PMHNP certification Exam
Complete Questions and Guide Answers
100% Verified Graded A+
1. Which patient is at highest risk for SI
A. 30y/o married AA female with previous SI attempt *1 risk factor
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
D. 68 y/o single white male with depression *5 risk factors (age, male, white,
depression)
Answer: D. 68 y/o single white male with depression *5 risk factors (age, male, white, depression)
Count the risk factors
2. COWS scale components
Answer: · Opioid W/D
Pulse, sweating, restlessness, pupil size- dilation (if pinpoint= opioid intoxication, not w/d), body aches, Rhinorrhea (running nose),
Lacrimation (eye tearing), GI upset (N/V/D), yawning, tremors, anxiety/irritability, Piloerection (goose- flesh skin), insomnia
3. What does COWS stand for?
Answer: Clinical Opiate Withdrawal Scale
,4. What does CIWA stand for?
Answer: Clinical Institute Withdrawal Assessment
5. What does CIWA assess for?
Answer: --used to determine likelihood of ETOH withdrawal or DTs
--usually occur within the first 24-72 hours after cessation
o used to determine when to administer medications for ETOH withdrawal
6. What does CIWA NOT test for?
Answer: Alcohol Use Disorder
7. What are the CIWA scale components?
Answer: ·N/V,tremor,paroxysmalsweats,anxiety,agitation,tactile disturbances, auditory disturbances, visual
disturbances, H/A, orientation
Each component is scored from 0(none)-7(severe) except orientation wh/ is (0 (AA0x4)-4 (disoriented)
Score
<10 Very mild Start PRN meds at score of 8
>10 to 15 Mild scheduled + PRN meds
>16 to 20 Moderate
>21 Severe Diazepam, Librium, Ativan
8. When interview teenagers (16 y/o) that arrive with their parents what should you do?
Answer: interview them separately from parents.
-This helps Build therapeutic rapport with teens by telling them the info is confidential. Parents may be upset but remember you are
advocating for the child.
9. Which Ethnic group has the highest rate of suicide?
, Answer: Native Americans
10. Example A patient is being treated for schizophrenia with olanzapine. Which of the
following is the most common side effect of olanzapine?
A. Increased waist circumference
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-receptor antago- nism
C. Increased Lipids
D. Metabolic Syndrome
Answer: D. Metabolic Syndrome (UMBRELLA ANSWER)
11. Which antipsychotics have the least weight gain?
Answer: Latuda, Abilify, (also least sedating), Geodon-if patient has metabolic syndrome consider switching to one of the
medications above. Or if the patient is overly sedated try switching to ABILIFY
12. Which mood stabilizer have the least weight gain?
Answer: Lamictal
-But remember all mood stabilizers cause some weight gain
13. When presented with a question about typical vs atypical antipsychotic the answer
is usually to start of a
Answer: atypical
14. A client presents with complains of changes in appetite, feeling fatigued,
problems with sleep-rest cycle, and changes in libido. What is the neu- roanatomical
area of the brain that is responsible for the normal regulation of these functions?
