ANCC PMHNP EXAM ENTIRE EXAM
WITH 100% CORRECT ANSWERS 2025
3-year-old masturbates, play with self, says naughty things
correct answers >> FREUD's PSYCHOSOCIAL STAGES OF
DEVELOPMENT - PHALLIC STAGE - 3-6 years old
- This is NORMAL for children this age.
Freud stages of psychosexual development correct answers
>> PNEUMOIC - Old Age Parents Love Grandchildren
Oral (0-18 months)
Anal (18 months - 3 years)
Phallic (3 years to 6 years)
Latent (6 to 12)
Genital (12 +)
ACUTE STRESS DISORDER correct answers >> Depression,
dissociation, recurring nightmares, sleep disturbances, problems
in concentrations, reliving the event, dreams, flashbacks -
UP to ONE MONTH - Less than 1 month.
if LONGER than 1 month=PTSD
5-year-old tells you his brother sodomized him correct answers
>> Tell mom don't leave him alone with patient and call CPS
implement crisis
,Child is playing with doll in a sexual way - You SUSPECT sexual
abuse correct answers >> Perform FURTHER ASSESSMENT
and GATHER ENOUGH INFO BEFORE Calling CPS to report
suspected Sexual Abuse - You HAVE to report but you have to
have something
(assessment data) to report - Assess = FIRST
13-year-old want to smoke correct answers >> ask him of his
plan to stop smoking
MMSE/ FOLSTEIN correct answers >> MMSE/FOLSTEIN
Mr. Folstein had Benjamin Button's disease where he was normal
from 30-25 yrs old, then deteriorated mildly from 24-21 yrs old,
became moderately demented from 20-13 yrs old, until he
reached age 11 where it was too severe to stay at home.
Beck Depression Inventory correct answers >> Beck was 20
yrs old when he started medication & therapy. Unfortunately, at
age 31 it became too SEVERE and was hospitalized.
HAM-A correct answers >> Hamilton A started medication &
therapy at 24 yrs old for moderate anxiety. Sadly, when he turned
27 yrs old he was hospitalized for SEVERE anxiety.
HAM-D correct answers >> Hamilton D began medication &
therapy at 14 yrs old. He later had a dose increase at age 17 for
MODERATE/SEVERE depression. But soon after, it became SEVERE
at age 23 & he was hospitalized.
,PHQ-9 (Patient Health Questionnaire) correct answers >>
Penelope Q was just 10 yrs old when she started antidepressants
& therapy. At age 15, she required a dose increase due to
moderate/severe depression. It helped her until she turned 20
when it became SEVERE, and she had to be hospitalized.
GAD-7 scale correct answers >> Gary was just 10 yrs old
when he was treated with meds & therapy for anxiety. Yet his
symptoms still worsened and at 15 yrs old he was hospitalized for
SEVERE anxiety.
HAM-D score of 19? correct answers >> Severe. Assess for
SI, treat with meds & therapy.
Beck score of 20 correct answers >> Moderate. Confirm
diagnosis and treat with meds & therapy.
PHQ-9 score of 15? correct answers >> Moderate. Confirm
diagnosis & start therapy & meds
PHQ-9 score of 21? correct answers >> Severe. Assess for SI,
start therapy & meds.
HAM-D score of 23? correct answers >> Severe. Assess SI,
treat with meds & therapy.
ZUNG Score of 70? correct answers >> Severe. Assess SI,
treat with meds & therapy
, SLUM > Score correct answers >> 0 - 20 indicate dementia;
21 - 26 = mild neurocognitive disorder; 27 - 30 =
normal.
What is the WHODAS scale? correct answers >> (World
Health Organization Disability Assessment Scale)? It is used
instead of GAF.
Measures multiple disabilities in multiple areas (cognition, work,
social and interpersonal relations).
The LOWER the number, the MORE SEVERE the impairment.
For example, a score of 50 through 30 indicates SI with intent; a
score of 30 and under indicates the need for
hospitalization.
CIWA-Ar correct answers >> Start symptom-treatment
medication PRN at 8, standing med at 15 (1st choice Diazepam
lasts longer, UNLESS liver compromised then give Ativan).
COWS Score/treatment? correct answers >> Start PRN meds
(Clonidine) at 7, give suboxone or buprenorphine at 13.
