Clinical Education Associates (CEA) PMHNP Certification
Review (2025), Policy, Culture, & Ethics Quiz, Advanced
Nursing Practice & Assessment AND Psychotherapy &
Group Therapy, Nervous System & Brain Anatomy,
Psychopharmacology , Common Adult & Geria…
A 60-year-old male recently underwent repair of a right
fractured hip. He developed a post-operative delirium. He has
been awake for 52 hours and ripped off his surgical dressing.
Treatment for delirium in this scenario may include what?
Hanging a clock and calendar in view of the patient
A 6 year old boy is struggling to fall asleep and returns into his
parents bedroom after attempting to sleep for 3 minutes on his
own. He is often scared of something under his bed or in the
closet. He falls asleep easily when with his parents. Hee
occasionally has nightmares that he cannot find his parents in a
large gathering. What is the most likely diagnosis?
Separation anxiety disorder
A patient who has been sober for 20 years is anticipating some
major life changes in the next 3 months and is very worried
about relapse. Which of the following actions should the
PMHNP do first?
Assess this coping strategies
A mother 4 months postpartum is referred to infant psychiatry as
the baby has failed to gain weight over the last 2 months. He has
dropped from the 75th percentile to the 50th percentile. The
mother states that up until 8 weeks of age he was gaining weight
,and growing just fine. The baby is generally happy and
continues to meet his developmental milestones. Of note, the
mother has returned to work after her postpartum leave 2 months
ago and the baby is in daycare 5 days a week. The mother notes
that he has been increasingly spitting up for the last month soon
after receiving breast milk via the bottle. She has also started to
supplement with formula out of concern for his poor weight
gain. This clinical description is most consistent with which type
of disorder?
Anorexia
An 18-year-old girl was visiting colleges with her family and
was involved in a fatal car accident 2 weeks ago. Since that
time, she continually has flashbacks, difficulty sleeping,
persistent ruminations, and is afraid to drive. She has become
apprehensive about her family members driving as well. What is
the most appropriate diagnosis?
Acute stress disorder
A 30-year-old man has been started on sertraline 50 mg daily for
major depression 1 week ago. He presents for follow-up. Which
of the following sleep patterns is he expected to report?
Increased sleep latency
A 70-year-old man with a history of hypertension is being
evaluated for late effects of a cerebrovascular accident. Which
of the following conditions is most associated with
microvascular ischemia?
,Depression
A couple presents with their 18-year-old son who was referred
by his primary care provider for evaluation of symptoms related
to perceptual disturbances, oddly related interpersonal
communication, neglect of basic hygiene, and increasing
isolative behaviors. These symptoms are most consistent with:
Schizophrenia prodrome
A patient presents to the emergency department reporting
sudden onset blindness. Her physical exam is unremarkable. The
patient is referred to psychiatry for disposition because the
patient insists she cannot care for herself. What is the most
likely diagnosis?
Conversion disorder
A 50-year-old woman referred from the surgical service is
described as a "frequent flyer." She reports vague complaints
that have no apparent cause or objective clinical findings. Most
recently, she complains of vaginal pain, headache, and
stomachache. Upon interview she is tearful, guarded, and
withdrawn. What is the most likely psychiatric diagnosis?
Somatization disorder
A 40-year-old senior associate in a law firm presents for care
complaining of fatigue and poor motivation to the degree that he
has been avoiding work. His boss has encouraged him to take
, some time off. The patient also reports that his wife recently
kicked him out of the house after discovering his third
extramarital affair. For the last 2 weeks he has been sleeping 16
hours a day, has a poor appetite, and has overdrawn his account.
He says that this is most unlike him in that he used to be able to
get by on 5 hours of sleep a night, party hard, and work harder.
What is the most likely diagnosis for this patient?
Bipolar 2
A 62-year-old billionaire was recently arrested on charges of
pedophilia and child pornography. He was denied bail at his
hearing and is waiting in jail pending his trial. The next morning
the patient was found passed out on the ground and transferred
to the emergency department. He was evaluated, and the work
up was negative. Upon discharge, he tells the emergency
department attending he is suicidal and wants to hang himself.
The patient is referred to psychiatry for evaluation of suicidal
ideation. Which of the following conditions must be considered
in the differential diagnosis?
Malingering
A 33-year-old female with history of schizoaffective disorder
was brought to the emergency department by police for
disruptive behavior, auditory hallucinations, and self-neglect.
The patient screams that she had stopped taking her medication.
