PMHNP Exam Reported Questions images, pmhnp
Questions with Verified Solutions
Existential- reflection/self control/personal responsibility✔✔Best therapy for negative thinking
DBT, goal to decrease emotional reactivity/crisis bxs and self validation.✔✔Patient is borderline
and suicidal what therapy?
fairly common in children and will often remit on its own, ADHD concomittant✔✔Tics what
advise?
help the parents with positive reinforcement and parenting skills, limit setting, logical
consequences, consistency, power stuggle/control issues problematic, parenting/family
dysfunction exacerbates✔✔ODD child
scrape toenail and sent for testing✔✔Fungus on toenial
25-35✔✔Age for schizophrenia female
"tell me how the medication works in your body"✔✔bipolar not taking medication
Alpha 2 delta, pregabalin- lyrica✔✔patient has neuropathic pain, what medication will help?
gabapentin not helping
consider cost and revenue, must calculate the time spent with patient vs time spent on risk
called indirect vs direct processing✔✔When opening independent practice
,✔✔Can disclose info to medicare /CMS without consent
lithium✔✔First line neuro-protective for bipolar
check HCG, blackbox for pregnancy, can cause spinal bifida-tetrogenic, also check LFTs,
CBC✔✔What to check in terms of depakote in young girl
✔✔assertive inquiry
strengths and competencies. What is being done currently and assessment of strenghts, no
problem focused, 3 steps are discovery, understanding, amplifying✔✔Appreciate Inquiry
collaborate with ER to provide a psych assessment✔✔Np notices teen with DKA leaving without
eval
proverb interpretation, abstract vs concrete interpretations✔✔MMSE part for thought disorder
to teens in order to normalize the grieving process✔✔Teen commits suicide, NP does
presentation
educate friends/peers✔✔To reduce stigma among teens seeking mental health...
DBT (dialectical behavior therapy)✔✔relaxation muscle prior to DBT
Greatest patient at risk for Violence✔✔Substance abuse
,EMDR (eye movement desensitization and reprocessing)✔✔eye movement desensitization and
reprocessing
What is dissemination?✔✔Getting the research information out to those who need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean?✔✔Moderate cognitive impairment
What is Tegretol in the CYP450 system?✔✔Inducer -->will lower dose of Lamictal and BCP's
What do BCP's do to Lamictal?✔✔Inducer - will lower dose of Lamictal
What is a Type I research error?✔✔There IS a difference but you say there isn't a difference.
What is a Type II research error?✔✔There is NO difference but you say there is a difference.
What is pseudo-dementia?✔✔Cognitive impairment secondary to depression that clears when
treated in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar grasp?✔✔Yes.
What is a drug 1/2 life?✔✔The time it takes for 50% of a drug to be eliminated from the body.
, What 3 atypicals can be used with teens?✔✔Zyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol?✔✔Serotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS?✔✔HLAB-1502
When might you see toxic epidermal necrolysis?✔✔With worsening of SJS
How many generations do you include for a genogram?✔✔1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for?✔✔Amino Acids
What is epigenetics?✔✔Factors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD?✔✔Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence?✔✔Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia?✔✔10-25 yo
Questions with Verified Solutions
Existential- reflection/self control/personal responsibility✔✔Best therapy for negative thinking
DBT, goal to decrease emotional reactivity/crisis bxs and self validation.✔✔Patient is borderline
and suicidal what therapy?
fairly common in children and will often remit on its own, ADHD concomittant✔✔Tics what
advise?
help the parents with positive reinforcement and parenting skills, limit setting, logical
consequences, consistency, power stuggle/control issues problematic, parenting/family
dysfunction exacerbates✔✔ODD child
scrape toenail and sent for testing✔✔Fungus on toenial
25-35✔✔Age for schizophrenia female
"tell me how the medication works in your body"✔✔bipolar not taking medication
Alpha 2 delta, pregabalin- lyrica✔✔patient has neuropathic pain, what medication will help?
gabapentin not helping
consider cost and revenue, must calculate the time spent with patient vs time spent on risk
called indirect vs direct processing✔✔When opening independent practice
,✔✔Can disclose info to medicare /CMS without consent
lithium✔✔First line neuro-protective for bipolar
check HCG, blackbox for pregnancy, can cause spinal bifida-tetrogenic, also check LFTs,
CBC✔✔What to check in terms of depakote in young girl
✔✔assertive inquiry
strengths and competencies. What is being done currently and assessment of strenghts, no
problem focused, 3 steps are discovery, understanding, amplifying✔✔Appreciate Inquiry
collaborate with ER to provide a psych assessment✔✔Np notices teen with DKA leaving without
eval
proverb interpretation, abstract vs concrete interpretations✔✔MMSE part for thought disorder
to teens in order to normalize the grieving process✔✔Teen commits suicide, NP does
presentation
educate friends/peers✔✔To reduce stigma among teens seeking mental health...
DBT (dialectical behavior therapy)✔✔relaxation muscle prior to DBT
Greatest patient at risk for Violence✔✔Substance abuse
,EMDR (eye movement desensitization and reprocessing)✔✔eye movement desensitization and
reprocessing
What is dissemination?✔✔Getting the research information out to those who need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean?✔✔Moderate cognitive impairment
What is Tegretol in the CYP450 system?✔✔Inducer -->will lower dose of Lamictal and BCP's
What do BCP's do to Lamictal?✔✔Inducer - will lower dose of Lamictal
What is a Type I research error?✔✔There IS a difference but you say there isn't a difference.
What is a Type II research error?✔✔There is NO difference but you say there is a difference.
What is pseudo-dementia?✔✔Cognitive impairment secondary to depression that clears when
treated in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar grasp?✔✔Yes.
What is a drug 1/2 life?✔✔The time it takes for 50% of a drug to be eliminated from the body.
, What 3 atypicals can be used with teens?✔✔Zyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol?✔✔Serotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS?✔✔HLAB-1502
When might you see toxic epidermal necrolysis?✔✔With worsening of SJS
How many generations do you include for a genogram?✔✔1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for?✔✔Amino Acids
What is epigenetics?✔✔Factors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD?✔✔Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence?✔✔Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia?✔✔10-25 yo
