NU673 -Midterm- PMHNP-Test Questions
with All Solved Solutions 2026 Updated.
PMHNP role - Answer scholarly activities publishing lectures presentation preceptor ship
continuing education mentoring mutual respect client advocacy participate in ANA American
psychiatric nurse association international Society of psychiatric nurses health policy legal and
ethical responsibility participate in government health policy activities case management risk
assessment for high risk situation risk management intervened to reduce risk of non-healthy
behaviors and advance directives.
PMHNP scope of Practice - Answer
Psychiatric H& P components - Answer Onset
duration
characteristics
associated aggravating factors
relieving factors
treatment and summary.
Psychiatric Assessment - Answer establish therapeutic relationship of acceptance empathy
professionalism respect gather data review the purpose consider safety issues communication
skills screening tools developmental assessment differential diagnosis assess precipitating
events stressors biological social psychological develop a treatment plan that safe based on
evidence and culture competent must instill hope to decrease anxiety provide education and
follow up labs and referrals to neuropsych testing therapy education psychotropic meds
reassurance follow up plan.
objective MSE scales in which examiner rates patient - Answer cooperative conversate without
acute distress orientation dress for agencies than cycle motor activity iContact euthymic affect
fall even congruent with reported mood of speech is spontaneous normal rate appropriate
volume and tone with no problems expressing self thought content is normal elicited content
denies suicide denies homicidal process appears linear coherent goal directed cognition appears
grossly intact with appropriate attention span and concentration and average fund of
knowledge judgment appears fair insight appears fair the patient is able to articulate needs is
motivated for compliance adherence to medication regime is willing and able to participate with
treatment disposition and discharge planning.
Psychiatric Interview - Answer the most important element in the evaluation and care of
persons with mental illness
Psychiatric H&P - Answer
,psychiatric goals - Answer
psychiatric treatment - Answer
PMHNP mental health Anxiety assessment tools - Answer GAD-7:
5-9 mild,
10-14 mod,
15-21 severe
HAM- A:
14-17 mild,
18-24 mod,
25-30 severe
PMHNP depression rating tool - Answer HAM-D:
0-7 norm,
8-13 mild,
14-18 mod,
19-22 sv,
23 severly severe
PQH-9:
1-4 min,
5-9 mild,
10-14 mod,
15-19 sev mod, >20 sv
Beck Depression Inventory (BDI)
0-13 min depression
14-19 mild depression
20-28 mod depression
29-63 severe depression
Bipolar Spectrum Diagnostic Scale (BSDS) - Answer BSDS
, 0-6 high unlike
7-12 low risk
13-19 mod
20-25 high likely
social determinants of health - Answer The conditions in which people are born, grow, live,
work, and age, shaped by the distribution of money, power, and resources at global, national,
and local levels
Serotonin Syndrome - Answer With any drug that increases 5-HT (e.g., MAO inhibitors, SNRIs,
TCAs) hyperthermia, confusion, myoclonus, cardiovascular instability, flushing, diarrhea,
seizures. A patient who presents with an excess of serotonin is likely experiencing serotonin
syndrome. Serotonin syndrome is classified by restlessness, agitation, myoclonus, and vital sign
abnormalities. Patients with a deficit of serotonin would present with depression, sleep
dysregulation, and loss of appetite.
-Treatment: cyproheptadine (5-HT2 receptor antagonist).
Stevens-Johnson Syndrome - Answer erythema multiforme
extrapyramidal symptoms - Answer involuntary fine motor tremors, rigidity, uncontrollable
retlessness, acute dystonia.
Neuro Malignant Hyperthermia - Answer related to Dopamine 2 drop.
Neuromalignant syndrome - Answer excessive dopamine blockage and increased muscle tone.
autonomic dysfunction
agitation
confusion
high fever
Antipsychotics - Answer alter neurotransmitters in the brain to alleviate symptoms of
psychosis, paranoia, and schizophrenia
Antipsychotic effects - Answer Reduce Positive symptoms-mania, paranoia. First gen
antipsychotics have this effect such as slowing of the psychomotor activity in an agitated patient
and calming of emotion with suppression of hallucinations and delusions
with All Solved Solutions 2026 Updated.