The PMHNP orders Haldol 5 mg PO, which the patient
willingly accepts. An hour later the patient demonstrates an
Review (2025), Policy, Culture, & Ethics Quiz, Advanced
Nursing Practice & Assessment AND Psychotherapy &
Group Therapy, Nervous System & Brain Anatomy,
Psychopharmacology , Common Adult & Geria…
A 60-year-old male recently underwent repair of a right
fractured hip. He developed a post-operative delirium. He has
been awake for 52 hours and ripped off his surgical dressing.
Treatment for delirium in this scenario may include what?
Hanging a clock and calendar in view of the patient
A 6 year old boy is struggling to fall asleep and returns into his
parents bedroom after attempting to sleep for 3 minutes on his
own. He is often scared of something under his bed or in the
closet. He falls asleep easily when with his parents. Hee
occasionally has nightmares that he cannot find his parents in a
large gathering. What is the most likely diagnosis?
Separation anxiety disorder
A patient who has been sober for 20 years is anticipating some
major life changes in the next 3 months and is very worried
about relapse. Which of the following actions should the
PMHNP do first?
Assess this coping strategies
A mother 4 months postpartum is referred to infant psychiatry as
the baby has failed to gain weight over the last 2 months. He has
dropped from the 75th percentile to the 50th percentile. The
mother states that up until 8 weeks of age he was gaining weight
,and growing just fine. The baby is generally happy and
continues to meet his developmental milestones. Of note, the
mother has returned to work after her postpartum leave 2 months
ago and the baby is in daycare 5 days a week. The mother notes
that he has been increasingly spitting up for the last month soon
after receiving breast milk via the bottle. She has also started to
supplement with formula out of concern for his poor weight
gain. This clinical description is most consistent with which type
of disorder?
Anorexia
An 18-year-old girl was visiting colleges with her family and
was involved in a fatal car accident 2 weeks ago. Since that
time, she continually has flashbacks, difficulty sleeping,
persistent ruminations, and is afraid to drive. She has become
apprehensive about her family members driving as well. What is
the most appropriate diagnosis?
Acute stress disorder
A 30-year-old man has been started on sertraline 50 mg daily for
major depression 1 week ago. He presents for follow-up. Which
of the following sleep patterns is he expected to report?
Increased sleep latency
A 70-year-old man with a history of hypertension is being
evaluated for late effects of a cerebrovascular accident. Which
of the following conditions is most associated with
microvascular ischemia?
,Depression
A couple presents with their 18-year-old son who was referred
by his primary care provider for evaluation of symptoms related
to perceptual disturbances, oddly related interpersonal
communication, neglect of basic hygiene, and increasing
isolative behaviors. These symptoms are most consistent with:
Schizophrenia prodrome
A patient presents to the emergency department reporting
sudden onset blindness. Her physical exam is unremarkable. The
patient is referred to psychiatry for disposition because the
patient insists she cannot care for herself. What is the most
likely diagnosis?
Conversion disorder
A 50-year-old woman referred from the surgical service is
described as a "frequent flyer." She reports vague complaints
that have no apparent cause or objective clinical findings. Most
recently, she complains of vaginal pain, headache, and
stomachache. Upon interview she is tearful, guarded, and
withdrawn. What is the most likely psychiatric diagnosis?
Somatization disorder
A 40-year-old senior associate in a law firm presents for care
complaining of fatigue and poor motivation to the degree that he
has been avoiding work. His boss has encouraged him to take
, some time off. The patient also reports that his wife recently
kicked him out of the house after discovering his third
extramarital affair. For the last 2 weeks he has been sleeping 16
hours a day, has a poor appetite, and has overdrawn his account.
He says that this is most unlike him in that he used to be able to
get by on 5 hours of sleep a night, party hard, and work harder.
What is the most likely diagnosis for this patient?
Bipolar 2
A 62-year-old billionaire was recently arrested on charges of
pedophilia and child pornography. He was denied bail at his
hearing and is waiting in jail pending his trial. The next morning
the patient was found passed out on the ground and transferred
to the emergency department. He was evaluated, and the work
up was negative. Upon discharge, he tells the emergency
department attending he is suicidal and wants to hang himself.
The patient is referred to psychiatry for evaluation of suicidal
ideation. Which of the following conditions must be considered
in the differential diagnosis?
Malingering
A 33-year-old female with history of schizoaffective disorder
was brought to the emergency department by police for
disruptive behavior, auditory hallucinations, and self-neglect.
The patient screams that she had stopped taking her medication.
The PMHNP orders Haldol 5 mg PO, which the patient
willingly accepts. An hour later the patient demonstrates an
