistic personality disorder.
Antisocial personality disorder is marked by a disregard for and violation of the rights of others. Individuals with this disorder often exhibit behaviors that are grounds for arrest, such as deceitfulness, impulsivity, irritability, aggressiveness, disregard for the safety of self or others, consistent irresponsibility, and lack of remorse. These traits can contribute to abusive behavior in relationships.
Borderline personality disorder features a pattern of instability in interpersonal relationships, self-image, and affects, along with marked impulsivity. Individuals with this disorder might experience intense episodes of anger, depression, and anxiety that can last from a few hours to days. They may also have difficulty controlling their anger, which can lead to violent outbursts and contribute to abusive behavior.
Narcissistic personality disorder includes a pattern of grandiosity, a need for admiration, and a lack of empathy. Individuals with this disorder may take advantage of others to achieve their own ends and believe that they are “special” and unique, expecting special treatment from others. Their lack of empathy can make it difficult for them to recognize or care about the needs and feelings of others, which can be a factor in abusive behavior.
Beyond personality disorders, environmental stressors also play a critical role in the etiology of abusive behavior. Stressors such as financial difficulties, unemployment, or the end of a significant relationship can exacerbate underlying personality issues or contribute to the emergence of abusive behaviors. Individuals under significant stress may lack the resources or coping mechanisms to manage their stress healthily and may instead turn to control or abuse as a way to cope with their feelings of powerlessness or anxiety.
In conclusion, the etiology of the characteristics of abusers is not limited to a single factor but rather involves a complex interaction between inherent personality disorders and external environmental stressors. Understanding these factors is critical for developing effective interventions and support systems to prevent abuse and help those at risk.

NEW QUESTION 254
During a mental status examination, the nurse evaluates the thought process of a client diagnosed with obsessive-compulsive disorder (OCD). Which of the following thought processes is commonly associated with OCD?

Loosening of associations

Obsessive rumination

Flight of ideas

Circumstantiality

NEW QUESTION 255
The use of telehealth services has increased access to mental health services. With this improved access to services comes challenges regarding emergency care, HIPAA protocols, and providing care at a distance. Which of the following statements is not accurate?

The visit and care plan must contain provisions for emergency care.

Telehealth visits must follow international, federal, and state regulatory standards.

HIPAA regulations regarding confidentiality and maintenance cannot be guaranteed due to the lack of control of the client’s location.

Care must follow the same standards as an in-person visit.

NEW QUESTION 256
Psychosis and schizophrenia are diagnoses of exclusion. Which of the following should be ruled out as part of a differential diagnosis?

Anxiety

Substance-induced disorder

OCD

Antisocial personality disorder

NEW QUESTION 257
Which of the following would be considered characteristics of bipolar disorder (mania)?

Poor concentration and judgment

Paranoia

Increased energy

All of the above

Bipolar disorder is a mental health condition characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). When an individual is experiencing a manic episode, there are several characteristic behaviors and symptoms that may be observed. Below are detailed explanations of these characteristics:
**Poor Concentration and Judgment**: During a manic episode, an individual may display significantly reduced concentration. They may have trouble focusing on tasks, may be easily distracted, or may jump from one idea or activity to another. Additionally, their judgment may be impaired, leading to decisions that are unusual for them or that might have harmful consequences.
**Paranoia**: In some cases, mania can also include symptoms of paranoia. An individual might become irrationally suspicious of others’ motives or believe that others are plotting against them. This can lead to intense and irrational mistrust or fear of others.
**Increased Energy**: One of the most noticeable signs of mania is a dramatically increased level of energy. Individuals may feel an overwhelming surge in physical and mental energy, which can manifest as either a feeling of euphoria or extreme irritability. This can lead to a reduced need for sleep, as the person may feel too energized to sleep.
**Fast Verbalization**: During manic episodes, individuals often exhibit pressured speech or fast verbalization. This means they may talk rapidly, frenetically, or what seems like incessantly. They might also change topics quickly or have flights of ideas, making it difficult for others to keep up with or understand their train of thought.
**Risky Behavior**: Mania often leads to disinhibition, resulting in risky or impulsive behaviors. This might include reckless driving, excessive spending, making grand business investments without consideration of the risks, or engaging in unsafe sexual practices. Such behaviors can have serious repercussions affecting various aspects of the individual’s life.
**Grandiose Feelings**: Individuals experiencing a manic episode may have inflated self-esteem or grandiosity. They might feel exceptionally important, talented, or powerful, beyond what is realistic. This grandiosity can lead to unrealistic plans or attempts to perform tasks that are clearly outside their capabilities.
**All of the Above**: Each of these symptoms can occur during a manic episode of bipolar disorder. It is important to note that not every individual will experience all these symptoms, and the severity and combination of symptoms can vary widely among individuals. Mania can significantly impact an individual’s daily life, relationships, and functioning, and professional treatment is often necessary to manage the symptoms and stabilize mood swings.

NEW QUESTION 258
A PMHNP is treating a woman of Asian descent for rapid cycling bipolar disorder. The PMHNP understands that patients with rapid cycling bipolar disorder rarely respond to lithium monotherapy and is considering the addition of Tegretol.
Which screening test needs to be completed before adding Tegretol to this patient’s medication regimen?

BUN

HLA-B 1502 allele

Creatinine

ECG

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