PMHNP Boards ALREADY PASSED
A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical
examination is unremarkable. Laboratory results are within normal limits except for a markedly
elevated alkaline phosphatase level. The psychiatric-mental health nurse practitioner - ✔✔interprets
the findings as normally occurring during a rapid adolescent growth spurt
Laboratory findings for a patient with an alcohol use disorder indicate increased liver function values
and: - ✔✔increased MCV and elevated triglyceride levels.
A new patient arrives at the office for treatment for depression. The patient reports taking
simvastatin (Zocor) and lisinopril (Zestril). When selecting an antidepressant, the psychiatric-mental
health nurse practitioner eliminates fluoxetine (Prozac), based on the knowledge that the
combination can lead to increased plasma levels of the statin, resulting in an increased risk of muscle
damage and rhabdomyolysis. The nurse practitioner's reason is that: - ✔✔one medication is a
CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
A 28-year-old patient who is psychotic arrives at the clinic with family members but refuses to meet
if the family members are present. The psychiatric-mental health nurse practitioner - ✔✔asks the
family members to leave for the appointment.
The psychiatric-mental health nurse practitioner is responsible for initiating quality improvement at a
community mental health clinic. The effective strategy for evaluating the clinic's services is to: -
✔✔use a survey to elicit patient satisfaction responses.
The psychiatric-mental health nurse practitioner evaluates a new adult patient via telemedicine. The
patient has questions about a new medication that he or she recently started. The nurse practitioner
decides to provide psychoeducation and to: - ✔✔e-mail drug information and resources
Any court of law that evaluates the standards of care provided by a psychiatric-mental health nurse
practitioner - ✔✔considers what a reasonably prudent health care provider would do.
The psychiatric-mental health nurse practitioner and a team of local mental health professionals are
asked to provide crisis counseling service, after a gunman recently took a class hostage at a local
elementary school, wounded several students, and then shot himself. In preparing for this
assignment, the nurse practitioner recognizes that: - ✔✔a child's developmental stage will influence
his or her response to catastrophic stress
, Which community-based program is a tertiary level intervention? - ✔✔Partial hospitalization
program that provides intensive group therapy for rehabilitation.
A 32-year-old female patient informs the psychiatric-mental health nurse practitioner that she is
three months pregnant. She has been stable on fluoxetine (Prozac) for the last two years. The patient
asks whether she may safely continue this medication during her pregnancy. The nurse practitioner
responds: - ✔✔"Let's review the risks and benefits of continuing or discontinuing Prozac for you and
your baby."
Established clinical guidelines suggest that suicidality is decreased by treating patients who have
borderline personality disorder with: - ✔✔dialectical behavioral therapy.
A six-year-old patient with autistic spectrum disorder has not responded to six months of
psychosocial interventions and continues to demonstrate aggressive tendencies toward a younger
sibling. The psychiatric-mental health nurse practitioner prescribes: - ✔✔risperidone (Risperdal) 0.25
mg once a day.
The psychiatric-mental health nurse practitioner working in a crisis stabilization unit evaluates a
patient verbalizing suicidal thoughts after being sexually assaulted. Before processing through the
traumatic event, the nurse practitioner first attempts to - ✔✔provide an environment of safety.
The psychiatric-mental health nurse practitioner uses a cognitive-behavioral approach to help a
patient address self-defeating behaviors. After identifying the stressor that causes the inappropriate
behavior, the initial strategy is to explore: - ✔✔rational and irrational beliefs about the stressor.
A patient who has borderline personality disorder experiences intense anxiety when the psychiatric-
mental health nurse practitioner goes on vacation. The most appropriate explanation for this
reaction is that the patient: - ✔✔has not developed object constancy.
An initial psychiatric evaluation of a patient reveals a normal mental status and appropriate behavior,
despite a parent's reports of "disobedience, poor grades, and laziness." To further assess the
patient's functioning, the psychiatric-mental health nurse practitioner: - ✔✔meets with the parent
and patient together to explore the discrepant report.