PMHNP role - Answer scholarly activities publishing lectures presentation preceptor ship
continuing education mentoring mutual respect client advocacy participate in ANA American
psychiatric nurse association international Society of psychiatric nurses health policy legal and
ethical responsibility participate in government health policy activities case management risk
assessment for high risk situation risk management intervened to reduce risk of non-healthy
behaviors and advance directives.
PMHNP scope of Practice - Answer
Psychiatric H& P components - Answer Onset
duration
characteristics
associated aggravating factors
relieving factors
treatment and summary.
Psychiatric Assessment - Answer establish therapeutic relationship of acceptance empathy
professionalism respect gather data review the purpose consider safety issues communication
skills screening tools developmental assessment differential diagnosis assess precipitating
events stressors biological social psychological develop a treatment plan that safe based on
evidence and culture competent must instill hope to decrease anxiety provide education and
follow up labs and referrals to neuropsych testing therapy education psychotropic meds
reassurance follow up plan.
objective MSE scales in which examiner rates patient - Answer cooperative conversate without
acute distress orientation dress for agencies than cycle motor activity iContact euthymic affect
fall even congruent with reported mood of speech is spontaneous normal rate appropriate
volume and tone with no problems expressing self thought content is normal elicited content
denies suicide denies homicidal process appears linear coherent goal directed cognition appears
grossly intact with appropriate attention span and concentration and average fund of
knowledge judgment appears fair insight appears fair the patient is able to articulate needs is
motivated for compliance adherence to medication regime is willing and able to participate with
treatment disposition and discharge planning.
Psychiatric Interview - Answer the most important element in the evaluation and care of
persons with mental illness
Psychiatric H&P - Answer
,psychiatric goals - Answer
psychiatric treatment - Answer
PMHNP mental health Anxiety assessment tools - Answer GAD-7:
5-9 mild,
10-14 mod,
15-21 severe
HAM- A:
14-17 mild,
18-24 mod,
25-30 severe
PMHNP depression rating tool - Answer HAM-D:
0-7 norm,
8-13 mild,
14-18 mod,
19-22 sv,
23 severly severe
PQH-9:
1-4 min,
5-9 mild,
10-14 mod,
15-19 sev mod, >20 sv
Beck Depression Inventory (BDI)
0-13 min depression
14-19 mild depression
20-28 mod depression
29-63 severe depression
Bipolar Spectrum Diagnostic Scale (BSDS) - Answer BSDS
, 0-6 high unlike
7-12 low risk
13-19 mod
20-25 high likely
social determinants of health - Answer The conditions in which people are born, grow, live,
work, and age, shaped by the distribution of money, power, and resources at global, national,
and local levels
Serotonin Syndrome - Answer With any drug that increases 5-HT (e.g., MAO inhibitors, SNRIs,
TCAs) hyperthermia, confusion, myoclonus, cardiovascular instability, flushing, diarrhea,
seizures. A patient who presents with an excess of serotonin is likely experiencing serotonin
syndrome. Serotonin syndrome is classified by restlessness, agitation, myoclonus, and vital sign
abnormalities. Patients with a deficit of serotonin would present with depression, sleep
dysregulation, and loss of appetite.
-Treatment: cyproheptadine (5-HT2 receptor antagonist).
Stevens-Johnson Syndrome - Answer erythema multiforme
extrapyramidal symptoms - Answer involuntary fine motor tremors, rigidity, uncontrollable
retlessness, acute dystonia.
Neuro Malignant Hyperthermia - Answer related to Dopamine 2 drop.
Neuromalignant syndrome - Answer excessive dopamine blockage and increased muscle tone.
autonomic dysfunction
agitation
confusion
high fever
Antipsychotics - Answer alter neurotransmitters in the brain to alleviate symptoms of
psychosis, paranoia, and schizophrenia
Antipsychotic effects - Answer Reduce Positive symptoms-mania, paranoia. First gen
antipsychotics have this effect such as slowing of the psychomotor activity in an agitated patient
and calming of emotion with suppression of hallucinations and delusions
