Psychiatric Mental Health Board Certification with questions and answers

Psychiatric Mental Health Board
Certification with questions and
answers

How many total questions are there on the PMH-BC exam? - answers150 (125 scored, 25
b b b b b b b b b b b b b b



unscored)
b




What are the PMH-BC exam requirements? - answersRN license (min 2 years
b b b b b b b b b b b



experience)
b



2,000 hours clinical practice in past 3 years
b b b b b b b



30 hours CE in past 3 years
b b b b b b




10 Test Taking Techniques - answers1. One min per question
b b b b b b b b b



2. Answer every question
b b b



3. Have a "guess" answer
b b b b



4. Identify key words (e.g. age, diagnosis)
b b b b b b



5. Identify priority words (e.g. first, best)
b b b b b b



6. Identify word clues (e.g. physiologic needs)
b b b b b b



7. Identify opposites
b b



8. Identify absolutes (e.g. just, always, never)
b b b b b b



9. Identify duplicate facts
b b b



10. Avoid changing answers
b b b




What are the patient barriers to the therapeutic relationship? - answersThe psychiatric
b b b b b b b b b b b



illness
b



Being resistant to care (paranoia, cultural)
b b b b b



Defense mechanisms b




What are the nurse barriers to the therapeutic relationship? - answersDistracted/
b b b b b b b b b b



preoccupied/ not fully focused on pts. Verbal and nonverbal cues
b b b b b b b b b b



Countertransference
Asking patients "why" questions
b b b



Asking patients more than 1 question at a time
b b b b b b b b




What are the 8 methods to enhance the therapeutic relationship? - answers1. Maintaining
b b b b b b b b b b b b



professional boundaries
b b



2. Comfortable eye contact/ empathetic facial expressions
b b b b b b



3. Engaging with a patient with gentle, supportive tone of voice
b b b b b b b b b b



4. Keeping relaxed, open body posture
b b b b b



5. Providing pt with physical comforts
b b b b b

,6. Actively listening to what patient is saying
b b b b b b b



7. Being fully self-aware
b b b



8. Using Therapeutic silence to allow pt reflect/regroup
b b b b b b b




What practitioners are qualified to make a psychiatric diagnosis? - answersMD
b b b b b b b b b b



DO
NP
PA

What handbook is used to make a psychiatric diagnosis? - answersDSM-5
b b b b b b b b b b




In what year was the first DSM published? - answers1952
b b b b b b b b b




What are the 5 characteristics of stable mental health? - answers1. Accurately appraise
b b b b b b b b b b b b



and interpret reality
b b b



2. Love, experience joy, play and laugh
b b b b b b



3. Think clearly, make appropriate decisions and problem solve
b b b b b b b b



4. Control one's behavior and cope with one's thoughts
b b b b b b b b



5. Relate to other's, form relationships, experience empathy, and manage conflict
b b b b b b b b b b



constructively
b




What are the 5 characteristics of a mental health disorder? - answers1. Impairment of
b b b b b b b b b b b b b



brain functioning caused by neurotransmitter dysfunction, abnormal brain structure,
b b b b b b b b b



genetic factors or injury
b b b b



2. There is evidence showing that severe psychological trauma causes physical brain
b b b b b b b b b b b



injury
b



3. Dysfunction in cognition, emotion regulation or behavior
b b b b b b b



4. It is usually associated with distress or disability in important activities, relationships or
b b b b b b b b b b b b b



occupations
b



5. The inability to cope with life stressors, including job changes, loss of a loved one, birth
b b b b b b b b b b b b b b b b



of a child, medical challenges, etc.
b b b b b b




What does the AIMS assessment stand for? - answersAbnormal Involuntary Movement
b b b b b b b b b b



Scale
b




What does the AIMS assessment tool evaluate? - answersAssesses the presence and
b b b b b b b b b b b



severity of abnormal extremity, facial and body movement.
b b b b b b b b



Higher score = worse impairment
b b b b




What does the BDI assessment stand for? - answersBeck Depression Inventory
b b b b b b b b b b




What does the BDI assessment tool evaluate? - answersMeasures the presence and
b b b b b b b b b b b



severity of depression
b b b




What BDI score is associated with moderate depression? - answers19-29
b b b b b b b b b

,What does the BVC assessment tool stand for? - answersBroset Violence Checklist
b b b b b b b b b b b