A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical
examination is unremarkable. Laboratory results are within normal limits except for a markedly
elevated alkaline phosphatase level. The psychiatric-mental health nurse practitioner - ✔✔interprets
the findings as normally occurring during a rapid adolescent growth spurt
Laboratory findings for a patient with an alcohol use disorder indicate increased liver function values
and: - ✔✔increased MCV and elevated triglyceride levels.
A new patient arrives at the office for treatment for depression. The patient reports taking
simvastatin (Zocor) and lisinopril (Zestril). When selecting an antidepressant, the psychiatric-mental
health nurse practitioner eliminates fluoxetine (Prozac), based on the knowledge that the
combination can lead to increased plasma levels of the statin, resulting in an increased risk of muscle
damage and rhabdomyolysis. The nurse practitioner's reason is that: - ✔✔one medication is a
CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
A 28-year-old patient who is psychotic arrives at the clinic with family members but refuses to meet
if the family members are present. The psychiatric-mental health nurse practitioner - ✔✔asks the
family members to leave for the appointment.
The psychiatric-mental health nurse practitioner is responsible for initiating quality improvement at a
community mental health clinic. The effective strategy for evaluating the clinic's services is to: -
✔✔use a survey to elicit patient satisfaction responses.
The psychiatric-mental health nurse practitioner evaluates a new adult patient via telemedicine. The
patient has questions about a new medication that he or she recently started. The nurse practitioner
decides to provide psychoeducation and to: - ✔✔e-mail drug information and resources
Any court of law that evaluates the standards of care provided by a psychiatric-mental health nurse
practitioner - ✔✔considers what a reasonably prudent health care provider would do.
The psychiatric-mental health nurse practitioner and a team of local mental health professionals are
asked to provide crisis counseling service, after a gunman recently took a class hostage at a local
elementary school, wounded several students, and then shot himself. In preparing for this
assignment, the nurse practitioner recognizes that: - ✔✔a child's developmental stage will influence
his or her response to catastrophic stress
, Which community-based program is a tertiary level intervention? - ✔✔Partial hospitalization
program that provides intensive group therapy for rehabilitation.
A 32-year-old female patient informs the psychiatric-mental health nurse practitioner that she is
three months pregnant. She has been stable on fluoxetine (Prozac) for the last two years. The patient
asks whether she may safely continue this medication during her pregnancy. The nurse practitioner
responds: - ✔✔"Let's review the risks and benefits of continuing or discontinuing Prozac for you and
your baby."
Established clinical guidelines suggest that suicidality is decreased by treating patients who have
borderline personality disorder with: - ✔✔dialectical behavioral therapy.
A six-year-old patient with autistic spectrum disorder has not responded to six months of
psychosocial interventions and continues to demonstrate aggressive tendencies toward a younger
sibling. The psychiatric-mental health nurse practitioner prescribes: - ✔✔risperidone (Risperdal) 0.25
mg once a day.
The psychiatric-mental health nurse practitioner working in a crisis stabilization unit evaluates a
patient verbalizing suicidal thoughts after being sexually assaulted. Before processing through the
traumatic event, the nurse practitioner first attempts to - ✔✔provide an environment of safety.
The psychiatric-mental health nurse practitioner uses a cognitive-behavioral approach to help a
patient address self-defeating behaviors. After identifying the stressor that causes the inappropriate
behavior, the initial strategy is to explore: - ✔✔rational and irrational beliefs about the stressor.
A patient who has borderline personality disorder experiences intense anxiety when the psychiatric-
mental health nurse practitioner goes on vacation. The most appropriate explanation for this
reaction is that the patient: - ✔✔has not developed object constancy.
An initial psychiatric evaluation of a patient reveals a normal mental status and appropriate behavior,
despite a parent's reports of "disobedience, poor grades, and laziness." To further assess the
patient's functioning, the psychiatric-mental health nurse practitioner: - ✔✔meets with the parent
and patient together to explore the discrepant report.
