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PMHNP Exam Practice Over 200 Questions
And Answers A+ Verified
1. what term describes a scientific study that gathers multiple studies and
analyzes them to draw a larger conclusion?: systematic review
2. borderline personality disorder falls under which cluster of personality
disorder traits?: B
3. a 36 year old caucasian male arrives for his usual monthly medication
appointment. diagnosed with schizophrenia & has been stabilized on haldol for 9 years. today he states he has an inner feeling of restlessness & inability to remain still. what type of E.P.S is suspected?: akathisia
4. which part of medicare provides optional coverage for beneficiaries?: part c
5. the cerebrum contains all of the following areas of the brain except one.
cerebral cortex, brainstem, limbic system, or hypothalamus: brainstem
6. in a family systems context, what is the definition of morphogenesis?: a
family's tendency to adapt to change when changes are necessary.
7. how does the body remove both serotonin and norepinephrine from the
synaptic cleft?: an active re-uptake process
8. a 53 year old menopausal woman presents with complaints of anhedonia,
depressed mood, & vasomotor symptoms. what medication effectively treats both vasomotor symptoms and depression?: desvenlafaxine/pristiq it is an S.N.R.I.
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9. which personality disorder is most likely to have fantasies of success?: nar-
cissistic
10. who should receive a shingles vaccine?: anyone over the age of 60 who has had
chickenpox
11. some states use the umbrella term advanced practice nurse to refer to all of
the following except which one? nurse anesthetists, certified nurse midwife, mid- level providers, or nurse practitioners: mid-level providers
12. eating disorders are characterized by what?: disordered patterns of eating,
accompanied by distress, disparagement, preoccupation, & a distorted perception of one's body shape
13. the federal government offered financial awards to encourage hospitals to
implement meaningful use. the financial awards are tied to specific objectives related to the effective use of electronic health records. give 3 examples of this.:
- electronic prescribing
2. electronic medication interaction checks
3. computerized provider order entry
14. for an act to be considered criminal, it must have 2 components: actus reus
& mens rea. what is actus reus?: voluntary conduct
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28. what action takes place during the working phase of a therapeutic relation-
ship?: clarifying patient expectations and mutually identifying goals
29. at what age would you expect a child to sit alone with good coordination,
imitate scribble, develop mild separation anxiety, and respond to social play such as peek-a-boo?: 40 weeks or about 8 months old
30. physical exam findings of Rett syndrome include what?: seizures, irregular
respirations, and scoliosis
31. what endocrine findings are suggestive of alcohol dependency?: testicular
atrophy, sexual dysfunction, and gynecomastia
32. what is sexual identity?: it refers to whom someone is affectionately attracted
33. what are some examples of monoamine neurotransmitters?: dopamine,
norepinephrine, and serotonin
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34. what percent of the incarcerated population in the U.S. has a severe mental
illness?: 15 to 24 percent
35. statistically, gambling disorder is most prevalent among what ethnic/racial
group?: african americans
36. what cranial nerve assessment tests smell, ensures patency of nasal
passages, and is performed by having the client close the eyes to identify smells?: olfactory
37. what are the most common potentially law-breaking sexual behaviors?: -
voyeuristic acts
38. what psychiatric disorder is characterized by at least one psychotic symp-
tom present for less than one month?: brief psychotic disorder
39. in almost every state, nurse practitioners are reimbursed at what percent-
age of the allowable physician rate?: 85 percent
40. which part of medicare provides optional coverage for outpatient pharma-
ceuticals?: part D
41. which class of medications would be most appropriate for treating a patient
stabilized on haldol that is exhibiting mild pseudo-parkinson's symp- toms?: muscarinic 1 agonist
42. patient switched to halodol last week presents with oriented to self, fever of
105.3, heart rate 126, breath rate 22, extremities are stiff and rigid, WBCs of 14, creatinine of 2.6. what is the most serious complication of her presenta- tion?: rhabdomyolsis
43. what is the primary purpose of the corpus callosum?: connect right and left
hemispheres and facilitate sensorimotor information exchange
44. what medication can produce a false positive for methamphetamines?: -
prozac/fluoxetine
45. what medication can produce a false positive for benzodiazepines?: -
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52. what are the general functions of GABA?: reduces arousal, aggression, &
anxiety
53. what are the general functions of serotonin?: regulates sleep, pain, mood
states, & temperature
54. what is an example of a psychological preventative factor that protects
someone from developing a psychiatric disorder?: healthy ego defenses
55. compared with physicians, nurse practitioners save the consumer & the
insurance company what percent of costs?: 20 percent
56. a person who is proficient in the use of software, hardware selection, &
computer maintenance possesses what skill?: computer competency
57. what underlying psychiatric disorder is not linked to insomnia?: opposi-
tional defiant disorder
58. the institutional review board ensures what?: 1. risks to participants are
minimized
2. participant selection is equitable
3. adverse events are reported
4. risks & benefits are evaluated
5. informed consent is obtained & documented
6. data safety monitoring plans are implemented when indicated
59. what are signs & symptoms of stevens johnsons syndrome?: facial swelling,
tongue swelling, macules/papules/burning confluent red rash, skin slough- ing, pro- dromal headache, malaise, arthralgia, & painful mucous membranes may occur before rash
60. what is stevens johnsons syndrome?: immune reaction to a foreign antigen that
can occur with exposure to any anticonvulsant drug
61. what is the therapeutic range for lithium?: 0.6-1.
