PMHNP Boards question with answers
What is true of interprofessionality? - -All health professionals have individual
professional competencies
-What is the significance of an experimental p-value of 0.05 - -There is a 5% chance
of a similar result occurring by chance alone
-What percentage of children with oppositional defiance disorder will develop
conduct disorder? - -30%
-In the DSM-5, selective mutism is now considered what type of disorder? - -anxiety
disorder
-Symptoms of selective mutism must persist for at least - -1 month
-Common competencies - -overlap more than one health care professional,
although not necessarily all health care professionals, and are competencies
expected of all health care professionals
-Complementary competencies - -enhance the qualities of other professions in
provision of care
-Collaborative competencies - -those that each individual profession must possess
to work with others, including those who practice within different specialties within
a profession.
-Interpersonal collaboration is _______ centered - -patient
-Cognitive therapy is recommended for patients that have - -negative cognitive
distortions
irrational beliefs
faulty conceptions
-Humanistic Therapy focuses on assisting patients with - -self-actualization and self-
directed growth
-Behavioral Therapy focuses on - -changing maladaptive behaviors through the use
of behavioral modification techniques
-Existential therapy is for - -reflection on life
confronting self
-120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without
diarrhea ate lettuce. 160 without diarrhea ate lettuce. What is the odds ratio of
eating lettuce and developing diarrhea? - -6 ((120X160)/(80x40))
, -The New Freedom Commission on Mental Health (NFCMH) released a report that
suggested - -implementation a national campaign to reduce the stigma of seeking
care
Focusing on promoting recovery and building resilience
-The efficacy of mental health treatments was found to be well documented in - -
influential report issued by US Surgeon General in 1999
-State of high negative emotion and pessimism - -neuroticism
-Commonly known as an optimistic outlook on life They are are outgoing, like social
interaction, respond to external rewards, have more active dopamine networks, and
are responsive to positive reinforcement. - -Extraversion (high levels protect from
psychiatric illness)
-Introverts are more likely to be _______ motivated and more likely to respond to
_______ reinforcement - -internally
negative (more likely to interact with internal motivation/self-image)
-Interpersonal trait of cooperation, easy going nature. Tend to have smooth
relationships often at the expense of self-assertion - -Agreeableness
-Associated with self-control and a focused, organized approach to life. Are
achievement-oriented goal setters who can delay immediate gratification to obtain
their long term desired outcome. They are considered responsible, reliable, and
dependable. - -conscientiousness
-In behavioral couples therapy, the initial sessions are spent doing a functional
analysis of behavior (FAB). What is true about FAB? - -FAB is concerned only with
observable stimuli connected to operant behavior
FAB is based on operant conditioning (identifying antecedent stimuli, operant
behaviors, and consequent stimuli)
The goal of FAB is modifying willful operant behavior
-Gestalt theory deals with _____, not _____ - -perceptual psychology
behavior
-Medication that can delay ejaculation in patients with premature ejaculation - -
Paroxetine (and other SSRIs)
(others include:
Topical anesthetic
Tramadol
Phosphodiesterase-5 inhibitors)
-First line treatment for lithium induced diabetes insipidus - -Amiloride (K potassium
diuretic) in addition to dc lithium when possible.
