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Exam (elaborations)

LMR PMHNP Test Bank – Psychiatric Mental Health Nurse Practitioner (2026/2027)

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The LMR PMHNP Test Bank provides multiple-choice, scenario-based, and application questions with verified answers for psychiatric mental health nurse practitioner students. Topics include psychiatric assessment, diagnosis, psychopharmacology, therapeutic interventions, and clinical decision-making. Designed for exam preparation, self-study, and classroom review. Fully updated for 2026/2027 to align with current PMHNP education standards and clinical practice requirements.

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Uploaded on
January 14, 2026
Number of pages
34
Written in
2025/2026
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When does behavior Admission- Behavior management and support starts when the
management and support patient is admitted. It does not start couple days after or when
begin? they discharge

When interviewing patient you want to interview them in the day
room where you can have the door slightly open this allows us to
Where should you interview
have confidentiality but also keep staff safe.
patients?
*Learn as much as you can about the patient BEFORE entering
room.

What should you do if a child -You should separate parents and child and interview you them
reports abuse while with separately
parents? -Report them to CPS

*sexual abuse
-You can immediately report to CPS suspecting alone is enough.
A child comes without parents
You are not required to notify parents/legal guardian that you
and notice that the child is
are reporting them.
playing in a sexual way with a
-Put in Sexual precaution when admitted to hospital.
toy. what should you suspect?
-If the child is standing in a sexual way. (We need to worry about
sexual abuse)

What should you do as the the priority is to provide and environment of their safety or
PMHNP if a patient comes in ensure them of safety, even if it is an intervention
due to being a victim of
abuse/rape?

What would you do if a patient If inpatient and making a decision to discharge, make sure the
that came in for abuse/rape patient is able to stay safe and developed coping skills
wants to discharge?

-If inpatient and interviewing patients, do not interview in their
Where would you interview a
room or day room.
patient with a recent history of
-Interview in a private office with the door open or partially
abuse/rape?
open


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If the patient is suicidal and have an intent
Homicidal
If one is older than the other then you need to report to
parents.
When is the only time you have If they are attracted to the same gender we don't need to tell
to break confidentiality? parents.
You don't need to report to the parents about a same age
relationship
Consensual relationships.
They have the right to confidentiality not privacy

Why do a a lot of women Due to the gap of care, it is important to collaborate with OB Dr.
attempt suicide during to do risk assessment
postpartum?

-It should not be delegated, should be collaborated team effort.
- Before picking the answer to refer the patient out, make sure
As a PMHNP would it be in the there is nothing else in your scope that you can do
patient's best interest to Ex: You notice a lot of women have Post-partum depression and
ask/delegate to another are discharged after delivery without mental health evaluation
professional to do a job? and have noticed a gap in care - collaboration might be working
with OB to develop a screening process that is interprofessional
collaboration

If the patient inhaled acetone -Assess them first before sending them out
and is feeling weird should you -Urine draw screen- acetone has alcohol
refer to primary care dr.? -Screen for other substance use

11a. Is a cultural response a A cultural expected response to a stressor in NOT a mental
mental illness? illness

What culture can have an Native Americans
imbalance between an
individual relationship with the
world?

- When a question is very specific on cultural of patient it is most
of the time a cultural question
A patient presents with a culture - Then cultural assessment (cultural formulation interview) is
base. what should the interview important
be based on? What do their symptoms mean in their culture
- A cultural expected response to a stressor is NOT a mental
illnes

What is the process of Cultural * Interview (assessment) → Clarify the meaning of the illness →
formulation? Contextualize the situation in local world → Empower the patient

- Offer them brief supportive therapy
13. If the patient is dealing with Respect
cultural syndrome, what should - Educate others regarding cultural sensitivity.
you do? Ex. In the Native cultures, mental illness is viewed as an
imbalance between an individual relationship and the world.

What ethnic group/culture is the They believe it helps them heal. Teach the staff about cultural
Healing stick associated with competencies.
and what is its purpose?

If the patient lost their job, Offer them brief supportive therapy
or/and house, what should you
offer?



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learning by combining
package saves
textbook
timecontent
and enhances
with practice
learning
exercises
by combining
and detailed
textbook
solutions.
contentWhether
with practice
you?reexercises
preparing
and
fordetailed
exams, solutions.
teaching
Page
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course,
2/ Stuvia)
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prep

,hndpractice
enhances3exercises
oflearning
34Thisand
comprehensive
by detailed
combiningsolutions.
textbook
package
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content
savesyou?re
time
with practice
and
preparing
enhances
exercises
forlearning
exams,
and detailed
teaching
by combining
solutions.
a course,
textbook
Whether
or mastering
content
you?re
with
advanced
preparing
practiceaccounting,
exercises
for exams,and
this
teaching
detailed
packagea course,
solutions.
provides
oreveryt
Whether
masteringyou?r
adva


- Conduct a cultural assessment
What if the patient is dealing
- Validate the patient symptoms
with somatic complaints of pain
- Clarify formulation interviews
but states the primary care
- Clarify meaning of illness or predicament
could not find anything what
- Contextualize their situation in their local world
should you do?
- Empower the patient.