A. Thalamus
B. Hypothalamus
C. Limbic System
, D. Hippocampus
Answer: Hypothalamus
A, B, & D are all part of the limbic system so you can rule that out
15. When a patient is hesitant to participate in treatment you should encour- age?
Answer: Bring a support person like a husband
16. Thyroid-Stimulating hormone normal level
Answer: 0.5-5.0 Mu/L
17. When T4 and T3 are high and TSH is low what is the diagnosis
Answer: HYPERTHYROIDISM, TSH secretion decreases; TSH LOW à key symptoms HEAT INTOLERANCE
18. Key symptoms of Heat Intolerance
Answer: Hyperthyroidism
19. When T4 and T3 are Low and TSH is high what is the diagnosis
Answer: (HYPOTHYROIDISM) TSH secretion increased; TSH HIGH à COLD INTERANCE
20. Key symptoms of Cold Intolerance
Answer: Hypothyroidism
Complete Questions and Guide Answers
100% Verified Graded A+
1. Which patient is at highest risk for SI
A. 30y/o married AA female with previous SI attempt *1 risk factor
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
D. 68 y/o single white male with depression *5 risk factors (age, male, white,
depression)
Answer: D. 68 y/o single white male with depression *5 risk factors (age, male, white, depression)
Count the risk factors
2. COWS scale components
Answer: · Opioid W/D
Pulse, sweating, restlessness, pupil size- dilation (if pinpoint= opioid intoxication, not w/d), body aches, Rhinorrhea (running nose),
Lacrimation (eye tearing), GI upset (N/V/D), yawning, tremors, anxiety/irritability, Piloerection (goose- flesh skin), insomnia
3. What does COWS stand for?
Answer: Clinical Opiate Withdrawal Scale
,4. What does CIWA stand for?
Answer: Clinical Institute Withdrawal Assessment
5. What does CIWA assess for?
Answer: --used to determine likelihood of ETOH withdrawal or DTs
--usually occur within the first 24-72 hours after cessation
o used to determine when to administer medications for ETOH withdrawal
6. What does CIWA NOT test for?
Answer: Alcohol Use Disorder
7. What are the CIWA scale components?
Answer: ·N/V,tremor,paroxysmalsweats,anxiety,agitation,tactile disturbances, auditory disturbances, visual
disturbances, H/A, orientation
Each component is scored from 0(none)-7(severe) except orientation wh/ is (0 (AA0x4)-4 (disoriented)
Score
<10 Very mild Start PRN meds at score of 8
>10 to 15 Mild scheduled + PRN meds
>16 to 20 Moderate
>21 Severe Diazepam, Librium, Ativan
8. When interview teenagers (16 y/o) that arrive with their parents what should you do?
Answer: interview them separately from parents.
-This helps Build therapeutic rapport with teens by telling them the info is confidential. Parents may be upset but remember you are
advocating for the child.
9. Which Ethnic group has the highest rate of suicide?
, Answer: Native Americans
10. Example A patient is being treated for schizophrenia with olanzapine. Which of the
following is the most common side effect of olanzapine?
A. Increased waist circumference
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-receptor antago- nism
C. Increased Lipids
D. Metabolic Syndrome
Answer: D. Metabolic Syndrome (UMBRELLA ANSWER)
11. Which antipsychotics have the least weight gain?
Answer: Latuda, Abilify, (also least sedating), Geodon-if patient has metabolic syndrome consider switching to one of the
medications above. Or if the patient is overly sedated try switching to ABILIFY
12. Which mood stabilizer have the least weight gain?
Answer: Lamictal
-But remember all mood stabilizers cause some weight gain
13. When presented with a question about typical vs atypical antipsychotic the answer
is usually to start of a
Answer: atypical
14. A client presents with complains of changes in appetite, feeling fatigued,
problems with sleep-rest cycle, and changes in libido. What is the neu- roanatomical
area of the brain that is responsible for the normal regulation of these functions?
A. Thalamus
B. Hypothalamus
C. Limbic System
, D. Hippocampus
Answer: Hypothalamus
A, B, & D are all part of the limbic system so you can rule that out
15. When a patient is hesitant to participate in treatment you should encour- age?
Answer: Bring a support person like a husband
16. Thyroid-Stimulating hormone normal level
Answer: 0.5-5.0 Mu/L
17. When T4 and T3 are high and TSH is low what is the diagnosis
Answer: HYPERTHYROIDISM, TSH secretion decreases; TSH LOW à key symptoms HEAT INTOLERANCE
18. Key symptoms of Heat Intolerance
Answer: Hyperthyroidism
19. When T4 and T3 are Low and TSH is high what is the diagnosis
Answer: (HYPOTHYROIDISM) TSH secretion increased; TSH HIGH à COLD INTERANCE
20. Key symptoms of Cold Intolerance
Answer: Hypothyroidism