-Ways to reduce polyuria associated with lithium toxicity - -reduce lithium dose to
minimum effective dose
,take once daily at night (may be 5-30% lower than when given in divided doses
over the day)
Encourage adequate fluid intake
-What is true about ECT in Parkinson's disease - -it's more likely to cause transient
delirium (worsened dyskinesias induced by l-dopa)
-Lithium effects with Parkison's disease - -may worsen tremor
-nonselective MAOIs decrease the efficacy of ______ and increase the risk of a
__________ - -l-dopa products
hypertensive crisis
-Selegiline is selective for - -MAO-B
(after 10mg there is an increase in risk of serotonin syndrome if given with other
meds that increase serotonin)
-SSRI's can _______ Parkinsonism tremor - -worsen (and decrease 'off time')
-Process describes the mechanism by which the hippocampus stores memories - -
long-term potentiation
-loss of memory relating to a particular category of information (inability to recall
important autobiographical information, usually of a traumatic or stressful nature,
that is inconsistent with ordinary forgetting) - -systematized amnesia
-Lack of memories from a circumscribed period of time, usually immediately
following a traumatic event - -localized amnesia
-Person can recall some but not all of events from a particular time period - -
selective amnesia
-Lack of memory of the patient's entire life - -generalized amnesia
-The drugs that are FDA approved for GAD - -Paroxetine
Citalopram
Escitalopram
Venlafaxine
Duloxetine
Buspar
-A surrogate has the right to terminate pregnancy if - -the pregnancy threatens her
health or life
or
she is a genetic parent
-If the surrogate receives both ovum and sperm from couple, she loses the right to
- -determine whether or not child will be aborted (this is up to the couple)
, -Which medication is most effective for treating social phobia/social anxiety
disorder, especially when refractory? - -Phenelzine
-A 55-year-old female patient has Stg II HTN. On exam, she has trace pedal edema
bilaterally, but her lungs are clear. Her ECG reveals 2nd degree heart block. Which
of the following BP medications should be avoided? - -Calcium Channel Blockers
-3 Contraindications to use a calcium channel blocker - -1st or second degree heart
block
Bradycardia
CHF
-4 Side effects of calcium channel blockers - -Headache
Lower extremity edema
Bradycardia
Heart Block
-An NP is evaluating a 78 year old female with depression. She suspects the patient
may have Parkinson's disease. Which of the following is consistent with that
diagnosis? - -Postural instability
Pill-rolling tremor
Shuffling Gait
Difficulty initiating movement
Mask-like facies (difficulty initiating movement)
-Writhing movements occur with - -Huntington's chorea
-10 Non-motor manifestations of Parkinsons - -Autonomic dysfunction
Gastrointestical dysfunction
Rhinorrhea
Sleep disturbance
Fatigue
Mood disorder
Cognitive dysfunction
Dementia
Psychosis
Hallucinations
-What type of therapy is most useful in depressed HIV positive outpatients? - -
Interpersonal psychotherapy
-What type of therapy is most useful in patients with borderline personality
disorder? - -Dialectical behavioral therapy
-The NP is caring for a patient dying of lymphoma. The pt's wife states that the pt
has been mismanaged and that another practitioner must be assigned to the
patient for him to improve. This NP suspects that this individual is in which stage of
grief according to Elizabeth Kugler-Ross? - -Bargaining
What is true of interprofessionality? - -All health professionals have individual
professional competencies
-What is the significance of an experimental p-value of 0.05 - -There is a 5% chance
of a similar result occurring by chance alone
-What percentage of children with oppositional defiance disorder will develop
conduct disorder? - -30%
-In the DSM-5, selective mutism is now considered what type of disorder? - -anxiety
disorder
-Symptoms of selective mutism must persist for at least - -1 month
-Common competencies - -overlap more than one health care professional,
although not necessarily all health care professionals, and are competencies
expected of all health care professionals
-Complementary competencies - -enhance the qualities of other professions in
provision of care
-Collaborative competencies - -those that each individual profession must possess
to work with others, including those who practice within different specialties within
a profession.
-Interpersonal collaboration is _______ centered - -patient
-Cognitive therapy is recommended for patients that have - -negative cognitive
distortions
irrational beliefs
faulty conceptions
-Humanistic Therapy focuses on assisting patients with - -self-actualization and self-
directed growth
-Behavioral Therapy focuses on - -changing maladaptive behaviors through the use
of behavioral modification techniques
-Existential therapy is for - -reflection on life
confronting self
-120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without
diarrhea ate lettuce. 160 without diarrhea ate lettuce. What is the odds ratio of
eating lettuce and developing diarrhea? - -6 ((120X160)/(80x40))
, -The New Freedom Commission on Mental Health (NFCMH) released a report that
suggested - -implementation a national campaign to reduce the stigma of seeking
care
Focusing on promoting recovery and building resilience
-The efficacy of mental health treatments was found to be well documented in - -
influential report issued by US Surgeon General in 1999
-State of high negative emotion and pessimism - -neuroticism
-Commonly known as an optimistic outlook on life They are are outgoing, like social
interaction, respond to external rewards, have more active dopamine networks, and
are responsive to positive reinforcement. - -Extraversion (high levels protect from
psychiatric illness)
-Introverts are more likely to be _______ motivated and more likely to respond to
_______ reinforcement - -internally
negative (more likely to interact with internal motivation/self-image)
-Interpersonal trait of cooperation, easy going nature. Tend to have smooth
relationships often at the expense of self-assertion - -Agreeableness
-Associated with self-control and a focused, organized approach to life. Are
achievement-oriented goal setters who can delay immediate gratification to obtain
their long term desired outcome. They are considered responsible, reliable, and
dependable. - -conscientiousness
-In behavioral couples therapy, the initial sessions are spent doing a functional
analysis of behavior (FAB). What is true about FAB? - -FAB is concerned only with
observable stimuli connected to operant behavior
FAB is based on operant conditioning (identifying antecedent stimuli, operant
behaviors, and consequent stimuli)
The goal of FAB is modifying willful operant behavior
-Gestalt theory deals with _____, not _____ - -perceptual psychology
behavior
-Medication that can delay ejaculation in patients with premature ejaculation - -
Paroxetine (and other SSRIs)
(others include:
Topical anesthetic
Tramadol
Phosphodiesterase-5 inhibitors)
-First line treatment for lithium induced diabetes insipidus - -Amiloride (K potassium
diuretic) in addition to dc lithium when possible.
