FITZGERALD PMHNP PSYCHIATRIC
MENTAL HEALTH NURSE PRACTITIONER
FINAL TESTBANK FINAL STUDY GUIDE
2026 SOLVED QUESTIONS FULLY CORRECT
⫸ Hannah 1-week follow-up after starting antidepressant. Most
important question to ask? Answer: "Have you experienced any increase
in suicidal ideation?"
⫸ Hannah 5 weeks on low-dose antidepressant, PHQ-9 from 14 to 11,
tolerating well, partial response. Next best action? Answer: Increase the
dose of medication and return in 4 weeks.
⫸ 37-year-old man with bipolar disorder on quetiapine after suicide
attempt; consider adding which medication? Answer: Lithium.
⫸ 19-year-old woman with bulimia nervosa discontinuing diuretics.
Key counseling point? Answer: Rebound edema and weight gain will
likely occur but will resolve in 1-2 weeks.
⫸ Initiating lithium for mood stabilization. When should serum lithium
level be checked? Answer: In 5 days.
⫸ 27-year-old woman on SSRI for GAD, has weekly migraines. What
to recommend for acute migraine? Answer: Ibuprofen.
,⫸ Bipolar I woman with moderate-severe bipolar depression; which is
FDA-approved for bipolar depression? Answer: Lurasidone.
⫸ Lanugo is most often associated with which disorder? Answer:
Anorexia.
⫸ Counseling woman discontinuing long-term benzodiazepines for
panic disorder. Incorrect statement to tell her? Answer: Only
benzodiazepines with a short half-life require tapering regimens.
⫸ Best candidate for fluoxetine therapy? Answer: A 35-year-old with a
history of poor medication adherence.
⫸ 31-year-old man on venlafaxine 8 months, depression in remission 3
months, BDI = 10. How long to continue? Answer: At least 6 months
following remission of symptoms.
⫸ Jessica starting lithium for bipolar I; anticipated adverse effect to
counsel about? Answer: Nausea and vomiting.
⫸ Jessica on lithium with level 0.4 mEq/L, mild thirst only. Best action?
Answer: The dose should be increased.
⫸ Panic disorder evaluation: which symptom is least likely during a
panic attack? Answer: Vertigo.
, ⫸ DSM-5 diagnosis of depression requires depressed mood and/or
what? Answer: Loss of interest or pleasure.
⫸ Light touch to face with eyes closed tests which cranial nerve?
Answer: V.
⫸ In acute mania, which finding is least expected? Answer: Binge
eating.
⫸ Citalopram in adults ≥60: maximum recommended daily dose?
Answer: 20 mg
⫸ Residual phase of schizophrenia is best described by which two?
Answer: Follows the active phase; Predominated by negative symptoms.
⫸ Bupropion is least appropriate in which patient? Answer: An 18-year-
old with bulimia nervosa and mild depression.
⫸ Characteristics consistent with dementia (two)? Answer: Cognitive
dysfunction is irreversible; Can last months to years.
⫸ Schizophrenia: least appropriate PMHNP response to auditory
hallucination? Answer: Repeating to the patient that the hallucination is
not real until it passes.
MENTAL HEALTH NURSE PRACTITIONER
FINAL TESTBANK FINAL STUDY GUIDE
2026 SOLVED QUESTIONS FULLY CORRECT
⫸ Hannah 1-week follow-up after starting antidepressant. Most
important question to ask? Answer: "Have you experienced any increase
in suicidal ideation?"
⫸ Hannah 5 weeks on low-dose antidepressant, PHQ-9 from 14 to 11,
tolerating well, partial response. Next best action? Answer: Increase the
dose of medication and return in 4 weeks.
⫸ 37-year-old man with bipolar disorder on quetiapine after suicide
attempt; consider adding which medication? Answer: Lithium.
⫸ 19-year-old woman with bulimia nervosa discontinuing diuretics.
Key counseling point? Answer: Rebound edema and weight gain will
likely occur but will resolve in 1-2 weeks.
⫸ Initiating lithium for mood stabilization. When should serum lithium
level be checked? Answer: In 5 days.
⫸ 27-year-old woman on SSRI for GAD, has weekly migraines. What
to recommend for acute migraine? Answer: Ibuprofen.
,⫸ Bipolar I woman with moderate-severe bipolar depression; which is
FDA-approved for bipolar depression? Answer: Lurasidone.
⫸ Lanugo is most often associated with which disorder? Answer:
Anorexia.
⫸ Counseling woman discontinuing long-term benzodiazepines for
panic disorder. Incorrect statement to tell her? Answer: Only
benzodiazepines with a short half-life require tapering regimens.
⫸ Best candidate for fluoxetine therapy? Answer: A 35-year-old with a
history of poor medication adherence.
⫸ 31-year-old man on venlafaxine 8 months, depression in remission 3
months, BDI = 10. How long to continue? Answer: At least 6 months
following remission of symptoms.
⫸ Jessica starting lithium for bipolar I; anticipated adverse effect to
counsel about? Answer: Nausea and vomiting.
⫸ Jessica on lithium with level 0.4 mEq/L, mild thirst only. Best action?
Answer: The dose should be increased.
⫸ Panic disorder evaluation: which symptom is least likely during a
panic attack? Answer: Vertigo.
, ⫸ DSM-5 diagnosis of depression requires depressed mood and/or
what? Answer: Loss of interest or pleasure.
⫸ Light touch to face with eyes closed tests which cranial nerve?
Answer: V.
⫸ In acute mania, which finding is least expected? Answer: Binge
eating.
⫸ Citalopram in adults ≥60: maximum recommended daily dose?
Answer: 20 mg
⫸ Residual phase of schizophrenia is best described by which two?
Answer: Follows the active phase; Predominated by negative symptoms.
⫸ Bupropion is least appropriate in which patient? Answer: An 18-year-
old with bulimia nervosa and mild depression.
⫸ Characteristics consistent with dementia (two)? Answer: Cognitive
dysfunction is irreversible; Can last months to years.
⫸ Schizophrenia: least appropriate PMHNP response to auditory
hallucination? Answer: Repeating to the patient that the hallucination is
not real until it passes.
