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PMHNP Exam Questions and Answers: A Comprehensive Review, Exams of Nursing

Washburn University (WU)Nursing

This document offers a valuable resource for pmhnp exam preparation, providing a wide range of questions and answers covering various aspects of psychiatric-mental health nursing. the questions delve into topics such as medication interactions, neurobiology, assessment techniques, ethical considerations, and cultural competency in mental healthcare. this resource is particularly useful for students and professionals seeking to enhance their knowledge and understanding of key concepts in pmhnp practice.

Typology: Exams

2024/2025

Available from 04/25/2025

Prof.Steve
Prof.Steve šŸ‡ŗšŸ‡ø

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PMHNP Exam Reported Over 340
Questions And Answers A+ Verified
1. What is dissemination?
ANS Getting the research information out to those who need
to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
2. What does a 17 on MMSE mean?
ANS Moderate cognitive impairment
3. What is Tegretol in the CYP450 system?
ANS Inducer -->will lower dose of Lamictal and BCP's
4. What do BCP's do to Lamictal?
ANS Inducer - will lower dose of Lamictal
5. What is a Type I research error?
ANS There IS a difference but you say there isn't a difference.
6. What is a Type II research error?
ANS There is NO difference but you say there is a difference.
7. What is pseudo-dementia?
ANS Cognitive impairment secondary to depression that clears when treated in
the elderly. Dementia won't improve.
8. Is it normal for a 1 month old to have a palmar grasp?
ANS Yes.
9. What is a drug 1/2 life?
ANS The time it takes for 50% of a drug to be eliminated from the body.
10. What 3 atypicals can be used with teens?
ANS Zyprexa, Abilify, Seroquel - low doses
11. What is a risk of using Tramadol?
ANS Serotonin Syndrome as it is very seroton- ergic.
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PMHNP Exam Reported Over 340

Questions And Answers A+ Verified

  1. What is dissemination? ANS Getting the research information out to those who need to know it! Publication - highest level Presenting at National Conference Presenting at Local Conference Journal Club where one person reviews an article
  2. What does a 17 on MMSE mean? ANS Moderate cognitive impairment
  3. What is Tegretol in the CYP450 system? ANS Inducer -->will lower dose of Lamictal and BCP's
  4. What do BCP's do to Lamictal? ANS Inducer - will lower dose of Lamictal
  5. What is a Type I research error? ANS There IS a difference but you say there isn't a difference.
  6. What is a Type II research error? ANS There is NO difference but you say there is a difference.
  7. What is pseudo-dementia? ANS Cognitive impairment secondary to depression that clears when treated in the elderly. Dementia won't improve.
  8. Is it normal for a 1 month old to have a palmar grasp? ANS Yes.
  9. What is a drug 1/2 life? ANS The time it takes for 50% of a drug to be eliminated from the body.
  10. What 3 atypicals can be used with teens? ANS Zyprexa, Abilify, Seroquel - low doses
  11. What is a risk of using Tramadol? ANS Serotonin Syndrome as it is very seroton- ergic.

2 /

  1. What is the allele seen in Asians that increase the risk of SJS? ANS HLAB-
  2. When might you see toxic epidermal necrolysis? ANS With worsening of SJS
  3. How many generations do you include for a genogram? ANS 1st degree - moth- er, father, siblings 2nd degree - grandparents & cousins 3rd degree -
  4. What does messenger RNA code for? ANS Amino Acids
  5. What is epigenetics? ANS Factors that affect genes - environmental, smoking, stress, etc...
  6. What part of the brain is involved with OCD? ANS Basal Ganglia Occipito-Frontal
  7. What happens to the brain during adolescence? ANS Dendritic pruning Emotions are controlled by amygdala By adulthood, PFC involved as well
  8. When do males typically present with schizophrenia? ANS 10-25 yo

4 / ANS Inflammation (ESR - Erythrocyte Sedimen- tation Rate) = distance in mm RBC's have descended in 1 hour.

  1. What is a normal sed rate or ESR? ANS 0-22 males 0-29 females
  2. What is a retic count? ANS Measures % of reticulocytes in blood (immature RBC's) Indicates whether enough RBC's are being produced by bone marrow.
  3. What does a decreased retic count indicate? ANS Anemia - acute or chronic bleeding

