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, PMHNP certification Exam KM
Study online at https://quizlet.com/_c1ts1x
Walden University–aligned PMHNP Comprehensive
Certification Review Exam
1. Which patient is at highest risk for SI
A. 30y/o married AA female with previous SI attempt *1 risk factor
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
D. 68 y/o single white male with depression *5 risk factors (age, male, white,
depression): D. 68 y/o single white male with depression *5 risk factors (age,
male, white, depression)
Count the risk factors
2. When interview teenagers (16 y/o) that arrive with their parents what
should you do?: interview them separately from parents.
-This helps Build therapeutic rapport with teens by telling them the info is confiden-
tial. Parents may be upset but remember you are advocating for the child.
3. Which Ethnic group has the highest rate of suicide?: Native Americans
4. Example A patient is being treated for schizophrenia with olanzapine.
Which of the following is the most common side effect of olanzapine?
A. Increased waist circumference
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-receptor an-
tagonism
C. Increased Lipids
D. Metabolic Syndrome: D. Metabolic Syndrome (UMBRELLA ANSWER)
, PMHNP certification Exam KM
Study online at https://quizlet.com/_c1ts1x
5. Which antipsychotics have the least weight gain?: Latuda, Abilify, (also
least sedating), Geodon-if patient has metabolic syndrome consider switching to
one of the medications above. Or if the patient is overly sedated try switching to
ABILIFY
6. Which mood stabilizer have the least weight gain?: Lamictal -But
remember all mood stabilizers cause some weight gain
7. When presented with a question about typical vs atypical antipsychotic
the answer is usually to start of a: atypical
8. A client presents with complains of changes in appetite, feeling
fatigued, problems with sleep-rest cycle, and changes in libido. What is the
neu- roanatomical area of the brain that is responsible for the normal
regulation of these functions? A. Thalamus
B. Hypothalamus
C. Limbic System
D. Hippocampus: Hypothalamus
A, B, & D are all part of the limbic system so you can rule that out
, PMHNP certification Exam KM
Study online at https://quizlet.com/_c1ts1x
9. When a patient is hesitant to participate in treatment you should encour-
age?: Bring a support person like a husband
10. Thyroid-Stimulating hormone normal level: 0.5-5.0 Mu/L
11. When T4 and T3 are high and TSH is low what is the diagnosis: HY-
PERTHYROIDISM, TSH secretion decreases: TSH LOW à key symptoms
HEAT INTOLERANCE
12. Key symptoms of Heat Intolerance: Hyperthyroidism
13. When T4 and T3 are Low and TSH is high what is the diagnosis: (HY-
POTHYROIDISM) TSH secretion increased: TSH HIGH à COLD INTERANCE
14. Key symptoms of Cold Intolerance: Hypothyroidism
15. Hyperthyroid can mimic: Mania
16. Hypothyroid can mimic: Depression
17. A patient on depakote complains of RUQ pain and has reddish/brown
urine: Hepatoxicity -Check LFTs
18. Signs of Depakote toxicity: Disorientation, confusion, lethargy
19. You suspect depakote toxicity what do you do?: Check
-LFT
-Ammonia
-Depakote Level
20. What herbal supplement can cause hepatoxicity?: Kava Kava
21. When taking Kava Kava in combinations with other medications you
should caution about: Risk of Hepatoxicity and Sedation
22. TCAs carry a risk of: Hepatotoxicity
, PMHNP certification Exam KM
Study online at https://quizlet.com/_c1ts1x
Walden University–aligned PMHNP Comprehensive
Certification Review Exam
1. Which patient is at highest risk for SI
A. 30y/o married AA female with previous SI attempt *1 risk factor
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
D. 68 y/o single white male with depression *5 risk factors (age, male, white,
depression): D. 68 y/o single white male with depression *5 risk factors (age,
male, white, depression)
Count the risk factors
2. When interview teenagers (16 y/o) that arrive with their parents what
should you do?: interview them separately from parents.
-This helps Build therapeutic rapport with teens by telling them the info is confiden-
tial. Parents may be upset but remember you are advocating for the child.
3. Which Ethnic group has the highest rate of suicide?: Native Americans
4. Example A patient is being treated for schizophrenia with olanzapine.
Which of the following is the most common side effect of olanzapine?
A. Increased waist circumference
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-receptor an-
tagonism
C. Increased Lipids
D. Metabolic Syndrome: D. Metabolic Syndrome (UMBRELLA ANSWER)
, PMHNP certification Exam KM
Study online at https://quizlet.com/_c1ts1x
5. Which antipsychotics have the least weight gain?: Latuda, Abilify, (also
least sedating), Geodon-if patient has metabolic syndrome consider switching to
one of the medications above. Or if the patient is overly sedated try switching to
ABILIFY
6. Which mood stabilizer have the least weight gain?: Lamictal -But
remember all mood stabilizers cause some weight gain
7. When presented with a question about typical vs atypical antipsychotic
the answer is usually to start of a: atypical
8. A client presents with complains of changes in appetite, feeling
fatigued, problems with sleep-rest cycle, and changes in libido. What is the
neu- roanatomical area of the brain that is responsible for the normal
regulation of these functions? A. Thalamus
B. Hypothalamus
C. Limbic System
D. Hippocampus: Hypothalamus
A, B, & D are all part of the limbic system so you can rule that out
, PMHNP certification Exam KM
Study online at https://quizlet.com/_c1ts1x
9. When a patient is hesitant to participate in treatment you should encour-
age?: Bring a support person like a husband
10. Thyroid-Stimulating hormone normal level: 0.5-5.0 Mu/L
11. When T4 and T3 are high and TSH is low what is the diagnosis: HY-
PERTHYROIDISM, TSH secretion decreases: TSH LOW à key symptoms
HEAT INTOLERANCE
12. Key symptoms of Heat Intolerance: Hyperthyroidism
13. When T4 and T3 are Low and TSH is high what is the diagnosis: (HY-
POTHYROIDISM) TSH secretion increased: TSH HIGH à COLD INTERANCE
14. Key symptoms of Cold Intolerance: Hypothyroidism
15. Hyperthyroid can mimic: Mania
16. Hypothyroid can mimic: Depression
17. A patient on depakote complains of RUQ pain and has reddish/brown
urine: Hepatoxicity -Check LFTs
18. Signs of Depakote toxicity: Disorientation, confusion, lethargy
19. You suspect depakote toxicity what do you do?: Check
-LFT
-Ammonia
-Depakote Level
20. What herbal supplement can cause hepatoxicity?: Kava Kava
21. When taking Kava Kava in combinations with other medications you
should caution about: Risk of Hepatoxicity and Sedation
22. TCAs carry a risk of: Hepatotoxicity
