PMHNP Boards Exam Questions And
Answers 100% Pass
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 -
ANS 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: - ANS 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: - ANS 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 -
ANS 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: - ANS use a survey to elicit patient satisfaction responses.
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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: - ANS e-mail drug
information and resources
Any court of law that evaluates the standards of care provided by a psychiatric-mental health
nurse practitioner - ANS 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: - ANS a child's
developmental stage will influence his or her response to catastrophic stress
Which community-based program is a tertiary level intervention? - ANS 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: - ANS "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: - ANS 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: -
ANS 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