-Ways to reduce polyuria associated with lithium toxicity - -reduce lithium dose to
minimum effective dose
,take once daily at night (may be 5-30% lower than when given in divided doses
over the day)
Encourage adequate fluid intake
-What is true about ECT in Parkinson's disease - -it's more likely to cause transient
delirium (worsened dyskinesias induced by l-dopa)
-Lithium effects with Parkison's disease - -may worsen tremor
-nonselective MAOIs decrease the efficacy of ______ and increase the risk of a
__________ - -l-dopa products
hypertensive crisis
-Selegiline is selective for - -MAO-B
(after 10mg there is an increase in risk of serotonin syndrome if given with other
meds that increase serotonin)
-SSRI's can _______ Parkinsonism tremor - -worsen (and decrease 'off time')
-Process describes the mechanism by which the hippocampus stores memories - -
long-term potentiation
-loss of memory relating to a particular category of information (inability to recall
important autobiographical information, usually of a traumatic or stressful nature,
that is inconsistent with ordinary forgetting) - -systematized amnesia
-Lack of memories from a circumscribed period of time, usually immediately
following a traumatic event - -localized amnesia
-Person can recall some but not all of events from a particular time period - -
selective amnesia
-Lack of memory of the patient's entire life - -generalized amnesia
-The drugs that are FDA approved for GAD - -Paroxetine
Citalopram
Escitalopram
Venlafaxine
Duloxetine
Buspar
-A surrogate has the right to terminate pregnancy if - -the pregnancy threatens her
health or life
or
she is a genetic parent
-If the surrogate receives both ovum and sperm from couple, she loses the right to
- -determine whether or not child will be aborted (this is up to the couple)
, -Which medication is most effective for treating social phobia/social anxiety
disorder, especially when refractory? - -Phenelzine
-A 55-year-old female patient has Stg II HTN. On exam, she has trace pedal edema
bilaterally, but her lungs are clear. Her ECG reveals 2nd degree heart block. Which
of the following BP medications should be avoided? - -Calcium Channel Blockers
-3 Contraindications to use a calcium channel blocker - -1st or second degree heart
block
Bradycardia
CHF
-4 Side effects of calcium channel blockers - -Headache
Lower extremity edema
Bradycardia
Heart Block
-An NP is evaluating a 78 year old female with depression. She suspects the patient
may have Parkinson's disease. Which of the following is consistent with that
diagnosis? - -Postural instability
Pill-rolling tremor
Shuffling Gait
Difficulty initiating movement
Mask-like facies (difficulty initiating movement)
-Writhing movements occur with - -Huntington's chorea
-10 Non-motor manifestations of Parkinsons - -Autonomic dysfunction
Gastrointestical dysfunction
Rhinorrhea
Sleep disturbance
Fatigue
Mood disorder
Cognitive dysfunction
Dementia
Psychosis
Hallucinations
-What type of therapy is most useful in depressed HIV positive outpatients? - -
Interpersonal psychotherapy
-What type of therapy is most useful in patients with borderline personality
disorder? - -Dialectical behavioral therapy
-The NP is caring for a patient dying of lymphoma. The pt's wife states that the pt
has been mismanaged and that another practitioner must be assigned to the
patient for him to improve. This NP suspects that this individual is in which stage of
grief according to Elizabeth Kugler-Ross? - -Bargaining
