PRACTICE PMHNP TEST 100% CORRECT
AND UPDATED!!
A 42-year old male with Alcohol-use disorder for 5 years is referred to the PMHNP from
his PCP for addiction treatment. Which of the following lab findings would be consistent
with his dx? - ANSWER Increased mean corpuscular volume and triglycerides. These
are conventional biomarkers of heavy drinking.
A 9-year-old girl with history of GAD has been stable on fluoxetine 10 mg for 6 months
and presents for follow-up complaining of bilateral leg pain. The physical exam, CBC
and metabolic profile are normal except for an elevated alkaline phosphatase. The
PMHNP understands that this finding is: - ANSWER A commonly occurring pre-puberty
finding known as growing pains.
Growing pains is a diagnosis of exclusion occurring in pre- and early puberty,
specifically associated with osteoclastic and osteoblastic activity.
A 50-year-old physician presents with complaints of fatigue, headache, abdominal
distress, and weight loss. His husband reports increasing irritability, inattentiveness, and
low libido over the last month. He was seen by his PCP, who just notified him he has
pre=DM, hypercholesterolemia, and HTN despite weight loss. These findings are most
consistent with: - ANSWER Major depression
S/sx include: sleep changes, interest loss, guilt, energy deficit, appetite change and
somatic complaints often comorbid with type 2 DM
The purpose of a professional organization's scope and standards of practice is to: -
ANSWER Define the roles and actions for that particular profession
An APRN recognizes the essential nature of primary prevention strategies for a
community. Which of the following is an example of primary prevention strategy? -
ANSWER A skills class for at risk adolescents
Which of the following is representative of legal ruling trends over the past 30 years? -
ANSWER Juries have been encouraged to find defendants not guilty because of
insanity.
, A 45-year old white female agreed to hospitalization after presenting to the ER with
passive SI. After 24-hours she states that she wishes to leave because "this place
cannot help me". Which of the following actions reflects the legal right of the client? -
ANSWER Explain that the patient cannot leave until further assessment are completed
and collateral information is obtained with the aim of seeing if she will agree to remain
on a voluntary basis.
The PMHNP is aware that the essentials of the therapeutic alliance include all of the
following except:
A. Formulating a differential diagnosis
B. Genuineness
C. Acceptance
D. Authenticity - ANSWER Formulating a differential diagnosis is not a component for
the therapeutic alliance.
A 39-year-old woman has been in therapy for the last 3 months. She has shown much
improvement in her functioning and has developed much insight into her illness. This
week during her session you discuss service determination, and she suddenly begins to
demonstrate the first symptoms that brought her into therapy initially. She is now
hesitant for discharge and wants to continue services as she is displaying regressed
behavior. What is the best explanation for her symptom return? - ANSWER A normal
resistance seen in the termination time of therapy. Regression is a temporary defense
mechanism in response to stress in order avoid circumstances.
A 30-year old man reports low self-esteem, demonstrates poor self-control , exhibits
much self-doubt and requires a high degree of reassurance. what developmental task
has he failed to master? - ANSWER Industry vs. inferiority -is the stage of development
when children learn skills, take pride in their accomplishments and develop self-esteem
from being valued by peers for their competencies.
A 25-year-old male has been seeing his psychoanalyst four times a week for the last
year and is bothered by recent episodes of forgetfulness including misplacing everyday
items and missing appointments. Which Freudian psychodynamic principle assumes all
behavior conveys purpose? - ANSWER Psychic determination principle - is the
psychodynamic principle that assumes all behavior has a purpose.
Which of the following is an example of a mature defense mechanism? - ANSWER
Altruism - an example is a client who states the well-being of others is equally important
to his own, and perhaps even more important in certain situations.
AND UPDATED!!
A 42-year old male with Alcohol-use disorder for 5 years is referred to the PMHNP from
his PCP for addiction treatment. Which of the following lab findings would be consistent
with his dx? - ANSWER Increased mean corpuscular volume and triglycerides. These
are conventional biomarkers of heavy drinking.
A 9-year-old girl with history of GAD has been stable on fluoxetine 10 mg for 6 months
and presents for follow-up complaining of bilateral leg pain. The physical exam, CBC
and metabolic profile are normal except for an elevated alkaline phosphatase. The
PMHNP understands that this finding is: - ANSWER A commonly occurring pre-puberty
finding known as growing pains.
Growing pains is a diagnosis of exclusion occurring in pre- and early puberty,
specifically associated with osteoclastic and osteoblastic activity.
A 50-year-old physician presents with complaints of fatigue, headache, abdominal
distress, and weight loss. His husband reports increasing irritability, inattentiveness, and
low libido over the last month. He was seen by his PCP, who just notified him he has
pre=DM, hypercholesterolemia, and HTN despite weight loss. These findings are most
consistent with: - ANSWER Major depression
S/sx include: sleep changes, interest loss, guilt, energy deficit, appetite change and
somatic complaints often comorbid with type 2 DM
The purpose of a professional organization's scope and standards of practice is to: -
ANSWER Define the roles and actions for that particular profession
An APRN recognizes the essential nature of primary prevention strategies for a
community. Which of the following is an example of primary prevention strategy? -
ANSWER A skills class for at risk adolescents
Which of the following is representative of legal ruling trends over the past 30 years? -
ANSWER Juries have been encouraged to find defendants not guilty because of
insanity.
, A 45-year old white female agreed to hospitalization after presenting to the ER with
passive SI. After 24-hours she states that she wishes to leave because "this place
cannot help me". Which of the following actions reflects the legal right of the client? -
ANSWER Explain that the patient cannot leave until further assessment are completed
and collateral information is obtained with the aim of seeing if she will agree to remain
on a voluntary basis.
The PMHNP is aware that the essentials of the therapeutic alliance include all of the
following except:
A. Formulating a differential diagnosis
B. Genuineness
C. Acceptance
D. Authenticity - ANSWER Formulating a differential diagnosis is not a component for
the therapeutic alliance.
A 39-year-old woman has been in therapy for the last 3 months. She has shown much
improvement in her functioning and has developed much insight into her illness. This
week during her session you discuss service determination, and she suddenly begins to
demonstrate the first symptoms that brought her into therapy initially. She is now
hesitant for discharge and wants to continue services as she is displaying regressed
behavior. What is the best explanation for her symptom return? - ANSWER A normal
resistance seen in the termination time of therapy. Regression is a temporary defense
mechanism in response to stress in order avoid circumstances.
A 30-year old man reports low self-esteem, demonstrates poor self-control , exhibits
much self-doubt and requires a high degree of reassurance. what developmental task
has he failed to master? - ANSWER Industry vs. inferiority -is the stage of development
when children learn skills, take pride in their accomplishments and develop self-esteem
from being valued by peers for their competencies.
A 25-year-old male has been seeing his psychoanalyst four times a week for the last
year and is bothered by recent episodes of forgetfulness including misplacing everyday
items and missing appointments. Which Freudian psychodynamic principle assumes all
behavior conveys purpose? - ANSWER Psychic determination principle - is the
psychodynamic principle that assumes all behavior has a purpose.
Which of the following is an example of a mature defense mechanism? - ANSWER
Altruism - an example is a client who states the well-being of others is equally important
to his own, and perhaps even more important in certain situations.
