PMHNP Exam
- ANS-Which of the following cyclic antidepressants is considered the "most mighty?"
- ANS-Which of the subsequent is a manifestation of government dysfunction in adult
sufferers with attention deficit hyperactivity sickness?
. Liver sickness
Working in a manufacturing unit in which fumes are inhaled
c. Being a provider of viral hepatitis
d. All of the above - ANS-Which of the following is a contraindication in the use of disulfiram
as a deterrent to alcohol use?
"I recognize I want to look at my salt intake. I have recently been ingesting ingredients with a
higher quantity of sodium." - ANS-The PMHNP is finishing a physical evaluation on an
outpatient with bipolar ailment who's currently taking lithium. The NP critiques the patient's
lab paintings and observe a subtherapeutic lithium stage. Which of the following statements
made through the affected person may additionally have had an impact on reducing the
patient's lithium stage?
"I recognize that I need to take my SNRI on an empty belly." - ANS-A PMHNP has simply
completed presenting training to a affected person that has been prescribed a serotonin
norepinephrine reuptake inhibitor (SNRI) for. Which of the following statements with the aid
of the affected person indicates a need for further clarification?
"I must keep taking my Ativan previous to my ECT remedy." - ANS-A intellectual health NP is
rounding on a patient that is scheduled to go through electroconvulsive remedy (ECT).
Which of the subsequent statements by way of the affected person indicates a need for in
addition education/schooling?
"I ought to sleep on my lower back." - ANS-A affected person that has been recognized with
most important melancholy. In addition, after undergoing a nap look at, that patient become
identified with obstructive sleep apnea (OSA). The nurse practitioner has supplied the
patient with some training regarding OSA. Which of the following statements with the aid of
the patient indicates a need for in addition training?
"Many people. Tell me that after they are feeling very depressed, they sleep lots extra than
regular. Has this ever happened to you?" - ANS-Which of the subsequent statements best
represents the use of "normalizing" as a healing communique method?
08-1.2 mEq/L - ANS-Which of the subsequent is the advocated healing concentration of
lithium?
,40 mg - ANS-It is usually recommended that the first day dose of methadone for treatment of
opioid dependence/withdrawal not exceed what dosage?
2000 cells/microliter - ANS-Prior to the initiation of clozapine the affected person's absolute
neutrophil matter need to be extra than or identical to:
A path of treatment usually consists of 20 sessions - ANS-Which of the following statements
correctly reflects pointers for cognitive behavioral therapy in sufferers with binge consuming
disease?
A loss of life that came about while a patient became in restraints but not seclusion and the
handiest restraints used at the affected person had been applied solely to the patient's
wrist(s) and had been composed solely of soft, non-inflexible, fabric-like substances. -
ANS-According to the Centers for Medicare and Medicaid (CMS), wherein of the following
occasions would one NOT report a death associated with restraint or seclusion?
A formal or casual written or verbal criticism regarding the affected person's care that. Is not
resolved on the time of the complaint by using personnel gift - ANS-Hospitals are required to
inform sufferers and/or patient representatives of the inner grievance technique, which
includes whom to touch to file a criticism. Which of the following excellent describes the
definition of a "patient complaint?"
A affected person traveler overhears a registered nurse giving document on one among her
sufferers to any other registered nurse. - ANS-Which of the subsequent examples fine
describes incidental use or disclosure of protected fitness facts in line with the Health
Insurance Portability and Accountability Act (HIPAA)?
A patient with dementia who's experiencing agitation and tension is administered a high
dose of a sedative to sedate the patient and keep them in mattress. - ANS-According to the
Centers for Medicare and Medicaid Services (CMS), a remedy may be considered a restraint
when it is used as a restrict to manage a affected person's conduct or restrict a affected
person's movement and is not a standard treatment or dosage for a patient's situation.
Which of the subsequent examples could classify a remedy being utilized as a restraint?
A pharmacist shall not be required to fill a prescription for an emergency contraceptive drug.
- ANS-Which of the subsequent is an example of a "moral sense clause"?
A health practitioner
b. A physician or health practitioner extender (APNr PA)
c. A registered nurse
All of the above - ANS-Which of the following practitioners can whole the one hour
face-to-face assessment of a affected person restricted for the control of violent or
self-adverse behavior in keeping with the Centers for Medicare and Medicaid?
A. Anticonvulsants
b. Central frightened device stimulants
c. Calcium channel blockers
, All of the above - ANS-Which of the following classifications of medicines has the ability to
motive chorea?