What is ethnocpecific Should be used during multicultural teaching based on individual
assessment parameters? when culture.
should it be used?

What is the only medication that Clozaril
can decrease thought of self-
harm in patients with
schizophrenia?

What culture/ethnic group has Native Americans
the highest risk of suicide in the
US?

What should you do if your Make accommodations and get an interpreter that is called
patient does not understand the being culturally sensitive.
English language?

Patient wants you to provide You should obtain clearance first and get informed consent.
information to their traditional
healer. What should you do
first?

It is the symptoms and attributions that are usually seen in
What are Cultural syndromes?
individuals in specific cultural group and communities.

It is a common folk illness in the latino population that results
What is Susto (Fright)? from a shocking, unpleasant, or frightening experience that is
believed to cause the soul to leave the body.

Appetite disturbance, inadequate or excessive sleep, trouble
What are some symptoms of
sleeping, or dreams, sadness, lack of motivation and feelings of
susto (Fright)?
low self esteem worth or dirtiness.

Puerto Ricans syndrome its uncontrolled shouting, crying,
What is ataque de nervios and
trembling, heat in the chest rising into the head and verbal or
who believes in it?
physical aggression.

What is mal de ojo (Evil eye)? Fatigue, headache, weight loss, exhaustion and malaise

What is empacho (Blocked Indigestion (feeling bloated, nausea, vomiting)
intestine)?

Its when the baby's soft spot on top of head is sunken in (sunken
What is mollera caida?
fontanel)

What should you do if a patient Seclude her and monitor till the patient can be evaluated in
is combative towards staff and person.
other patients?

Neuronal loss or cell death/ cell exictiontion/cell shrinkage cell
What is apoptosis?
disintegration

0.5-5.0 Mu/L
What is the thyroid- stimulating
Note: Normal level of TSH is 0.5 to 5.0 if the TSH is under this
hormone (TSH) normal lab
range it is considered HYPERthyroidism if the level is higher than
value?
range it is considered HYPOthyroidism



me and enhances
3This comprehensive
learning by combining
package saves
textbook
timecontent
and enhances
with practice
learning
exercises
by combining
and detailed
textbook
solutions.
contentWhether
with practice
you?reexercises
preparing
and
fordetailed
exams, solutions.
teaching
Page
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course,
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,hndpractice
enhances4exercises
oflearning
34Thisand
comprehensive
by detailed
combiningsolutions.
textbook
package
Whether
content
savesyou?re
time
with practice
and
preparing
enhances
exercises
forlearning
exams,
and detailed
teaching
by combining
solutions.
a course,
textbook
Whether
or mastering
content
you?re
with
advanced
preparing
practiceaccounting,
exercises
for exams,and
this
teaching
detailed
packagea course,
solutions.
provides
oreveryt
Whether
masteringyou?r
adva


What does hypothyroidism depression
mimic?

What does hyperthyroid mimic? Mania

When T3 and T4 are high, what The TSH secretion decreases hyperthyroidism and causes heat
happens to the TSH and what intolerance, agitation, anxiety, irritability, tachycardia, mood
happens and symptoms are swings, weight loss.
experienced ?

When T3 and T4 are low, what The TSH increases and causes hypothyroidism and they
happens with TSH what happens experience cold intolerance lethargy, weight gain, decrease
and symptoms are experienced libido
?

What is happens if Patient takes Spina bifida neural tube defect
depakote (Dipoprolax) while
pregnant

What are symptoms of Red/ brown urine, RUQ pain
Hepatotoxicity ?

What should you do if a patient -Has the patient immediately STOP the medication!
is showing signs of -Check LFT (AST/ALT)
Hepatotoxicity?

What labs should be checked AST(5-40)/ALT(5-35)(Liver function test right away)
when a patient is on depakote
regulary?

Therapeutic levels for valproate 50-125 Toxicity occurs in levels above 150
acid are?

It can cause pancreatitis s/s patient complaining of abdomen
What can depakote cause?
pain that radiates to back/

*Disorientation
What are signs and symptoms
*Lethargy
the Nurse may recognize with
*Respiratory depression
valproic acid toxicity?
*nausea/vomiting

*DC medication
What interventions would a
*Check valproic avid levels
PMHNP expect with a patient
*Check LFT
with valproic acid toxicity?
*Check Ammonia levels

A patient on depakote presents Pancreatitis
with upper abd pain radiating to
back, abd tenderness, fever,
rapid pulse, NV, oily stools?

What is Kava used for? Its a herbal supplement to treat anxiety, stress, insomnia

What medication should not be Benzos (Xanax) it can cause drowsiness
used with Kava?

What medications can you not Sedatives like CNS depressantsClonazepam, lorazepam,
take KAVA with? phenobarbital, zolipedm

What is a side effect of using Liver damage
Kava?

What medication is the least Ariprazole (Abilify)
sedating antipsychotic
medication?

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timecontent
and enhances
with practice
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and detailed
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fordetailed
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aWhether
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4/ Stuvia)
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