GEORGETTE REVIEW PMHNP EXAM TEST
BANK WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS|
CURRENTLY TESTING VERSION | ALREADY
GRADED A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS
Dialectical behavioral therapy (DBT) draws on cognitive theory and behavioral theory,
along with other theories. Elements of behavioral theory in DBT include which of the
following?
a. Skills training and exposure
b. Examination of feelings and relating feelings to visceral sensations
c. Working through the transference with the therapist
d. Cognitive interpretation of past traumatic experiences
A. DBT focuses on cognitive and behavioral techniques, mindfulness including
meditation, and emotional regulation.
Dialectical behavioral therapy (DBT) affirms dialectical thinking, which involves
examining and discussing opposing ideas to find the truth. This philosophy is a
supportive principle of DBT training. The central dialectical pattern emphasized in DBT
involves the tension between:
a. Radical acceptance and change
b. Cue exposure and block avoidance
c. Problem avoidance and problem-solving
d. Crisis survival and acceptance
A. DBT emphasis acceptance of the current reality of what is and the ability to engage in
personal change.
Samantha is a 26-year-old partnered woman who works full time as a teacher. She is in
a long-term relationship with Mary and they are getting along well, and doing well
financially. They have two children, ages 2 and 6. Samantha is seeing the PMHNP to
1|Page
,address her concerns that she is feeling down and sad for no reason and states, "I know
my life is going well but I just don't feel happy. I have always worried a lot and have been
sad most of my life." As a PMHNP trained in transactional analysis (TA), you understand
that personality is multifaceted and wonder if which of the following is affecting her
ability to experience happiness:
a. She had long periods of separation from her primary caregiver as a child and now has
a difficult time accepting and receiving love and experiencing happiness
b. She likely had a traumatic event in her childhood and her thoughts and feelings
related to the event are locked together in her brain and cannot be accessed
c. Her unhappiness is likely related to distorted thoughts and feelings about her
relationship
d. As an adolescent she experienced an event that was processed in an ego state as an
older sibling
B. According to TA, when a person is traumatized the thoughts and feelings get tied
together and the process of therapy is to unlock the two.
You have been working with a 54-year-old man who has been treated for schizophrenia
since age 19. He has limited social interactions, likes to be alone, and has never dated
nor had a desire to date. His symptoms are best explained by which of the following?
a. Antisocial personality disorder
b. Lack of personal hygiene
c. Negative symptoms
d. Positive symptoms
C. Negative symptoms include flat affect, alogia, avolition, poor attention, and
anhedonia. In the case study, the symptoms are avolition and
anhedonia.
Following evidence-based (EB) practice, which laboratory screening tests and
assessments should be completed prior to placing a person on a second-generation
("atypical") antipsychotic medication?
a. Serum glucose, lipid profile, weight, blood pressure, waist circumference, and family
history of cardiovascular disease
2|Page
,b. Comprehensive metabolic panel, body mass index, complete blood count, and
thyroid panel
c. Serum glucose or hemoglobin A1c, lipid profile, weight, body mass index, blood
pressure, waist circumference, and family history of cardiovascular disease
d. Serum glucose, complete blood count, assessment of family history of
cardiovascular disease and cancer
C. EB practice guidelines indicate that all clients should have the following prior to
starting antipsychotic medication: fasting glucose or A1c, lipid profile, weight, body
mass index, blood pressure, waist circumference, and family history of cardiovascular
disease.
Which type of hallucination is rare in persons with psychotic illnesses and is often
associated with an organic etiology?
a. Auditory hallucinations
b. Gustatory hallucinations
c. Visual hallucinations
d. Combination hallucinations
B. The most common type of hallucinations in persons with psychotic illnesses are
auditory and visual. Tactile and gustatory hallucinations are less
common and more likely related to an organic illness.
What differentiates atypical antipsychotic medications from first-generation or typical
antipsychotic medications?
a. 5HT2a receptor antagonist properties
b. 5HT2a receptor agonist properties
c. Specific dopamine receptor 3 and 5HT2a blockade
d. Dopamine receptor 2 antagonist properties
A. Typical antipsychotic medications block D2 receptors; atypical antipsychotic
medications block D2 receptors and have 5HT2a antagonist properties.