Mydriasis (of pupil) correct answers >> Dilated pupils
(withdrawal sign, give Clonidine)
Miosis? correct answers >> Pinpoint pupils
(intoxication/overdose, give Naloxone)
WITH 100% CORRECT ANSWERS 2025
3-year-old masturbates, play with self, says naughty things
correct answers >> FREUD's PSYCHOSOCIAL STAGES OF
DEVELOPMENT - PHALLIC STAGE - 3-6 years old
- This is NORMAL for children this age.
Freud stages of psychosexual development correct answers
>> PNEUMOIC - Old Age Parents Love Grandchildren
Oral (0-18 months)
Anal (18 months - 3 years)
Phallic (3 years to 6 years)
Latent (6 to 12)
Genital (12 +)
ACUTE STRESS DISORDER correct answers >> Depression,
dissociation, recurring nightmares, sleep disturbances, problems
in concentrations, reliving the event, dreams, flashbacks -
UP to ONE MONTH - Less than 1 month.
if LONGER than 1 month=PTSD
5-year-old tells you his brother sodomized him correct answers
>> Tell mom don't leave him alone with patient and call CPS
implement crisis
,Child is playing with doll in a sexual way - You SUSPECT sexual
abuse correct answers >> Perform FURTHER ASSESSMENT
and GATHER ENOUGH INFO BEFORE Calling CPS to report
suspected Sexual Abuse - You HAVE to report but you have to
have something
(assessment data) to report - Assess = FIRST
13-year-old want to smoke correct answers >> ask him of his
plan to stop smoking
MMSE/ FOLSTEIN correct answers >> MMSE/FOLSTEIN
Mr. Folstein had Benjamin Button's disease where he was normal
from 30-25 yrs old, then deteriorated mildly from 24-21 yrs old,
became moderately demented from 20-13 yrs old, until he
reached age 11 where it was too severe to stay at home.
Beck Depression Inventory correct answers >> Beck was 20
yrs old when he started medication & therapy. Unfortunately, at
age 31 it became too SEVERE and was hospitalized.
HAM-A correct answers >> Hamilton A started medication &
therapy at 24 yrs old for moderate anxiety. Sadly, when he turned
27 yrs old he was hospitalized for SEVERE anxiety.
HAM-D correct answers >> Hamilton D began medication &
therapy at 14 yrs old. He later had a dose increase at age 17 for
MODERATE/SEVERE depression. But soon after, it became SEVERE
at age 23 & he was hospitalized.
,PHQ-9 (Patient Health Questionnaire) correct answers >>
Penelope Q was just 10 yrs old when she started antidepressants
& therapy. At age 15, she required a dose increase due to
moderate/severe depression. It helped her until she turned 20
when it became SEVERE, and she had to be hospitalized.
GAD-7 scale correct answers >> Gary was just 10 yrs old
when he was treated with meds & therapy for anxiety. Yet his
symptoms still worsened and at 15 yrs old he was hospitalized for
SEVERE anxiety.
HAM-D score of 19? correct answers >> Severe. Assess for
SI, treat with meds & therapy.
Beck score of 20 correct answers >> Moderate. Confirm
diagnosis and treat with meds & therapy.
PHQ-9 score of 15? correct answers >> Moderate. Confirm
diagnosis & start therapy & meds
PHQ-9 score of 21? correct answers >> Severe. Assess for SI,
start therapy & meds.
HAM-D score of 23? correct answers >> Severe. Assess SI,
treat with meds & therapy.
ZUNG Score of 70? correct answers >> Severe. Assess SI,
treat with meds & therapy
, SLUM > Score correct answers >> 0 - 20 indicate dementia;
21 - 26 = mild neurocognitive disorder; 27 - 30 =
normal.
What is the WHODAS scale? correct answers >> (World
Health Organization Disability Assessment Scale)? It is used
instead of GAF.
Measures multiple disabilities in multiple areas (cognition, work,
social and interpersonal relations).
The LOWER the number, the MORE SEVERE the impairment.
For example, a score of 50 through 30 indicates SI with intent; a
score of 30 and under indicates the need for
hospitalization.
CIWA-Ar correct answers >> Start symptom-treatment
medication PRN at 8, standing med at 15 (1st choice Diazepam
lasts longer, UNLESS liver compromised then give Ativan).
COWS Score/treatment? correct answers >> Start PRN meds
(Clonidine) at 7, give suboxone or buprenorphine at 13.
Mydriasis (of pupil) correct answers >> Dilated pupils
(withdrawal sign, give Clonidine)
Miosis? correct answers >> Pinpoint pupils
(intoxication/overdose, give Naloxone)
