TEST BANK FOR PMHNP BOARDS
What is true of interprofessionality? Correct ans - All health
professionals have individual professional competencies
What is the significance of an experimental p-value of 0.05 Correct ans
- There is a 5% chance of a similar result occurring by chance alone
What percentage of children with oppositional defiance disorder will develop
conduct disorder? Correct ans - 30%
In the DSM-5, selective mutism is now considered what type of disorder?
Correct ans - anxiety disorder
Symptoms of selective mutism must persist for at least Correct ans - 1
month
Common competencies Correct ans - overlap more than one health
care professional, although not necessarily all health care professionals, and
are competencies expected of all health care professionals
Complementary competencies Correct ans - enhance the qualities of
other professions in provision of care
Collaborative competencies Correct ans - those that each individual
profession must possess to work with others, including those who practice
within different specialties within a profession.
Interpersonal collaboration is centered Correct ans - patient
Cognitive therapy is recommended for patients that have Correct ans -
negative cognitive distortions
irrational beliefs
faulty conceptions
Humanistic Therapy focuses on assisting patients with Correct ans -
self-actualization and self-directed growth
Behavioral Therapy focuses on Correct ans - changing maladaptive
behaviors through the use of behavioral modification techniques
Existential therapy is for Correct ans - reflection on life
confronting self
,120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40
without diarrhea ate lettuce. 160 without diarrhea ate lettuce. What is the
odds ratio of eating lettuce and developing diarrhea? Correct ans - 6
((120X160)/(80x40))
The New Freedom Commission on Mental Health (NFCMH) released a report
that suggested Correct ans - implementation a national campaign to
reduce the stigma of seeking care
Focusing on promoting recovery and building resilience
The efficacy of mental health treatments was found to be well documented
in Correct ans - influential report issued by US Surgeon General in
1999
State of high negative emotion and pessimism Correct ans -
neuroticism
Commonly known as an optimistic outlook on life They are are outgoing, like
social interaction, respond to external rewards, have more active dopamine
networks, and are responsive to positive reinforcement. Correct ans -
Extraversion (high levels protect from psychiatric illness)
Introverts are more likely to be motivated and more likely to respond
to reinforcement Correct ans - internally
negative (more likely to interact with internal motivation/self-image)
Interpersonal trait of cooperation, easy going nature. Tend to have smooth
relationships often at the expense of self-assertion Correct ans -
Agreeableness
Associated with self-control and a focused, organized approach to life. Are
achievement-oriented goal setters who can delay immediate gratification to
obtain their long term desired outcome. They are considered responsible,
reliable, and dependable. Correct ans - conscientiousness
In behavioral couples therapy, the initial sessions are spent doing a
functional analysis of behavior (FAB). What is true about FAB? Correct
ans - FAB is concerned only with observable stimuli connected to operant
behavior
FAB is based on operant conditioning (identifying antecedent stimuli, operant
behaviors, and consequent stimuli)
The goal of FAB is modifying willful operant behavior
Gestalt theory deals with , not Correct ans - perceptual
psychology
behavior
,Medication that can delay ejaculation in patients with premature ejaculation
Correct ans - Paroxetine (and other SSRIs)
(others include:
Topical anesthetic
Tramadol
Phosphodiesterase-5 inhibitors)
First line treatment for lithium induced diabetes insipidus Correct ans -
Amiloride (K potassium diuretic) in addition to dc lithium when possible.