You are treating a client with schizophrenia who takes clozapine. What laboratory values
will indicate the client needs to discontinue treatment?
3|Page
, a. White blood cell count of less than 1,800/mm3 and absolute neutrophil count of less
than 1,200/mm3
b. Absolute neutrophil count of less than 1,000/uL
c. White blood cell count of less than 1,200/mm3
d. Absolute neutrophil count of less than 2,000/uL
B. The recent change in monitoring clozapine clients using the risk evaluation and
mitigation strategy (REMS) indicates persons treated on clozapine need to have
absolute neutrophil count monitored and, if it drops below 1,000/uL, treatment must be
interrupted and can be resumed once the absolute neutrophil count normalizes above
1,000/uL.
Sean is a 47-year-old Gulf War veteran who was in combat during Operation Desert
Storm. Sean has been treated by the PMHNP for major depressive disorder and
associated anxiety symptoms. During the most recent visit, the PMHNP learns that
Sean sustained a traumatic brain injury during his service, which was recently
diagnosed at the TBI clinic in the Veterans
Affairs clinic. What is the rationale for the PMHNP to taper Sean off clonazepam?
a. Benzodiazepines causes memory problems and confusion in clients with a history of
a TBI.
b. Benzodiazepines lower the seizure threshold in clients with a history of a TBI.
c. Veterans Affairs has banned benzodiazepines from the medication formulary.
d. Benzodiazepines place clients with a TBI at risk for a second head injury.
A. Benzodiazepines are contraindicated in clients with a TBI due to increase rates of
confusion and memory problems.
Alice is a 68-year-old woman who presents to you with concerns about her memory.
She explains that her mother and grandmother both experienced dementia and she
wants to do what she can to prevent this terrible disease. Alice is treated for
hypertension, which is well controlled; other than that she is in good health. She is
socially and physically active and participates in a monthly cooking class, volunteers at
her church, and plays bridge twice a week at the senior center. She says, "I understand
that I am losing brain cells at my age, but I would still like to keep my mind and body
4|Page
BANK WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS|
CURRENTLY TESTING VERSION | ALREADY
GRADED A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS
Dialectical behavioral therapy (DBT) draws on cognitive theory and behavioral theory,
along with other theories. Elements of behavioral theory in DBT include which of the
following?
a. Skills training and exposure
b. Examination of feelings and relating feelings to visceral sensations
c. Working through the transference with the therapist
d. Cognitive interpretation of past traumatic experiences
A. DBT focuses on cognitive and behavioral techniques, mindfulness including
meditation, and emotional regulation.
Dialectical behavioral therapy (DBT) affirms dialectical thinking, which involves
examining and discussing opposing ideas to find the truth. This philosophy is a
supportive principle of DBT training. The central dialectical pattern emphasized in DBT
involves the tension between:
a. Radical acceptance and change
b. Cue exposure and block avoidance
c. Problem avoidance and problem-solving
d. Crisis survival and acceptance
A. DBT emphasis acceptance of the current reality of what is and the ability to engage in
personal change.
Samantha is a 26-year-old partnered woman who works full time as a teacher. She is in
a long-term relationship with Mary and they are getting along well, and doing well
financially. They have two children, ages 2 and 6. Samantha is seeing the PMHNP to
1|Page
,address her concerns that she is feeling down and sad for no reason and states, "I know
my life is going well but I just don't feel happy. I have always worried a lot and have been
sad most of my life." As a PMHNP trained in transactional analysis (TA), you understand
that personality is multifaceted and wonder if which of the following is affecting her
ability to experience happiness:
a. She had long periods of separation from her primary caregiver as a child and now has
a difficult time accepting and receiving love and experiencing happiness
b. She likely had a traumatic event in her childhood and her thoughts and feelings
related to the event are locked together in her brain and cannot be accessed
c. Her unhappiness is likely related to distorted thoughts and feelings about her
relationship
d. As an adolescent she experienced an event that was processed in an ego state as an
older sibling
B. According to TA, when a person is traumatized the thoughts and feelings get tied
together and the process of therapy is to unlock the two.
