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Barkley DRT PMHNP Practicum 1 Exam (2026/2027) – 90 Questions & Detailed Answers

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Master your Psychiatric-Mental Health Nurse Practitioner (PMHNP) Practicum 1 Exam with this definitive 2026/2027 edition study guide. This comprehensive 150-page resource features 90 high-yield questions paired with verified, expert-level rationales that explain the "why" behind the correct choice and why other differentials are ruled out.

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BARKLEY DRT PMHNP PRACTICUM 1 EXAM
2026/2027 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {90 Q & A} ALREADY
GRADED A+ / BARKLEY DRT PMHNP | BRAND NEW!




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

,3|Page
not require pharmaceutical intervention, is

, 4|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

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