GEORGETTE REVIEW PMHNP Practice Exam
Study Guide Questions And Answers Verified
100% Correct
Autism - ANSWER -deficits in social communication and social interaction
across multiple settings
Parents of kids with autism may report - ANSWER -No response when called by
name
Little or no eye contact
Children with autism often like to line up, stack, or organize objects and toys.
Screenings for autism - ANSWER -ADOS
M-CHAT
ASQ
Pharm management for autism - ANSWER -antipsychotics are effective for
symptoms such as tantrums, aggressive behaviors, self-injurious behaviors
Serotonin is a neurotransmitter that is implicated in sleep and mood. What area of
the brain has a large majority of serotonin neurons?
A. raphe nuclei
B. Nucleus acumbuns
C. Locus coeruleus
D. Amygdala - ANSWER -raphe nuclei
Executive functioning, thinking, planning, organizing, and problem solving,
emotions, and behavioral control, personality - ANSWER -frontal lobe
memory, understanding, language - ANSWER -temporal lobe
Both hemispheres of the brain are connected by the - ANSWER -corpus callosum
Area of sensorimotor information exchange between two hemispheres -
ANSWER -corpus callosum
When there is disturbances in clock drawing test, which hemisphere is
compromised - ANSWER -right hemisphere/right parietal lobe
,Area for expressive speech - ANSWER -frontal lobe
Broca's Area
Problems in the frontal lobe can lead to - ANSWER -personality changes,
emotional changes, and intellectual changes, social skills problems, and behavior
changes
Area for receptive speech and language comprehension - ANSWER -Temporal
lobe
Wernicke's area
Problems in the temporal lobe can lead to - ANSWER -auditory hallucinations,
aphasia, and amnesia
Occipital lobe - ANSWER -primary visual area
problems in the occipital lobe can lead to - ANSWER -Visual field deficits,
blindness and visual hallucinations.
primary sensory area of the brain - ANSWER -parietal lobe
problems in the parietal lobe can lead to - ANSWER -Sensory-perceptual
disturbances and agnosia(inability to perceive objects)
R-L confusion
Difficulty writing (agraphia)
Aphasia(difficulty of language)
Cerebellum is responsible for - ANSWER -gross motor skills
fine motor skills
balance
A client experiencing difficulties with working memory, planning, and
prioritizing, insight into his problems, and impulse control presents for assessment.
In planning his care, the PMHNP should apply his knowledge that these symptoms
represent problems with the
A. frontal lobe
B. Temporal lobe
C. Parietal lobe
D. Occipital lobe - ANSWER -frontal lobe
,Impairments in the clock drawing test can be associated with - ANSWER -
damage to the right parietal lobe
What part of the brain is responsible for regulating emotions?
A. Wernicke's area
B. Occipital lobe
C. Hippocampus
D. Parietal lobe - ANSWER -Hippocampus
Limbic system responsible for - ANSWER -emotions and memory
Hypothalamus - ANSWER -appetite, hunger, water balance, circadian rhythms,
libido, hormonal regulation
thalamus - ANSWER -sensory relay for smell
emotions, memory, and regulated affective behaviors
amygdala - ANSWER -regulated emotion
mediates mood
emotional memories/meanings, fear, anxiety, stress emotion, aggression
substantia nigra - ANSWER -motor movements
amygdala= - ANSWER -emotional memory
Which of these brain structures puts emotional meaning on a stimulus, forms,
emotional memories and is involved with rage and fear - ANSWER -amygdala
A client presents with complaints of changes in appetite, feeling fatigued,
problems with sleep-rest cycle, and changes in libido. What is the neuroanatomical
areas off the brain that is responsible for the regulation of these functions? -
ANSWER -Hypothalamus
Which serotonin receptor antagonism makes an antipsychotic "atypical" -
ANSWER -5HT2A
Excess dopamine in this area causes positive schizophrenic symptoms -
ANSWER -meoslimbic pathway
, decreased dopamine leads to negative symptoms of schizophrenia - ANSWER -
mesocortical pathway
Increased blockade of dopamine here leads to EPS - ANSWER -nigrostriatal
pathway
Blockade of dopamine in this pathway can lead to increased prolactin levels -
ANSWER -tuberoinfundibular pathway
Muscle spasms ninth face, neck, tongue, back/neck muscles - ANSWER -acute
dystonia
Oculogyric crisis, which can lead to permanent injury. Patients have prolonged
involuntary upwards deviation of the eyes bilaterally. - ANSWER -Rare
presentation of acute dystonia.
Pharm treatment for dystonia - ANSWER -cogentin (IM first then oral)
Restlessness, inability to sit still. Pacing.
Mistaken for anxiety. - ANSWER -Akathisia
Commonly used rating scale for akathisia is - ANSWER -Barnes Akathisia rating
scale and extrapyramidal symptom rating scale.
Treatment for akathisis
1st line
2nd line
3rd line - ANSWER -1st: beta blocker
2nd: Cogentin
3rd: bnzodiazepine
Absence of movement or difficulty initiating movement - ANSWER -akinesia
Treatment: cogentin
Presence of symptoms of Parkinson's produced by D2 blockade in the nigrostriatal
pathway - ANSWER -Pseudo-Parkinsonism
Signs of Parkinsons - ANSWER -muscle rigidity
shuffling gait
mask like facial expression
Study Guide Questions And Answers Verified
100% Correct
Autism - ANSWER -deficits in social communication and social interaction
across multiple settings
Parents of kids with autism may report - ANSWER -No response when called by
name
Little or no eye contact
Children with autism often like to line up, stack, or organize objects and toys.
