PMHNP Nurse Boards Prep 2026 practice questions and answers. Tap an option to test yourself — you'll see the correct answer and a plain-English explanation for every question. Free, no login.
Q21Which insurance program is financed by both federal and state taxes?
✓ Correct answer: A. Medicaid
Medicaid and the Children's Health Insurance Program (CHIP) receive funding from both state and federal taxes. Medicare, TriCare, and the Veterans Health Administration are all funded solely by federal taxes
Q22Which of the following statements about a nurse practitioner's certification is false?
✓ Correct answer: A. It is not established by the government
Certification is a process in which a professional organization verifies that an individual has met specific predetermined standards set by that specialty practice. The nurse practitioner's certification establishes their scope of practice and assures the public that they have achieved a comprehensive understanding of a particular medical specialty. However, it is important to note that this certification is not established by the government
Q23In what year did the Institute of Medicine (IOM) publish the groundbreaking report that contributed to the popularity of the evidence-based practice movement?
✓ Correct answer: C. Crossing the Quality Chasm: A New Health System for the 21st Century
The Institute of Medicine (IOM) published Crossing the Quality Chasm in 2001, which shed light on the significant disparity between scientific knowledge and clinical practice. The report revealed a substantial gap that exists between the healthcare we currently provide and the care we have the potential to deliver. The IOM estimated that nearly 200,000 patients die each year due to preventable medical errors, and 40% of patients do not receive treatments that are backed by scientific evidence
Q24Rett syndrome is characterized by the development of specific deficits following a period of normal functioning after birth. As a nurse practitioner assessing a new six-year-old female patient, you carefully observe her mental status and conduct a mental status exam. Which of the following symptoms would NOT be expected in a patient with Rett syndrome?
✓ Correct answer: C. Lack of focus
Children diagnosed with Rett syndrome typically display the following symptoms: 1. Reduced emotional expression or a lack of emotional response. 2. Challenges in expressing themselves and understanding language. 3. Engaging in repetitive hand movements. However, inattentiveness, which refers to a lack of focus, is not typically associated with Rett syndrome. Instead, it is a characteristic commonly seen in children with attention deficit hyperactivity disorder (ADHD)
Q25Which of the following is a nonpharmacological approach used to manage major depressive disorders?
✓ Correct answer: B. Electroconvulsive therapy (ECT)
Electroconvulsive therapy (ECT) is a nonpharmacological treatment option for major depressive disorders. It involves the administration of sedation to the patient and the use of shock treatments to stimulate the release of dopamine, norepinephrine, and serotonin. ECT typically consists of 6 to 12 treatments. Ketamine therapy, although effective in treating major depressive disorders, is a medication-based approach. EEGs, on the other hand, are not utilized in the management of major depressive disorders. They are primarily used for measuring brain function. Acupuncture is an alternative form of treatment, but it is not approved for the treatment of major depressive disorders
Q26Which of the following psychiatric disorders is not associated with insomnia?
✓ Correct answer: A. Borderline personality disorder
Insomnia can be linked to various psychiatric disorders, including mood disorders, anxiety disorders, attention-deficit hyperactivity disorder, and Alzheimer’s disease. However, it is not typically associated with borderline personality disorder
Q27A woman in her eighties comes to your office with her son, expressing concerns about her declining memory and difficulty recognizing people and remembering things. She has also been experiencing frequent mood swings and struggles with written tasks. Based on this information, what is the most probable diagnosis?
✓ Correct answer: C. Alzheimer's disease
Distinguishing between different types of dementia can be challenging. However, based on the symptoms described, the most likely diagnosis for this patient is Alzheimer's disease. This is supported by her difficulties in language, motor function, and recognition. Dementia with Lewy bodies typically presents with additional extrapyramidal symptoms. Huntington's disease is characterized by spasmodic movement and coordination problems. Patients with frontotemporal dementia tend to be excessively talkative and lack inhibition
Q28How frequently should excessive worry, apprehension, or anxiety persist in order to fulfill the criteria for generalized anxiety disorder (GAD)?
✓ Correct answer: B. On a greater number of days than not, lasting for a minimum of six months
Generalized anxiety disorder (GAD) is characterized by excessive worry, apprehension, or anxiety that occurs on a greater number of days than not, lasting for at least six months
Q29Which of the following inquiries is an instance of clarification?
✓ Correct answer: D. "What do you mean when you say...?"
Queries aimed at clarification are utilized to assist the patient in exploring their beliefs on a deeper level. In therapy, it is not suitable to pose a "why" question. Inquiring about how one's life would appear if the problem vanished overnight is an illustration of a miracle question. Interrogations such as "What surprised you today?" are frequently employed in humanistic therapy to elicit positive emotions
Q30Which of the following is a commonly used non-psychoactive supplement that helps alleviate symptoms of various illnesses such as depression, osteoarthritis, and liver disease?
✓ Correct answer: D. SAM-e
SAM-e is a dietary supplement that is frequently utilized to treat depression, osteoarthritis, and liver disease. Other commonly used non-psychoactive dietary supplements that have physiological effects for treating illnesses and maintaining health include: - Omega-3 fatty acids - Tryptophan - Vitamin E - Melatonin - Fish oil Omega-3 fatty acids play a crucial role in managing and preventing heart disease. Tryptophan is a dietary supplement that aids in maintaining nitrogen balance in adults and promoting growth in infants. Additionally, tryptophan assists in the synthesis of niacin, which is essential in producing the neurotransmitter serotonin. Fish oil is a dietary supplement known for its ability to reduce inflammation in the body and improve hypertriglyceridemia
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