PMHNP Mock Board Review (Fitzgerald) 2025 with 100% accurate answers

The goal of primary prevention is the ___ of disease and examples of primary prevention include: (x2) - correct answer️️Prevention of Disease Immunization Counseling about Safety The goal of secondary prevention is ___ of disease and examples of secondary prevention include: (x2) - correct answer️️Early Detection of Disease Blood Pressure Colonoscopy The goal of tertiary prevention is ___ of disease and examples of tertiary prevention include: (x1) - correct answer️️Minimizing Negative Outcomes from Disease Adjust therapy to avoid end organ damage Screen men for colorectal CA at ___ y/o age and women for Cervical/Breast CA at ___ y/o - correct answer️️50 y/o 21 y/o Up to 44% of patients taking Valproate (Depakote) will have elevated ___ - correct answer️️ALT/AST The GGT ranges from ___ u/L and can be elevated due to ___ - correct answer️️0-45 u/L ETOH abuse The best measurement of kidney function is GFR and GFR is normal at ___ mL/min - correct answer️️90 mL/min If a patients Na levels are low (35), they will ___ lithium which can result in the medical emergency of ___ and signs of this medical emergency include (x3) Lithium can cause (x2) making it hard to moniter NA levels and there is an increased risk of gouter and ___ for Pts on Lithium The medical emergency ___ is Tx with ___ (which should considered at levels 2.5 mEq/L absolutely be done if lithium levels reach ___ mEq/L) - correct answer️️Reabsorb lithium Lithium Toxicity Hyperreflexia Arrhythmias Lithium Toxicity 4.0 mEq/L Nystagmus Polydipsia / Polyuria Peripheral Edema To initiate a Pt on the 3rd line antipsychotic ___ the ANC needs to be over ___ and stop treatment if ANC is ___ - correct answer️️Clozapine (Clozaril) ANC 1,500 ANC1,000 Normal TSH levels - correct answer️️0.4-4.0 High TSH (0.4-4.0 mlU/ mL normal) and Low T4 (10-27 pmol/L normal) - correct answer️️Hypothyroidism Low TSH (0.4-4.0 mlU/ mL normal) and High T4 (10-27 pmol/L normal) - correct answer️️Hyperthyroidism Defense mechanisms are derived out of Freud's ___ Models (Id, Ego, SuperEgo) - correct answer️️Psychoanalytic Birth order was stressed by ___ who recognized ___ as a driving force and created ___ theory - correct answer️️Adler Inferiority (think Inferiority Complex) Personality Theory Attachment Theory was developed by ___ and the purpose of attachment is to ensure closeness and stability through a ___ in development Healthy attachment is ___ attachment in both children and adults - correct answer️️Bowlby Secure Base (Sense of Security for child) Secure Attachment unconditional positive regard was created by ___ who believed that Pts would develop ___ & self-acceptance - correct answer️️Carl Rogers Self-Awareness Maslow's Hierarchy of Needs includes physiological, safety, love/belonging, esteem, and ___ (the highest need) is also known as ___ psychology - correct answer️️Self-Actualization Humanistic Psychology Therapeutic Theory that focuses on the 'here and now' is ___ Therapy and was developed by Fitz ___ A Gestalt Therapist may ask directive questions utilizing ___ to elicit the client to have increased ___ and decreased avoidance. - correct answer️️Gestalt Therapy Fitz Perls Confrontation Nigrostriatal Pathway The action of any antipsychotic is to block the ___ receptor and the ___ receptor inhibits the formation of cAMP by inhibition of the enzyme ___ - correct answer️️D2 adenylate cyclase Concomitant use of triptans and SSRI or SNRI antidepressants has led to an FDA warning for ___ (but the risk is low according to JAMA study)