You have been working with a 54-year-old man who has been treated for schizophrenia
since age 19. He has limited social interactions, likes to be alone, and has never dated
nor had a desire to date. His symptoms are best explained by which of the following?
a. Antisocial personality disorder
b. Lack of personal hygiene
c. Negative symptoms
d. Positive symptoms
C. Negative symptoms include flat affect, alogia, avolition, poor attention, and
anhedonia. In the case study, the symptoms are avolition and
anhedonia.
Following evidence-based (EB) practice, which laboratory screening tests and
assessments should be completed prior to placing a person on a second-generation
("atypical") antipsychotic medication?
a. Serum glucose, lipid profile, weight, blood pressure, waist circumference, and family
history of cardiovascular disease
2|Page
,b. Comprehensive metabolic panel, body mass index, complete blood count, and
thyroid panel
c. Serum glucose or hemoglobin A1c, lipid profile, weight, body mass index, blood
pressure, waist circumference, and family history of cardiovascular disease
d. Serum glucose, complete blood count, assessment of family history of
cardiovascular disease and cancer
C. EB practice guidelines indicate that all clients should have the following prior to
starting antipsychotic medication: fasting glucose or A1c, lipid profile, weight, body
mass index, blood pressure, waist circumference, and family history of cardiovascular
disease.
Which type of hallucination is rare in persons with psychotic illnesses and is often
associated with an organic etiology?
a. Auditory hallucinations
b. Gustatory hallucinations
c. Visual hallucinations
d. Combination hallucinations
B. The most common type of hallucinations in persons with psychotic illnesses are
auditory and visual. Tactile and gustatory hallucinations are less
common and more likely related to an organic illness.
What differentiates atypical antipsychotic medications from first-generation or typical
antipsychotic medications?
a. 5HT2a receptor antagonist properties
b. 5HT2a receptor agonist properties
c. Specific dopamine receptor 3 and 5HT2a blockade
d. Dopamine receptor 2 antagonist properties
A. Typical antipsychotic medications block D2 receptors; atypical antipsychotic
medications block D2 receptors and have 5HT2a antagonist properties.
You are treating a client with schizophrenia who takes clozapine. What laboratory values
will indicate the client needs to discontinue treatment?
3|Page
, a. White blood cell count of less than 1,800/mm3 and absolute neutrophil count of less
than 1,200/mm3
b. Absolute neutrophil count of less than 1,000/uL
c. White blood cell count of less than 1,200/mm3
d. Absolute neutrophil count of less than 2,000/uL
B. The recent change in monitoring clozapine clients using the risk evaluation and
mitigation strategy (REMS) indicates persons treated on clozapine need to have
absolute neutrophil count monitored and, if it drops below 1,000/uL, treatment must be
interrupted and can be resumed once the absolute neutrophil count normalizes above
1,000/uL.
Sean is a 47-year-old Gulf War veteran who was in combat during Operation Desert
Storm. Sean has been treated by the PMHNP for major depressive disorder and
associated anxiety symptoms. During the most recent visit, the PMHNP learns that
Sean sustained a traumatic brain injury during his service, which was recently
diagnosed at the TBI clinic in the Veterans
Affairs clinic. What is the rationale for the PMHNP to taper Sean off clonazepam?
a. Benzodiazepines causes memory problems and confusion in clients with a history of
a TBI.
b. Benzodiazepines lower the seizure threshold in clients with a history of a TBI.
c. Veterans Affairs has banned benzodiazepines from the medication formulary.
d. Benzodiazepines place clients with a TBI at risk for a second head injury.
A. Benzodiazepines are contraindicated in clients with a TBI due to increase rates of
confusion and memory problems.
Alice is a 68-year-old woman who presents to you with concerns about her memory.
She explains that her mother and grandmother both experienced dementia and she
wants to do what she can to prevent this terrible disease. Alice is treated for
hypertension, which is well controlled; other than that she is in good health. She is
socially and physically active and participates in a monthly cooking class, volunteers at
her church, and plays bridge twice a week at the senior center. She says, "I understand
that I am losing brain cells at my age, but I would still like to keep my mind and body
4|Page