Ways to reduce polyuria associated with lithium toxicity Correct ans -
reduce lithium dose to minimum effective dose
take once daily at night (may be 5-30% lower than when given in divided
doses over the day)
Encourage adequate fluid intake
What is true about ECT in Parkinson's disease Correct ans - it's more
likely to cause transient delirium (worsened dyskinesias induced by l-dopa)
Lithium effects with Parkison's disease Correct ans - may worsen
tremor
nonselective MAOIs decrease the efficacy of and increase the risk of a
Correct ans - l-dopa products
hypertensive crisis
Selegiline is selective for Correct ans - MAO-B
(after 10mg there is an increase in risk of serotonin syndrome if given with
other meds that increase serotonin)
SSRI's can Parkinsonism tremor Correct ans - worsen (and
decrease 'off time')
Process describes the mechanism by which the hippocampus stores
memories Correct ans - long-term potentiation
loss of memory relating to a particular category of information (inability to
recall important autobiographical information, usually of a traumatic or
stressful nature, that is inconsistent with ordinary forgetting) Correct
ans - systematized amnesia
Lack of memories from a circumscribed period of time, usually immediately
following a traumatic event Correct ans - localized amnesia
, Person can recall some but not all of events from a particular time period
Correct ans - selective amnesia
Lack of memory of the patient's entire life Correct ans - generalized
amnesia
The drugs that are FDA approved for GAD Correct ans - Paroxetine
Citalopram
Escitalopram
Venlafaxine
Duloxetine
Buspar
A surrogate has the right to terminate pregnancy if Correct ans - the
pregnancy threatens her health or life
or
she is a genetic parent
If the surrogate receives both ovum and sperm from couple, she loses the
right to Correct ans - determine whether or not child will be aborted
(this is up to the couple)
Which medication is most effective for treating social phobia/social anxiety
disorder, especially when refractory? Correct ans - Phenelzine
A 55-year-old female patient has Stg II HTN. On exam, she has trace pedal
edema bilaterally, but her lungs are clear. Her ECG reveals 2nd degree heart
block. Which of the following BP medications should be avoided?
Correct ans - Calcium Channel Blockers
3 Contraindications to use a calcium channel blocker Correct ans - 1st
or second degree heart block
Bradycardia
CHF
4 Side effects of calcium channel blockers Correct ans - Headache
Lower extremity edema
Bradycardia
Heart Block
An NP is evaluating a 78 year old female with depression. She suspects the
patient may have Parkinson's disease. Which of the following is consistent
with that diagnosis? Correct ans - Postural instability
Pill-rolling tremor
What is true of interprofessionality? Correct ans - All health
professionals have individual professional competencies
What is the significance of an experimental p-value of 0.05 Correct ans
- There is a 5% chance of a similar result occurring by chance alone
What percentage of children with oppositional defiance disorder will develop
conduct disorder? Correct ans - 30%
In the DSM-5, selective mutism is now considered what type of disorder?
Correct ans - anxiety disorder
Symptoms of selective mutism must persist for at least Correct ans - 1
month
Common competencies Correct ans - overlap more than one health
care professional, although not necessarily all health care professionals, and
are competencies expected of all health care professionals
Complementary competencies Correct ans - enhance the qualities of
other professions in provision of care
Collaborative competencies Correct ans - those that each individual
profession must possess to work with others, including those who practice
within different specialties within a profession.
