NR605 MIDTERM EXAM 2025/2026
QUESTIONS AND DETAILED CORRECT
ANSWERS | A+ GRADE STUDY GUIDE
Psychotherapy Codes Correct Answer • 90832-
psychotherapy duration 16-37 minutes
• 90833- psychotherapy duration 16-37 minutes used as
an add on code to a E/M code
• 90834- psychotherapy 38-52 minutes
• 90836- psychotherapy duration 38 or more minutes used
as an add on code to a E/M code
• 90837- psychotherapy 53 or more minutes
• 90846- family psychotherapy client not present
• 90847- family psychotherapy with client present
• 90853- group psychotherapy
Lori, a 42-year-old female, presents to the office for an
initial consultation. She has just experienced a breakup
after a 5-year relationship and is feeling "depressed." A
comprehensive initial evaluation which includes chief
complaint, history or present illness, medical history,
previous psychiatric history, family history and a
comprehensive review of systems was completed.
Psychotherapy was included in the session - 18 minutes
time.
provide the appropriate CPT code Correct Answer
99205+90833
,Rationale: The client is new to the practice (20) and
presents with one problem which addressed 4 or more
elements, had a comprehensive history and interview. No
additional testing was needed, treatment was initiated
(05). Psychotherapy was included in the session- 18
minutes time. Therapy goals were established and
reviewed with the client.
Hannibal, a 23-year-old male, is admitted to an inpatient
psychiatric facility with symptoms of auditory
hallucinations, paranoia, and suicidal ideations. A
comprehensive initial evaluation which includes chief
complaint, history or present illness, medical history,
previous psychiatric history, family history and a
comprehensive review of systems was completed.
provide the appropriate CPT code Correct Answer 99223
Rationale: The client presents for initial hospital care (22)
and has a high level of medical decision-making due to an
acute illness that poses a threat to life (3).
Shakina, a 19-year-old transgender female, has been
referred to the PMHNP from primary care. The PMHNP
reviews the primary provider's note and identifies
symptoms of bipolar I disorder. The PMHNP completes a
comprehensive assessment and prescribes medications
for the client.
provide the appropriate CPT code Correct Answer 99245
,Rationale: The client has been referred (24), has complex
medical decision-making needs (5) based on one
undiagnosed new problem with an uncertain prognosis,
required review of referral notes, and requires prescription
drug management. No psychotherapy provided.
Steve, a 30-year-old married client returns for a follow up
appointment. He was initially seen 3 months ago due to
increased anxiety over his marriage. His diagnoses
include generalized anxiety disorder (F41.1) and major
depressive disorder (F32.1) The PMHNP has provided
both medication management and cognitive behavioral
therapy (CBT). Today the PMHNP obtains a chief
complaint, history of present illness, reviews medical
history, and a focused review of three systems was
completed. Medications Correct Answer 99214 + 90833
Rationale: This is a returning client with two documented
diagnoses. A focused encounter was conducted that
included psychotherapy.
The PMHNP has initiated a grief support group at her
practice. The support group is one hour in length and can
include the client and family members.
provide the appropriate CPT code Correct Answer 90853
Rationale: This is group psychotherapy with no medication
management. Only a psychotherapy code is necessary.
, Interprofessional Collaboration and Referrals Correct
Answer -PMHNPs may receive client referrals from
primary care providers to address mental health problems
-refer clients to primary care providers for medical care
-PMHNPs may collaborate with social workers to address
clients' needs for social support
-vocational counselors to assist with employment needs
-refer clients to other therapists
• geriatrics, psychiatric emergencies, eating disorders,
family therapy, or pediatrics
-telehealth services or a support group
Disparities in Mental Health Services Correct Answer
Racial, ethnic, gender, and sexual minorities
-often experience poor mental health outcomes due to
inaccessibility of quality mental health services,
discrimination, a cultural stigma surrounding mental health
care, and lack of knowledge about mental health
• To address disparities, the American Psychological
Association (2022) advocates for the expansion and use
of culturally and linguistically competent psychological and
behavioral research and services
Legal & Ethical Considerations Correct Answer Provider
initiated termination for cause
Termination letters
Court mandated treatment
Process and progress notes
Code of Ethics for Nurses Correct Answer Respect for the
Individual
QUESTIONS AND DETAILED CORRECT
ANSWERS | A+ GRADE STUDY GUIDE
Psychotherapy Codes Correct Answer • 90832-
psychotherapy duration 16-37 minutes
• 90833- psychotherapy duration 16-37 minutes used as
an add on code to a E/M code
• 90834- psychotherapy 38-52 minutes
• 90836- psychotherapy duration 38 or more minutes used
as an add on code to a E/M code
• 90837- psychotherapy 53 or more minutes
• 90846- family psychotherapy client not present
• 90847- family psychotherapy with client present
• 90853- group psychotherapy
Lori, a 42-year-old female, presents to the office for an
initial consultation. She has just experienced a breakup
after a 5-year relationship and is feeling "depressed." A
comprehensive initial evaluation which includes chief
complaint, history or present illness, medical history,
previous psychiatric history, family history and a
comprehensive review of systems was completed.
