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BARKLEY DRT PMHNP PRACTICUM 1
Actual Exam Questions and Correct Detailed
Answers (Verified Answers) All Answered
2026
Tony, a 16-year-old male, has been sent to your clinic for
counseling. He has a long record of skipping school, talking
back to his teachers, and getting poor grades. His parents say
he has often gotten in fights with them, has frequently been
caught sneaking girls into his room, and has run away from
home on two occasions. During the session, you notice Tony
acts tough and aloof, not deigning to speak much. If you
suspect conduct disorder, which of the following conditions
would you be least likely to include in your differential
diagnosis?
1. Borderline personality disorder
2. Oppositional defiant disorder
3. Adjustment disorder with disturbance of conduct
4. Bipolar disorder - ✔✔✔ Correct Answer > Borderline personality
disorder is not considered a differential diagnosis for
conduct disorder, as indicated by the patient's truancy,
defiance of authority figures, fights with family members,
poor academic performance, sexual promiscuity, running
away from home, and
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"tough guy" demeanor. Oppositional defiant disorder, bipolar
disorders, and adjustment disorders are all considered
potential differential diagnoses for conduct disorder, as are
depressive disorders, attention-deficit/hyperactivity disorder,
and intermittent explosive disorder.
Your patient, Adam, has just been admitted to the hospital
because of body tremors, disorientation, and agitation. His
cardiac indices and oxygen consumption are significantly
elevated. He was just started on IV therapy with
benzodiazepines to control withdrawal symptoms. Three days
ago, Adam began detoxification of which substance?
1. Cannabis
2. Opioids
3. Cocaine
4. Alcohol - ✔✔✔ Correct Answer > Alcohol withdrawal symptom
can result in delirium tremens, a medical emergency
characterized by body tremors, disorientation, agitation, and
autonomic hyperactivity, among other signs and symptoms.
Cannabis withdrawal, which may be managed with
benzodiazepines, may cause tremors or agitation, but
disorientation is not typical. Opioid withdrawal does not
usually cause body tremors, disorientation, or agitation;
dysphoric mood, nausea, muscle aches, and lacrimation are
more common. Stimulant withdrawal, which does not require
pharmaceutical intervention, is
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characterized by dysphoric mood, fatigue, and psychomotor
retardation.
Which of the following attainments is of key importance
in rational-emotive therapy?
A break from maladaptive habits
A tolerant and grounded view of life
A willingness to explore and trust one's self
A negation of anxiety - ✔✔✔ Correct Answer > Albert Ellis' rational-
emotive therapy aims to eliminate the patient's self-defeating
outlook on life by replacing it with a more tolerant, rational,
and grounded look at the world. Although rational-emotive
therapy may drive the patient to explore and trust his or her
self, it is not the central aim; this is more of a key feature in
Carl Rogers' person-centered therapy. Negation of the
anxieties that disrupt interpersonal relations is the goal of
Harry Stack Sullivan's interpersonal theory, whereas the
behavioral therapy pioneered by Pavlov, Skinner, Bandura, and
Wolpe focuses on breaking maladaptive habits.
Jane is hospitalized for hypotension and tachycardia. During the
physical exam, you notice abnormal pigmentation on her chest
and abdomen. Also, her abdomen is distended and she has lost
most of her pubic hair. Which of these signs or symptoms
would be least characteristic of the type of eating disorder that
Jane is most likely experiencing?
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1. Hypotension
2. Tachycardia
3. Pigmentation of chest and abdomen
4. Distended abdomen - ✔✔✔ Correct Answer > The patient's signs
and symptoms are indicative of anorexia nervosa, which is
associated with bradycardia, not tachycardia. Tachycardia is
more closely associated with bulimia nervosa.
Hypotension, pigmentation of the chest and abdomen,
bradycardia, and a distended abdomen are all features
associated with anorexia nervosa.
In which of these rehabilitation models is a patient expected to
help run a business?
