PMHNP Practice Questions and Answers 100% 2023

what term describes a scientific study that gathers multiple studies and analyzes them to draw a larger conclusion? - ANSWER-systematic review borderline personality disorder falls under which cluster of personality disorder traits? - ANSWER-B a 36 year old caucasian male arrives for his usual monthly medication appointment. diagnosed with schizophrenia & has been stabilized on haldol for 9 years. today he states he has an inner feeling of restlessness & inability to remain still. what type of E.P.S is suspected? - ANSWER-akathisia which part of medicare provides optional coverage for beneficiaries? - ANSWER-part c the cerebrum contains all of the following areas of the brain except one. cerebral cortex, brainstem, limbic system, or hypothalamus - ANSWER-brainstem in a family systems context, what is the definition of morphogenesis? - ANSWER-a family's tendency to adapt to change when changes are necessary. how does the body remove both serotonin and norepinephrine from the synaptic cleft? - ANSWER-an active re-uptake process a 53 year old menopausal woman presents with complaints of anhedonia, depressed mood, & vasomotor symptoms. what medication effectively treats both vasomotor symptoms and depression? - ANSWER-desvenlafaxine/pristiq it is an S.N.R.I. which personality disorder is most likely to have fantasies of success? - ANSWER-narcissistic who should receive a shingles vaccine? - ANSWER-anyone over the age of 60 who has had chickenpox some states use the umbrella term advanced practice nurse to refer to all of the following except which one? nurse anesthetists, certified nurse midwife, mid-level providers, or nurse practitioners - ANSWER-mid-level providers eating disorders are characterized by what? - ANSWER-disordered patterns of eating, accompanied by distress, disparagement, preoccupation, & a distorted perception of one's body shape the federal government offered financial awards to encourage hospitals to implement meaningful use. the financial awards are tied to specific objectives related to the effective use of electronic health records. give 3 examples of this. - ANSWER-1. electronic prescribing 2. electronic medication interaction checks 3. computerized provider order entry for an act to be considered criminal, it must have 2 components: actus reus & mens rea. what is actus reus? - ANSWER-voluntary conduct which complementary & alternative medicine technique is based on manipulating the flow of energy throughout the body? - ANSWER-acupuncture who authored the report crossing the quality chasm, which emphasized the need for inter professional collaboration in order to improve the quality of health care? - ANSWER-institute of medicine is a durable power of attorney limited to terminal illness only? - ANSWER-no what term describes a system where the insurer is not only the payer but also the provider of care? - ANSWER-managed care what term best describes a public agency that uses its bargaining power to negotiate competitive prices for health insurance from the private insurance market? - ANSWER-health alliance freud would argue that adults who use 'biting' sarcasm as a defense mechanism are fixated in which psychosexual stage of development? - ANSWER-oral what term is used to describe patients who injure themselves by self-mutilation but who do not wish to die? - ANSWER-parasuicide what most accurately describes an individual with avoidant personality disorder? - ANSWER-these patients are timid and easily wounded by criticism from others what are 3 reasons for homelessness? - ANSWER-mental illness, poverty, & inadequate public assistance what is the primary goal of the AMA's scope of practice partnership initiative? - ANSWER-to limit patients' choice of which health care provider they can see for treatment as a nurse practitioner you are expected to be competent in what areas? - ANSWER-policy, practice inquiry, and technology and information literacy what term describes a digital version of a patient's medical file? - ANSWER-electronic health record what term describes the death rate for a given population? - ANSWER-mortality rate what action takes place during the working phase of a therapeutic relationship? - ANSWER-clarifying patient expectations and mutually identifying goals at what age would you expect a child to sit alone with good coordination, imitate scribble, develop mild separation anxiety, and respond to social play such as peek-a-boo? - ANSWER-40 weeks or about 8 months old physical exam findings of Rett syndrome include what? - ANSWER-seizures, irregular respirations, and scoliosis what endocrine findings are suggestive of alcohol dependency? - ANSWER-testicular atrophy, sexual dysfunction, and gynecomastia what is sexual identity? - ANSWER-it refers to whom someone is affectionately attracted what are some examples of monoamine neurotransmitters? - ANSWER-dopamine, norepinephrine, and serotonin what percent of the incarcerated population in the U.S. has a severe mental illness? - ANSWER-15 to 24 percent statistically, gambling disorder is most prevalent among what ethnic/racial group? - ANSWER-african americans what cranial nerve assessment tests smell, ensures patency of nasal passages, and is performed by having the client close the eyes to identify smells? - ANSWER-olfactory what are the most common potentially law-breaking sexual behaviors? - ANSWER-voyeuristic acts what psychiatric disorder is characterized by at least one psychotic symptom present for less than one month? - ANSWER-brief psychotic disorder in almost every state, nurse practitioners are reimbursed at what percentage of the allowable physician rate? - ANSWER-85 percent which part of medicare provides optional coverage for outpatient pharmaceuticals? - ANSWER-part D which class of medications would be most appropriate for treating a patient stabilized on haldol that is exhibiting mild pseudo-parkinson's symptoms? - ANSWER-muscarinic 1 agonist patient switched to halodol last week presents with oriented to self, fever of 105.3, heart rate 126, breath rate 22, extremities are stiff and rigid, WBCs of 14, creatinine of 2.6. what is the most serious complication of her presentation? - ANSWER-rhabdomyolsis what is the primary purpose of the corpus callosum? - ANSWER-connect right and left hemispheres and facilitate sensorimotor information exchange what medication can produce a false positive for methamphetamines? - ANSWER-prozac/fluoxetine what medication can produce a false positive for benzodiazepines? - ANSWER-zoloft/sertraline what medication can produce a false positive for cocaine? - ANSWER-motrin what food product can produce a false positive for morphine or heroin? - ANSWER-poppy seeds how do managed care organizations control health care costs? - ANSWER-bargain with medical practices for reduced rates on visits autism spectrum disorder can present with what deficits? - ANSWER-lack of social reciprocity, insistence on sameness, & nonverbal communication what are the general functions of norepinephrine? - ANSWER-alertness, focused attention, learning, & memory what are the general functions of dopamine? - ANSWER-thinking, fine muscle action, & reward-seeking behavior what are the general functions of GABA? - ANSWER-reduces arousal, aggression, & anxiety what are the general functions of serotonin? - ANSWER-regulates sleep, pain, mood states, & temperature what is an example of a psychological preventative factor that protects someone from developing a psychiatric disorder? - ANSWER-healthy ego defenses compared with physicians, nurse practitioners save the consumer & the insurance company what percent of costs? - ANSWER-20 percent