2025/2026 Exam WITH COMPLETE
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SECTION A: CLINICAL TERMINOLOGY & SYMPTOMOLOGY
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Question 1 kj
What is "pressured speech"?
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A) Speech that is slow and deliberate with long pauses
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B) Rapid, erratic speech that occurs during manic episodes where the person feels compelled to sp
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eak without stopping
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C) Speech that is limited to short, simple phrases
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D) Speech that is whispered and difficult to hear
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Answer: B kj
Pressured speech typically occurs during manic episodes. During this time, a person may feel compell
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ed to speak quickly, erratically, and without stopping .
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Question 2 kj
What does "labile" mean in a mental health context?
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A) Stable and consistent mood over time
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B) Rapid, often exaggerated changes in mood, where strong emotions or feelings (uncontrollable l
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aughing or crying, or heightened irritability or temper) occur
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C) Complete absence of emotional expression
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D) Slow, gradual mood changes over weeks
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Answer: B kj
Labile refers to rapid, often exaggerated changes in mood, where strong emotions or feelings occur .
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Question 3 kj
What is "alogia" (poverty of speech)?
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,A) Excessive talking and rapid speech
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B) A decrease in speech or speech content; a symptom of schizophrenia characterized by long pau
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ses
C) Making up words that have no meaning
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D) Repeating the same phrase over and over
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Answer: B kj
Alogia (poverty of speech) is a decrease in speech or speech content; a symptom of schizophrenia cha
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racterized by long pauses . kj kj kj kj
Question 4 kj
What are somatoform disorders?
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A) Disorders characterized by hallucinations and delusions
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B) Physical symptoms that suggest a physical disorder, but there are no demonstrable organic findi
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ngs and there is strong evidence for link to psychological factors or conflicts
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C) Disorders of mood including depression and mania
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D) Anxiety disorders with panic attacks
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Answer: B kj
Somatoform disorders involve physical symptoms that suggest a physical disorder, but there are no d
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emonstrable organic findings and there is strong evidence for link to psychological factors or conflicts
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.
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Question 5 kj
What is "flat affect"? kj kj kj
A) Intense emotional expression with rapid mood changes
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B) Absence or near-absence of emotional expression; voice tone is monotonous, face is immobile
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C) Rapidly changing emotional states
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D) Excessive crying and laughing
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Answer: B kj
Flat affect is a negative symptom characterized by a severe reduction in emotional expression, includi
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ng monotone voice, lack of facial expression, and reduced body language .
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Question 6 kj
What is a delusion? kj kj kj
A) A sensory perception that occurs without an external stimulus
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B) A fixed, false belief that persists despite contradictory evidence
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,C) Disorganized speech patterns
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D) A temporary state of confusion
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Answer: B kj
A delusion is a fixed, false belief that is not amenable to change despite conflicting evidence. Commo
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n types include paranoid, grandiose, and persecutory delusions .
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Question 7 kj
What is a hallucination?
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A) A false belief
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B) A sensory perception that occurs without an external stimulus (auditory, visual, tactile, olfactory,
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or gustatory)
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C) Disorganized speech
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D) Catatonic behavior
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Answer: B kj
A hallucination is a sensory perception that has no real external stimulus. Auditory hallucinations (he
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aring voices) are the most common in psychotic disorders .
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Question 8 kj
What is "akathisia"? kj kj
A) Involuntary muscle contractions causing twisting movements
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B) A state of inner restlessness and an uncontrollable need to move
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C) Slow, writhing movements of the extremities
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D) Muscle rigidity
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Answer: B kj
Akathisia is a medication- kj kj kj
induced movement disorder characterized by an intense feeling of inner restlessness and a compellin
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g need to be in constant motion .
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Question 9 kj
What is tardive dyskinesia?
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A) A temporary side effect of starting antipsychotic medication
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B) Involuntary, repetitive body movements that can result from long-
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term use of typical antipsychotic medications
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C) Muscle weakness and fatigue
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D) Sleep disturbances
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, Answer: B kj
Tardive dyskinesia is a long- kj kj kj kj
term side effect of typical antipsychotic medications characterized by involuntary, repetitive moveme
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nts, often of the tongue, lips, face, and extremities .
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Question 10 kj
What is "echolalia"? kj kj
A) Repeating one's own words
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B) Meaningless repetition of words or phrases just spoken by another person
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C) Making up new words
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D) Speaking in rhymes
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Answer: B kj
Echolalia is the meaningless repetition of words or phrases just spoken by another person, often seen i
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n schizophrenia and autism spectrum disorders .
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SECTION B: DIAGNOSTIC ASSESSMENT & CLINICAL REASONING kj kj kj kj kj kj
Question 11 kj
Which of the following is most likely to impact a diagnostic assessment?
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A) Motivation for change
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B) Gender identity
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C) Alcohol, drug use, and other comorbid medical conditions
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D) Diet and exercise
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Answer: C kj
Under DSM- kj
5 diagnostic principles and MHACBO core competencies, a QMHP must evaluate the impact of alcoh
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ol and drug use, alongside comorbid medical conditions, as primary variables that can significantly c
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onfound or invalidate a diagnostic assessment .
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Question 12 kj
What is the purpose of engagement in the QMHP assessment process?
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A) To complete all paperwork for insurance billing
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B) To establish rapport with consumers to gather accurate information and determine the need for
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state-certified mental health services kj kj kj
C) To provide immediate medication recommendations
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D) To discharge clients from services
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