PMHNP ACTUAL LATEST ANSWERS AND
QUESTIONS SET A+
✔✔What is the benefit of play therapy? - ✔✔Don't have to confront emotions head on.
✔✔What neurotransmitters are involved in the bioamine hypothesis of depression? -
✔✔Noradrenaline
Serotonin
Dopamine
MAOi's inhibit MAO's which break down neurotransmitters so allow increase in the
amount in the synapse.
✔✔How do you test CN XII? - ✔✔Stick out your tongue.
✔✔What CN are you testing when you have a patient clinch their jaw and assess
temporal muscles? - ✔✔CN V - Trigeminal
✔✔What are two important things to measure when using Zyprexa? - ✔✔Lipid level and
abdominal circumference
✔✔What is included in the mini-cognitive exam? - ✔✔Clock, memory questions from
MSE.
✔✔What is HIV related dementia often mistaken for, especially at the beginning? -
✔✔Depression
✔✔What do you do when a patient is on tegretol and their ANC (Absolute Neutrophil
count) <1000? - ✔✔Stop and repeat lab.
Normal is 1500-8000 mm3
✔✔Can you take Buspar during pregnancy? - ✔✔Category B - ok if really needed.
,✔✔Can you take Klonopin during pregnancy? - ✔✔Category C - avoid if possible; does
excrete into breast-milk and infant could get withdrawal symptoms.
✔✔What is the concern when prescribing Lamictal with Depakote? - ✔✔Both are
CYP450 inducers of the other and therefore together will lower the level of both drugs.
✔✔Can asthma medications cause depression? - ✔✔Yes.
✔✔If a patient has muscle pain and red urine with an elevated leukocyte esterase. What
lab do you order? - ✔✔Microalbumin?
✔✔What is often common to patients with fibro? - ✔✔Sexual abuse
✔✔How is telepsychiatry evaluated? - ✔✔Outcome based - measure at intervals.
✔✔What happens with a patient taking Lithium and who gets dehydrated? - ✔✔Levels
increase
✔✔What happens with a patient taking Lithium who decreases sodium intake? -
✔✔Levels increase
✔✔What happens with a patient taking Lithium and drinks a lot of water? - ✔✔Levels
decrease
✔✔If a patient takes Risperdal and develops NMS, which other atypical should you
avoid in the future? - ✔✔Zyprexa
✔✔What happens when taking Lithium and NSAIDS? - ✔✔NSAIDS can cause Lithium
levels to increase and for the patient to become toxic!
✔✔What medications are at risk to cause SJS in the Asian population? - ✔✔HLAB-1502
Allele increase risks of SJS.
Trileptal, Tegretol and other AED's.
✔✔Amgdyla - ✔✔Fear, Anxiety, and Aggression
✔✔Neurotransmitter for Addiction - ✔✔Dopamine and GABA
✔✔Neurotransmitter for Mood Disorder - ✔✔Serotonin and norepinephrine
✔✔Which drug affects Carbamazepine/tegretol - ✔✔Erythromycin will cause toxic
levels. Decrease Carbamazepine/tegretol
, ✔✔Signs and Symptoms of stimulant abuse - ✔✔insomnia and tremor
✔✔Depakote check - ✔✔HCG levels
✔✔Depakote causes - ✔✔Spinal bifida
✔✔Grasp reflex. - ✔✔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.
✔✔Moro reflex. - ✔✔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.
✔✔pincer grasp - ✔✔9 months
Uses thumb and index finger (pincer grasp) to pick up small objects like Cheerios.
✔✔Pt has MI looses his job stable on psych medications - ✔✔Provide brief supportive
therapy
✔✔Latida and Geodon - ✔✔Take with food
✔✔Moro reflex absent - ✔✔Do xray
✔✔Health Care Policy Model - ✔✔Access, Cost, Quality
✔✔Pt wants to stop medications - ✔✔explore reason for stopping
Its their right
✔✔16 year old falls with the wrong crowd - ✔✔Conduct disorder
✔✔change agent - ✔✔the person formally in charge of guiding a change effort
Administrator
✔✔14 year old girl clenching her teeth - ✔✔Cranial Nerve V-Trigeminal nerve
✔✔Infant dying - ✔✔Give child to parents and comfort parents
✔✔borderline personality disorder Treatment - ✔✔dialectical behavior therapy
QUESTIONS SET A+
✔✔What is the benefit of play therapy? - ✔✔Don't have to confront emotions head on.
