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Exam (elaborations)

PMHNP Board Exam Questions and Answers 100% Solved

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PMHNP Board Exam Questions and Answers 100% Solved kindling - Sensitization development of behavioral seizures in response to repeated electrical or chemical stimuli. ETOH can cause seizures. Potency - Relative dose required to achieve certain effects High potency - Haldol (need lower dose) Low potency - Chlorpromazine (Thorazine) (need higher dose) What 3 parts of the brain are affected by ADHD - 1. Frontal cortex 2. Basal ganglia (motor control/ learning) 3. Reticular activity (ability to focus/fight or flight) What 3 neurotransmitters are associated with ADHD? - DNS (dopamine, norepinephrine, serotonin) How many settings do symptoms of ADHD have to be assessed in to diagnose? - 2

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Uploaded on
October 22, 2024
Number of pages
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Written in
2024/2025
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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

PMHNP Board Exam Questions and

Answers 100% Solved


kindling - ✔✔Sensitization development of behavioral seizures in response

to repeated electrical or chemical stimuli. ETOH can cause seizures.

Potency - ✔✔Relative dose required to achieve certain effects

High potency - ✔✔Haldol (need lower dose)

Low potency - ✔✔Chlorpromazine (Thorazine) (need higher dose)

What 3 parts of the brain are affected by ADHD - ✔✔1. Frontal cortex

2. Basal ganglia (motor control/ learning)

3. Reticular activity (ability to focus/fight or flight)

What 3 neurotransmitters are associated with ADHD? - ✔✔DNS

(dopamine, norepinephrine, serotonin)

How many settings do symptoms of ADHD have to be assessed in to

diagnose? - ✔✔2

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

How many criteria does a child vs an adult have to meet to be diagnosed

with ADHD? - ✔✔Child-6

Adult-5

What type of medications are lipophilic and highly protein bound? -

✔✔Psychiatric medications

side effects of stimulants - ✔✔-weight loss

-GI upset

-Anorexia

-increased heart rate and blood pressure

What must you assess before starting a stimulant? - ✔✔Cardiac functions

and family heart history

Average and mean age of onset for ADHD - ✔✔Avg.: 3 years

Mean: 9 years

What type of drug class is intuniv (guanfacine) and what ages has the FDA

approved it for? - ✔✔Alpha agonist and ages 6-17 yrs.

What alpha agonist is used to treat ADHD but not FDA approved? -

✔✔clonidine

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

Agitation, anxiety, mood swings, increased mood, increased HR and BP,

heart palpitations and tremors are all symptoms of what substance abuse?

- ✔✔Stimulants

What type of therapy is used to treat ADHD? - ✔✔Behavioral therapy

What must you assess in school aged children with ADHD? - ✔✔The

presence of learning disorders.

What scale for ADHD is available to the public? - ✔✔Vanderbilt ADHD

DIAGNOSIS: Parent and teacher rating scale

What would you do for a patient that has tics and is taking a stimulant? -

✔✔Discontinue medication. Tics are contraindicated in stimulants.

What cluster is Borderline Personality Disorder? What is the mainstay

treatment? - ✔✔Cluster B

DBT

What medication can help with self harming behavior? - ✔✔Lithium

What cluster is Antisocial Personality Disorder in? - ✔✔Cluster B

antisocial personality disorder - ✔✔A personality disorder in which the

person (usually a man) exhibits reckless disregard for the welfare of others,

lack of remorse, inflict pain.

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

What therapy is used for antisocial personality disorder and at what age

can it be diagnosed? - ✔✔CBT

18 or >

First factors for Autism Spectrum Disordee - ✔✔-Male gender

-Intellectual disability

-Genetic loading ( family history )

What behavior is hallmark for children. With autism? - ✔✔Lining up,

stacking, or organizing toys in long, tidy rows

3 Autism screening scales - ✔✔1. M-CHAT ( Modified Checklist for Autism

in Toddlers)

2. ADOS-G (Autism Diagnosis Observation Scale Generic)

3. ASQ (Ages and Stages Questionnaires)

Medications for ADHD - ✔✔Risperdal -FDA approved



Antipsychotics (help with aggressive, self harm behavior and tantrums)



Naltrexone, clonidine, and stimulants

Rhett Syndrome - ✔✔X-linked dominant found in girls

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