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62. If first onset of manic symptoms occurs after age 40, what is likely the
cause?: another medical condition
63. what are the side effects of lithium toxicity?: slurred speech, confusion,
coarse hand tremors, severe GI effect
64. what medications when taken with lithium can double the level?: NSAIDs
and ACE inhibitors
65. which personality disorder is most likely to be excessively scrupulous?: -
obsessive-compulsive
66. what EPS has a mask like appearance and a shuffling gait?: pseudo-parkin-
son's
67. what findings do you expect to support autism spectrum disorder?: flat or
blunted affect, little or no eye contact, and lack of emotional reciprocity
10 / example of which yalom curative factor?: universality
81. what medication is not currently indicated for the maintenance phase of
treatment in bipolar 1, but has shown efficacy in treatment of acute manic or mixed episodes?: extended release carbamazepine
82. which medication is strictly contraindicated with selegiline, an M.A.O.I.?: -
meperidine/demerol
83. what is the current understanding of dopamine pathways and clinical
symptoms in schizophrenia?: negative symptoms are due to hypoactivity of mesocortical dopaminergic tract & positive symptoms are due to hyperactivity in the mesolimbic tract primary deficit may be mesocortical tract where dopamine function is diminished & decreasing inhibitory effects of the mesolimbic tract
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84. what serotonin receptor antagonism makes an antipsychotic 'atypical'?: -
5ht2a receptor antagonism and d2 receptor antagonism
85. lorazepam is the preferred benzodiazepine when managing alochol with-
drawal symptoms in a patient with co-morbid what?: hepatic disease
86. what findings on an MRI & pet scan would be uncommon in schizophren-
ics?: decreased cerebral ventricles
87. when there are disturbances in drawing, such as a clock, what area of the
brain is affected?: right hemisphere
88. what can lithium cause to an infant when given to a pregnant woman?: eb-
stein's anomaly
89. what cytochrome enzyme is implicated as a tobacco inducer when an
individual is treated on clozapine?: 1a2, as tobacco use decreases, then the dose needed will decrease, inducer speeds up metabolism, less drug available
90. what direct-acting dopamine receptor angonist is recommended to be
used in the treatment of neuroleptic malignant syndrome to help lower the dopamine receptor blockade?: parlodel
91. what are the recommended cut points for discontinuation of clozapine?: -
w.b.c.s of 2,000 to 3, granulocytes of 1,000 to 1,
92. what is the main differentiating factor between repression and suppres-
sion?: repression is involuntary and suppression is voluntary
93. which anti psychotic medication is the only known anti psychotic known to
reduce the risk of suicide in schizophrenia?: clozapine
94. tramadol has serotonin and noradrenaline re-uptake inhibitors, putting
patients taking SSRIs at risk for what?: serotonin syndrome
95. the literature on group outcomes has revealed that negative group out-
comes has been associated with what quality in group leaders?: being overly
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100. norepinephrine is a neurotransmitter that is implicated in alertness and
anxiety. what area of the brain has a large majority of norepinephrine neu- rons?: locus coeruleus & medullary reticular formation
101. in bipolar 1, men are more prone than women to have what?: manic
episodes women are more likely to have depressive episodes & rapid cycling
102. what hematologic changes can occur with lithium?: leukocytosis
103. the risk of bleeding on SSRIs, NSAIDs, or aspirin is an example of what
principle?: pharmacodynamics
104. the core values that underlie advanced practice nursing and culturally
competent care are:: respect, advocacy, partnership
105. which personality disorder is best treated by combining individual and
group psychotherapy due to the intense transferences and countertransfer- ences that are likely to develop?: borderline personality disorder
106. what is the most accurate description of agoraphobia?: they fear situations or
places they might have trouble obtaining help if they become scared
107. what finding or trait is not suggestive of someone experiencing abuse?-
: aggression
108. what circadian rhythm sleep-wake disorder sub type is characterized by
falling asleep and waking later than desired?: delayed sleep phase type
109. to understand how past development impacts a person's behavior is a
goal of what kind of therapy?: existential
110. what psychiatric condition is characterized by patients who are experi-
encing symptoms of schizophrenia but have been ill for only 1 to 6 months?- : schizophreniform disorder
111. competence to be executed was established in what supreme court
case?: ford versus wainwright
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112. which moral duty does a nurse practitioner leader uphold when he or she
tells the truth?: veracity
113. the technology informatics funding education reform initiative declared
that N.P.s have the responsibility to do what?: understand and shape the land- scape of health care technology
114. what mental status exam findings would be expected in someone experi-
encing abuse?: depressive traits, passive behaviors, & co-dependence
