PMHNP TESSY - PMHNP ANCC 2026/2027
WITH 126 QUESTIONS AND CORRECT
ANSWERS RATED A+
EPS types
Tardive dyskinesia happen after years (eps is a precursor). Acute dystonia (hours),
Parkinsons (weeks), Akathisia (days)
Reflexes expected at 1 month
Moro until 4 months, Palmer until 4 months, Plantar util 8 months, Babinski (2
years is disease)
Signs of fetal alcohol syndrome
small head, shoey palpebral fissure, inner epicanthal folds. Do IEP and early
intervention specialist
Rhett Syndrome
a rare disorder found virtually exclusively in girls, is a neurodevelopmental
disorder in which the child usually develops normally unitl about 6 to 18 months of
age at which characteristics of the syndrome emerge; characteristics include:
hypotonia (loss of muscle tone), reduced eye contact, decelerated head growth, and
disinterest in play activities
Where do EPS originate
nigrostiatal tract.
What to give to agitated pt in seclusion
IM Geodon
Labs for macrocytic anemia
, Folic acid, vitamin B12, ESR/CRP, HGB, MCV (liver)
When to assess a patient in restraints for face/face
1 hour then 8 hours
therapeutic communication
open ended, 'tell me'
Reluctant/silent patient
open ended questions
Patients husband shows up but not the patient
both people need to be present, reschedule
Abnormal Trendelenburg Test
Hip disease, refer child out, assessed during head to toe
Hamilton Depression Scale
i. Severe 19- 23 (monitor for SI)
ii. Moderate 14 - 18
iii. Mild 8 -13
0-7 normal
GAD-7 scale
More than 15 severe
HAM-A
Hamilton Anxiety Scale, most commonly used
14 domains, 14=mild, 18-24= moderate, 25-30=severe
Anxiety 25/15 severe
Scope of practice
comes from the state, board of nursing/american nurse association
Elderly patient with dementia how do you know id can give consent
WITH 126 QUESTIONS AND CORRECT
ANSWERS RATED A+
EPS types
Tardive dyskinesia happen after years (eps is a precursor). Acute dystonia (hours),
Parkinsons (weeks), Akathisia (days)
Reflexes expected at 1 month
Moro until 4 months, Palmer until 4 months, Plantar util 8 months, Babinski (2
years is disease)
Signs of fetal alcohol syndrome
small head, shoey palpebral fissure, inner epicanthal folds. Do IEP and early
intervention specialist
Rhett Syndrome
a rare disorder found virtually exclusively in girls, is a neurodevelopmental
disorder in which the child usually develops normally unitl about 6 to 18 months of
age at which characteristics of the syndrome emerge; characteristics include:
hypotonia (loss of muscle tone), reduced eye contact, decelerated head growth, and
disinterest in play activities
Where do EPS originate
nigrostiatal tract.
What to give to agitated pt in seclusion
IM Geodon
Labs for macrocytic anemia
, Folic acid, vitamin B12, ESR/CRP, HGB, MCV (liver)
When to assess a patient in restraints for face/face
1 hour then 8 hours
therapeutic communication
open ended, 'tell me'
Reluctant/silent patient
open ended questions
Patients husband shows up but not the patient
both people need to be present, reschedule
Abnormal Trendelenburg Test
Hip disease, refer child out, assessed during head to toe
Hamilton Depression Scale
i. Severe 19- 23 (monitor for SI)
ii. Moderate 14 - 18
iii. Mild 8 -13
0-7 normal
GAD-7 scale
More than 15 severe
HAM-A
Hamilton Anxiety Scale, most commonly used
14 domains, 14=mild, 18-24= moderate, 25-30=severe
Anxiety 25/15 severe
Scope of practice
comes from the state, board of nursing/american nurse association
Elderly patient with dementia how do you know id can give consent
