PMHNP Diagnosis &
Management EXAM QESTIONS
AND VERIFIED ANSWERS
100% GUARANTEED PASS
Obsession - correct answer ● Recurrent & persistent thoughts, impulses, images that are
experienced & cause anxiety & distress ● Experienced as intrusive & inappropriate
Compulsion - correct answer ● Repetitive behaviors or mental actions that a person feels driven
to perform in response to obsession
Risk Factors for OCD - correct answer Genetic predisposition - familial transmission pattern.
Rates higher in people with 1st degree relative with OCD or Tourette's
PANDAS (pediatric autoimmune neuropsychiatric disorders associated with streptococcal
infections) should be considered in - correct answer all children with sudden onset of OCD
Tics - correct answer ● Stimulants can cause Tics. Tics are a contraindication to stimulants. If a
child develops tics on stimulants, switch to a non-stimulant.
Dopaminergic hyperactivity can lead to - correct answer Tourette's.
Management of Tourette's tics - correct answer pimozide, Haldol, Abilify, guanfacine, clonidine
Tics in Tourette's vs OCD - correct answer Tics can occur in Tourette's & OCD, but OCD has
obsessions/intrusive thoughts
,Tourette's disorder - correct answer have to have 2 motor tics, 1 vocal tick that has lasted more
than 1 year. It is normal for children to have tics; they usually disappear by adolescence.
Pharmacological Management of OCD - correct answer ●SSRIs (often need higher dosing range
for adequate symptom control) ● Prozac for children ● TCAs (clomipramine)● Second-
generation antipsychotics like risperidone are off-label but data supports adjunctive use with
SSRIs
Non-Pharm Management for OCD - correct answer ● CBT ● Exposure therapy ● Behavioral
therapy ● DBT
Variance - correct answer any event that alters patient progress toward their expected outcome
Sources of variance - correct answer ● Provider behavior (competency) ● Severity of illness
(with high risk) ● Practice patterns that inhibit or expedite care
Schizophrenia - correct answer Disturbances in ● Cognition ● Perception ● Emotion ● Behavior
● Eye movement ● Socialization
Onset of schizophrenia - correct answer ● 18-25 in males ● 25-35 in females
Genetics factors in schizophrenia - correct answer ● strong genetic component ● SNIP defect ●
6p24-22
Neurodevelopment in schizophrenia - correct answer ● Inadequate synapse formation ●
Excessive pruning of synapses ● Excitotoxic death of neurons. ● Intrauterine insults (Prenatal
exposure to toxins, including viral agents; Oxygen deprivation; Maternal malnutrition, substance
use, or other illness
, Neurobiological defects in schizphrenia - correct answer Enlarged ventricles. Everything else
smaller! ● smaller frontal & temporal lobes ● Reduced symmetry in temporal, frontal, &
occipital lobes ● Cortical atrophy ● Decreased cerebral blood flow ● Hippocampal & amygdala
reduction
Neuronal signal transmission alterations in schizophrenia - correct answer ● ↑ DA in
mesolimbic pathway ● ↓DA in mesocortical pathway ● ↑ Glutamate ● ↓GABA ● ↓SE
Positive Symptoms of schizophrenia - correct answer ● ↑ DA in mesolimbic pathway ●
Hallucinations ● Delusions ● Referential thinking ● Disorganized behavior ● Hostility ●
Grandiosity ● Mania ● Suspiciousness
Negative Symptoms of schizophrenia - correct answer ● ↓DA in mesocortical pathway ●
Affective flattening ● Alogia or poverty of speech ● Avolition ● Apathy ● Abstract-thinking
problems ● Anhedonia ● Attention deficits
Preventative Care in schizophrenia - correct answer Monitor routine labs to screen for
complications of treatment ● Serum glucose & lipid panels ● Weight, BMI, waist-to-hip ratio ●
CBC ● Liver & kidney function (based on med) ● Annual eye exam if on typical antipsychotic or
Seroquel
Non-Pharm Management of shcizophrenia - correct answer Individual therapy (● supportive
rather than insight oriented ● Focuses on establishing reality testing ● Builds daily life skills ●
Assists in establishing/meeting goals) Group therapy (● Focuses on problem solving & education
- medication & life skills groups)
Assertive Community Treatment (ACT): - correct answer ● Team approach ● Focuses on
feelings, interests, dreams ● EBP ● Multidisciplinary ● Good candidates are those with long hx
of non-compliance/ non-adherence
Management EXAM QESTIONS
AND VERIFIED ANSWERS
100% GUARANTEED PASS
Obsession - correct answer ● Recurrent & persistent thoughts, impulses, images that are
experienced & cause anxiety & distress ● Experienced as intrusive & inappropriate
Compulsion - correct answer ● Repetitive behaviors or mental actions that a person feels driven
to perform in response to obsession
Risk Factors for OCD - correct answer Genetic predisposition - familial transmission pattern.