5 /

  1. What does an increased retic count indicate? ANS Bone marrow disorder or Vitamin Deficiency
  2. What does an abnormal retic ount indicate in general? ANS Doesn't diagnose anything. First step is ID source of the issue.
  3. What happens when you mix tegretol and macrolides? ANS Increase tegretol levels.
  4. What happens if a pregnant women takes Accutane? ANS Birth defects.
  5. What labs do you get with RA? ANS Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps confirm diagnosis. CRP and ESR are both increased in RA but NOT in osteoarthritis.
  6. Where does the NP Code of Ethics come from? ANS ANA
  7. When do you assume informed consent? ANS Unconscious Incompetent Life Threatening Situation
  8. What are the legal ramifications of treating w/o informed consent? ANS Same as with informed consent
  9. Who can declare a patient incompetent and appoint a guardian? ANS Only a court
  10. Does impaired judgment mean one is incompetent? ANS No.
  11. Can an advanced directive ever be revoked? ANS Yes, at any time.
  12. What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact? ANS Nothing. They are all the same.
  13. Does the de facto rule of proxy apply in same sex marriages? ANS No.
  14. How do Asians see HC providers? ANS As in a position of authority. Expect to give instructions and help make decisions
  15. What does it mean when an Asian patient does not make eye contact with the NP? ANS SIgn of respect
  16. What is the evil eye? ANS When a stronger or more powerful person looks at a weaker person - often infant/child resulting in a hex which presents in illness such as HA, fever,

7 /

  1. What is a claims made/based liability insurance? ANS provides coverage for a claim that is brought within the policy period, no matter when the loss occurred.
  2. Who sets the minimum requirements for NP's? ANS Board of Nursing State
  3. What are the various controlled substance classes? ANS Schedule I - nobody has these - not good for health - heroin, PCP, MDMA, researchers can get it sometimes. Schedule II - Significant Abuse Potential - morphine, methadone, methyphenidate Schedule III - Moderate Abuse Potential - hydrocodone, codeine Schedule IV - Low Abuse Potential - benzo's, ambien, phentermine Schedule V - Very low abuse potential - anti-tussives, lomotil
  4. What classes of CS's is the NP approved to prescribe? ANS Schedules III-V ONLY.
  5. Where does 50% of healthcare funds come from? ANS The government
  6. Who is eligible for Medicare? ANS >65 or under 65 with diability, ANY age with renal disease.
  7. What is incident to billing? ANS Means MD initiates treatment and NP is an extension of the care and directly under the supervision of the MD. Allows NP to get reimbursed at 100% rather than 85%.
  8. How are Medicaid benefits determined? ANS State determines qualification - Partnership between State and Fed Govt. Must be impoverished Must be US resident and low or very low income.
  9. Can you have Medicare and Medicaid? ANS Yes, impoverished elderly but Medic- aid is always payor of last resort.
  10. Is dental care included in Medicaid? ANS Yes, <21 gets basic dental as part of the Medicaid plan.
  11. What is the purpose of HIPAA? ANS National standards for electronic HC transac- tions National ID for providers, health plans and employers.

8 / Not SIMPLY Confidentiality.

10 / Dopamine MAOi's inhibit MAO's which break down neurotransmitters so allow increase in the amount in the synapse.

  1. How do you test CN XII? ANS Stick out your tongue.

11 /

  1. What CN are you testing when you have a patient clinch their jaw and assess temporal muscles? ANS CN V - Trigeminal
  2. What are two important things to measure when using Zyprexa? ANS Lipid level and abdominal circumference
  3. What is included in the mini-cognitive exam? ANS Clock, memory questions from MSE.
  4. What is HIV related dementia often mistaken for, especially at the begin- ning? ANS Depression
  5. What do you do when a patient is on tegretol and their ANC (Absolute Neutrophil count) <1000? ANS Stop and repeat lab. Normal is 1500-8000 mm
  6. Can you take Buspar during pregnancy? ANS Category B - ok if really needed.
  7. Can you take Klonopin during pregnancy? ANS Category C - avoid if possible; does excrete into breast-milk and infant could get withdrawal symptoms.
  8. What is the concern when prescribing Lamictal with Depakote? ANS Both are CYP450 inducers of the other and therefore together will lower the level of both drugs.
  9. Can asthma medications cause depression? ANS Yes.
  10. If a patient has muscle pain and red urine with an elevated leukocyte esterase. What lab do you order? ANS Microalbumin?
  11. What is often common to patients with fibro? ANS Sexual abuse
  12. How is telepsychiatry evaluated? ANS Outcome based - measure at intervals.
  13. What happens with a patient taking Lithium and who gets dehydrated? ANS - Levels increase
  14. What happens with a patient taking Lithium who decreases sodium in- take? ANS Levels increase
  15. What happens with a patient taking Lithium and drinks a lot of water? ANS - Levels decrease