Psychotherapy was included in the session - 18 minutes
time.
provide the appropriate CPT code Correct Answer
99205+90833
,Rationale: The client is new to the practice (20) and
presents with one problem which addressed 4 or more
elements, had a comprehensive history and interview. No
additional testing was needed, treatment was initiated
(05). Psychotherapy was included in the session- 18
minutes time. Therapy goals were established and
reviewed with the client.
Hannibal, a 23-year-old male, is admitted to an inpatient
psychiatric facility with symptoms of auditory
hallucinations, paranoia, and suicidal ideations. A
comprehensive initial evaluation which includes chief
complaint, history or present illness, medical history,
previous psychiatric history, family history and a
comprehensive review of systems was completed.
provide the appropriate CPT code Correct Answer 99223
Rationale: The client presents for initial hospital care (22)
and has a high level of medical decision-making due to an
acute illness that poses a threat to life (3).
Shakina, a 19-year-old transgender female, has been
referred to the PMHNP from primary care. The PMHNP
reviews the primary provider's note and identifies
symptoms of bipolar I disorder. The PMHNP completes a
comprehensive assessment and prescribes medications
for the client.
provide the appropriate CPT code Correct Answer 99245
,Rationale: The client has been referred (24), has complex
medical decision-making needs (5) based on one
undiagnosed new problem with an uncertain prognosis,
required review of referral notes, and requires prescription
drug management. No psychotherapy provided.
Steve, a 30-year-old married client returns for a follow up
appointment. He was initially seen 3 months ago due to
increased anxiety over his marriage. His diagnoses
include generalized anxiety disorder (F41.1) and major
depressive disorder (F32.1) The PMHNP has provided
both medication management and cognitive behavioral
therapy (CBT). Today the PMHNP obtains a chief
complaint, history of present illness, reviews medical
history, and a focused review of three systems was
completed. Medications Correct Answer 99214 + 90833
Rationale: This is a returning client with two documented
diagnoses. A focused encounter was conducted that
included psychotherapy.
The PMHNP has initiated a grief support group at her
practice. The support group is one hour in length and can
include the client and family members.
provide the appropriate CPT code Correct Answer 90853
Rationale: This is group psychotherapy with no medication
management. Only a psychotherapy code is necessary.
, Interprofessional Collaboration and Referrals Correct
Answer -PMHNPs may receive client referrals from
primary care providers to address mental health problems
-refer clients to primary care providers for medical care
-PMHNPs may collaborate with social workers to address
clients' needs for social support
-vocational counselors to assist with employment needs
-refer clients to other therapists
• geriatrics, psychiatric emergencies, eating disorders,
family therapy, or pediatrics
-telehealth services or a support group
Disparities in Mental Health Services Correct Answer
Racial, ethnic, gender, and sexual minorities
-often experience poor mental health outcomes due to
inaccessibility of quality mental health services,
discrimination, a cultural stigma surrounding mental health
care, and lack of knowledge about mental health
• To address disparities, the American Psychological
Association (2022) advocates for the expansion and use
of culturally and linguistically competent psychological and
behavioral research and services
Legal & Ethical Considerations Correct Answer Provider
initiated termination for cause
Termination letters
Court mandated treatment
Process and progress notes
Code of Ethics for Nurses Correct Answer Respect for the
Individual