✔✔What neurotransmitters are involved in the bioamine hypothesis of depression? -
✔✔Noradrenaline
Serotonin
Dopamine
MAOi's inhibit MAO's which break down neurotransmitters so allow increase in the
amount in the synapse.
✔✔How do you test CN XII? - ✔✔Stick out your tongue.
✔✔What CN are you testing when you have a patient clinch their jaw and assess
temporal muscles? - ✔✔CN V - Trigeminal
✔✔What are two important things to measure when using Zyprexa? - ✔✔Lipid level and
abdominal circumference
✔✔What is included in the mini-cognitive exam? - ✔✔Clock, memory questions from
MSE.
✔✔What is HIV related dementia often mistaken for, especially at the beginning? -
✔✔Depression
✔✔What do you do when a patient is on tegretol and their ANC (Absolute Neutrophil
count) <1000? - ✔✔Stop and repeat lab.
Normal is 1500-8000 mm3
✔✔Can you take Buspar during pregnancy? - ✔✔Category B - ok if really needed.
,✔✔Can you take Klonopin during pregnancy? - ✔✔Category C - avoid if possible; does
excrete into breast-milk and infant could get withdrawal symptoms.
✔✔What is the concern when prescribing Lamictal with Depakote? - ✔✔Both are
CYP450 inducers of the other and therefore together will lower the level of both drugs.
✔✔Can asthma medications cause depression? - ✔✔Yes.
✔✔If a patient has muscle pain and red urine with an elevated leukocyte esterase. What
lab do you order? - ✔✔Microalbumin?
✔✔What is often common to patients with fibro? - ✔✔Sexual abuse
✔✔How is telepsychiatry evaluated? - ✔✔Outcome based - measure at intervals.
✔✔What happens with a patient taking Lithium and who gets dehydrated? - ✔✔Levels
increase
✔✔What happens with a patient taking Lithium who decreases sodium intake? -
✔✔Levels increase
✔✔What happens with a patient taking Lithium and drinks a lot of water? - ✔✔Levels
decrease
✔✔If a patient takes Risperdal and develops NMS, which other atypical should you
avoid in the future? - ✔✔Zyprexa
✔✔What happens when taking Lithium and NSAIDS? - ✔✔NSAIDS can cause Lithium
levels to increase and for the patient to become toxic!
✔✔What medications are at risk to cause SJS in the Asian population? - ✔✔HLAB-1502
Allele increase risks of SJS.
Trileptal, Tegretol and other AED's.
✔✔Amgdyla - ✔✔Fear, Anxiety, and Aggression
✔✔Neurotransmitter for Addiction - ✔✔Dopamine and GABA
✔✔Neurotransmitter for Mood Disorder - ✔✔Serotonin and norepinephrine
✔✔Which drug affects Carbamazepine/tegretol - ✔✔Erythromycin will cause toxic
levels. Decrease Carbamazepine/tegretol
, ✔✔Signs and Symptoms of stimulant abuse - ✔✔insomnia and tremor
✔✔Depakote check - ✔✔HCG levels
✔✔Depakote causes - ✔✔Spinal bifida
✔✔Grasp reflex. - ✔✔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.
✔✔Moro reflex. - ✔✔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.
✔✔pincer grasp - ✔✔9 months
Uses thumb and index finger (pincer grasp) to pick up small objects like Cheerios.
✔✔Pt has MI looses his job stable on psych medications - ✔✔Provide brief supportive
therapy
✔✔Latida and Geodon - ✔✔Take with food
✔✔Moro reflex absent - ✔✔Do xray
✔✔Health Care Policy Model - ✔✔Access, Cost, Quality
✔✔Pt wants to stop medications - ✔✔explore reason for stopping
Its their right
✔✔16 year old falls with the wrong crowd - ✔✔Conduct disorder
✔✔change agent - ✔✔the person formally in charge of guiding a change effort
Administrator
✔✔14 year old girl clenching her teeth - ✔✔Cranial Nerve V-Trigeminal nerve
✔✔Infant dying - ✔✔Give child to parents and comfort parents
✔✔borderline personality disorder Treatment - ✔✔dialectical behavior therapy
