1
PMHNP I - EXAM 1 – REVIEW
QUESTIONS AND ANSWERS WITH
EXPLANATIONS ( 2026 LATEST UPDATE)
An example of a mature, healthy defense mechanism is
A - Denial
B - Rationalization
C - Repression
D - Suppression correct answer D - Suppression is the only defense mechanism
listed in which the client channels conflicting energies into growth-promoting
activities.
Mr Johnson is a 54-year-old client you have been seeing for several weeks in
therapy. While discussing his current concerns of marital stress, he lies on the
floor and assumes the fetal position. This is most likely an example of
A - Immature regressive defense mechanism
B - Denial of reality
C - Immature fantasy defense mechanism
D - Repressive behavior correct answer A - Immature regressive defense
mechanism is a return to a behavior common to an earlier stage of
development.
Defense mechanisms are best viewed a function of the ego
A - To alert us to harm and danger
B - To alert us to problems
, 2
C - Used to resolve a conflict
D - Used to protect the id correct answer C - Defense mechanisms are a function
of the ego used to resolve a conflict.
One of the health care changes that has occurred as a result of the ACA is that
doctors/hospitals/clinic groups or health systems are coming together and
assuming the responsibility for quality care to large groups of individuals insured
by Medicare. The health care clinics/systems doctors or hospitals that join
together are called which of the following?
A. HMO
B. PPO
C. Accountable Care Organization (ACO)
D. Individual Health Plan (IHP) correct answer C. - ACO's are groups of doctors or
other HCPs who voluntarily come together and assume the care provided to
Medicare patients.
Health care economics is concerned with making decisions so the benefits
outweigh the cost of resource utilization. What are two concepts that healthcare
economics is concerned with in regard to fair distribution of resources and
allocation?
A. Equity and Efficiency
B. Cost and Benefits
C. Opportunity and Waste
D. Affordable and Quality correct answer A. Health care efficiency is making risk
and benefit decision about how care resources are allocated and equity is
ensuring that there is a fair distribution of the resources.
Serotonin is produced in which of the following locations:
A. Locus ceruleus
B. Nucleus Basalis
, 3
C. Raphe Nuclei
D. Substantia Nigra correct answer C. Raphe Nuclei
Dopamine is produced in which of the following locations:
A. Locus Ceruleus
B. Nucleus Bassalis
C. Raphe Nuclei
D. Substantia Nigra correct answer D. Substantia Nigra
A client presents with complaints of changes in appetite, feeling fatigued,
problems with sleep-rest cycle, and changes in libido. What is the
neuroanatomical area of the brain that is responsible for the normal regulation of
these functions?
A. Thalamus
B. Hypothalamus
C. Limbic System
D. Hippocampus correct answer B. Hypothalamus - Appetite, sleep, and libido
are regulated by the hypothalamus.
In considering whether to order an MRI of the health for a client, which of the
following would be a contraindication to this diagnostic test?
A. Prosthetic Limb
B. History of head trauma
C. Pacemaker
D. Pregnancy correct answer C. A client with a pacemaker should not receive an
MRI of the head.
The primary excitatory ntm is:
PMHNP I - EXAM 1 – REVIEW
QUESTIONS AND ANSWERS WITH
EXPLANATIONS ( 2026 LATEST UPDATE)
An example of a mature, healthy defense mechanism is
A - Denial
B - Rationalization
C - Repression
D - Suppression correct answer D - Suppression is the only defense mechanism
listed in which the client channels conflicting energies into growth-promoting
activities.
Mr Johnson is a 54-year-old client you have been seeing for several weeks in
therapy. While discussing his current concerns of marital stress, he lies on the
floor and assumes the fetal position. This is most likely an example of
A - Immature regressive defense mechanism
B - Denial of reality
C - Immature fantasy defense mechanism
D - Repressive behavior correct answer A - Immature regressive defense
mechanism is a return to a behavior common to an earlier stage of
development.
Defense mechanisms are best viewed a function of the ego
A - To alert us to harm and danger
B - To alert us to problems
, 2
C - Used to resolve a conflict
D - Used to protect the id correct answer C - Defense mechanisms are a function
of the ego used to resolve a conflict.
One of the health care changes that has occurred as a result of the ACA is that
doctors/hospitals/clinic groups or health systems are coming together and
assuming the responsibility for quality care to large groups of individuals insured
by Medicare. The health care clinics/systems doctors or hospitals that join
together are called which of the following?
A. HMO
B. PPO
C. Accountable Care Organization (ACO)
D. Individual Health Plan (IHP) correct answer C. - ACO's are groups of doctors or
other HCPs who voluntarily come together and assume the care provided to
Medicare patients.
Health care economics is concerned with making decisions so the benefits
outweigh the cost of resource utilization. What are two concepts that healthcare
economics is concerned with in regard to fair distribution of resources and
allocation?
A. Equity and Efficiency
B. Cost and Benefits
C. Opportunity and Waste
D. Affordable and Quality correct answer A. Health care efficiency is making risk
and benefit decision about how care resources are allocated and equity is
ensuring that there is a fair distribution of the resources.
Serotonin is produced in which of the following locations:
A. Locus ceruleus
B. Nucleus Basalis
, 3
C. Raphe Nuclei
D. Substantia Nigra correct answer C. Raphe Nuclei
Dopamine is produced in which of the following locations:
A. Locus Ceruleus
B. Nucleus Bassalis
C. Raphe Nuclei
D. Substantia Nigra correct answer D. Substantia Nigra
A client presents with complaints of changes in appetite, feeling fatigued,
problems with sleep-rest cycle, and changes in libido. What is the
neuroanatomical area of the brain that is responsible for the normal regulation of
these functions?
A. Thalamus
B. Hypothalamus
C. Limbic System
D. Hippocampus correct answer B. Hypothalamus - Appetite, sleep, and libido
are regulated by the hypothalamus.
In considering whether to order an MRI of the health for a client, which of the
following would be a contraindication to this diagnostic test?
A. Prosthetic Limb
B. History of head trauma
C. Pacemaker
D. Pregnancy correct answer C. A client with a pacemaker should not receive an
MRI of the head.
The primary excitatory ntm is:
