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1. Question: Which is the substance most commonly used by adolescents between grades 8–12?
2. Question: Which client meets the diagnostic criteria for intermittent explosive disorder?
3. Question: A 13-year-old presents with a 1-year history of bullying behavior, anger, blaming others, and arguing with adults. What is the most appropriate screening tool to assist with diagnosis?
4. Question: Which of the following clients meets the diagnostic criteria for substance intoxication?
5. Question: A client admits to regularly eating a large pizza in one sitting and then inducing vomiting afterward. Based on DSM criteria, which is the most likely diagnosis?
6. Question: Which is considered an individual risk factor for experiencing ACEs?
7. Question: Which is a common physical feature associated with fetal alcohol syndrome?
8. Question: Which medical complication would differentiate a client who has bulimia nervosa from a client who has anorexia nervosa?
9. Question: An adolescent presents with her parents who report recent weight loss and changes in eating habits. Which screening tool is appropriate?
10. Question: Which client has the most protective factors for suicide?
11. Question: A client describes binge eating behavior followed by guilt. Based on DSM criteria, which is the most likely diagnosis?
12. Question: Which is an appropriate intervention to reduce ACEs?
13. Question: Which strategy implemented by the PMHNP would best promote pediatric mental health?
14. Question: In which client would a urine toxicology screening be most appropriate?
15. Question: Which is considered a community risk factor for experiencing ACEs?
16. Question: Which is an effective treatment for clients with anorexia nervosa?
17. Question: A 10-year-old displays inattention, impulsivity, and excessive talking. Which diagnosis is most likely?
18. Question: A client identifies as non-binary. Which characteristic is the client describing?
19. Question: A parent reports that her 4-year-old assigned male at birth prefers dresses and says she is a girl. What is the most appropriate response by the PMHNP?
20. Question: Which intervention implemented by the PMHNP is a mental health prevention strategy focused on family adversities?
21. Question: An adolescent client uses an app to track symptoms of mania. Which type of mental health screening technology is being used?
22. Question: A parent of a client diagnosed with gender dysphoria seeks guidance. Which is the best strategy for the PMHNP?
23. Question: Which client meets the diagnostic criteria for anorexia nervosa, binge eating/purging type?
24. Question: Which intervention implemented by the PMHNP is a primary mental health prevention strategy?
25. Question: According to DSM-5-TR, for how long must clients experience symptoms for a diagnosis of ADHD?
26. Question: Which initial treatment would the NP recommend for a 17-year-old client who uses marijuana weekly?
27. Question: An adolescent states she was raped by her boyfriend last week. Which is the best statement by the PMHNP?
28. Question: A child with fetal alcohol spectrum disorder has difficulty maintaining friendships. Which is an appropriate initial treatment option?
29. Question: A child presents with anxiety and inattention at school. Which is the most appropriate initial treatment option?
30. Question: Which child has the best opportunities to develop resilience?
31. Question: A child avoids dogs and has nightmares after witnessing his sister attacked by a dog. What is the most appropriate diagnosis?
32. Question: Which client most likely presents with reactive attachment disorder?
33. Question: An 8-year-old started on methylphenidate has lost 5% body weight. Which intervention is most appropriate?
34. Question: A 9-year-old eats Play-Doh regularly. What is the best intervention?
35. Question: According to the UN definition, which action would be considered human trafficking?
36. Question: According to the CRAFFT tool, which client response suggests a significant substance use problem?
37. Question: An 11-month-old presents with facial features consistent with fetal alcohol syndrome. What is an appropriate intervention?
38. Question: Which symptoms are consistent with functional effects of fetal alcohol spectrum disorder?
39. Question: A 10-year-old worries daily that her mother won’t return from work. What is the most appropriate diagnosis?
40. Question: A 14-year-old with ASD is nonverbal and dependent on his mother for care. To which government program should the PMHNP refer the family?
41. Question: The PMHNP suspects a client was exposed to ACEs. Which is the next best step?
42. Question: Which are principles of trauma-informed care?
43. Question: Which client meets diagnostic criteria for oppositional defiant disorder?
44. Question: Which event is most likely to cause PTSD in a child?
45. Question: A child frequently interrupts and talks out of turn. Which ADHD symptom is being displayed?
46. Question: Which behavior in a 15-year-old may indicate possible warning sign for suicide?
47. Question: A 15-year-old makes careless mistakes and struggles with attention. Which diagnosis is most likely?
48. Question: A child has a positive ADHD parent screen but negative teacher report. What is the next best step?
49. Question: An 8-year-old cries at school and hits peers after his grandfather’s death. What is the most appropriate diagnosis?
50. Question: According to the ACEs pyramid, which mechanism present at conception can lead to early death?
51. Question: A 6-year-old frequently fidgets and runs around. Which diagnosis is most likely?
52. Question: Which client meets diagnostic criteria for Pica?
53. Question: Which statement is most accurate regarding human trafficking?
54. Question: Which statement about ADHD symptom evolution from childhood to adolescence is most accurate?
55. Question: Which client has the highest number of adverse childhood experiences (ACEs)?
56. Question: A child’s teacher notes forgetfulness and careless mistakes. Which ADHD symptom is being displayed?
57. Question: Which client meets diagnostic criteria for Avoidant/Restrictive Food Intake Disorder (ARFID)?
58. Question: Which test should be obtained before starting stimulant medication in ADHD?
59. Question: Which intervention is an example of trauma-informed care?
60. Question: Which service is classified as early intervention for childhood mental health care?
61. Question: Which service would most likely be provided in a school-based health center?
62. Question: A 4-year-old loses temper weekly and blames siblings. Which is the most likely diagnosis?
63. Question: Which client has the highest risk for developing an eating disorder?
64. Question: A PMHNP adds a space for preferred pronouns on intake forms. Which area of affirmation is addressed?
65. Question: What are some mental health challenges faced by children in conflict zones?
66. Question: An 11-year-old refuses to eat after her grandmother’s death. What is the most appropriate diagnosis?
67. Question: A 4-year-old with high energy and fidgeting—what is the first-line nonpharmacologic treatment?
68. Question: Which is considered a pillar of global mental health?
69. Question: Which describes the initial role of the PMHNP under the Individuals with Disabilities Education Act?
70. Question: Which child has the most risk factors for suicide?
71. Question: An adolescent who was sexually assaulted feels like she is floating above her body. Which term describes this?
72. Question: Which set of symptoms in a school-aged child is most characteristic of conduct disorder?
73. Question: A client restricts food intake, exercises excessively, and has BMI 21. Which diagnosis fits DSM criteria?
74. Question: A 5-year-old reenacts a car accident using toy cars. Which symptom may indicate PTSD?
75. Question: Which laboratory value in a client with anorexia nervosa requires immediate intervention?