115. what population has the highest rate of antisocial personality disorder?: -
adult men with alcohol use disorder in a forensic setting-particular to forensic setting
116. what circadian rhythm sleep-wake disorder subtype is characterized by
falling asleep and waking progressively later than desired?: non-24-hour sleep- wake type
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127. what are the traits of schizotypal personality disorder?: ME PECULIAR:
magical thinking, experiences unusual perceptions, paranoid ideations, eccen- tric appearance/behavior, constricted affect, unusual thinking/speech, lacks close friends, ideas of reference, anxiety in social situations, rule out psychotic/pervasive disorders
128. what are the traits of borderline personality disorder?: IMPULSIVE: im-
pulsive, moodiness, paranoia/dissociation under stress, unstable self-image, labile intense relationships, suicidal gestures, inappropriate anger, vulnerability to aban- donment, emptiness
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129. what are the traits for histrionic personality disorder?: PRAISE ME:
provocative behavior, relationships considered more than they are, attention center, influenced easily, style of speech-impressionistic, make-up, exaggerated emotions
130. what are the traits of narcissistic personality disorder?: GRANDIOSE:
grandiose, requires attention, arrogant, need to be special, dreams of success/pow- er, inter personally exploitative, others-not recognized, sense of entitlement, envious
131. what are the traits of dependent personality disorder?: RELIANCE: reas-
surance required, expressing disagreement difficult, life responsibilities assumed by others, initiating projects difficult, alone, nurture seeking, companionship sought urgently when one ends, exaggerated fears of caring for self
132. what are the traits of schizoid personality disorder?: DISTANT: detached
affect, indifferent to criticism/praise, sexual little interest, tasks solitary, absence of close friends, neither denies/enjoys close relationships, takes pleasure in few activities
133. what are the traits of antisocial personality disorder?: CORRUPT: cannot
conform to law, obligations ignored, reckless disregard for safety, remorseless, underhanded, planning insufficient, temper
134. what are the traits of avoidant personality disorder?: CRINGES: criticism
preoccupies thoughts in social settings, restraint in relationships due to fear of shame, inhibited in new relationships, needs to be sure of being liked before engaging, gets around occupational activities involving interpersonal contact, em- barrassment, self view of inferior
135. what are the traits of obsessive-compulsive personality disorder?: -
SCRIMPER: stubborn, cannot discard worthless objects, rule obsessed, inflexible, miserly, perfectionistic, excludes leisure, reluctant to delegate
136. bipolar is believed to be related to an increase in what neurotransmitter?-
: glutamate
137. according to erikson, during which psychosocial stage would you expect a
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141. what are the MAOIs?: Pit of despair: pheneziline, isocarboxazid, tranyl-
cypromine
142. what are the side effects of MAOIs?: ha ha: hypertension/hypertensive crisis,
anticholinergic side effects, hepatocellular jaundice, arrythmia, anorexia
143. what are the SSRIs?: had the flu twice & feel like a SPEC:
fluvoxamine, fluoxetine, sertraline, paroxetine, escitalopram, citalopram
144. what are the side effects of SSRIs?: bad SSRI: body weight increase, anxiety,
dizziness, serotonin syndrome, stimulated CNS, reproductive/sexual dysfunction, insomnia
145. what are the atypical antipsychotics?: done pine my zone: risperidone,
ziprasidone, clozapine, olanzapine, quetiapine, aripiparzole
146. What do atypical antipsychotics treat?: positive and negative symptoms of
schizophrenia and bipolar
147. What are the typical antipsychotics?: hal & thio go to PF Changs: haloperi- dol,
thioridazine, perphenazine, fluphenazine, chlorpromazine
148. what are the side effects of the antipsychotics?: i SHADE: impotence,
sedation, hypotension, akathisia, dermatological SEs, extrapyramidal
149. what are the mood stabilizers?: ox & lam are lit for Val because they have no
carbs and good times. oxcarbmazapine, lamotrigine, lithium, valproic acid, carbamazepine, gabapentin, topiramate
150. What do typical antipsychotics treat?: negative symptoms of schizophrenia
151. what are the SNRIs?: feeling depressed & need a shot of norepi? rent a DVD
desvenlafaxine, venlafaxine, & duloxetine
152. What do SNRIs treat?: depression, panic, OCD
153. what are the antihistamines?: hydroxyzine, hydrochloride, diphenhydramine
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154. what are the non-benzodiazipine medications for anxiety?: buspar, beta
blockers, gabapentin, hydroxyzine, guanfacine, clonidine, prazosin
155. What are benzodiazepines?: pams, lams, and librium
Diazepam, lorazepam, temazepam, midazolam, alprazolam, chlordiazepoxide
156. What do benzodiazepines treat?: Anxiety, alcohol withdrawal, Insomnia, Se-
dation, Seizures
157. What are the atypical antidepressants?: Bupropion, Mirtazapine, Trazodone
158. what are the opiate antagonists?: Naloxone, naltrexone
159. what medications are used for non-acute alcohol withdrawal?: DANT:
disulfiram, acamprosate, naltrexone, topiramate
160. what are the anticonvulsants?: Valproate
Carbamazepine Lamotrigine
