1 GEORGETTE PMHNP Review Actual Exam Newest 2025/2026 Complete All 500 Questions And Correct Detailed Answers (Verified Answers) |Already Graded A+||Brand New Version!!
The PMHNP is treating a client for generalized anxiety disorder with depressive symptoms. Treatment has included both psychopharmacology and interpersonal psychotherapy. The patient abruptly reports a reemergence of the symptoms that have been in remission. What phase of therapy is this an expected finding?
- Orientation
- Working/treatment
- Termination
- Acclimation - ANSWER- C. Termination
During the termination phase of a therapeutic relationship, the client may experience reemergence of symptoms previously in remission as a manifestation of regression and resistance to termination.
All of the following are attributes of cultural care that may influence a
therapeutic alliance EXCEPT: 1 / 4
2
- religion
- gender roles
- beliefs
- urban setting - ANSWER- D. urban setting
Anxiety can arise from intrapsychic conflict among the structures of the mind. Which structure of the mind deals with reality testing and the thinking process?
- Id
- Ego
- Superego
- Defense mechanisms - ANSWER- B. Ego
The ego is the structure of the conscious, rational mind that deals with reality testing and thinking process. The Id is the primitive, pleasure driving structure and the sueprego is the mediator between the id and ego and deals with morality.
The PMHNP is evaluating a 68-year-old male for symptoms of major depression. While assessing the appearance of the patient, an obvious left-sided ptosis is noted. Which cranial nerve is directly linked to this condition? 2 / 4
3
A. III
- IV
- V
D. VI - ANSWER- A. III
Cranial nerve oculomotor coordinates eye movements including eyelid function and pupillary dilation.Cranial nerve IV (trochlea) allows for the downward medial gaze V (trigeminal) is associated with the mandible function of mastication VI allows for eye movement in the downward motion
A 55-year-old woman has been referred for a psychiatric evaluation for a change in personality, lack of impulse control, and increasingly reckless decision making, Which area of the brain would be responsible for these symptoms?
- parietal lobe
- broca's area
- wernicke's area
- frontal lobe - ANSWER- D. frontal lobe
Frontal lobe controls voluntary movement, ability to project future consequences, governs social cues, reasoning, planning, and parts of speech. 3 / 4
4
Parietal lobe: associated with sensory integration, attentiveness, and
spatial awareness.
Broca's area: associated with speech productions
Wernicke's area: associated with speech comprehension
A patient recently started on a dopamine antagonist, and complains of breast tenderness and a milky discharge. What is the most likely explanation of these symptoms?
- dopamine transmission in the nigrostriatal pathway
- dopamine transmission in the tuberoinfundibular pathway
- dopamine transmission in the mesolimbic pathway
- dopamine increases throughout the basal ganglia - ANSWER- B.
dopamine transmission in the tuberoinfundibular pathway
The tuberoinfundibular pathway transmits dopamine from the hypothalamus to the pituitary gland and increases the secretion of prolactin-releasing hormone, in turn creating hyperprolactinemia.
The nigrostriatal pathway can trigger movement disorders
The mesolimbic pathway can trigger thought disorders
- / 4