13 /

  1. Which drug affects Carbamazepine/tegretol ANS Erythromycin will cause toxic levels. Decrease Carbamazepine/tegretol
  2. Signs and Symptoms of stimulant abuse ANS insomnia and tremor
  3. Depakote check ANS HCG levels
  4. Depakote causes ANS Spinal bifida
  5. Grasp reflex. ANS an infantile reflex in which an infant closes her hand into a fist when her palm is touched Stroking the palm of a baby's hand causes the baby to close his or her fingers in a grasp. The grasp reflex lasts until about 5 to 6 months of age.
  6. Moro reflex. ANS The Moro reflex is often called a startle reflex because it usually occurs when a baby is startled by a loud sound or movement. In response to the sound, the baby throws back his or her head, extends out the arms and legs, cries, then pulls the arms and legs back in. A baby's own cry can startle him or her and trigger this reflex. This reflex lasts about 5 to 6 months.
  7. pincer grasp ANS 9 months Uses thumb and index finger (pincer grasp) to pick up small objects like Cheerios.
  8. Pt has MI looses his job stable on psych medications ANS Provide brief sup- portive therapy
  9. Latida and Geodon ANS Take with food
  10. Moro reflex absent ANS Do xray
  11. Health Care Policy Model ANS Access, Cost, Quality
  12. Pt wants to stop medications ANS explore reason for stopping Its their right
  13. 16 year old falls with the wrong crowd ANS Conduct disorder
  14. change agent ANS the person formally in charge of guiding a change effort Administrator

14 /

  1. 14 year old girl clenching her teeth ANS Cranial Nerve V-Trigeminal nerve
  2. Infant dying ANS Give child to parents and comfort parents
  3. borderline personality disorder Treatment ANS dialectical behavior therapy
  4. Aggressive patient give ANS IM geodon
  5. SIGECAPS of Depression ANS Sleep Interest Guilt Energy Concentration Appetite

16 / ANS Teach staff about culture competence

  1. Problems in the parietal lobe can lead ANS Sensory-perceptual disturbances and agnosia(inability to perceive objects) R-L confusion Difficulty writing (agraphia) Aphasia(difficulty of language)

17 /

  1. PDSA cycle ANS For Plan-Do-Study-Act. Describes how to test a change ANS by trying it, observing the consequences, and then learning from those consequences.
  2. Appreciative Inquiry ANS an organizational change strategy that directs the group's attention away from its own problems and focuses participants on the group's potential and positive elements
  3. Appreciative Inquiry ANS an organizational change philosophy and process build- ing organizations around what works, rather than focusing on and trying to fix what doesn't work
  4. Appreciative Inquiry (AI) ANS Identify the problem Analyze the problem Generate Solutions Implement Best Solutions Discovery (Best of what is ) Dream (Wishes or dreams of Org) Design (Decide what you want to change) Destiny (Make it happen, Implenting Change)
  5. Appreciative Inquiry ANS Discovery (Best of what is ) Dream (Wishes or dreams of Org) Design (Decide what you want to change) Destiny (Make it happen, Implenting Change)
  6. CIWA-Ar ANS Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised 9 item symptom rating scale, max score 67; <10 does not warrant intervention
  7. Hispanic patient lost his parent complain stomach ache his pop couldn't fix what do you do ANS Validate his experience and provide care in a culturally specific way to that patient
  8. Native American wants his healer present ANS Involve mother of the patient and healer, mom was cleared for you to involve her
  9. 16 year old shows up with mother for first therapy is ANS confidential mom sits in lobby
  10. Patient acts out due to missing session what do you do ANS You relate to childhood abandonment and talk about it with the patient

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  1. Patient on antidepressants for 3 weeks and attempted Suicide ANS Stop med- ication immediately
  2. You want to decrease seclusion on your unit who considered the primary change agent ANS Unit staff
  3. You are a lead NP over other NPs in a rural setting how would you go about the change ANS Make online form and have them vote on it
  4. 16 year old refuse treatment ANS Send to psych specialist for acting out kids
  5. Positive Trendelenburg Sign ANS Refer to Ortho/specialist Pelvis drops to when patient raises one foot off the floor.
  6. Drug affects Flonase ANS Zantac (Histamine 2 Blocker) Antagonist
  7. Little boy wet his sheets, What kind of therapy would you suggest ANS Behav- ior therapy
  8. DDVAP acts in much the same manner as antidiuretic hormone. ANS Makes less urine
  9. Lithium level 1.2u what are you concerned with ANS 4+ Ketones
  10. What does depakote do to Lamictal ANS Increase laminate 200%
  11. Inducers of Cytochrome P450 (CYP450) ANS Barbiturates, phenytoin, carba- mazepine, rifampin, St. John's Wort A substance that speeds up a chemical reaction
  12. Inhibitor ANS A substance that slows down or stops a chemical reaction
  13. cytochrome p450 inhibitors ANS CRACK AMIGOS Cimetidine Ritonavir Acute Alcohol Ciprofloxacin Ketoconazole Amiodarone Macrolides Isoniazid Grapefruit juice Omeprazol

10 / 24 Sulfonamides

  1. Carb and Barb ANS decrease INR
  2. Deapkote and Disulfruram ANS Increase INR
  3. GAL-Renall metabolized ANS Gabapentin Acamprostate Lithium
  4. Grapefruit juice ANS One glass can reduce absorption by 47% Blood levels will be Increased
  5. Trazodone (Desyrel) ANS Get EKG.
  6. Trazodone (Desyrel) ANS Get an eye exam can cause Glaucoma