What does the BVC assessment tool evaluate? - answersThe degree or risk a patient has
b b b b b b b b b b b b b b



of becoming violent.
b b b



Higher score = more likely they will become violent
b b b b b b b b




What does the CAGE assessment tool assess for? - answersAssess for drug and/or
b b b b b b b b b b b b



alcohol substance use disorder
b b b b



Score of 2 or greater indicates substance use disorder
b b b b b b b b




What does CAGE stand for? - answersCut, Annoyed, Guilty, Eye Opener
b b b b b b b b b b



Need to cut back, annoyed by criticism, guilty about use, eye opener in the morning
b b b b b b b b b b b b b b




What does CIWA-AR stand for? - answersClinical Institute Withdrawal Assessment form
b b b b b b b b b b



for Alcohol, Revised
b b b




What does the CIWA-AR assessment tool assess for? - answersAlcohol withdrawal
b b b b b b b b b b



symptoms
b



Higher score = more severe withdrawal
b b b b b




What does C-SSRS stand for? - answersColumbia- Suicide Severity Rating Scale
b b b b b b b b b b




What does C-SSRS evaluate? - answersReliably predicts the level of risk an individual
b b b b b b b b b b b b



dying by suicide.
b b b



Higher the score, the more the patient is at risk
b b b b b b b b b




What does COWS stand for? - answersClinical Opiate Withdrawal Scales
b b b b b b b b b




What scores are considered to indicate severe withdrawal on the COWS scale? -
b b b b b b b b b b b b



answersAny score 36 + is considered severe withdrawal
b b b b b b b b



Mild 5-12, Moderate 13-24, Moderately Severe 25-36, Severe 36 +
b b b b b b b b b




What is the Conners Rating Scale used to assess for? - answersAssesses for the
b b b b b b b b b b b b b



presence and severity of ADHD in children and adolescents 6-18 years old
b b b b b b b b b b b b




What score on the Conners Rating Score indicates a moderate severity level of issues? -
b b b b b b b b b b b b b b



answers60-70
b



<60 = no issues, 60-70 = moderate issues, 70 + = severe issues
b b b b b b b b b b b b




What does the HAM-A Scale stand for? - answersHamilton Anxiety Score
b b b b b b b b b b




What does the HAM-A Scale assess? - answersAssesses degree of anxiety, taking both
b b b b b b b b b b b b



physical and psychological symptoms into consideration
b b b b b b



Scores range 0-56; the higher the score, the worse the impairment
b b b b b b b b b b

, What does the HEEADSSS Scale stand for? -
b b b b b b b



answersHome/Education/Employment/Eating/Activities/Drugs/Suicide/Sexuality/Safety
b




What does the HEEADSSS Scale evaluate? - answersA big picture look of an
b b b b b b b b b b b b



adolescent's well-being
b b




What does the MSE stand for? - answersMental Status Exam
b b b b b b b b b




What 9 areas of functioning does the MSE assess for? - answers1. Appearance
b b b b b b b b b b b b



2. Behavior
b



3. Mood
b



4. Affect
b



5. Thought process and content
b b b b



6. Perception
b



7. Sensorium
b



8. Judgment
b



9. Insight
b




What does a lower score on MSE indicate? - answersWorse impairment (the lower the
b b b b b b b b b b b b b



score, the worse the impairment)
b b b b b




What does the MMSE stand for? - answersMini Mental State Exam
b b b b b b b b b b




What is the MMSE used to evaluate for? - answersUsed to evaluate cognition; usually to
b b b b b b b b b b b b b b



evaluate the presence of dementia.
b b b b b



Tests memory recall, executive function and language
b b b b b b




What score on the MMSE is associated with normal cognitive functioning? - answers24 +
b b b b b b b b b b b b b



is considered to show normal cognitive functioning
b b b b b b b



Lower the score, the worse the impairment
b b b b b b




How often should pain be reassessed for ________?
b b b b b b b



boral medicationb



bIM medication
b



bnon-pharmacologic intervention - answersoral medication = reassess within 60 minutes b b b b b b b b b



bof administration
b



IM medication = reassess within 30 minutes of administration
b b b b b b b b



Non-pharmacologic intervention = reassess within 30 minutes of administration b b b b b b b b




What are the 11 components of the MMSE? - answers1. Orientation to time (date, month,
b b b b b b b b b b b b b b



year, day of week, season)
b b b b b



2. Orientation to place (current location, city, state, country)
b b b b b b b b



3. Immediate recall (give 3 words to remember, ask to repeat later)
b b b b b b b b b b b



4. Attention (count backwards from 100 by 7, spell 'WORLD' backwards)
b b b b b b b b b b



5. Delayed verbal recall (recall previous 3 words)
b b b b b b b



6. Naming (show a pencil and paperclip and ask patient to identify objects by name)
b b b b b b b b b b b b b b