1. Fairweather Lodge model
2. Multisystemic therapy model
3. Clubhouse model
4. Assertive community treatment model - ✔✔✔ Correct Answer > In
the Fairweather Model, patients live together and operate a
shared business as a way of developing autonomy and
improving their social interaction skills. The clubhouse model
provides individual patients with opportunities to help them
return to paid employment. The assertive community treatment
model provides job training and employment opportunities to
patients. Multisystemic therapy is aimed at treating youths
BARKLEY DRT PMHNP PRACTICUM 1
Actual Exam Questions and Correct Detailed
Answers (Verified Answers) All Answered
2026
Tony, a 16-year-old male, has been sent to your clinic for
counseling. He has a long record of skipping school, talking
back to his teachers, and getting poor grades. His parents say
he has often gotten in fights with them, has frequently been
caught sneaking girls into his room, and has run away from
home on two occasions. During the session, you notice Tony
acts tough and aloof, not deigning to speak much. If you
suspect conduct disorder, which of the following conditions
would you be least likely to include in your differential
diagnosis?
1. Borderline personality disorder
2. Oppositional defiant disorder
3. Adjustment disorder with disturbance of conduct
4. Bipolar disorder - ✔✔✔ Correct Answer > Borderline personality
disorder is not considered a differential diagnosis for
conduct disorder, as indicated by the patient's truancy,
defiance of authority figures, fights with family members,
poor academic performance, sexual promiscuity, running
away from home, and
,2|Page
"tough guy" demeanor. Oppositional defiant disorder, bipolar
disorders, and adjustment disorders are all considered
potential differential diagnoses for conduct disorder, as are
depressive disorders, attention-deficit/hyperactivity disorder,
and intermittent explosive disorder.
Your patient, Adam, has just been admitted to the hospital
because of body tremors, disorientation, and agitation. His
cardiac indices and oxygen consumption are significantly
elevated. He was just started on IV therapy with
benzodiazepines to control withdrawal symptoms. Three days
ago, Adam began detoxification of which substance?
1. Cannabis
2. Opioids
3. Cocaine
4. Alcohol - ✔✔✔ Correct Answer > Alcohol withdrawal symptom
can result in delirium tremens, a medical emergency
characterized by body tremors, disorientation, agitation, and
autonomic hyperactivity, among other signs and symptoms.
Cannabis withdrawal, which may be managed with
benzodiazepines, may cause tremors or agitation, but
disorientation is not typical. Opioid withdrawal does not
usually cause body tremors, disorientation, or agitation;
dysphoric mood, nausea, muscle aches, and lacrimation are
more common. Stimulant withdrawal, which does not require
pharmaceutical intervention, is
,3|Page
characterized by dysphoric mood, fatigue, and psychomotor
retardation.
Which of the following attainments is of key importance
in rational-emotive therapy?
A break from maladaptive habits
A tolerant and grounded view of life
A willingness to explore and trust one's self
A negation of anxiety - ✔✔✔ Correct Answer > Albert Ellis' rational-
emotive therapy aims to eliminate the patient's self-defeating
outlook on life by replacing it with a more tolerant, rational,
and grounded look at the world. Although rational-emotive
therapy may drive the patient to explore and trust his or her
self, it is not the central aim; this is more of a key feature in
Carl Rogers' person-centered therapy. Negation of the
anxieties that disrupt interpersonal relations is the goal of
Harry Stack Sullivan's interpersonal theory, whereas the
behavioral therapy pioneered by Pavlov, Skinner, Bandura, and
Wolpe focuses on breaking maladaptive habits.
Jane is hospitalized for hypotension and tachycardia. During the
physical exam, you notice abnormal pigmentation on her chest
and abdomen. Also, her abdomen is distended and she has lost
most of her pubic hair. Which of these signs or symptoms
would be least characteristic of the type of eating disorder that
Jane is most likely experiencing?
, 4|Page
1. Hypotension
2. Tachycardia
3. Pigmentation of chest and abdomen
4. Distended abdomen - ✔✔✔ Correct Answer > The patient's signs
and symptoms are indicative of anorexia nervosa, which is
associated with bradycardia, not tachycardia. Tachycardia is
more closely associated with bulimia nervosa.
Hypotension, pigmentation of the chest and abdomen,
bradycardia, and a distended abdomen are all features
associated with anorexia nervosa.
In which of these rehabilitation models is a patient expected to
help run a business?
1. Fairweather Lodge model
2. Multisystemic therapy model
3. Clubhouse model
4. Assertive community treatment model - ✔✔✔ Correct Answer > In
the Fairweather Model, patients live together and operate a
shared business as a way of developing autonomy and
improving their social interaction skills. The clubhouse model
provides individual patients with opportunities to help them
return to paid employment. The assertive community treatment
model provides job training and employment opportunities to
patients. Multisystemic therapy is aimed at treating youths