A. Before acting any clinical interventions (specified in 482.Thirteen (f) (1) related to
restraints
As part of orientation
c. Consistent with frequency outlined in sanatorium policy
In all the above scenarios - ANS-According to the Centers for Medicare and Medicaid (CMS)
Conditions of Participation (482.Thirteen (f) (1)), team of workers have to be trained and
capable of display competency in restraints, including the application, monitoring.
Assessment and provision of care for patients in restraints:
a. Dopamine and norepinephrine - ANS-Which neurotransmitters can be grouped
collectively into the catecholamine category because of sharing a commonality in having the
equal middle biochemical structure (the catechol group)?
A. Hypertension
b. Hyperlipidemia
c. Diabetes
d. All of the above - ANS-Which of the subsequent metabolic disturbances is associated with
schizophrenia?
Acceptance - ANS-Which of the subsequent levels isn't always a component of the
transtheoretical model of behavior exchange?
Acetylcholine - ANS-Which of the subsequent isn't always an instance of a monoamine
neurotransmitter?
Adjustment disease - ANS-A affected person being visible within the outpatient health center
became currently diagnosed with psoriatic arthritis. The patient is now experiencing a giant
quantity of anxiety related to her analysis. She has come to be more and more remoted and
is spending much less time with her pals. Which of the subsequent diagnoses might be
taken into consideration?
Adjustment ailment with depressed mood - ANS-Which of the subsequent isn't an indication
for electroconvulsive remedy (ECT)?
Administration of 2 mg of IV lorazepam - ANS-A mental fitness nurse practitioner in an
emergency room gets a 27-12 months-antique girl affected person who provides to the ED
with court cases of chest pain and diaphoresis. Physical evaluation reveals a blood stress of
one hundred ninety/100, HR 148, RR 26, and the affected person seems mildly agitated.
When returning to peer the affected person a couple of minutes later, the nurse practitioner
discover that she has grow to be a lot greater agitated and is experiencing hallucinations.
The affected person's boyfriend states, "She probable took some greater of that lunar wave
stuff. This is how she receives whilst she takes that stuff." The NP is suspecting that the
patient is stricken by a artificial cathinone overdose. Which of the following interventions
might be considered inside the remedy of a cathinone overdose?
- ANS-Which of the following cyclic antidepressants is considered the "most mighty?"
- ANS-Which of the subsequent is a manifestation of government dysfunction in adult
sufferers with attention deficit hyperactivity sickness?
. Liver sickness
Working in a manufacturing unit in which fumes are inhaled
c. Being a provider of viral hepatitis
d. All of the above - ANS-Which of the following is a contraindication in the use of disulfiram
as a deterrent to alcohol use?
"I recognize I want to look at my salt intake. I have recently been ingesting ingredients with a
higher quantity of sodium." - ANS-The PMHNP is finishing a physical evaluation on an
outpatient with bipolar ailment who's currently taking lithium. The NP critiques the patient's
lab paintings and observe a subtherapeutic lithium stage. Which of the following statements
made through the affected person may additionally have had an impact on reducing the
patient's lithium stage?
"I recognize that I need to take my SNRI on an empty belly." - ANS-A PMHNP has simply
completed presenting training to a affected person that has been prescribed a serotonin
norepinephrine reuptake inhibitor (SNRI) for. Which of the following statements with the aid
of the affected person indicates a need for further clarification?
"I must keep taking my Ativan previous to my ECT remedy." - ANS-A intellectual health NP is
rounding on a patient that is scheduled to go through electroconvulsive remedy (ECT).
Which of the subsequent statements by way of the affected person indicates a need for in
addition education/schooling?
"I ought to sleep on my lower back." - ANS-A affected person that has been recognized with
most important melancholy. In addition, after undergoing a nap look at, that patient become
identified with obstructive sleep apnea (OSA). The nurse practitioner has supplied the
patient with some training regarding OSA. Which of the following statements with the aid of
the patient indicates a need for in addition training?
"Many people. Tell me that after they are feeling very depressed, they sleep lots extra than
regular. Has this ever happened to you?" - ANS-Which of the subsequent statements best
represents the use of "normalizing" as a healing communique method?
08-1.2 mEq/L - ANS-Which of the subsequent is the advocated healing concentration of
lithium?
,40 mg - ANS-It is usually recommended that the first day dose of methadone for treatment of
opioid dependence/withdrawal not exceed what dosage?
