PMHNP Certification Exam Study Questions
and Answers 100% Correct | Latest Update
2025
Pain and bloating after eating is caused by... - ANSWER delayed gastric
emptying
Medications that cause delayed gastric emptying? - ANSWER PPIs; ranitidine,
famotidine, omeprazole
What instructions should you give your patient if they are prescribed
antacids/PPIs and psychotropics? - ANSWER Give medications at least 2 hours
apart b/c antacids/PPIs decrease absorption of psychotropics
Normal BMI range - ANSWER 18.5-25
Criteria for admission for ED bx: - ANSWER BMI <15; 25% total body weight
loss in 3 months; severe dehydration, infection, bradycardia, hypothermia,
hematemesis, hypokalemia
What neurotransmitters are implicated in ADHD? - ANSWER DA, NE, 5HT - DNS
What brain structures are involved in ADHD? - ANSWER Reticular activating
system, basal ganglia, frontal cortex - RBF
,Abnormalities in this part of the brain cause inattentive ADHD: - ANSWER
Prefrontal cortex
Amphetamines are FDA approved for children beginning at _ years old -
ANSWER 3
Methamphetamines are FDA approved for children beginning at _ years old -
ANSWER 6
Alpha agonists clonidine and guanfacine are FDA approved to treat ADHD in
patients ages ___ - ANSWER 6-17
Strattera is FDA approved to treat ADHD in patients ages ___ - ANSWER 6 and
up (including adults)
Adults diagnosed with both ADHD and depression would benefit from being
prescribed: - ANSWER Wellbutrin
Conduct disorder can be diagnosed in: - ANSWER Both children and adults
Conduct disorder diagnostic criteria: - ANSWER Violating rights of others or
societal norms; aggression towards people/animals; destruction of property; no
remorse
Treatment for conduct disorder: - ANSWER Targets aggression and mood; SGA,
mood stabilizer, SSRI, alpha agonists
,ODD diagnostic criteria: - ANSWER Argumentative, defiant for at least 6
months and with 4 sx
Treatment of ODD: - ANSWER Focused on family therapy, child management
skills, teaching parents reinforcement/boundaries/problem solving
DMDD diagnostic criteria: - ANSWER Childhood depressive d/o between ages
6-17; chronic dysregulated mood, frequent tantrums, severe irritability; typically
DMDD rather than bipolar d/o in children
Neurotransmitters implicated in ASD: - ANSWER Glutamate, GABA, 5HT - GGS
Echolalia - ANSWER Meaningless repetition of words; often seen in ASD
Broken mirror theory - ANSWER Dysfunction of the mirror neuron system
results in poor social interaction and cognition in ASD patients
Parallel play is developmentally appropriate at which ages? - ANSWER 1-3
years old
Parallel play continuing beyond the age of 3 years old may be indicative of... -
ANSWER ASD dx d/t social deficits
M-CHAT - ANSWER Modified Checklist for Autism in Toddlers; ASD scale
, ADOS-G - ANSWER Autism Diagnostic Observation Schedule - Generic; ASD
scale
ASQ - ANSWER Ages and Stages Questionnaire; development and
social/emotional screening
Pharmacological treatment of ASD: - ANSWER Stimulants (increase DA to help
with impulsivity, hyperactivity, inattention; Antipsychotics (target aggressive bx,
tantrums, self-injury, stereotyped bx)
Nightmares in children can be the result of: - ANSWER Genetic factors; assess
family patterns of nightmares
Features of children diagnosed with Fragile X - ANSWER LARGE features: large
head, elongated face, hyperextensible joints, abnormally large testes, short
stature
Features of children diagnosed with fetal alcohol syndrome - ANSWER small
features: small head, small eye opening, low nasal bridge, flat midface, smooth
philtrum, thin upper lip
Clock drawing test assesses function of which brain lobe? - ANSWER Parietal
What does the clock drawing test assess for? - ANSWER Executive/cognitive fx,
impairments associated w/ damage to right parietal lobe, constructional apraxia
(inability to draw or assemble objects)