Interpersonal collaboration is centered Correct ans - patient
Cognitive therapy is recommended for patients that have Correct ans -
negative cognitive distortions
irrational beliefs
faulty conceptions
Humanistic Therapy focuses on assisting patients with Correct ans -
self-actualization and self-directed growth
Behavioral Therapy focuses on Correct ans - changing maladaptive
behaviors through the use of behavioral modification techniques
Existential therapy is for Correct ans - reflection on life
confronting self
,120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40
without diarrhea ate lettuce. 160 without diarrhea ate lettuce. What is the
odds ratio of eating lettuce and developing diarrhea? Correct ans - 6
((120X160)/(80x40))
The New Freedom Commission on Mental Health (NFCMH) released a report
that suggested Correct ans - implementation a national campaign to
reduce the stigma of seeking care
Focusing on promoting recovery and building resilience
The efficacy of mental health treatments was found to be well documented
in Correct ans - influential report issued by US Surgeon General in
1999
State of high negative emotion and pessimism Correct ans -
neuroticism
Commonly known as an optimistic outlook on life They are are outgoing, like
social interaction, respond to external rewards, have more active dopamine
networks, and are responsive to positive reinforcement. Correct ans -
Extraversion (high levels protect from psychiatric illness)
Introverts are more likely to be motivated and more likely to respond
to reinforcement Correct ans - internally
negative (more likely to interact with internal motivation/self-image)
Interpersonal trait of cooperation, easy going nature. Tend to have smooth
relationships often at the expense of self-assertion Correct ans -
Agreeableness
Associated with self-control and a focused, organized approach to life. Are
achievement-oriented goal setters who can delay immediate gratification to
obtain their long term desired outcome. They are considered responsible,
reliable, and dependable. Correct ans - conscientiousness
In behavioral couples therapy, the initial sessions are spent doing a
functional analysis of behavior (FAB). What is true about FAB? Correct
ans - FAB is concerned only with observable stimuli connected to operant
behavior
FAB is based on operant conditioning (identifying antecedent stimuli, operant
behaviors, and consequent stimuli)
The goal of FAB is modifying willful operant behavior
Gestalt theory deals with , not Correct ans - perceptual
psychology
behavior
,Medication that can delay ejaculation in patients with premature ejaculation
Correct ans - Paroxetine (and other SSRIs)
(others include:
Topical anesthetic
Tramadol
Phosphodiesterase-5 inhibitors)
First line treatment for lithium induced diabetes insipidus Correct ans -
Amiloride (K potassium diuretic) in addition to dc lithium when possible.
Ways to reduce polyuria associated with lithium toxicity Correct ans -
reduce lithium dose to minimum effective dose
take once daily at night (may be 5-30% lower than when given in divided
doses over the day)
Encourage adequate fluid intake
What is true about ECT in Parkinson's disease Correct ans - it's more
likely to cause transient delirium (worsened dyskinesias induced by l-dopa)
Lithium effects with Parkison's disease Correct ans - may worsen
tremor
nonselective MAOIs decrease the efficacy of and increase the risk of a
Correct ans - l-dopa products
hypertensive crisis
Selegiline is selective for Correct ans - MAO-B
(after 10mg there is an increase in risk of serotonin syndrome if given with
other meds that increase serotonin)
SSRI's can Parkinsonism tremor Correct ans - worsen (and
decrease 'off time')
Process describes the mechanism by which the hippocampus stores
memories Correct ans - long-term potentiation
loss of memory relating to a particular category of information (inability to
recall important autobiographical information, usually of a traumatic or
stressful nature, that is inconsistent with ordinary forgetting) Correct
ans - systematized amnesia
Lack of memories from a circumscribed period of time, usually immediately
following a traumatic event Correct ans - localized amnesia
, Person can recall some but not all of events from a particular time period
Correct ans - selective amnesia
Lack of memory of the patient's entire life Correct ans - generalized
amnesia
The drugs that are FDA approved for GAD Correct ans - Paroxetine
Citalopram
Escitalopram
Venlafaxine
Duloxetine
Buspar
A surrogate has the right to terminate pregnancy if Correct ans - the
pregnancy threatens her health or life
or
she is a genetic parent
If the surrogate receives both ovum and sperm from couple, she loses the
right to Correct ans - determine whether or not child will be aborted
(this is up to the couple)
Which medication is most effective for treating social phobia/social anxiety
disorder, especially when refractory? Correct ans - Phenelzine
A 55-year-old female patient has Stg II HTN. On exam, she has trace pedal
edema bilaterally, but her lungs are clear. Her ECG reveals 2nd degree heart
block. Which of the following BP medications should be avoided?
Correct ans - Calcium Channel Blockers
3 Contraindications to use a calcium channel blocker Correct ans - 1st
or second degree heart block
Bradycardia
CHF
4 Side effects of calcium channel blockers Correct ans - Headache
Lower extremity edema
Bradycardia
Heart Block
An NP is evaluating a 78 year old female with depression. She suspects the
patient may have Parkinson's disease. Which of the following is consistent
with that diagnosis? Correct ans - Postural instability
Pill-rolling tremor
