PMHNP (Across the Lifespan) Advanced Physical Assessment Comprehensive CBT Review Q & A 2026 (Complete And Verified Study material) (28pages) LEARNEXAMS

1. A 25-year-old patient presents with a history of auditory hallucinations. Which assessment finding would be most concerning for potential harm to self or others? A. Reports hearing voices telling them they are worthless. B. Believes the TV is sending them secret messages. C. Reports voices commanding them to harm their neighbor. D. Laughs inappropriately when discussing the hallucinations. Answer: C Rationale: Command hallucinations are particularly concerning in mental health assessments as they may compel the patient to act on harmful impulses. 2. During a mental status examination, a patient is unable to recall three objects after five minutes that were presented at the beginning of the session. This finding is indicative of: A. Normal age-related memory loss. B. Possible cognitive impairment. C. Attention deficit hyperactivity disorder (ADHD). D. Side effects of antipsychotic medication. Answer: B Rationale: Inability to recall objects is a potential sign of cognitive impairment and should be investigated further, especially in the absence of other symptoms of ADHD or side effects of medication. 3. When assessing a patient with depression, which physical assessment finding could potentially be linked to their mental health condition? A. Elevated blood pressure. B. Rapid weight gain. C. Decreased respiratory rate. D. Irregular heartbeat.