1
PMHNP
CERTIFICATION
EXAM
2024(ACTUAL
TEST VERIFIED
A+)
1 s/ s38
,1. Which patient is at highest risk for SI
s s s s s s s
A. 30y/o married AA female with previous SI attempt *1 risk factor
s s s s s s s s s s
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
s s s s s s s s s s s
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
s s s s s s s s s s s s s s
D. 68 y/o single white male with depression *5 risk factors (age, male,
s s s s s s s s s s s
white, depression): D. 68 y/o single white male with depression *5 risk
s s s s s s s s s s s s
factors (age, male, white, depression)
s s s s s
Count the risk factors
s s s
2. When interview teenagers (16 y/o) that arrive with their
s s s s s s s s
sparents what should you do?: interview them separately from
s s s s s s s s
parents.
s
-This helps Build therapeutic rapport with teens by telling them the info is
s s s s s s s s s s s s
confiden- tial. Parents may be upset but remember you are advocating for
s s s s s s s s s s s s
the child.
s s
3. Which Ethnic group has the highest rate of suicide?: Native Americans
s s s s s s s s s s
4. Example A patient is being treated for schizophrenia with
s s s s s s s s
solanzapine. Which of the following is the most common side effect
s s s s s s s s s s
sof olanzapine?
s
A. Increased waist circumference s s
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-
s s s s s s s s
receptor an- tagonism s s
C. Increased Lipids s
D. Metabolic Syndrome: D. Metabolic Syndrome (UMBRELLA ANSWER) s s s s s s
5. Which antipsychotics have the least weight gain?: Latuda, Abilify, (also
s s s s s s s s s
least sedating), Geodon-if patient has metabolic syndrome consider
s s s s s s s s
switching to one of the medications above. Or if the patient is overly
s s s s s s s s s s s s s
sedated try switching to ABILIFY
s s s s s
6. Which mood stabilizer have the least weight gain?: Lamictal
s s s s s s s s
2 s/ s38
,-But remember all mood stabilizers cause some weight gain
s s s s s s s s
7. When presented with a question about typical vs
s s s s s s s
atypical antipsychotic the answer is usually to start of a:
s s s s s s s s s s
atypical
s
3 s/ s38
, 2
8. A client presents with complains of changes in appetite, feeling
s s s s s s s s s
sfatigued, problems with sleep-rest cycle, and changes in libido. What
s s s s s s s s s
sis
the neu- roanatomical area of the brain that is responsible for the normal
s s s s s s s s s s s s
sregulation of these functions?
s s s
A. Thalamus
B. Hypothalamus
C. Limbic System s
D. Hippocampus: Hypothalamus s
A, B, & D are all part of the limbic system so you can rule that out
s s s s s s s s s s s s s s s s
4 s/ s38
PMHNP
CERTIFICATION
EXAM
2024(ACTUAL
TEST VERIFIED
A+)
1 s/ s38
,1. Which patient is at highest risk for SI
s s s s s s s
A. 30y/o married AA female with previous SI attempt *1 risk factor
s s s s s s s s s s
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
s s s s s s s s s s s
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
s s s s s s s s s s s s s s
D. 68 y/o single white male with depression *5 risk factors (age, male,
s s s s s s s s s s s
white, depression): D. 68 y/o single white male with depression *5 risk
s s s s s s s s s s s s
factors (age, male, white, depression)
s s s s s
Count the risk factors
s s s
2. When interview teenagers (16 y/o) that arrive with their
s s s s s s s s
sparents what should you do?: interview them separately from
s s s s s s s s
parents.
s
-This helps Build therapeutic rapport with teens by telling them the info is
s s s s s s s s s s s s
confiden- tial. Parents may be upset but remember you are advocating for
s s s s s s s s s s s s
the child.
s s
3. Which Ethnic group has the highest rate of suicide?: Native Americans
s s s s s s s s s s
4. Example A patient is being treated for schizophrenia with
s s s s s s s s
solanzapine. Which of the following is the most common side effect
s s s s s s s s s s
sof olanzapine?
s
A. Increased waist circumference s s
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-
s s s s s s s s
receptor an- tagonism s s
C. Increased Lipids s
D. Metabolic Syndrome: D. Metabolic Syndrome (UMBRELLA ANSWER) s s s s s s
5. Which antipsychotics have the least weight gain?: Latuda, Abilify, (also
s s s s s s s s s
least sedating), Geodon-if patient has metabolic syndrome consider
s s s s s s s s
switching to one of the medications above. Or if the patient is overly
s s s s s s s s s s s s s
sedated try switching to ABILIFY
s s s s s
6. Which mood stabilizer have the least weight gain?: Lamictal
s s s s s s s s
2 s/ s38
,-But remember all mood stabilizers cause some weight gain
s s s s s s s s
7. When presented with a question about typical vs
s s s s s s s
atypical antipsychotic the answer is usually to start of a:
s s s s s s s s s s
atypical
s
3 s/ s38
, 2
8. A client presents with complains of changes in appetite, feeling
s s s s s s s s s
sfatigued, problems with sleep-rest cycle, and changes in libido. What
s s s s s s s s s
sis
the neu- roanatomical area of the brain that is responsible for the normal
s s s s s s s s s s s s
sregulation of these functions?
s s s
A. Thalamus
B. Hypothalamus
C. Limbic System s
D. Hippocampus: Hypothalamus s
A, B, & D are all part of the limbic system so you can rule that out
s s s s s s s s s s s s s s s s
4 s/ s38