BARKLEY PMHNP EXAM 2026
NEW UPDATE ATCUAL QUESTIONS WITH
VERIFIED ANSWERS GRADED A+
To begin the process of assessment you would establish: -CORRECT ANSWERS- Therapeutic relationship/
working diagnosis/need for further evaluation and testing/initial plan of care.
Prior to the interview review: -CORRECT ANSWERS- referral information/ patient questionnaires/ health
assessments
You would set the stage and make the client comfortable by: -CORRECT ANSWERS- introducing yourself (
consider cultural norms)/ ensure that you won't be interrupted/ consider clinician safety, with exit
strategies if patient should escalate.
Chief complaint: -CORRECT ANSWERS- Document the problem in the patient's words/
are symptoms: affective/ cognitive/ physical
seek permission to consult with family member
History of presenting problems: -CORRECT ANSWERS- duration of problem (s)
What other things were going on in their life when they started to have problems.
Precipitating factors: -CORRECT ANSWERS- 1. exacerbating factors
2. triggers
3. connecting events
4. causality
Social History: -CORRECT ANSWERS- 1. changes in role or social function
2. history of abuse and victimization
Social and developmental history: -CORRECT ANSWERS- 1. identify who played roles in person's life.
, 2. Who are presently involved.
3. Social support
Family genogram: -CORRECT ANSWERS- biological: eval autosomal dominant genetic inheritance which
is rare: present in more than one generation
~autosomal recessive- expressed in one generation
process: examine family patterns of communication and relating.
Social history continued: -CORRECT ANSWERS- 1. friendships/ relationships with service providers
2. religious groups and/or clergy
3. history re: intimate relationships
4. status of interpersonal relationships
5. are important people in client's life- loving vs angry
6. involvement of family or other's in client's care
7. client's living situation
8. occupational status
9. educational/training status
10. financial situation
11. difficulties of activities of daily living
Family history: -CORRECT ANSWERS- 1. family members with mental illness
2. unusual symptoms and behaviors
3. substance abuse/use
Personal Evaluation -CORRECT ANSWERS- evaluate strengths, hobbies, and area of pride/expertise/
competence- coping stratagies
Spirituality: -CORRECT ANSWERS- 1. named religion or beliefs
2. source of strength and hope
NEW UPDATE ATCUAL QUESTIONS WITH
VERIFIED ANSWERS GRADED A+
To begin the process of assessment you would establish: -CORRECT ANSWERS- Therapeutic relationship/
working diagnosis/need for further evaluation and testing/initial plan of care.
Prior to the interview review: -CORRECT ANSWERS- referral information/ patient questionnaires/ health
assessments
You would set the stage and make the client comfortable by: -CORRECT ANSWERS- introducing yourself (
consider cultural norms)/ ensure that you won't be interrupted/ consider clinician safety, with exit
strategies if patient should escalate.
Chief complaint: -CORRECT ANSWERS- Document the problem in the patient's words/
are symptoms: affective/ cognitive/ physical
seek permission to consult with family member
History of presenting problems: -CORRECT ANSWERS- duration of problem (s)
What other things were going on in their life when they started to have problems.
Precipitating factors: -CORRECT ANSWERS- 1. exacerbating factors
2. triggers
3. connecting events
4. causality
Social History: -CORRECT ANSWERS- 1. changes in role or social function
2. history of abuse and victimization
Social and developmental history: -CORRECT ANSWERS- 1. identify who played roles in person's life.
, 2. Who are presently involved.
3. Social support
Family genogram: -CORRECT ANSWERS- biological: eval autosomal dominant genetic inheritance which
is rare: present in more than one generation
~autosomal recessive- expressed in one generation
process: examine family patterns of communication and relating.
Social history continued: -CORRECT ANSWERS- 1. friendships/ relationships with service providers
2. religious groups and/or clergy
3. history re: intimate relationships
4. status of interpersonal relationships
5. are important people in client's life- loving vs angry
6. involvement of family or other's in client's care
7. client's living situation
8. occupational status
9. educational/training status
10. financial situation
11. difficulties of activities of daily living
Family history: -CORRECT ANSWERS- 1. family members with mental illness
2. unusual symptoms and behaviors
3. substance abuse/use
Personal Evaluation -CORRECT ANSWERS- evaluate strengths, hobbies, and area of pride/expertise/
competence- coping stratagies
Spirituality: -CORRECT ANSWERS- 1. named religion or beliefs
2. source of strength and hope
