PMHNP Exam Reported Questions With Verifiable
Solutions
Assertive Question (2)✔✔Use "I want", "I need" or "I feel" to convey basic assertions and get
your point across firmly. For example, "I feel strongly that we need to bring in a third party to
mediate this disagreement."
For example, you might say "Dave, your request has caught me off guard. I'll get back to you
within the half hour."
Testing for fungal infections✔✔shavings of toes
Pt on Lithium with temp, right flank pain, brown colored urine, What do you?✔✔LFT
Medication Management✔✔By state and federal
Kid with night mares screaming out doesn't remember the next morning what do you do✔✔Ask
about sleep disorder in family
PT taking a breathing treatment albuterol/proventil✔✔Do not take MAOI or TCA
Pt in with Sob, Fatigue. When you assess the thinnest part of the skin , you notice s/s✔✔
Sensitivity✔✔Sensitivity = TP / (TP + FN)
Specifity✔✔TN
,peer consultation✔✔Mutual Benefit Critical and Supportive
Shared discussion and accountability
The regular engagement of two or more colleagues to give and receive feedback
Tegretol (carbamazepine)✔✔ANC/WBC
Paplau✔✔what nurses do WITH pts not TO pts
- nurse as a therapeutic tool - therapeutic use of self
- care for the person as well as the illness
- think exclusively of patients as persons, not as a dx
phases:
1. orientation
2. working
3. termination
roles of the nurse
- stranger
- resource person
- teacher
- leader
- surrogate
- conselor
,Paplau's Interpersonal Theory✔✔Process recording
Give Ativan✔✔For Alcoholic with Liver problems
detailed physical exam✔✔
Pt states that God did this to me✔✔Assess spiritual needs
Mini-Cog✔✔is another screening tool that can be administered in 5 minutes or less and
requires minimal training. 3 item recall, clock drawing test (CDT)
women in military and she saw her friend die✔✔PTSD
Man had appt, wife came and he didnt✔✔Tell wife to reschedule appt
Tagement (Cimetidine)✔✔^ Benzo
^ Coumadin
Erythromycin✔✔^ Xanax levels
Disulfiram✔✔^ Coumadin
Pt with Eating disorder states getting full✔✔Bloating delayed Gastric emptying
, Realiability✔✔consistency
Biggest Concern with EHR✔✔Confidentiality
Qualiatative✔✔Measures in natural setting i.e ?, observation
Quantitative✔✔Data that is in numbers
internal validity✔✔Was research done right?
extent to which we can draw cause-and-effect inferences from a study
I don't know answers✔✔pseudo dementia
interferon✔✔decrease Wellbutrin
^ prolactin✔✔stop prolactin
EPS✔✔^ risk for TD
Assess when someone ready to quit drinking✔✔See what stage they in
Ask when ready to start tx
To check for Dementia✔✔Have the patient tell you risk/benefits test capacity
dairy log✔✔CBT
Solutions
Assertive Question (2)✔✔Use "I want", "I need" or "I feel" to convey basic assertions and get
your point across firmly. For example, "I feel strongly that we need to bring in a third party to
mediate this disagreement."
For example, you might say "Dave, your request has caught me off guard. I'll get back to you
within the half hour."
Testing for fungal infections✔✔shavings of toes
Pt on Lithium with temp, right flank pain, brown colored urine, What do you?✔✔LFT
Medication Management✔✔By state and federal
Kid with night mares screaming out doesn't remember the next morning what do you do✔✔Ask
about sleep disorder in family
PT taking a breathing treatment albuterol/proventil✔✔Do not take MAOI or TCA
Pt in with Sob, Fatigue. When you assess the thinnest part of the skin , you notice s/s✔✔
Sensitivity✔✔Sensitivity = TP / (TP + FN)
Specifity✔✔TN
,peer consultation✔✔Mutual Benefit Critical and Supportive
Shared discussion and accountability
The regular engagement of two or more colleagues to give and receive feedback
Tegretol (carbamazepine)✔✔ANC/WBC
Paplau✔✔what nurses do WITH pts not TO pts
- nurse as a therapeutic tool - therapeutic use of self
- care for the person as well as the illness
- think exclusively of patients as persons, not as a dx
phases:
1. orientation
2. working
3. termination
roles of the nurse
- stranger
- resource person
- teacher
- leader
- surrogate
- conselor
,Paplau's Interpersonal Theory✔✔Process recording
Give Ativan✔✔For Alcoholic with Liver problems
detailed physical exam✔✔
Pt states that God did this to me✔✔Assess spiritual needs
Mini-Cog✔✔is another screening tool that can be administered in 5 minutes or less and
requires minimal training. 3 item recall, clock drawing test (CDT)
women in military and she saw her friend die✔✔PTSD
Man had appt, wife came and he didnt✔✔Tell wife to reschedule appt
Tagement (Cimetidine)✔✔^ Benzo
^ Coumadin
Erythromycin✔✔^ Xanax levels
Disulfiram✔✔^ Coumadin
Pt with Eating disorder states getting full✔✔Bloating delayed Gastric emptying
, Realiability✔✔consistency
Biggest Concern with EHR✔✔Confidentiality
Qualiatative✔✔Measures in natural setting i.e ?, observation
Quantitative✔✔Data that is in numbers
internal validity✔✔Was research done right?
extent to which we can draw cause-and-effect inferences from a study
I don't know answers✔✔pseudo dementia
interferon✔✔decrease Wellbutrin
^ prolactin✔✔stop prolactin
EPS✔✔^ risk for TD
Assess when someone ready to quit drinking✔✔See what stage they in
Ask when ready to start tx
To check for Dementia✔✔Have the patient tell you risk/benefits test capacity
dairy log✔✔CBT
