PMHNP certification Exam 2024(Actual test verified A+) latest exam update |questions & answers

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1. Which patient is at highest risk for SI
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A. 30y/o married AA female with previous SI attempt *1 risk factor
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B. 35 y/o single Asian male with previous SI attempt *3 risk factors
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C. 38 y/o single AA male who is a manager of a bank *2 risk factors
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D. 68 y/o single white male with depression *5 risk factors (age, male,
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j white, depression): D. 68 y/o single white male with depression *5 risk factors
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j (age, male, white, depression)
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Count the risk factors
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2. When interview teenagers (16 y/o) that arrive with their
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j parents what should you do?: interview them separately from
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j parents.
-This helps Build therapeutic rapport with teens by telling them the info is
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j confiden- tial. Parents may be upset but remember you are advocating for the
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j child.

3. Which Ethnic group has the highest rate of suicide?: Native Americans
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4. Example A patient is being treated for schizophrenia with
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,j olanzapine. Which of the following is the most common side effect
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j of olanzapine?
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A. Increased waist circumference j j




B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-
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receptor an- tagonism j j




C. Increased Lipids j




D. Metabolic Syndrome: D. Metabolic Syndrome (UMBRELLA ANSWER)
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5. Which antipsychotics have the least weight gain?: Latuda, Abilify, (also
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j least sedating), Geodon-if patient has metabolic syndrome consider
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j switching to one of the medications above. Or if the patient is overly sedated
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j try switching to ABILIFY
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6. Which mood stabilizer have the least weight gain?: Lamictal
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-But remember all mood stabilizers cause some weight gain
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7. When presented with a question about typical vs atypical
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j antipsychotic the answer is usually to start of a: atypical j j j j j j j j j




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8. A client presents with complains of changes in appetite, feeling
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fatigued, problems with sleep-rest cycle, and changes in libido. What
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is the neu- roanatomical area of the brain that is responsible for the
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normal regulation of these functions?
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A. Thalamus
B. Hypothalamus
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D. Hippocampus: Hypothalamus j




A, B, & D are all part of the limbic system so you can rule that out
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9. When a patient is hesitant to participate in treatment you should encour-ag
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10. Thyroid-Stimulating hormone normal level: 0.5-5.0 Mu/L j j j j j




11. When T4 and T3 are high and TSH is low what is the diagnosis: HY-
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j PERTHYROIDISM, TSH secretion decreases: TSH LOW à key symptomsj j j j j j j j




j HEAT INTOLERANCE
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12. Key symptoms of Heat Intolerance: Hyperthyroidism
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13. When T4 and T3 are Low and TSH is high what is the diagnosis:
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j (HY- POTHYROIDISM) TSH secretion increased: TSH HIGH à COLD
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j INTERANCE

14. Key symptoms of Cold Intolerance: Hypothyroidism
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15. Hyperthyroid can mimic: Mania j j j




16. Hypothyroid can mimic: Depression j j j




17. A patient on depakote complains of RUQ pain and has
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j reddish/brown urine: Hepatoxicity j j




-Check LFTs j




18. Signs of Depakote toxicity: Disorientation, confusion, lethargy
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19. You suspect depakote toxicity what do you do?: Check
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-LFT
-Ammonia
-Depakote Level j




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