2000 cells/microliter - ANS-Prior to the initiation of clozapine the affected person's absolute
neutrophil matter need to be extra than or identical to:
A path of treatment usually consists of 20 sessions - ANS-Which of the following statements
correctly reflects pointers for cognitive behavioral therapy in sufferers with binge consuming
disease?
A loss of life that came about while a patient became in restraints but not seclusion and the
handiest restraints used at the affected person had been applied solely to the patient's
wrist(s) and had been composed solely of soft, non-inflexible, fabric-like substances. -
ANS-According to the Centers for Medicare and Medicaid (CMS), wherein of the following
occasions would one NOT report a death associated with restraint or seclusion?
A formal or casual written or verbal criticism regarding the affected person's care that. Is not
resolved on the time of the complaint by using personnel gift - ANS-Hospitals are required to
inform sufferers and/or patient representatives of the inner grievance technique, which
includes whom to touch to file a criticism. Which of the following excellent describes the
definition of a "patient complaint?"
A affected person traveler overhears a registered nurse giving document on one among her
sufferers to any other registered nurse. - ANS-Which of the subsequent examples fine
describes incidental use or disclosure of protected fitness facts in line with the Health
Insurance Portability and Accountability Act (HIPAA)?
A patient with dementia who's experiencing agitation and tension is administered a high
dose of a sedative to sedate the patient and keep them in mattress. - ANS-According to the
Centers for Medicare and Medicaid Services (CMS), a remedy may be considered a restraint
when it is used as a restrict to manage a affected person's conduct or restrict a affected
person's movement and is not a standard treatment or dosage for a patient's situation.
Which of the subsequent examples could classify a remedy being utilized as a restraint?
A pharmacist shall not be required to fill a prescription for an emergency contraceptive drug.
- ANS-Which of the subsequent is an example of a "moral sense clause"?
A health practitioner
b. A physician or health practitioner extender (APNr PA)
c. A registered nurse
All of the above - ANS-Which of the following practitioners can whole the one hour
face-to-face assessment of a affected person restricted for the control of violent or
self-adverse behavior in keeping with the Centers for Medicare and Medicaid?
A. Anticonvulsants
b. Central frightened device stimulants
c. Calcium channel blockers
, All of the above - ANS-Which of the following classifications of medicines has the ability to
motive chorea?
A. Before acting any clinical interventions (specified in 482.Thirteen (f) (1) related to
restraints
As part of orientation
c. Consistent with frequency outlined in sanatorium policy
In all the above scenarios - ANS-According to the Centers for Medicare and Medicaid (CMS)
Conditions of Participation (482.Thirteen (f) (1)), team of workers have to be trained and
capable of display competency in restraints, including the application, monitoring.
Assessment and provision of care for patients in restraints:
a. Dopamine and norepinephrine - ANS-Which neurotransmitters can be grouped
collectively into the catecholamine category because of sharing a commonality in having the
equal middle biochemical structure (the catechol group)?
A. Hypertension
b. Hyperlipidemia
c. Diabetes
d. All of the above - ANS-Which of the subsequent metabolic disturbances is associated with
schizophrenia?
Acceptance - ANS-Which of the subsequent levels isn't always a component of the
transtheoretical model of behavior exchange?
Acetylcholine - ANS-Which of the subsequent isn't always an instance of a monoamine
neurotransmitter?
Adjustment disease - ANS-A affected person being visible within the outpatient health center
became currently diagnosed with psoriatic arthritis. The patient is now experiencing a giant
quantity of anxiety related to her analysis. She has come to be more and more remoted and
is spending much less time with her pals. Which of the subsequent diagnoses might be
taken into consideration?
Adjustment ailment with depressed mood - ANS-Which of the subsequent isn't an indication
for electroconvulsive remedy (ECT)?
Administration of 2 mg of IV lorazepam - ANS-A mental fitness nurse practitioner in an
emergency room gets a 27-12 months-antique girl affected person who provides to the ED
with court cases of chest pain and diaphoresis. Physical evaluation reveals a blood stress of
one hundred ninety/100, HR 148, RR 26, and the affected person seems mildly agitated.
When returning to peer the affected person a couple of minutes later, the nurse practitioner
discover that she has grow to be a lot greater agitated and is experiencing hallucinations.
The affected person's boyfriend states, "She probable took some greater of that lunar wave
stuff. This is how she receives whilst she takes that stuff." The NP is suspecting that the
patient is stricken by a artificial cathinone overdose. Which of the following interventions
might be considered inside the remedy of a cathinone overdose?
