CERTIFICATION BEHAVIORAL SPECIALTY
CBHC-BS PRACTICE EXAM 2026
CERTIFICATION
◉ A 15-year-old girl is being admitted to an inpatient mental health
clinic with the diagnosis of anorexia nervosa. The nurse knows that
the most common personality characteristic of teens affected with
this disorder is: Answer: Issue with control
◉ A married couple is seeking counseling for domestic abuse issues.
The husband states that he can't control his anger when his wife
constantly nags at him. In the assault cycle, the wife's behavior in
this situation is the stage known as: Answer: Trigger
◉ When establishing a client's level of consciousness, the nurse is
aware that this is determined by assessing the client's: Answer:
Level of awareness
◉ The nurse is reviewing information regarding a female client that
was obtained with the psychiatric assessment tool. The client's
ability to provide food and shelter for herself is included in which
area of the assessment? Answer: Coping responses, discharge
planning needs
,◉ For those family members who desire to care at home for loved
ones who have been given a diagnosis of Alzheimer's disease, it is
important for the nurse to ensure that the family is aware of which
caregiver skills and responsibilities will be necessary. What is one of
the responsibilities of the caregiver during the middle stage of the
disease? Answer: Adapting to the changing personality and behavior
of the loved one
◉ A 10-year-old male client is 20 pounds overweight. Which
intervention by the nurse is the most effective in this situation?
Answer: Teach the client and his parents about healthy eating habits
and choices.
◉ A 70-year-old male client tells the nurse that he is using chelation
therapy to prevent Alzheimer's disease. Which adverse effect is the
client most likely to experience? Answer: Low potassium levels
◉ The nurse is caring for a female client with a diagnosis of severe
bipolar disorder. Out of many treatment methods, the one treatment
that the client and the team have found to be most effective is the
medication lithium. The client voices concern about her future with
this diagnosis. Which nurse response best represents the concept of
hope? Answer: "You are doing very well since we found that lithium
helps. You should do well as long as you continue your therapy and
medication."
,◉ The theorist Eric Berne theorized that an individual's three ego
states of parent, child, and adult make up one's: Answer: Personality
◉ Once the acute feelings of illness are resolved, what is an
appropriate intervention when treating a client with a psychosocial
problem? Answer: Minimize secondary gains.
◉ A female client discusses her feelings of jealousy regarding the
relationship between her mother and her daughter. The nurse
responds in a nontherapeutic way by making a statement that is
defensive and challenging. Which statement is the best example of a
defensive and challenging nontherapeutic response? Answer: "Don't
you think that you should be thankful that your daughter has a good
relationship with her grandmother?"
◉ The client lives so completely in a world of his own that they he is
unable to recognize reality, relate to others, or cope with life's
demands. This client is considered: Answer: Psychotic
◉ A drug that is taken daily to help reduce the desire for alcohol is:
Answer: Disulfiram (Antabuse)
◉ A score of 1 to 10 on the global assessment functioning (GAF)
scale would indicate that a client was at risk for: Answer: Hurting
himself or others
, ◉ By law, what are health care providers required to do when they
encounter incidents of suspected or actual abuse or neglect?
Answer: Report to the authorities
◉ A client is continually late for his appointment at the mental
health clinic. What is a likely reason for his lack of punctuality?
Answer: Time Orientation
◉ A Navajo Native American is traveling across the country and
becomes ill. He visits a hospital emergency room and appears very
uncomfortable in the surroundings. The nurse knows that
traditional Navajo Native Americans typically receive health care in:
Answer: homes
◉ A female client with a psychotic disorder is experiencing olfactory
hallucinations. Most likely, she would be complaining of a _____ that
is disturbing to her. Answer: smell
◉ The nurse who is caring for a 23-year-old client with bulimia
knows that the most common method of purging to monitor this
client for is: Answer: vomiting