Screenings for autism - ANSWER -ADOS
M-CHAT
ASQ
Pharm management for autism - ANSWER -antipsychotics are effective for
symptoms such as tantrums, aggressive behaviors, self-injurious behaviors
Serotonin is a neurotransmitter that is implicated in sleep and mood. What area of
the brain has a large majority of serotonin neurons?
A. raphe nuclei
B. Nucleus acumbuns
C. Locus coeruleus
D. Amygdala - ANSWER -raphe nuclei
Executive functioning, thinking, planning, organizing, and problem solving,
emotions, and behavioral control, personality - ANSWER -frontal lobe
memory, understanding, language - ANSWER -temporal lobe
Both hemispheres of the brain are connected by the - ANSWER -corpus callosum
Area of sensorimotor information exchange between two hemispheres -
ANSWER -corpus callosum
When there is disturbances in clock drawing test, which hemisphere is
compromised - ANSWER -right hemisphere/right parietal lobe
,Area for expressive speech - ANSWER -frontal lobe
Broca's Area
Problems in the frontal lobe can lead to - ANSWER -personality changes,
emotional changes, and intellectual changes, social skills problems, and behavior
changes
Area for receptive speech and language comprehension - ANSWER -Temporal
lobe
Wernicke's area
Problems in the temporal lobe can lead to - ANSWER -auditory hallucinations,
aphasia, and amnesia
Occipital lobe - ANSWER -primary visual area
problems in the occipital lobe can lead to - ANSWER -Visual field deficits,
blindness and visual hallucinations.
primary sensory area of the brain - ANSWER -parietal lobe
problems in the parietal lobe can lead to - ANSWER -Sensory-perceptual
disturbances and agnosia(inability to perceive objects)
R-L confusion
Difficulty writing (agraphia)
Aphasia(difficulty of language)
Cerebellum is responsible for - ANSWER -gross motor skills
fine motor skills
balance
A client experiencing difficulties with working memory, planning, and
prioritizing, insight into his problems, and impulse control presents for assessment.
In planning his care, the PMHNP should apply his knowledge that these symptoms
represent problems with the
A. frontal lobe
B. Temporal lobe
C. Parietal lobe
D. Occipital lobe - ANSWER -frontal lobe
,Impairments in the clock drawing test can be associated with - ANSWER -
damage to the right parietal lobe
What part of the brain is responsible for regulating emotions?
A. Wernicke's area
B. Occipital lobe
C. Hippocampus
D. Parietal lobe - ANSWER -Hippocampus
Limbic system responsible for - ANSWER -emotions and memory
Hypothalamus - ANSWER -appetite, hunger, water balance, circadian rhythms,
libido, hormonal regulation
thalamus - ANSWER -sensory relay for smell
emotions, memory, and regulated affective behaviors
amygdala - ANSWER -regulated emotion
mediates mood
emotional memories/meanings, fear, anxiety, stress emotion, aggression
substantia nigra - ANSWER -motor movements
amygdala= - ANSWER -emotional memory
Which of these brain structures puts emotional meaning on a stimulus, forms,
emotional memories and is involved with rage and fear - ANSWER -amygdala
A client presents with complaints of changes in appetite, feeling fatigued,
problems with sleep-rest cycle, and changes in libido. What is the neuroanatomical
areas off the brain that is responsible for the regulation of these functions? -
ANSWER -Hypothalamus
Which serotonin receptor antagonism makes an antipsychotic "atypical" -
ANSWER -5HT2A
Excess dopamine in this area causes positive schizophrenic symptoms -
ANSWER -meoslimbic pathway
, decreased dopamine leads to negative symptoms of schizophrenia - ANSWER -
mesocortical pathway
Increased blockade of dopamine here leads to EPS - ANSWER -nigrostriatal
pathway
Blockade of dopamine in this pathway can lead to increased prolactin levels -
ANSWER -tuberoinfundibular pathway
Muscle spasms ninth face, neck, tongue, back/neck muscles - ANSWER -acute
dystonia
Oculogyric crisis, which can lead to permanent injury. Patients have prolonged
involuntary upwards deviation of the eyes bilaterally. - ANSWER -Rare
presentation of acute dystonia.
Pharm treatment for dystonia - ANSWER -cogentin (IM first then oral)
Restlessness, inability to sit still. Pacing.
Mistaken for anxiety. - ANSWER -Akathisia
Commonly used rating scale for akathisia is - ANSWER -Barnes Akathisia rating
scale and extrapyramidal symptom rating scale.
Treatment for akathisis
1st line
2nd line
3rd line - ANSWER -1st: beta blocker
2nd: Cogentin
3rd: bnzodiazepine
Absence of movement or difficulty initiating movement - ANSWER -akinesia
Treatment: cogentin
Presence of symptoms of Parkinson's produced by D2 blockade in the nigrostriatal
pathway - ANSWER -Pseudo-Parkinsonism
Signs of Parkinsons - ANSWER -muscle rigidity
shuffling gait
mask like facial expression