Rates higher in people with 1st degree relative with OCD or Tourette's
PANDAS (pediatric autoimmune neuropsychiatric disorders associated with streptococcal
infections) should be considered in - correct answer all children with sudden onset of OCD
Tics - correct answer ● Stimulants can cause Tics. Tics are a contraindication to stimulants. If a
child develops tics on stimulants, switch to a non-stimulant.
Dopaminergic hyperactivity can lead to - correct answer Tourette's.
Management of Tourette's tics - correct answer pimozide, Haldol, Abilify, guanfacine, clonidine
Tics in Tourette's vs OCD - correct answer Tics can occur in Tourette's & OCD, but OCD has
obsessions/intrusive thoughts
,Tourette's disorder - correct answer have to have 2 motor tics, 1 vocal tick that has lasted more
than 1 year. It is normal for children to have tics; they usually disappear by adolescence.
Pharmacological Management of OCD - correct answer ●SSRIs (often need higher dosing range
for adequate symptom control) ● Prozac for children ● TCAs (clomipramine)● Second-
generation antipsychotics like risperidone are off-label but data supports adjunctive use with
SSRIs
Non-Pharm Management for OCD - correct answer ● CBT ● Exposure therapy ● Behavioral
therapy ● DBT
Variance - correct answer any event that alters patient progress toward their expected outcome
Sources of variance - correct answer ● Provider behavior (competency) ● Severity of illness
(with high risk) ● Practice patterns that inhibit or expedite care
Schizophrenia - correct answer Disturbances in ● Cognition ● Perception ● Emotion ● Behavior
● Eye movement ● Socialization
Onset of schizophrenia - correct answer ● 18-25 in males ● 25-35 in females
Genetics factors in schizophrenia - correct answer ● strong genetic component ● SNIP defect ●
6p24-22
Neurodevelopment in schizophrenia - correct answer ● Inadequate synapse formation ●
Excessive pruning of synapses ● Excitotoxic death of neurons. ● Intrauterine insults (Prenatal
exposure to toxins, including viral agents; Oxygen deprivation; Maternal malnutrition, substance
use, or other illness
, Neurobiological defects in schizphrenia - correct answer Enlarged ventricles. Everything else
smaller! ● smaller frontal & temporal lobes ● Reduced symmetry in temporal, frontal, &
occipital lobes ● Cortical atrophy ● Decreased cerebral blood flow ● Hippocampal & amygdala
reduction
Neuronal signal transmission alterations in schizophrenia - correct answer ● ↑ DA in
mesolimbic pathway ● ↓DA in mesocortical pathway ● ↑ Glutamate ● ↓GABA ● ↓SE
Positive Symptoms of schizophrenia - correct answer ● ↑ DA in mesolimbic pathway ●
Hallucinations ● Delusions ● Referential thinking ● Disorganized behavior ● Hostility ●
Grandiosity ● Mania ● Suspiciousness
Negative Symptoms of schizophrenia - correct answer ● ↓DA in mesocortical pathway ●
Affective flattening ● Alogia or poverty of speech ● Avolition ● Apathy ● Abstract-thinking
problems ● Anhedonia ● Attention deficits
Preventative Care in schizophrenia - correct answer Monitor routine labs to screen for
complications of treatment ● Serum glucose & lipid panels ● Weight, BMI, waist-to-hip ratio ●
CBC ● Liver & kidney function (based on med) ● Annual eye exam if on typical antipsychotic or
Seroquel
Non-Pharm Management of shcizophrenia - correct answer Individual therapy (● supportive
rather than insight oriented ● Focuses on establishing reality testing ● Builds daily life skills ●
Assists in establishing/meeting goals) Group therapy (● Focuses on problem solving & education
- medication & life skills groups)
Assertive Community Treatment (ACT): - correct answer ● Team approach ● Focuses on
feelings, interests, dreams ● EBP ● Multidisciplinary ● Good candidates are those with long hx
of non-compliance/ non-adherence
