PMHNP
CERTIFICATION
EXAM
2024(ACTUAL
TEST VERIFIED
A+)
1g/g 38
,1. Which patient is at highest risk for SI g g g g g g g
A. 30y/o married AA female with previous SI attempt *1 risk factor
g g g g g g g g g g
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
g g g g g g g g g g g
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
g g g g g g g g g g g g g g
D. 68 y/o single white male with depression *5 risk factors (age, male, whi
g g g g g g g g g g g g
te, depression): D. 68 y/o single white male with depression *5 risk factors (a
g g g g g g g g g g g g g
ge, male, white, depression)
g g g
Count the risk factors g g g
2. When interview teenagers (16 y/o) that arrive with their paren
g g g g g g g g g
ts what should you do?: interview them separately fromparents.
g g g g g g g g g
-
This helps Build therapeutic rapport with teens by telling them the info is confi
g g g g g g g g g g g g g
den-
gtial. Parents may be upset but remember you are advocating for the child.
g g g g g g g g g g g g
3. Which Ethnic group has the highest rate of suicide?: Native Americans
g g g g g g g g g g
4. Example A patient is being treated for schizophrenia with olanza
g g g g g g g g g
pine. Which of the following is the most common side effectof olan
g g g g g g g g g g g g
zapine?
A. Increased waist circumference g g
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-
g g g g g g g g
receptor an- tagonism
g g g
C. Increased Lipids g
D. Metabolic Syndrome: D. Metabolic Syndrome (UMBRELLA ANSWER) g g g g g g
5. Which antipsychotics have the least weight gain?: Latuda, Abilify, (also le
g g g g g g g g g g
ast sedating), Geodon-
g g
if patient has metabolic syndrome consider switching to one of the medicatio
g g g g g g g g g g g
ns above. Or if the patient is overly sedated try switching to ABILIFY
g g g g g g g g g g g g
6. Which mood stabilizer have the least weight gain?: Lamictal
g g g g g g g g
2g/g 38
,-But remember all mood stabilizers cause some weight gain
g g g g g g g g
7. When presented with a question about typical vs atypi
g g g g g g g g
cal antipsychotic the answer is usually to start of a:atypic
g g g g g g g g g g
al
3g/g 38
, 2
8. A client presents with complains of changes in appetite, feeling fa
g g g g g g g g g g
tigued, problems with sleep-rest cycle, and changes in libido. Whatis
g g g g g g g g g g
the neu-g
g roanatomical area of the brain that is responsible for the normalregulatio
g g g g g g g g g g g
n of these functions?
g g g
A. Thalamus
B. Hypothalamus
C. Limbic System g
D. Hippocampus: Hypothalamus g
A, B, & D are all part of the limbic system so you can rule that out
g g g g g g g g g g g g g g g g
4g/g 38
CERTIFICATION
EXAM
2024(ACTUAL
TEST VERIFIED
A+)
1g/g 38
,1. Which patient is at highest risk for SI g g g g g g g
A. 30y/o married AA female with previous SI attempt *1 risk factor
g g g g g g g g g g
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
g g g g g g g g g g g
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
g g g g g g g g g g g g g g
D. 68 y/o single white male with depression *5 risk factors (age, male, whi
g g g g g g g g g g g g
te, depression): D. 68 y/o single white male with depression *5 risk factors (a
g g g g g g g g g g g g g
ge, male, white, depression)
g g g
Count the risk factors g g g
2. When interview teenagers (16 y/o) that arrive with their paren
g g g g g g g g g
ts what should you do?: interview them separately fromparents.
g g g g g g g g g
-
This helps Build therapeutic rapport with teens by telling them the info is confi
g g g g g g g g g g g g g
den-
gtial. Parents may be upset but remember you are advocating for the child.
g g g g g g g g g g g g
3. Which Ethnic group has the highest rate of suicide?: Native Americans
g g g g g g g g g g
4. Example A patient is being treated for schizophrenia with olanza
g g g g g g g g g
pine. Which of the following is the most common side effectof olan
g g g g g g g g g g g g
zapine?
A. Increased waist circumference g g
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-
g g g g g g g g
receptor an- tagonism
g g g
C. Increased Lipids g
D. Metabolic Syndrome: D. Metabolic Syndrome (UMBRELLA ANSWER) g g g g g g
5. Which antipsychotics have the least weight gain?: Latuda, Abilify, (also le
g g g g g g g g g g
ast sedating), Geodon-
g g
if patient has metabolic syndrome consider switching to one of the medicatio
g g g g g g g g g g g
ns above. Or if the patient is overly sedated try switching to ABILIFY
g g g g g g g g g g g g
6. Which mood stabilizer have the least weight gain?: Lamictal
g g g g g g g g
2g/g 38
,-But remember all mood stabilizers cause some weight gain
g g g g g g g g
7. When presented with a question about typical vs atypi
g g g g g g g g
cal antipsychotic the answer is usually to start of a:atypic
g g g g g g g g g g
al
3g/g 38
, 2
8. A client presents with complains of changes in appetite, feeling fa
g g g g g g g g g g
tigued, problems with sleep-rest cycle, and changes in libido. Whatis
g g g g g g g g g g
the neu-g
g roanatomical area of the brain that is responsible for the normalregulatio
g g g g g g g g g g g
n of these functions?
g g g
A. Thalamus
B. Hypothalamus
C. Limbic System g
D. Hippocampus: Hypothalamus g
A, B, & D are all part of the limbic system so you can rule that out
g g g g g g g g g g g g g g g g
4g/g 38